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WithdrawnNCT03433508Updated Nov 5, 2019

Restrictive Versus Liberal Red Blood Cell Transfusion in Patients of Cirrhosis With Septic Shock

An interventional study of Liberal and Restrictive in Cirrhosis, sponsored by Institute of Liver and Biliary Sciences, India. Withdrawn at 1 site in India. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-11-05.

Sponsored by Institute of Liver and Biliary Sciences, India · Not applicable, Interventional, and Treatment

Why this study was withdrawn
lack of funds
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Consecutive cirrhotics who present to emergency department of ILBS with documented or suspected sepsis induced hypotension with Hb \<8 gm/dl will be randomly assigned to restrictive (Target Hb 7-8 gm/dl) to liberal (Target Hb 10-11 gm/dl) group in a 1:1 proportion At admission, all patients will undergo physical examination and baseline investigations to identify site of sepsis. Enrolled patients will be given PRBC-transfusion (Not more than two units of PRBC/day) when they reach their assigned trigger value (Hb 7-8 g/dl or 10-11 g/dl ) during the entire ICU stay. All other interventions will be at the discretion of clinicians.

02

Conditions studied

  • Cirrhosis
03

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Cirrhosis with septic shock.
  2. Age >18 years

Exclusion criteria

Exclusion Criteria:

  1. Previous severe adverse reaction with blood products,
  2. Disseminated intravascular coagulopathy
  3. HCC
  4. Pregnancy
  5. Malignancy
  6. Active gastrointestinal bleeding
  7. Intracranial bleeding
  8. Chronic Kidney disease with Maintenance Hemodialysis
  9. Pulmonary Edema
  10. Congestive Heart Failure
  11. Lack of informed consent
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Liberal

    2 PRBC /day to maintain the target of Hemoglobin 10 to 11 gm/dL. PRBC will be given intravenously at least for 28 days

    Biological: Liberal

  • Active comparator
    Restrictive

    To maintain the target Hemoglobin of 7 to 8 gm/dL.

    Other: Restrictive

Interventions

  • BiologicalLiberal

    2 PRBC /day to maintain the target of Hemoglobin 10 to 11 gm/dL. PRBC will be given intravenously at least for 28 days

  • OtherRestrictive

    To maintain the target Hemoglobin of 7 to 8 gm/dL.

05

What researchers measure

Primary outcomes

  1. Mortality in both groups

    Time frame: 28 dyas

Secondary outcomes

  1. Improvement in vasopressors in both groups

    Improvement is defined as tapering the dose of vasopressors

    Time frame: 28 days

  2. Incidence of complications in both groups

    Time frame: 28 days

  3. Length of ICU (Intensive Care Unit) stay

    Time frame: 28 days

  4. Requirement of mechanical ventilation in both groups

    Time frame: 28 days

06

Study locations

1 site
  • Institute of Liver and Biliary Sciences
    New Delhi, Delhi 110070, India
07

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03433508
Lead sponsor
Institute of Liver and Biliary Sciences, India
Responsible party
Sponsor
First posted
Feb 14, 2018
Start date
Dec 15, 2018 (estimated)
Primary completion
Feb 15, 2019 (estimated)
Completion
Feb 15, 2019 (estimated)
Last update
Nov 5, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is withdrawn, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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