ClinicalTrials.gg
RecruitingNCT06128421Updated Jan 25, 2024

Individual Nutrition Support in HBV-ACLF Patients at Nutrition Risk

An interventional study of Individual nutritional support in Malnutrition, Hepatitis B,Chronic and Acute-On-Chronic Liver Failure, sponsored by Third Affiliated Hospital, Sun Yat-Sen University. Recruiting at 1 site in China. Open to participants aged 20 Years to 60 Years. Per ClinicalTrials.gov, last updated 2024-01-25.

Sponsored by Third Affiliated Hospital, Sun Yat-Sen University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Apr 2024, 2 years 6 months ago, but the record still lists the study as recruiting.
  • Started Nov 2023; still recruiting 2 years 11 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
20 Years to 60 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 59 studies in Malnutrition with a site in China — 20 open to participants now, 21 under way, 1 of them phase 3. Malnutrition · China.

Planned enrollment
28th of 32
60 · median 120
Started
2023
with 5 others
No phase
19 of 59
8 open now
Primary completion
2024-04
later than 1 of 20 live
Registered
43rd of 59
by date

Among the 59 studies in Malnutrition with a site in China, this one is the 28th largest by planned enrollment of the 32 interventional ones that give a count, is one of 6 that started in 2023, is one of 19 with no phase, reaches primary completion later than 1 of the 20 other live ones, and was the 43rd registered.

Malnutrition

1,278 studies on the registry are indexed under Malnutrition; 231 are open to participants now.

Browse Malnutrition studies →

Open to participants now

20 of the 59 studies in Malnutrition with a site in China are open now. Recruiting first, the newest first:

14 more — sign in →

All 20 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 149 Malnutrition studies recruiting now, 84 (56%) set no upper age limit and 45 (30%) stop at 75 or younger; 40 take children under 18; 28 take healthy volunteers.

This study: 20 Years to 60 Years · all sexes · no healthy volunteers.

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02

Study summary

This study aims to investigate the safety and efficacy of individual nutrition support for treating hepatitis b virus(HBV) related acute-on-chronic liver failure patients at nutrition risk

Read the detailed description

The aims of the randomized-controlled trial are to test the hypothesis that in medical inpatients with HBV related ACLF at risk for undernutrition defined by the nutritional risk score (NRS 2002), tailored nutritional therapy to reach nutritional targets based on individualized nutritional counseling is a effective strategy to prevent mortality, morbidity and functional decline.

Sixty patients with HBV related ACLF will be enrolled in this study. The participants are divided into trial Patients in the trail group will receive individualized nutritional therapy to reach nutritional targets (caloric, protein, others) based on a predefined nutritional strategy.In control patients, according to patients' appetite, standard hospital nutrition will be served. Nutritional therapy may be started in control patients, if any sort of swallowing disorders develops or if patients need to be prepared for operation. All patients will be re-assessed daily during the hospital stay for nutritional intake and nutritional therapy may be escalated within first 3days ( oral supplements, parenteral nutrition) if targets are not met (at least 75% of targets).

03

Conditions studied

  • Malnutrition
  • Hepatitis B,Chronic
  • Acute-On-Chronic Liver Failure
  • Nutrition Support
04

Who can participate

Ages eligible
20 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age from 20 to 60 years old;
  2. Clinical diagnosis of chronic virus infection(positive hepatitis b surface antigen or positive hepatitis b virus DNA >0.5 year
  3. serum total level ≥12 mg/dl
  4. international ratio ≥1.5
  5. NRS≥ 3points
  6. COSSH-ACLF IIs \<8.4 points

Exclusion criteria

Exclusion Criteria:

  1. Other active liver disease;
  2. Hepatocellular carcinoma or other , , Chronic kidney disease(CKD), diabetes, thyroid disease, cardiopulmonary disease, neuromuscular diseases, serious psychiatric disease;
  3. Acute cholecystitis, acute pancreatitis, biliary obstruction, short bowel syndrome, intestinal obstruction, inflammatory bowel disease;
  4. Severe complications or other organ failure including sever infection, gastrointestinal bleeding, hepatic encephalopathy, hepatorenal syndrome, gastrointestinal failure(AGI III-IV);
  5. Pregnancy, \<18.5 or BMI ≥28,organ transplantation, bed-ridden;
  6. Unable to ingest oral nutrition, against parenteral nutrition
  7. Admitted with enteral or parenteral nutrition in the last week
  8. expected hospital length of stay\<3 days,.expected residence in Guangdong Province length of live\< 90 days
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Experimental
    Trail Group

    30 patients will receive dietary counseling and individual nutrition support treatment based on Oral nutrition supplements and supplemented by parenteral nutrition.

    Dietary Supplement: Individual nutritional support

  • No intervention
    Control Group

    30 patients will receive standard care food provided by the hospital kitchen according to their ability and desire, standard care food provided by the hospital kitchen.

Interventions

  • Dietary supplementIndividual nutritional support

    Nutritional products and route(oral, parenteral)is possible to reach goals

06

What researchers measure

Primary outcomes

  1. Transplant free survival at 30 days

    Time frame: 30 days

  2. Transplant free survival at 90 days

    Time frame: 90 days

Secondary outcomes

  1. L3-SMI as a marker of muscle mass

    Third lumbar skeletal muscle index(L3-SMI) by CT scan

    Time frame: 30 days, 90days

  2. Grip as markers of muscle strength

    Grip

    Time frame: 30 days, 90days

  3. Short Physical Performance Battery (SPPB) as markers of physical performance

    The short physical performance battery (SPPB) is a group of measures that combines the results of the gait speed, chair stand and balance tests.

    Time frame: 30 days, 90 days

  4. Improvement in quality of life

    Improvement in quality of life measured with the EuroQol Group 5-Dimension Self-Report Questionnaire on admission and during follow up measured by patient interview

    Time frame: 30 days, 90days

  5. length of hospital stay

    days in the hospital within index hospitalisation and within the 90 days of follow up measured by patient interview and medical chart review

    Time frame: days in the hospital within index hospitalisation and within the 30 days of follow up measured by patient interview and medical chart review

  6. Energy intake

    Protein-calorie intake as assessed by serial 24-hour dietary recall

    Time frame: 10 days

  7. hepatic adverse outcomes

    hepatic encephalopathy,esophageal variceal hemorrhage,etc

    Time frame: 10days,30 days, 90 days

  8. Combined safety endpoints in regard to side effects from nutritional therapy

    Number of participants with side effects from nutritional support including (a) adverse gastrointestinal effects (diarrhea, nausea, vomiting, abdominal pain, abdominal distention) assessed by patient interview (yes/no) b) Complications due to center catheter for parenteral nutrition assessed by medical chart review (c) Refeeding syndrome assessed by chart review (d) Acute pancreatitis defined as 2 out of 3 criteria: abdominal pain, 3-fold increase in lipase or amylase, characteristic imaging findings assessed by chart review (e) Liver or gall bladder dysfunction assessed by chart review (f) Hyperglycemia (defined as glucose levels persistent levels \>10mmol/l in patients without diabetes or well controlled diabetes) assessed by medical chart review

    Time frame: measured at day 10 and 30

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2023 (actual). Primary completion is estimated for Apr 2024, 5 months after the start.

Of 392 non-industry interventional studies with no phase under Malnutrition, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 37. This study's planned 5 months is below that.

Counting every sponsor, half of 418 studies reached it within 22 months; a quarter within 11 and three quarters within 37.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 6, 2023
First posted
Nov 13, 2023
StartActual
Nov 23, 2023
Primary completionEst.
Apr 30, 2024
CompletionEst.
Oct 31, 2024
Last update
Jan 25, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06128421
Responsible party
Liang Peng (Professor, Third Affiliated Hospital, Sun Yat-Sen University) — Principal investigator
First posted
Nov 13, 2023
Start date
Nov 23, 2023
Primary completion
Apr 30, 2024 (estimated)
Completion
Oct 31, 2024 (estimated)
Last update
Jan 25, 2024

Study contacts

Li Zhipeng
Contact
lzp1219@126.com
+8613725480127
Peng Liang
Contact
pzp33@hotmail.com
+8613533978874

Oversight

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

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