ClinicalTrials.gg
RecruitingNCT06812390Updated Mar 11, 2025

Albumin Assisted Diuresis in Patients with Cirrhosis and Ascites

A Phase 2 interventional study of Albumin infusion (25% albumin) and Normal Saline (0.9% NaCl) in Cirrhosis and Ascites Hepatic, sponsored by Anahita Rabiee MD MHS. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-11.

Primary conditionAscitesRegistry: FibrosisReclassifiedWhy we changed it
Registry
Fibrosis — the first condition term the registry derived for this study.
ClinicalTrials.gg
Ascites
Why
  1. Fibrosis is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Ascites.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Anahita Rabiee MD MHS · Phase 2, Interventional, and Other

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 8 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A small, pilot proof-of-concept placebo-controlled trial to explore the effects of albumin on diuresis in patients with cirrhosis, ascites and lower extremity edema. We will additionally investigate albumin's effect on preventing neurohumoral activation, and acute kidney injury after diuresis.

02

Conditions studied

  • Cirrhosis
  • Ascites Hepatic

Browse trials for

Keywords

  • albumin
  • cirrhosis
  • ascites
  • diuresis
03

In context

Ascites Reclassified

247 studies on the registry are indexed under Ascites; 57 are open to participants now.

This study's planned enrollment of 20 is below the median of 54 across 179 interventional studies indexed under Ascites.

Browse Ascites studies →

Lead sponsor

This is the only study on the registry with Anahita Rabiee MD MHS as lead sponsor.

Compared within Ascites, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Fibrosis. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
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

  • Outpatient patients with decompensated cirrhosis with past or current ascites and persistent lower extremity edema despite oral diuretic titration
  • Serum albumin of \< 3.5 g/dL
  • Age >=18 years old

Exclusion criteria

Exclusion Criteria:

  • Patients with \< 30mL/min/1.73 m2
  • Changes in oral diuretic regimen in the past 7 days (**patients can enter the study after 7 days of the change)
  • Large Volume paracentesis (LVP) in the past 7 days (**patients can enter the study after 7 days)
  • Albumin infusion within the previous 14 days (** patients can enter the study after 14 days)
  • Spontaneous Bacterial Peritonitis in the past month
  • Active variceal bleeding
  • Current Hepatic encephalopathy (>= Grade 2 based on West Haven criteria)
  • Co-administration of other diuretics such as Hydrochlorothiazide (amiloride or eplerenone in place of spironolactone, and Bumex/Torsemide in place of furosemide are acceptable)
  • Hypotension (Mean Arterial Pressure \<65 mmHg, Systolic Blood pressure \<90 mmHg)
  • Severe hyponatremia (Sodium \<125 mEq/L)
  • previous diagnosis of overt heart failure (systolic EF \< 50%)
  • Baseline oxygen requirement
  • to albumin preparations
Terms in these criteria, in plain language(2)

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
20 participants (estimated)

Study arms

  • Active comparator
    Albumin first

    Albumin for one dose, followed by at least 14 day washout period, before crossing over to the alternate arm to receive placebo for one dose.

  • Placebo comparator
    Placebo first

    Placebo for one dose, followed by at least 14 day washout period, before crossing over to the alternate arm to receive albumin for one dose.

    Drug: Albumin infusion (25% albumin) · Drug: Normal Saline (0.9% NaCl)

Interventions

  • DrugAlbumin infusion (25% albumin)

    Albumin 25 gram infusion

  • DrugNormal Saline (0.9% NaCl)

    100 cc of normal saline

06

What researchers measure

Primary outcomes

  1. Change in fractional excretion of sodium (FENa)

    Change in fractional excretion of sodium (FENa) with administration of albumin vs placebo

    Time frame: 6 hours (baseline vs hour 6 after albumin vs placebo administration)

Secondary outcomes

  1. Changes in neuro hormonal markers

    Changes in neuro hormonal markers including norepinephrine, renin, aldosterone

    Time frame: 6 hours and 24 hours

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

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06812390
Lead sponsor
Anahita Rabiee MD MHS
Collaborators
Grifols Shared Services North America Inc
Responsible party
Anahita Rabiee MD MHS (Staff Hepatologist, MD, MHS, VA Connecticut Healthcare System) — Sponsor-investigator
First posted
Feb 6, 2025
Start date
Feb 28, 2025
Primary completion
Dec 2026 (estimated)
Completion
Mar 2027 (estimated)
Last update
Mar 11, 2025

Study contacts

Anahita Rabiee, MD, MHS
Contact
anahita.rabiee@va.gov
203-932-5711 ext. ext.1-5871
Lynn F. Buchwalder, M.S.
Contact
Lynn.Buchwalder@va.gov
203-932-5711 ext. ext.1-5871

Oversight

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

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