Does removing more normal liver tissue raise the risk of liver failure after liver resection?
Official title: A Model Based on Resected Normal Liver Parenchymal Volume(RNLV)to Predict the Risk of Post-Hepatectomy Liver Failure (PHLF)
Run by National Natural Science Foundation of China · NCT06366048 · Data updated 2026-11-12
This study tests whether the amount of normal liver removed (RNLV) helps predict liver failure after surgery in people with hepatocellular carcinoma or intrahepatic cholangiocarcinoma.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 1600 (estimated) |
| Sponsor | National Natural Science Foundation of China Government |
| Locations | 3 sites (Fujian, Shanghai Municipality and 2 other locations) |
| Status | Recruiting |
| Started | December 1, 2022 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | April 14, 2026 |
| Trial ID | NCT06366048 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with histologically confirmed hepatocellular carcinoma or intrahepatic cholangiocarcinoma who underwent selective hepatectomy and have complete, accessible preoperative and operative data.
✕Probably not a fit
Patients with prior ALPPS, portal vein embolization, tumor rupture, emergency surgery, concurrent major organ resections, or diagnoses other than HCC/ICC were excluded and are unlikely to benefit from this specific model.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Investigators performed a large retrospective review of over a thousand consecutive patients with hepatocellular carcinoma or intrahepatic cholangiocarcinoma who underwent selective hepatectomy at multiple Chinese centers. They calculated resected normal liver parenchymal volume (RNLV) from imaging and operative data and recorded post-hepatectomy liver failure (PHLF) according to 50-50 and ISGLS criteria. The team planned to build a predictive model combining RNLV with clinical variables and compare its performance to future liver remnant (FLR) metrics, with special attention to patients with large or multiple tumors. The goal was to see whether RNLV can be an informative variable for preoperative risk stratification and surgical safety planning.
Why it matters
Potential benefit: If successful, the model could help surgeons better predict and reduce the risk of post-hepatectomy liver failure and guide safer surgical planning.
How similar studies have gone: Other research supports the use of future liver remnant to predict PHLF, but using resected normal parenchymal volume (RNLV) as a predictive variable is relatively novel and less established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: * selective hepatectomies; * histologically confirmed as HCC and ICC * complete and accessible data Exclusion criteria: * any history of Associated Liver Partition and Portal vein ligation for Staged hepatectomy (ALPPS) * any history of portal vein embolism (PVE) * any history of tumor rupture * emergency surgery * pathologically diagnosed with neither HCC nor ICC * concomitant resection of gastrointestinal organs, spleenectomy or other organs
Where it's running
-
Mengchao Hepatobiliary Hospital of Fujian Medical University
Fujian, Shanghai Municipality, China Recruiting -
The Third Affiliated Hospital of Naval Medical University
Shanhai, Shanghai Municipality, China Recruiting -
Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen, Mengchao Hepatobiliary Hospital of Fujian Medical University
Shenzhencun, Shanghai Municipality, China Recruiting
Study contacts
- Study coordinator: Yuan-yuan Wang
- Email: wangyuanyuan702@foxmail.com
- Phone: +8615800332525
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Predicting liver failure after major liver surgery using CT measurements and vascular shape changes
Doctors are testing whether adding vascular deformation mapping to CT measurements can better predict liver failure after removing a large portion of the liver.
-
Liver transplant with TLI and ATG conditioning to try stopping or reducing immunosuppression
This trial tests whether a conditioning regimen with Total Lymphoid Irradiation and Anti-Tthymocyte Globulin after a liver transplant can help patients stop or minimize their immunosuppressive drugs over time.
-
New bioartificial liver for people with liver failure or small-for-size syndrome
This trial will test a bioartificial liver using hepatocytes made from chemically induced pluripotent stem cells to see if it is safe and tolerated in people with liver failure or small-for-size syndrome.
-
CRISPR-edited donor liver transplant to reduce rejection
This trial will try transplanting deceased-donor livers that have had key HLA genes removed with CRISPR to see if they cause less rejection in adults needing a liver transplant.
-
Evaluating citrate anticoagulation in kidney treatment for liver failure patients
This study is testing if using citrate anticoagulation during kidney treatment helps critically ill patients with liver failure and kidney injury recover better and live longer.
-
Using mesenchymal stem cells for blood purification to treat liver failure
This study is testing if using stem cells to clean the blood can help adults with liver failure feel better and improve their health.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.