Evaluating citrate anticoagulation in kidney treatment for liver failure patients
Official title: Efficacy and Safety of Citrate Anticoagulation in CRRT for Patients With Liver Failure/DysfuncTION, the CAUTION Trial! A Retrospective Study on Etiology of Liver Failure and Their Complications
Run by University Hospital, Antwerp · NCT06908746 · Data updated 2026-11-12
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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | University Hospital, Antwerp Academic / other |
| Locations | 1 site (Edegem, Antwerp) |
| Status | Recruiting |
| Started | September 30, 2024 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2025 |
| Registry record updated | April 3, 2025 |
| Trial ID | NCT06908746 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include critically ill adults aged 18 and older with documented liver failure and AKI requiring CRRT.
✕Probably not a fit
Patients without liver failure or those not requiring CRRT may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study examines the efficacy and safety of citrate anticoagulation during continuous renal replacement therapy (CRRT) in critically ill patients suffering from liver failure and acute kidney injury (AKI). It aims to determine how the underlying cause of liver failure affects the incidence of citrate-related complications and to compare outcomes such as renal recovery and patient survival. The study will analyze data retrospectively to assess the impact of citrate anticoagulation on filter lifespan and overall patient outcomes in this vulnerable population.
Why it matters
Potential benefit: If successful, this study could improve treatment protocols for patients with liver failure undergoing CRRT, potentially enhancing their recovery and survival rates.
How similar studies have gone: While the use of citrate anticoagulation in CRRT has been explored, this specific focus on liver failure patients is relatively novel and untested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Critically ill patients diagnosed with AKI requiring CRRT. Caution Protocol V1.0 24-07-2024 * Documented liver failure or significant liver dysfunction (e.g., elevated liver enzymes, bilirubin levels, or clinical diagnosis of liver failure) and clincal diagnosis of shock (NE of 0.25 μg/kg/min and or association of second vasopressor). * Age ≥ 18 years. Exclusion Criteria: * NA
Where it's running
-
Antwerp University Hospital
Edegem, Antwerp, Belgium Recruiting
Study contacts
- Principal investigator: Rita Jacobs, Dr. — Antwerp Univesity Hospital
- Study coordinator: Rita Jacobs, Dr.
- Email: rita.jacobs2@uza.be
- Phone: +32 3 821 36 35
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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.