Understanding the causes and effects of acute-on-chronic liver failure

Beobachtungsstudie für Die Charakterisierung Der Pathogenese Des Akut-auf-chronischen Leberversagens

Observational Johann Wolfgang Goethe University Hospital · NCT04975490

This study looks at different aspects of acute-on-chronic liver failure to see how it affects patients with liver cirrhosis and improve treatment options for them.

Quick facts

Study typeObservational
Enrollment1000 (estimated)
Ages18 Years and up
SexAll
SponsorJohann Wolfgang Goethe University Hospital Academic / other
Locations1 site (Frankfurt, Hessen)
Trial IDNCT04975490 on ClinicalTrials.gov

What this trial studies

This observational study focuses on characterizing the pathogenesis of acute-on-chronic liver failure (ACLF) through three distinct cohorts. The SAPIENT cohort examines the differences between ACLF and sepsis in patients with liver cirrhosis, while the PROACT cohort investigates portal venous biomarkers in patients undergoing transjugular intrahepatic portosystemic shunt (TIPS) procedures. The ELITE cohort aims to identify predictors of survival in ACLF patients receiving liver transplantation, with the goal of improving patient selection for this procedure. Biological samples will be collected for additional studies to further understand the condition.

Who should consider this trial

Good fit: Ideal candidates for this study are individuals diagnosed with liver cirrhosis.

Not a fit: Patients with extrahepatic or metastatic malignancies, or those who refuse participation, may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved understanding and management of ACLF, potentially enhancing survival rates for affected patients.

How similar studies have performed: While this study explores specific aspects of ACLF, similar observational studies have shown promise in understanding liver conditions, indicating potential for success.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Liver cirrhosis

Exclusion Criteria:

* extrahepatic and metastatic malignancy,
* refusal for participation
* decision of attending phycisian

Where this trial is running

Frankfurt, Hessen

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Liver CirrhosisAcute-On-Chronic Liver FailurePortal Hypertension
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.