Using breath carbon monoxide to predict liver recovery after partial hepatectomy
Official title: Postoperative Heme Oxygenase Induction and Carbon Monoxide Production as a Novel Method to Assess Hepatic Regeneration and Predict Hepatic Related Morbidity After Partial Hepatectomy
Run by Englewood Hospital and Medical Center · NCT06681818 · Data updated 2026-11-12
This will test whether measuring carbon monoxide in breath can help predict how well adults recover liver function after part of their liver is removed.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 125 (estimated) |
| Sponsor | Englewood Hospital and Medical Center Academic / other |
| Locations | 1 site (Englewood, New Jersey) |
| Status | Recruiting |
| Started | November 21, 2024 |
| Main results expected | January 1, 2039 |
| Study ends | January 1, 2039 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT06681818 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults planning partial liver resection for primary liver tumors or metastatic disease who can understand and sign informed consent are ideal candidates.
✕Probably not a fit
Patients under 18, those unable to consent or perform breath testing, or those with factors that prevent accurate CO measurement are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The study will measure endogenous carbon monoxide production with a commercial breath CO monitor (smokerlyzer) in adults undergoing partial liver resection. Investigators will relate breath CO levels to the extent of hepatic resection and to postoperative measures of liver regeneration and function. Measurements will be taken before and after surgery to track changes over time and correlated with clinical outcomes. The approach seeks a noninvasive biomarker that could indicate patients at higher risk for liver-related morbidity after resection.
Why it matters
Potential benefit: If successful, this could provide a simple, noninvasive breath test to help identify patients likely to regenerate liver tissue well or at risk for postoperative liver complications.
How similar studies have gone: Some prior work has measured heme oxygenase activity and breath CO in liver disease, but using breath CO specifically to predict post-hepatectomy regeneration is relatively novel and not yet proven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient plans to have an ablation or partial liver resection for primary liver pathology or metastatic disease * Patient is able to comprehend and willing to sign the written consent form Exclusion Criteria: * Patients \< 18 years * Patients identified as members of a vulnerable population, except women of child bearing potential with negative pregnancy test
Where it's running
-
Englewood Hospital
Englewood, New Jersey, United States Recruiting
Study contacts
- Principal investigator: Cherif Boutros, MD — Englewood Hospital
- Study coordinator: Jamie Ketas
- Email: jamie.ketas@ehmchealth.org
- Phone: 2018943418
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Next Generation Delivery System (NGDS) for SBRT in thorax and upper abdomen
A study tests a new machine to deliver SBRT more quickly and comfortably for adults with thoracic or upper abdominal cancers.
-
Personalized exercise plan for cancer survivors
This study tests a personalized, physician-guided exercise program for adults who have completed cancer treatment, to see if a safe, structured plan can be implemented in routine care.
-
Radiation segmentectomy with Y-90 resin microspheres for liver tumors
This will test whether injecting Y-90 resin microspheres into the tumor-bearing part of the liver is safe and can shrink tumors in adults with liver cancer.
-
Personalized computer-guided planning for radioembolization in liver cancer
This project will try using patient-specific computer models of liver blood flow to predict where radioactive microspheres go during transarterial radioembolization for people with hepatocellular carcinoma.
-
Adding angiotensin II to liver radioembolization to boost tumor radiation
This trial will test whether a short intra-arterial infusion of angiotensin II given just before yttrium-90 radioembolization helps more radiation reach liver tumors and less reach healthy liver in adults with advanced or metastatic liver cancer.
-
NIR‑II fluorescence guidance with ICG‑cisplatin nanoprobes for liver tumor resection
This study tries a new ICG‑cisplatin nanoprobe injected through the liver artery to help surgeons see and remove single small hepatocellular carcinomas during laparoscopic anatomic hepatectomy.
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.