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Acetyl-L-Carnitine In Severe Hepatic Encephalopathy

Primary Purpose

Hepatic Encephalopathy (Grade 3 of the West Haven Grading Scale)

Status
Completed
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
Acetyl-l-Carnitine
placebo
Sponsored by
University of Catania
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional trial for Hepatic Encephalopathy (Grade 3 of the West Haven Grading Scale)

Eligibility Criteria

40 Years - 65 Years (Adult, Older Adult)All Sexes

Inclusion Criteria:

  • patients with severe hepatic encephalopathy (grade 3 of the West Haven grading scale) with hepatic cirrhosis

Exclusion Criteria:

  • Patients with a history of recent alcohol abuse, patients using psychotropic drugs (e.g., antipsychotics, interferon, benzodiazepines, anti-epileptics, sedatives and antidepressants)
  • Other exclusion criteria were the following: major complications of portal hypertension, such as gastrointestinal blood loss, hepatorenal syndrome or bacterial peritonitis; acute superimposed liver injury;patients with metabolic disorders such as diabetes mellitus, unbalanced heart failure and/or respiratory failure or end-stage renal disease; any additional precipitating factors such as high protein intake (additional high-protein meals), constipation; illiteracy.

Sites / Locations

  • Cannizzaro Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Acetyl-L-carnitine

placebo

Arm Description

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
October 18, 2010
Last Updated
October 18, 2010
Sponsor
University of Catania
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1. Study Identification

Unique Protocol Identification Number
NCT01223768
Brief Title
Acetyl-L-Carnitine In Severe Hepatic Encephalopathy
Study Type
Interventional

2. Study Status

Record Verification Date
December 2000
Overall Recruitment Status
Completed
Study Start Date
July 2002 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
December 2005 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
University of Catania

4. Oversight

5. Study Description

Brief Summary
To assess the clinical efficacy of ALC in the treatment of severe hepatic encephalopathy (grade 3 of the West Haven grading scale), we performed a randomised, double blind placebo-controlled study administering ALC to cirrhotic patients, evaluating the effects on ammonia levels and performance in cognitive functions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Encephalopathy (Grade 3 of the West Haven Grading Scale)

7. Study Design

Study Phase
Not Applicable

8. Arms, Groups, and Interventions

Arm Title
Acetyl-L-carnitine
Arm Type
Experimental
Arm Title
placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Acetyl-l-Carnitine
Intervention Description
2g per day
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
twice per day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
65 Years
Eligibility Criteria
Inclusion Criteria: patients with severe hepatic encephalopathy (grade 3 of the West Haven grading scale) with hepatic cirrhosis Exclusion Criteria: Patients with a history of recent alcohol abuse, patients using psychotropic drugs (e.g., antipsychotics, interferon, benzodiazepines, anti-epileptics, sedatives and antidepressants) Other exclusion criteria were the following: major complications of portal hypertension, such as gastrointestinal blood loss, hepatorenal syndrome or bacterial peritonitis; acute superimposed liver injury;patients with metabolic disorders such as diabetes mellitus, unbalanced heart failure and/or respiratory failure or end-stage renal disease; any additional precipitating factors such as high protein intake (additional high-protein meals), constipation; illiteracy.
Facility Information:
Facility Name
Cannizzaro Hospital
City
Catania
ZIP/Postal Code
95126
Country
Italy

12. IPD Sharing Statement

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Acetyl-L-Carnitine In Severe Hepatic Encephalopathy

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