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Ammonia Metabolism Assessed by Ammonia Infusion (NH4 inf)

Primary Purpose

Ammonia; Metabolic Disorder, Liver Failure, Chronic

Status
Unknown status
Phase
Not Applicable
Locations
Denmark
Study Type
Interventional
Intervention
Ammonia infusion
Sponsored by
Aarhus University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Ammonia; Metabolic Disorder

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria - Healthy controls:

  • Alcohol < 40g/day
  • BMI < 30
  • Diseased or medicated

Inclusion Criteria - Patients with cirrhosis:

  • Child-Pugh A or B cirrhosis
  • BMI < 30

Exclusion Criteria:

  • Child-Pugh score C
  • Kidney failure (eGFR < 60 mL/min/1.73m2)
  • Overt hepatic encephalopathy or more than one previous 1 episode of overt hepatic encephalopathy
  • Acute bacterial infection
  • Cancer
  • Diabetes
  • Ammonia-targeted treatment of hepatic encephalopathy other than lactulose (including Rifaximin and branched-chain amino acids)

Sites / Locations

  • Department of Hepatology & GastroenterologyRecruiting

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Healthy and Cirrhosis

Arm Description

Ammonia infusion with and without ammonia targeting

Outcomes

Primary Outcome Measures

Rate of clearance (L/min) and production (micromol/min) of ammonia
A physiological parameter

Secondary Outcome Measures

Change in clearance (L/min) and production (micromol/min) of ammonia when measured while on ammonia modulating agents
Proof of concept

Full Information

First Posted
September 23, 2020
Last Updated
October 12, 2020
Sponsor
Aarhus University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04585672
Brief Title
Ammonia Metabolism Assessed by Ammonia Infusion
Acronym
NH4 inf
Official Title
Ammonia Metabolism Assessed by Ammonia Infusion
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Unknown status
Study Start Date
August 19, 2020 (Actual)
Primary Completion Date
December 31, 2022 (Anticipated)
Study Completion Date
December 31, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aarhus University Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The present study will develop a method to assess ammonia metabolism by ammonia infusion and investigate ammonia production and clearance in healthy individuals and in patients with liver cirrhosis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ammonia; Metabolic Disorder, Liver Failure, Chronic

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Healthy and Cirrhosis
Arm Type
Other
Arm Description
Ammonia infusion with and without ammonia targeting
Intervention Type
Other
Intervention Name(s)
Ammonia infusion
Intervention Description
Ammonia metabolism investigated in healthy individuals and patients with cirrhosis with and without ammonia lowering agent: glycerolphenylbutyrat (healthy) and Lactulose + Rifaximin (Cirrhosis)
Primary Outcome Measure Information:
Title
Rate of clearance (L/min) and production (micromol/min) of ammonia
Description
A physiological parameter
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Change in clearance (L/min) and production (micromol/min) of ammonia when measured while on ammonia modulating agents
Description
Proof of concept
Time Frame
2 years

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria - Healthy controls: Alcohol < 40g/day BMI < 30 Diseased or medicated Inclusion Criteria - Patients with cirrhosis: Child-Pugh A or B cirrhosis BMI < 30 Exclusion Criteria: Child-Pugh score C Kidney failure (eGFR < 60 mL/min/1.73m2) Overt hepatic encephalopathy or more than one previous 1 episode of overt hepatic encephalopathy Acute bacterial infection Cancer Diabetes Ammonia-targeted treatment of hepatic encephalopathy other than lactulose (including Rifaximin and branched-chain amino acids)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Peter Lykke Eriksen, MD PhD
Phone
+45 23715703
Email
ple@clin.au.dk
Facility Information:
Facility Name
Department of Hepatology & Gastroenterology
City
Aarhus
ZIP/Postal Code
8200
Country
Denmark
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marie Fagerlund
Phone
+45 23715703
Email
mf@clin.au.dk

12. IPD Sharing Statement

Plan to Share IPD
No

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Ammonia Metabolism Assessed by Ammonia Infusion

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