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A Multi-Center Group to Study Acute Liver Failure in Children - NCT00986648-77030(Clinical Trial 353158)



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City:  Houston
State:  
TX
Zip Code: 77030
Conditions: Acute Liver Failure - Hepatic Encephalopathy
Purpose: The PALF study group includes 20 sites (17 in the United States, 2 in the United Kingdom, and 1 in Canada). The primary objective of the Pediatric Acute Liver Failure (PALF)study is to collect, maintain, analyze, and report clinical, epidemiological, and outcome data in children with ALF, including information derived from biospecimens.
Study summary: The PALF study group will collect clinical, epidemiological and outcome data on children with ALF. This information will be used to develop methods to predict whether a child will recover from the illness without the need for a liver transplant or other life-saving procedure. We believe the methods to predict survival will vary with different patient age groups, but that diagnosis, multi-system organ failure, degree of encephalopathy and level of coagulopathy will be important regardless of patient age. Biological samples, such as blood plasma and liver tissue, will provide opportunities to identify subgroups of patients who have unique treatment requirements and outcomes. In addition, we hope to identify unrecognized mechanisms of liver injury resulting in ALF in children including the role of fatty acid oxidation defects, the prevalence of NK cell and other immune cell dysfunction in children with ALF and examine the impact of unsuspected acetaminophen (APAP) toxicity in the pathogenesis of ALF.
Criteria: Inclusion Criteria: - Evidence of acute liver injury: defined as severe liver dysfunction occurring within 8 weeks of onset of illness, with no known underlying chronic liver disease - INR ≥ 1.5 or protime ≥ 15 seconds with encephalopathy OR INR ≥ 2.0 or protime ≥ 20 seconds with or without encephalopathy - The patient is under 18 years of age at the time of enrollment - Informed consent is obtained from the parent, or guardian, and patient assent is obtained when applicable Exclusion Criteria: - Known chronic underlying liver disease - Coagulopathy corrected with Vitamin K
Study is available at: Baylor College of Medicine
Houston, TX 77030
United States

Primary Contact:
Saul Karpen, M.D.,PhD.
Email: skarpen@bcm.tmc.edu
Phone: 832-822-3610

Secondary Contact:
Robert H Squires, MD
Email: robert.squires@chp.edu
Phone: 412-692-8181
If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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Data Source: ClinicalTrials.gov
Date Processed: March 23, 2011
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