Massive study aims to improve liver transplant decisions
NCT ID NCT04613921
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study follows 3000 adults with severe liver failure who are being considered for a liver transplant. Researchers want to learn which patients benefit most from the procedure and how to improve survival. The goal is to better guide doctors in making this life-saving decision.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could clarify when liver transplants are most beneficial for severe liver failure patients, potentially saving more lives.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly test a new therapy. Results may not apply to all patients or centers.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 3,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2021
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Acute or subacute liver failure. Patients with hepatocellular carcinoma Subjects listed for transplantation other than liver or liver-kidney transplant. Subjects with previous liver transplantation. Vulnerable population. Pregnant and/or breastfeeding woman Patients with relevant comorbidities
- Ages
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18 to 80 years
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\. Male or female subject ≥18 years of age. 2\. Subjects with diagnosis of liver cirrhosis (based on clinical, laboratory, endoscopic, and ultrasonographic features or on histology). 3\. Subjects who have been hospitalized for acute decompensation of liver cirrhosis and referred to the transplant team: * Group 1: patients listed for liver transplantation with ACLF-2 or 3 at the time of listing or developing ACLF 2-3 while on the waiting list. * Group 2: patients listed for liver transplantation with decompensated cirrhosis without ACLF-2 or 3 and poor liver function (MELD\>20) at the time of listing. * Group 3: patients having ACLF-2 or 3, are assessed for inclusion in the waiting list, but are finally not listed for liver transplantation. 4\. Patients (or trusted person, family member or close relation if the patient is unable to express consent) who have been informed and signed their informed consent Inclusion criteria Exclusion Criteria: \-
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
105 sites in 27 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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APHP Beaujon
RECRUITINGClichy, France
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APHP Henri Mondor
RECRUITINGCréteil, France
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APHP Hôpitaux Universitaires Pitié Salpêtrière
RECRUITINGParis, France
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Amrita Institute of Medical Sciences
RECRUITINGKochi, India
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Aster CMI Hospital
NOT_YET_RECRUITINGBengaluru, Karnataka, India
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Auckland City Hospital- New Zealand Liver Transplant Unit
SUSPENDEDAuckland, New Zealand
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Austin Hospital
RECRUITINGHeidelberg, Australia
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Austral University Hospital
RECRUITINGBuenos Aires, Argentina
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Baylor College of Medicine (Scott & White)
NOT_YET_RECRUITINGDallas, Texas, 75246, United States
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Baylor St. Luke's Medical Centre
RECRUITINGHouston, Texas, 77030, United States
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CHU Montpellier-Hôpital Saint Eloi
RECRUITINGMontpellier, France
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CHU Rennes, Hôpital De Pontchaillou
RECRUITINGRennes, France
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CUB Erasme Hospital
RECRUITINGBrussels, Belgium
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Ca' Granda. Policlinico Milano
RECRUITINGMilan, Italy
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Cedars-Sinai Comprehensive Transplant Center
RECRUITINGLos Angeles, California, 90048, United States
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Charité University Hospital
RECRUITINGBerlin, Germany
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Dr.Rela Institute & Medical Centre
RECRUITINGChennai, India
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Erasmus MC University Medical Center
RECRUITINGRotterdam, Netherlands
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Fortis Hospital Noida, FEHI, FMRI
NOT_YET_RECRUITINGGurugramam, India
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Geneva University Hospital (HUG)
NOT_YET_RECRUITINGGeneva, Switzerland
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Ghent University Hospital
RECRUITINGGhent, Belgium
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Global Hospital. Super speciality & transplant centre
NOT_YET_RECRUITINGMumbai, India
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Goethe University Clinic
NOT_YET_RECRUITINGFrankfurt, Germany
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Hannover Medical School
NOT_YET_RECRUITINGHanover, Germany
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Hautepièrre Hospital, Service de Réanimation Médicale
RECRUITINGStrasbourg, France
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Hiroshima University Hospital
RECRUITINGHiroshima, Japan
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Hospital Alemán
RECRUITINGBuenos Aires, Argentina
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Hospital Clinic in Barcelona
RECRUITINGBarcelona, Spain
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Hospital Curry Cabral
RECRUITINGLisbon, Portugal
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Hospital Marqués de Valdecilla
RECRUITINGSantander, Spain
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Hospital Universitari i Politècnic La Fe
RECRUITINGValencia, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, Spain
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Hospital Universitario Ramón y Cajal
RECRUITINGMadrid, Spain
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Hospital Universitario Virgen del Rocío
RECRUITINGSeville, Spain
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Hospital Vall d'Hebron
RECRUITINGBarcelona, Spain
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Hospital das Clínicas da Universidade de São Paulo
RECRUITINGSão Paulo, Brazil
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Hôpital Paul Brousse
RECRUITINGVillejuif, France
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Hôpital de la Croix-Rousse
RECRUITINGLyon, France
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Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10029-5674, United States
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Indraprastha Apollo Hospitals
NOT_YET_RECRUITINGNew Delhi, National Capital Territory of Delhi, India
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Inonu University, Liver Transplantation Institute
RECRUITINGMalatya, Anatolia, Turkey (Türkiye)
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Institute for Clinical and Experimental Medicine
NOT_YET_RECRUITINGPrague, Czechia
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Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
RECRUITINGMexico City, Mexico
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Irmandade Santa Casa de Misericórdia de Porto Alegre
RECRUITINGPorto Alegre, Brazil
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Istanbul Memorial Bahcelievler Hospital
SUSPENDEDIstanbul, Turkey (Türkiye)
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Italian Hospital in Buenos Aires
RECRUITINGBuenos Aires, Argentina
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Jena University Hospital
SUSPENDEDJena, Germany
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Kaohsiung Chang Gung Memorial Hospital
RECRUITINGKaohsiung City, Taiwan
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Karolinska Institutet
RECRUITINGStockholm, Stockholm County, 171 77, Sweden
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Kasturba Hospital
NOT_YET_RECRUITINGMumbai, Maharashtra, India
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King's College Hospital
RECRUITINGLondon, United Kingdom
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Kyoto University Hospital
RECRUITINGKyoto, Japan
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Kyushu University Hospital
RECRUITINGFukuoka, Japan
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LMU Großhadern
SUSPENDEDMunich, Germany
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Leeds Teaching Hospitals NHS Trust
RECRUITINGLeeds, United Kingdom
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Leipzig University Hospital
NOT_YET_RECRUITINGLeipzig, Germany
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Mahatma Gandhi University of Medical Sciences and Technology
NOT_YET_RECRUITINGJaipur, Rajasthan, India
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Max Saket Hospital
ACTIVE_NOT_RECRUITINGNew Delhi, India
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Medanta Medicity
NOT_YET_RECRUITINGGurugramam, India
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Medical University of Vienna, Department of Transplant Surgery
RECRUITINGVienna, Austria
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Medical University of Warsaw, Dept. of General, Transplant & Liver Surgery
RECRUITINGWarsaw, Poland
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Michael E DeBakey VA Medical Center
NOT_YET_RECRUITINGHouston, Texas, 77030-4211, United States
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Montefiore Medical Center
NOT_YET_RECRUITINGNew York, New York, 10467, United States
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Nagasaki University Hospital
RECRUITINGNagasaki, Japan
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Niguarda Hospital
RECRUITINGMilan, Italy
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Northwestern Memorial Hospital
NOT_YET_RECRUITINGChicago, Illinois, 60611, United States
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Ospedale Papa Giovanni XXIII-
NOT_YET_RECRUITINGBergamo, Italy
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Pablo Tobón Uribe Hospital
RECRUITINGMedellín, Colombia
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Piedmont Healthcare
RECRUITINGAtlanta, Georgia, 30309, United States
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Queen Elizabeth Hospital Birmingham
RECRUITINGBirmingham, United Kingdom
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Queen Mary Hospital, The University of Hong Kong
SUSPENDEDHong Kong, Hong Kong
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Royal Free Hospital
RECRUITINGLondon, United Kingdom
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Royal Prince Alfred Hospital
RECRUITINGSydney, Australia
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S.Orsola Hospital - Alma Mater Studiorum University of Bologna
RECRUITINGBologna, Italy
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Samsung Medical Center
NOT_YET_RECRUITINGSeoul, South Korea
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Scottish Liver Transplant Unit, Royal Infirmary
RECRUITINGEdinburgh, United Kingdom
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Seth GSMC & KEM Hospital
NOT_YET_RECRUITINGMumbai, Maharashtra, India
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Sir Charles Gairdner Hospital
SUSPENDEDNedlands, Australia
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Tampa General Hospital
NOT_YET_RECRUITINGTampa, Florida, 33606, United States
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The University of Chicago Medicine
RECRUITINGChicago, Illinois, 60637, United States
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Tokyo University Hospital
RECRUITINGTokyo, Japan
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Trousseau Hospital,
RECRUITINGTours, France
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UKM Muenster
RECRUITINGMünster, Germany
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UZ Leuven
RECRUITINGLeuven, Belgium
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University Hospital Aachen
SUSPENDEDAachen, Germany
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University Hospital Heidelberg
NOT_YET_RECRUITINGHeidelberg, Germany
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University Hospital Mainz
SUSPENDEDMainz, Germany
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University Hospital Regensburg
NOT_YET_RECRUITINGRegensburg, Eastern Bavaria, Germany
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University Hospital Tübingen
RECRUITINGTübingen, Germany
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University Medical Center Groningen (UMCG)
NOT_YET_RECRUITINGGroningen, Netherlands
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University Medical Center, Hamburg Eppendorf
RECRUITINGHamburg, Germany
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University and Hospital of Padova
RECRUITINGPadova, Italy
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University of Alberta
RECRUITINGEdmonton, Canada
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University of Cincinnati
SUSPENDEDCincinnati, Ohio, 45219, United States
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University of Colorado
RECRUITINGAurora, Colorado, 80045, United States
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University of Maryland School of Medicine
RECRUITINGBaltimore, Maryland, 21201, United States
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University of Pennsylvania
SUSPENDEDPhiladelphia, Pennsylvania, 19104, United States
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University of Toronto, Multiorgan Transplant Program
RECRUITINGToronto, Canada
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University of Utah Health
RECRUITINGSalt Lake City, Utah, 84132, United States
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Universitätsklinikum Schleswig-Holstein (UKSH)
NOT_YET_RECRUITINGKiel, Schleswig-Holstein, Germany
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Universitätsklinikum Schleswig-Holstein (UKSH)
RECRUITINGKiel, Germany
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Vanderbilt University Medical Center
NOT_YET_RECRUITINGNashville, Tennessee, 37232, United States
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Walter Cantídio University Hospital
RECRUITINGFortaleza, Brazil
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Weill Cornell Medicine
RECRUITINGNew York, New York, 10021, United States
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Yashoda Hospitals
NOT_YET_RECRUITINGSecunderabad, India
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