Less fluid, fewer complications? trial tests new strategy in liver transplants
NCT ID NCT07695363
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This trial compares two ways of managing fluids during liver transplant surgery in adults with end-stage liver disease. One strategy limits fluids and uses medications to maintain blood pressure, while the other gives more fluids to optimize heart function. The goal is to see which approach leads to fewer severe complications and better recovery after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Low-splanchnic blood volume restrictive fluid management strategy (with phlebotomy) vs. cardiac output optimized liberal fluid management strategy
- What this could lead to
- If successful, this could establish a better way to manage fluids during liver transplant surgery, reducing severe complications and improving recovery for patients.
- What could go wrong
- This is a large trial, but results may not apply to all transplant patients or centers. The restrictive strategy carries risks like low blood pressure or organ strain.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 866 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Nov 2031
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.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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. Adult ≥ 18 years old 2. Undergoing liver transplantation (LT) 3. End-stage liver disease (ESLD) (with or without hepatocellular carcinoma) as the indication for transplantation. Exclusion Criteria: 1. Undergoing LT for an indication other than ESLD (e.g., acute liver failure, primary liver cancer without ESLD, retransplantation, amyloid neuropathy, polycystic liver disease, or any other indication not associated with ESLD) 2. Undergoing combined solid organ transplantations 3. Any of the following conditions: * severe chronic renal failure (GFR \< 15 ml/minute/1.73 m2 \[CKD-EPI equation\] or already on renal replacement therapy (RRT)) * severe anemia (hemoglobin level \< 80 g/L) * hemodynamic instability (norepinephrine equivalent \> 10 ug/min) 4. Physician refusal to enroll the patient.
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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
4 sites. 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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Centre hospitalier de l'Université de Montréal (CHUM)
RECRUITINGMontreal, Quebec, H2X 0C1, Canada
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London Health Sciences Centre (LHSC)
RECRUITINGLondon, Ontario, N6G 2V4, Canada
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McGill University Health Centre (MUHC)
RECRUITINGMontreal, Quebec, H4A 3J1, Canada
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Vancouver General Hospital (VGH)
RECRUITINGVancouver, British Columbia, V5Z 1M9, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could steady blood sugar during surgery prevent Post-Transplant infections?
- Can depression be spotted years after a liver transplant?
- Blood test clues could make antifungal dosing safer for transplant patients
- Warm liver transplants: could ditching the ice bath reduce organ damage?
- Physiotherapy after liver transplant may boost long-term physical and mental function
- Liver biopsy during machine perfusion may reveal organ viability before transplant