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New blood filter could save lives in sudden liver failure
NCT ID NCT07178366
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a blood purification device called DPMAS for people with acute-on-chronic liver failure (ACLF), a life-threatening condition. About 56 adults will be randomly assigned to standard medical care alone or standard care plus DPMAS. The goal is to see if DPMAS improves liver function and survival without needing a transplant.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Double Plasma Molecular Adsorption System (DPMAS) - a blood purification device
- What this could lead to
- If it works, DPMAS could offer a way to stabilize liver function and improve survival without needing a transplant for people with acute-on-chronic liver failure.
- What could go wrong
- This is a small, early-stage trial with only 56 participants. The treatment is not a cure and may not work for everyone. There are also risks from the blood filtering procedure itself.
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 56 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
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: * ACLF patients of any etiology with systemic inflammatory response syndrome and AARC grade II or more. Exclusion Criteria: * Patients eligible for corticosteroids for severe alcohol-associated hepatitis related ACLF (other than hydrocortisone according to Surviving Sepsis Campaign Guidelines 2021 which is 50 mg iv q 6 h for management of refractory shock * Hepatocellular carcinoma or any extrahepatic malignancy, * Active fungal sepsis * Disseminated intravascular coagulation * Hemodynamic instability requiring norepinephrine \>0.20ug/kg/min * Patients with coma of non-hepatic origin * Patients with PaO2/FiO2 ratio \<150 * Pregnancy * Comorbidities associated with poor outcomes (severe cardiopulmonary disease defined by a New York Heart Association score \>3, or oxygen/steroid-dependent chronic obstructive pulmonary disease, chronic kidney disease) and patients with post-resection liver failure * Patients with fibrinogen \<110 and/or platelets less than 50,000 * Patients with oliguria with urine output less than 400 ml/day * Lack of informed consent * Patient enrolled in other clinical trials
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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 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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Exosome therapy shows promise for liver crisis in small trial