One-Dose steroid before liver surgery may cut infections and hospital time
NCT ID NCT07507643
First seen Jun 26, 2026 · Last updated Jul 08, 2026 · Updated 3 times
Summary
This phase 3 trial tests whether a single dose of methylprednisolone given before major liver surgery can lower the risk of complications like infections and shorten hospital stays. About 750 adults scheduled for major hepatectomy will be randomly assigned to receive either the steroid or standard care. The study aims to see if this simple addition improves recovery without causing harm.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- methylprednisolone
- What this could lead to
- If it works, this could lead to fewer infections and shorter hospital stays for patients undergoing major liver surgery.
- What could go wrong
- This is a single preoperative dose, not a cure. The benefit may be small, and some patients may have adverse reactions to the drug.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 750 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Mar 2026
- Expected to finish
-
Mar 2029
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Age ≥18 years at the time of consent. * Scheduled to undergo elective major hepatectomy (defined by CPT codes 47122 \[trisegmentectomy\], 47125 \[total left hepatectomy\], or 47130 \[total right hepatectomy\]). * In addition to major hepatectomy, as defined above, patients may undergo additional partial hepatectomy or operative ablation. Exclusion Criteria: * Known or documented adverse reactions to methylprednisolone. * Unable to receive methylprednisolone because of coexisting medical conditions. * Long-term (≥10-day course) systemic corticosteroid use, regardless of dose, if doses have been administered within 30 days of the planned date of surgery. This will not apply to steroids administered, in accordance with the standard of care, with preoperative chemotherapy. The following uses of corticosteroids are permitted: single doses, topical applications (e.g., for rash), inhaled sprays (e.g., for obstructive-airway diseases), eye drops, and local injections (e.g., intra-articular). * Significant chance (based on surgeon judgement) of being unable to successfully complete surgery because of unresectability. * Expected or highly likely to undergo concomitant major organ resection (stomach, pancreas, colon, rectum, uterus, ovaries, bladder, kidney, small bowel). * Expected or highly likely to undergo biliary tree reconstruction via creation of a biliary-enteric anastomosis. * Scheduled to undergo concurrent insertion of a hepatic artery infusion pump device. * Estimated renal dysfunction defined by any of the following: creatinine clearance ≤40 mL/min as calculated by the Cockcroft-Gault Equation, currently on hemodialysis, currently on peritoneal dialysis. * Dependence on mechanical ventilation before surgery. * Pregnant or nursing (lactating), where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test. * Known at the time of enrollment to have a bacterial infection that is expected to be present at the time of surgery or receipt of systemic antibiotic or antifungal therapy within 7 days before surgery. * Unable to provide informed consent
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Hepatectomy are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
19 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Duke University (Data Collection Only)
NOT_YET_RECRUITINGDurham, North Carolina, 27710, United States
-
Gundersen Lutheran Medical Foundation (Data Collection Only)
NOT_YET_RECRUITINGLa Crosse, Wisconsin, 54601, United States
-
Henry Ford Hospital (Data collection only)
NOT_YET_RECRUITINGDetroit, Michigan, 48202, United States
-
Indiana University (Data Collection Only)
NOT_YET_RECRUITINGIndianapolis, Indiana, 46202, United States
-
Mayo Clinic (Data Collection Only)
NOT_YET_RECRUITINGRochester, Minnesota, 55905, United States
-
Memoral Sloan Kettering Westchester (Data Collection Only)
RECRUITINGHarrison, New York, 10604, United States
-
Memorial Sloan Kettering Cancer Center (All Protocol Activities)
RECRUITINGNew York, New York, 10065, United States
-
Memorial Sloan Kettering Commack (Data Collection Only)
RECRUITINGCommack, New York, 11725, United States
-
New York University (Data Collection Only)
NOT_YET_RECRUITINGNew York, New York, 10010, United States
-
Northwell Health (Data collection only)
NOT_YET_RECRUITINGManhasset, New York, 11030, United States
-
Rush University Medical Center (Data collection only)
NOT_YET_RECRUITINGChicago, Illinois, 606012, United States
-
Rutgers University (Data Collection Only)
NOT_YET_RECRUITINGNew Brunswick, New Jersey, 08903, United States
-
SUNY Upstate Medical University
NOT_YET_RECRUITINGSyracuse, New York, 13210, United States
-
UNIVERSITY OF IOWA (Data Collection Only)
NOT_YET_RECRUITINGIowa City, Iowa, 52242, United States
-
University of Chicago (Data Collection Only)
NOT_YET_RECRUITINGChicago, Illinois, 60637, United States
-
University of Kentucky (Data Collection Only)
NOT_YET_RECRUITINGLexington, Kentucky, 40536-0093, United States
-
University of Nebraska Medical Center (Data Collection Only)
NOT_YET_RECRUITINGOmaha, Nebraska, 68198-7680, United States
-
University of Wisconsin (Data Collection Only)
NOT_YET_RECRUITINGMadison, Wisconsin, 53792, United States
-
Washington University (Data Collection Only)
NOT_YET_RECRUITINGSt Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can watching kidney oxygen during liver surgery keep kidneys safe?
- A new anesthesia drug may keep blood pressure steadier during liver surgery
- New Blood-Saving technique could transform liver surgery
- Which pain block wins for liver surgery? new trial aims to find out
- Could a common numbing drug replace opioids after liver surgery?
- Pain pump after liver surgery fails to boost breathing muscle