National Collaborative Centre for Hepatic Regenerative Medicine (NC-CHRM): Single vs Repeated Cycle of Granulocyte Colony-Stimulating Factor (GCSF) & Darbepoetin in Early Decompensated Cirrhosis
Gcsf: G-CSF will be given at a dose of 5 μg/kg s/c at days 1, 2, 3, 4, 5 and then every third and 7th day till day 30
Darbepoetin: Darbepoetin will be given s/c at dose of 40mcg once a week for 1 month
Standard Medical Treatment: Standard Medical Treatment
Study summary
Chronic liver disease is a growing health concern, with limited access to liver transplants. This study addresses the urgent need for alternatives by exploring regenerative therapies, like G-CSF, to boost the liver's natural repair. The goal is to develop safe, effective, and accessible treatments for patients who cannot undergo transplant.
Eligibility
Sex
ALL
Min age
18 Years
Max age
65 Years
Healthy volunteers
No
Inclusion Criteria:
* Early decompensated cirrhosis patients with MELD \<16
Exclusion Criteria:
* Patients with age less than 18 years or more than 65 years
* Patients with Grade III ascites
* CHILD C cirrhosis
* Patients with a known focus of sepsis; spontaneous Bacterial Peritonitis (SBP)
* variceal bleeding in past 3months
* Hepatocellular Carcinoma (HCC) or other malignancy
* Acute Kidney Injury (AKI) with serum Creatinine \>1.5 mg/ dl, multi-organ failure, grade 3 or 4 Hepatic Encephalopathy (HE),
* HIV seropositivity
* Medically uncontrolled essential hypertension
* Pregnancy
* Viral etiology of liver disease
* Co-existent Hepatitis B, Hepatitis C, HIV
* Chronic kidney disease
* Lack of informed consent
Primary outcome measure(s)
Transplant-free survival of GCSF + darbepoetin in patients with early decompensated cirrhosis in both groups. — 3 year
Trial sites (1)
Facility
City
Region
Status
Institute of Liver & Biliary Sciences
New Delhi
India
More Institute of Liver and Biliary Sciences, India trials in India
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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