- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07561138
Nutrition and Exercise Prehabilitation in Patients Awaiting Liver Transplantation (POWER-LT)
Evaluation of Protein Distribution Optimization With Exercise Regimen on Nutritional Status, Body Composition and Functional Status in Patients Awaiting Liver Transplantation: The POWER-LT Randomized Clinical Trial
Panoramica dello studio
Stato
Condizioni
Descrizione dettagliata
Malnutrition and sarcopenia affect many patients awaiting liver transplantation and is associated with reduced quality of life and increased mortality. According to the current European Society for Clinical Nutrition and Metabolism (ESPEN) and European Association for the Study of the Liver (EASL) guidelines, a target of 1.2-1.5 g protein per kg body weight daily is recommended for patients with decompensated liver cirrhosis. While evidence supports that even protein distribution enhances muscle protein synthesis in healthy adults, specific protein timing recommendations are lacking for patients with end-stage liver disease.
Therefore, this randomized controlled trial aims to investigate the effects of a 12-week diet with even protein distribution plus exercise (Group A) versus skewed protein distribution plus exercise (Group B) versus standard dietary and physical activity advice (Group C), primarily on nutritional status, body composition and functional status, and secondarily on anthropometric measurements, laboratory parameters, quality of life, disease severity, complications and mortality in liver transplant candidates. Moreover, late postoperative parameters, including length of hospital stay, length of intensive care unit stay, duration of mechanical ventilation, postoperative complications, hospital readmissions, reoperations and mortality will be examined for those who undergo transplantation.
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Kalliopi Anna Poulia
- Numero di telefono: +30 2105294668
- Email: lpoulia@aua.gr
Backup dei contatti dello studio
- Nome: Evangelos Cholongitas
- Numero di telefono: +30 2132061643
- Email: echolog@med.uoa.gr
Luoghi di studio
-
-
Attica
-
Athens, Attica, Grecia, 11855
- Reclutamento
- Agricultural University of Athens
-
Contatto:
- Kalliopi Anna Poulia
- Numero di telefono: +30 2105294668
- Email: lpoulia@aua.gr
-
Athens, Attica, Grecia, 11527
- Reclutamento
- Laiko General Hospital of Athens
-
Contatto:
- Evangelos Cholongitas
- Numero di telefono: +30 2132061643
- Email: echolog@med.uoa.gr
-
-
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- End-stage liver disease, diagnosed by transient elastography (FibroScan) or imaging-based evaluation with compatible clinical picture
- Referred for liver transplantation and evaluated to have a high likelihood of being listed, according to primary hepatologist assessment, or already listed for liver transplantation
- No prior formal dietary advice
Exclusion Criteria:
- Age < 18 years old
- Estimated waiting time for liver transplantation < 3 months
- Estimated life expectancy < 3 months
- Chronic kidney disease requiring protein restriction
- Exercise contraindicated (e.g., active or recent variceal bleeding, severe grade of hepatic encephalopathy, refractory ascites, etc.)
- Unstable or severe psychiatric disorder
- Pregnancy or lactation
- Inability to provide written informed consent
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Terapia di supporto
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: Diet with even protein distribution plus exercise program
|
Diet of 1.2-1.5 g protein/kg dry body weight/day, equally divided (33.3% at 3 main meals) | Exercise program: 3 days/week aerobic and 2 days/week resistance | Duration: 12 weeks
|
|
Sperimentale: Diet with skewed protein distribution plus exercise program
|
Diet of 1.2-1.5 g protein/kg dry body weight/day, unequally divided (10.0% at breakfast, 60.0% at lunch, 30.0% at dinner) | Exercise program: 3 days/week aerobic and 2 days/week resistance | Duration: 12 weeks
|
|
Comparatore attivo: Standard dietary and physical activity advice
|
Standard dietary and physical activity advice | Duration: 12 weeks
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Changes in Global Leadership Initiative on Malnutrition (GLIM)-defined malnutrition
Lasso di tempo: Baseline, 12 weeks
|
Malnutrition will be diagnosed using the Global Leadership Initiative on Malnutrition (GLIM) criteria.
Diagnosis requires at least 1 phenotypic criterion and 1 etiologic criterion.
Phenotypic criteria include: a. Non-votional weight loss (%): > 5% within past 6 months or > 10% beyond 6 months, b.
Low body mass index (BMI, kg/m^2): < 20 kg/m^2 if < 70 years or < 22 kg/m^2 if > 70 years, c. Reduced muscle mass, assessed by validated body composition measuring techniques [e.g.
Dual-Energy X-ray Absorptiometry (DEXA), Bioelectrical Impedance Analysis (BIA) or Computed Tomography (CT)].
Etiologic criteria include: a. Reduced food intake or assimillation: ≤ 50% of energy requirements > 1 week or any reduction for > 2 weeks or any chronic gastrointestinal condition that adversely impacts food assimilation or absorption, b.
Inflammation: acute disease/injury or chronic disease-related.
|
Baseline, 12 weeks
|
|
Changes in Computed Tomography (CT)-derived muscle mass
Lasso di tempo: Baseline, 12 weeks
|
Muscle mass will be assessed using the Skeletal Muscle Index (SMI, cm^2/m^2).
SMI will be calculated by measuring the total cross-sectional area of skeletal muscles, from a single cross-sectional Computed Tomography (CT) image at L3 vertebral level, using Hounsfield Units of -29 to +150 HU, and normalizing to height squared (m^2).Thresholds for reduced SMI will be considered < 50 cm^2/m^2 for men and < 39 cm^2/m^2 for women.
|
Baseline, 12 weeks
|
|
Changes in handgrip strength (kg)
Lasso di tempo: Baseline, 12 weeks
|
Handgrip strength (kg) will be assessed using a digital handgrip dynamometer.
Thresholds for reduced muscle strength will be considered < 27 kg for men and < 16 kg for women.
|
Baseline, 12 weeks
|
|
Changes in Short Physical Performance Battery (SPPB) score
Lasso di tempo: Baseline, 12 weeks
|
The Short Physical Performance Battery (SPPB) includes 3 components: 3-positions balance testing (sec) (0-4 points), 4-meter gait speed test (sec) (0-4 points) and 5-times chair stand test (sec) (0-4 points), with a total score of 0-12.
Higher scores indicate a better physical performance: 0-3 points for worst physical performance, 4-9 points for reduced physical performance and 10-12 points for best physical performance.
|
Baseline, 12 weeks
|
|
Changes in Liver Frailty Index
Lasso di tempo: Baseline, 12 weeks
|
The Liver Frailty Index includes 3 components: handgrip strength (kg), 5-times chair stand test (sec) and 3-positions balance testing (sec).
Higher scores indicate a greater degree of frailty.
|
Baseline, 12 weeks
|
|
Changes in European Working Group on Sarcopenia in Older People 2 (EWGSOP2)-derived sarcopenia
Lasso di tempo: Baseline, 12 weeks
|
Sarcopenia will be diagnosed using the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria.
Diagnosis requires low muscle strength and low muscle mass.
Reduced muscle strength will be diagnozed by: a.
Low handgrip strength (kg): > 27 kg for men and > 16 kg for women or b.
Low chair stand test (sec): >15 sec for 5-times chair stand test.
Reduced muscle mass will be diagnozed by: a.
Low Appendicular Skeletal Muscle Mass (ASM, kg): < 20 kg for men and < 15 kg for women or b.
Low Appendicular Skeletal Muscle Mass Index (ASMI, kg/m^2): <7.0 kg/m^2 for men and < 5.5 kg/m^2 for women.
|
Baseline, 12 weeks
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Nutritional Risk Screening-2002 (NRS-2002)-derived nutritional risk
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Nutritional Risk Screening-2002 (NRS-2002) tool.
Higher scores indicate greater nutritional risk: < 3 points indicate good nutritional status and ≥ 3 nutritional risk.
|
Baseline
|
|
Malnutrition Screening Tool (MST)-derived nutritional risk
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Malnutrition Screening Tool (MST) tool.
Higher scores indicate greater nutritional risk: < 2 points indicate good nutritional status and ≥ 2 nutritional risk.
|
Baseline
|
|
Malnutrition Universal Screening Tool (MUST)-derived nutritional risk
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Malnutrition Universal Screening Tool (MUST) tool.
Higher scores indicate greater nutritional risk: 0 points indicate low risk, 1 point medium risk and ≥ 2 high risk.
|
Baseline
|
|
Short Nutritional Assessment Questionnaire (SNAQ)-derived nutritional risk
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Short Nutritional Assessment Questionnaire (SNAQ) tool.
Higher scores indicate greater nutritional risk: 0-1 points indicate low risk, 2 points medium risk and ≥ 3 points high risk.
|
Baseline
|
|
Mini Nutritional Assessment-Short Form (MNA-SF)-derived nutritional status
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Mini Nutritional Assessment-Short Form (MNA-SF) tool.
Lower scores indicate greater nutritional risk: 12-14 points indicate good nutritional status, 8-11 points risk of malnutrition and 0-7 points malnutrition.
|
Baseline
|
|
Nutritional Risk Index (NRI)-derived nutritional risk
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Nutritional Risk Index (NRI) tool.
Lower scores indicate greater nutritional risk: > 100.0 indicate good nutritional status, 97.5-100.0
low risk, 83.5-97.5 medium risk and < 83.5 high risk.
|
Baseline
|
|
Prognostic Nutritional Index (PNI)-derived nutritional status
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Prognostic Nutritional Index (PNI) tool.
Lower scores indicate greater nutritional risk: ≥ 50 indicate good nutritional status, < 50 low risk, < 45 medium risk and < 40 high risk.
|
Baseline
|
|
Controlling Nutritional Status (CONUT)-derived nutritional status
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Controlling Nutritional Status (CONUT) tool.
Higher scores indicate greater nutritional risk: 0-1 points indicate good nutritional status, 2-4 points low risk, 5-8 medium risk and 9-12 high risk.
|
Baseline
|
|
Liver Disease Undernutrition Screening Tool (LDUST)-derived nutritional risk
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Liver Disease Undernutrition Screening Tool (LDUST) tool.
≥ 5 answers "A" indicate good nutritional status and ≥ 2 answers "B" and/or "C" malnutrition.
|
Baseline
|
|
Royal Free Hospital-Nutritional Prioritizing Tool (RHT-NPT)-derived nutritional status
Lasso di tempo: Baseline
|
Nutritional risk will be assessed using the Royal Free Hospital-Nutritional Prioritizing Tool (RHT-NPT) tool.
Higher scores indicate greater nutritional risk: 0 points indicate low risk, 1 point medium risk and 2-7 points high risk.
|
Baseline
|
|
Dual-Energy X-ray Absorptiometry (DEXA)-derived muscle mass
Lasso di tempo: Baseline
|
Muscle mass will be assessed using the Appendicular Skeletal Muscle Mass Index (ASMI, kg/m^2) using Dual-Energy X-ray Absorptiometry (DEXA).
Thresholds for reduced muscle mass will be considered < 7.0 for men and < 5.4 for women.
|
Baseline
|
|
Food Frequency Questionnaire (FFQ)-derived dietary habits
Lasso di tempo: Baseline
|
Long-term dietary habits will be assessed using a semi-quantitative Food Frequency Questionnaire (FFQ).
|
Baseline
|
|
International Physical Activity Questionnaire (IPAQ)-derived physical activity levels
Lasso di tempo: Baseline
|
Physical activity levels will be assessed using the International Physical Activity Questionnaire (IPAQ)-Short Form.
IPAQ includes 7 open-ended questions.
Higher scores (MET-min/week) indicate higher physical activity levels.
|
Baseline
|
|
Changes in Bioelectrical Impedance Analysis (BIA)-derived muscle mass
Lasso di tempo: Baseline, 12 weeks
|
Muscle mass will be assessed using the Appendicular Skeletal Muscle Mass Index (ASMI, kg/m^2) by Bioelectrical Impedance Analysis (BIA).
Thresholds for reduced ASMI will be considered < 7.0 for men and < 5.7 for women.
|
Baseline, 12 weeks
|
|
Changes in body weight (kg)
Lasso di tempo: Baseline, 12 weeks
|
Body weight (kg) will be measured using a calibrated weight scale.
|
Baseline, 12 weeks
|
|
Changes in Body Mass Index (BMI, kg/m^2)
Lasso di tempo: Baseline, 12 weeks
|
Body Mass Index (BMI, kg, m^2) will be calculated by dividing body weight (kg) by height squared (m^2), which will be measured using a calibrated stadiometer.
|
Baseline, 12 weeks
|
|
Changes in Mid-Arm Muscle Circumference (MAMC, cm)
Lasso di tempo: Baseline, 12 weeks
|
Mid-Arm Muscle Circumference (MAMC, cm) will be calculated using the following formula: MAMC (cm) = Mid-Arm Circumference (MAC, cm) - [0.314*Triceps Skinfold Thickness (TSF, mm)].
MAC will be measured using a non-stretchable measuring tape and TSF using a calibrated skinfold caliper.
Thresholds for reduced MAMC will be considered < 25 cm for men and < 22 cm for women.
|
Baseline, 12 weeks
|
|
Changes in Bristol Stool Chart
Lasso di tempo: Baseline, 12 weeks
|
Bowel habits will be assessed using the Bristol Stool Chart.
Bristol Stool Chart classifies stool forms in 7 types: types 1-2 indicate constipation, types 3-4 normal stool form, and types 5-7 looser stools tending toward diarrhea
|
Baseline, 12 weeks
|
|
Changes in Chronic Liver Disease Questionnaire (CLDQ)
Lasso di tempo: Baseline, 12 weeks
|
Quality of life will be assessed using the Chronic Liver Disease Questionnaire (CLDQ).
CLDQ includes 29 items in 6 domains: fatigue, activity, emotional function, abdominal symptoms, systemic symptoms, and worry.
Each is scored on a 7-point scale, with higher domain and total scores indicating a better quality of life.
|
Baseline, 12 weeks
|
|
Changes in aspartate aminotransferase (AST, U/L)
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in alanine aminotransferase (ALT, U/L)
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review
|
Baseline, 12 weeks
|
|
Changes in alkaline phosphatase (ALP, U/L)
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in gamma-glutamyltransferase (GGT, U/L)
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in total bilirubin (mg/dL)
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in direct bilirubin (mg/dL)
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in International Normalized Ratio (INR)
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in MELD-Na score
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
Higher MELD-Na scores indicate greater severity of chronic liver disease and higher predictive risk of mortality (< 17 points: <2%, 17-20 points: 3-4%, 21-22 points: 7-10%, 23-26 points: 14-15%, 27-31 points: 27-32%, ≥ 32 points: 65-66%)
|
Baseline, 12 weeks
|
|
Changes in Child-Pugh score
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
Higher Child-Pugh scores indicate greater severity of liver cirrhosis [class A (5-6 points): mild, class B: (7-9 points): moderate, class C (10-15) points: severe]
|
Baseline, 12 weeks
|
|
Changes in presence of oedema and/or ascites
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in presence of jaundice
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in presence of variceal bleeding
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in presence of infections
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in presence of hepatic encephalopathy
Lasso di tempo: Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Mortality
Lasso di tempo: From baseline to 12 weeks
|
Data will be collected through medical chart review.
|
From baseline to 12 weeks
|
Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Adherence to the program
Lasso di tempo: 4 weeks, 8 weeks, 12 weeks
|
Adherence to the program will be assessed using 24-hour recalls and physical activity diaries.
|
4 weeks, 8 weeks, 12 weeks
|
|
Satisfaction with the program
Lasso di tempo: 12 weeks
|
Satisfaction with the program will be assessed using a Likert scale: very satisfied, fairly satisfied, neither satisfied nor dissatisfied, slightly dissatisfied and not at all satisfied
|
12 weeks
|
|
Global Leadership Initiative on Malnutrition (GLIM)-defined malnutrition
Lasso di tempo: 3 months post-transplantation
|
Malnutrition will be diagnosed using the Global Leadership Initiative on Malnutrition (GLIM) criteria.
Diagnosis requires at least 1 phenotypic criterion and 1 etiologic criterion.
Phenotypic criteria: a. Non-votional weight loss (%): > 5% within past 6 months or >10% beyond 6 months b.
Low body mass index (BMI, kg/m^2): < 20 kg/m^2 if < 70 years or < 22 kg/m^2 if > 70 years c.
Reduced muscle mass, assesses by validated body composition measuring techniques [e.g.
Dual-Energy X-ray Absorptiometry (DEXA), Bioelectrical Impedance Analysis (BIA) or Computed Tomography (CT) Etiologic criteria: a. Reduced food intake or assimillation: ≤ 50% of energy requirements > 1 week or any reduction for > 2 weeks or any chronic gastrointestinal condition that adversely impacts food assimilation or absorption b.
Inflammation: acute disease/injury or chronic disease-related
|
3 months post-transplantation
|
|
Computed Tomography (CT)-derived muscle mass
Lasso di tempo: 3 months post-transplantation
|
Muscle mass will be assessed using the Skeletal Muscle Index (SMI, cm^2/m^2).
SMI will be calculated by measuring the total cross-sectional area of skeletal muscles, from a single cross-sectional Computed Tomography (CT) image at L3 vertebral level, using Hounsfield Units of -29 to +150 HU, and normalizing to height squared (m^2).Thresholds for reduced SMI will be considered < 50 cm^2/m^2 for men and < 39 cm^2/m^2 for women.
|
3 months post-transplantation
|
|
Handgrip strength (kg)
Lasso di tempo: 3 months post-transplantation
|
Handgrip strength (kg) will be assessed using a digital handgrip dynamometer.
Thresholds for reduced muscle strength will be considered < 27 kg for men and < 16 kg for women.
|
3 months post-transplantation
|
|
Short Physical Performance Battery (SPPB) score
Lasso di tempo: 3 months post-transplantation
|
The Short Physical Performance Battery (SPPB) includes 3 components: 3-positions balance testing (sec) (0-4 points), 4-meter gait speed test (sec) (0-4 points) and 5-times chair stand test (sec) (0-4 points), with a total score of 0-12.
Higher scores indicate a better physical performance: 0-3 points for worst physical performance, 4-9 points for reduced physical performance and 10-12 points for best physical performance.
|
3 months post-transplantation
|
|
Liver Frailty Index
Lasso di tempo: 3 months post-transplantation
|
The Liver Frailty Index includes 3 components: handgrip strength (kg), 5-times chair stand test (sec) and 3-positions balance testing (sec).
Higher scores indicate a greater degree of frailty.
|
3 months post-transplantation
|
|
European Working Group on Sarcopenia in Older People 2 (EWGSOP2)-derived sarcopenia
Lasso di tempo: 3 months post-transplantation
|
Sarcopenia will be diagnosed using the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) diagnostic criteria.
Diagnosis requires the presence of low muscle strength and low muscle mass.
Reduced muscle strength: a.
Low handgrip strength (kg): > 27 kg for men and > 16 kg for women b.
Low chair stand test (sec): >15 sec for 5 rises Reduced muscle mass: a.
Low Appendicular Skeletal Muscle Mass (ASM, kg): < 20 kg for men and < 15 kg for women b.
Low Appendicular Skeletal Muscle Mass Index (ASMI, kg/m^2): <7.0 kg/m^2 for men and < 5.5 kg/m^2 for women
|
3 months post-transplantation
|
|
Body weight (kg)
Lasso di tempo: 3 months post-transplantation
|
Body weight (kg) will be measured using a calibrated weight scale.
|
3 months post-transplantation
|
|
Body Mass Index (BMI, kg, m^2)
Lasso di tempo: 3 months post-transplantation
|
Body Mass Index (BMI, kg, m^2) will be calculated by dividing body weight (kg) by height squared (m^2), which will be measured using a calibrated stadiometer.
|
3 months post-transplantation
|
|
Mid-Arm Muscle Circumference (MAMC, cm)
Lasso di tempo: 3 months post-transplantation
|
Mid-Arm Muscle Circumference (MAMC, cm) will be calculated using the following formula: MAMC (cm) = Mid-Arm Circumference (MAC, cm) - [0.314*Triceps Skinfold Thickness (TSF, mm)].
MAC will be measured using a non-stretchable measuring tape and TSF using a calibrated skinfold caliper.
Thresholds for reduced MAMC will be considered < 25 cm for men and < 22 cm for women.
|
3 months post-transplantation
|
|
Bristol Stool Chart
Lasso di tempo: 3 months post-transplantation
|
Bowel habits will be assessed using the Bristol Stool Chart.
Bristol Stool Chart classifies stool forms in 7 types: types 1-2 indicate constipation, types 3-4 normal stool form, and types 5-7 looser stools tending toward diarrhea
|
3 months post-transplantation
|
|
Chronic Liver Disease Questionnaire (CLDQ)
Lasso di tempo: 3 months post-transplantation
|
Quality of life will be assessed using the Chronic Liver Disease Questionnaire (CLDQ).
CLDQ includes 29 items in 6 domains: fatigue, activity, emotional function, abdominal symptoms, systemic symptoms, and worry.
Each is scored on a 7-point scale, with higher domain and total scores indicating a better quality of life.
|
3 months post-transplantation
|
|
Aspartate aminotransferase (AST, U/L)
Lasso di tempo: 3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Alanine aminotransferase (ALT, U/L)
Lasso di tempo: 3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Alkaline phosphatase (ALP, U/L)
Lasso di tempo: 3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Gamma-glutamyltransferase (GGT, U/L)
Lasso di tempo: 3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Total bilirubin (mg/dL)
Lasso di tempo: 3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Direct bilirubin (mg/dL)
Lasso di tempo: 3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
International Normalized Ratio (INR)
Lasso di tempo: 3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Length of hospital stay
Lasso di tempo: From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Length of intensive care unit stay
Lasso di tempo: From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Duration of mechanical ventilation
Lasso di tempo: From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Postoperative complications
Lasso di tempo: From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Hospital readmissions
Lasso di tempo: From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Reoperations
Lasso di tempo: From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Mortality
Lasso di tempo: From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
Collaboratori e investigatori
Sponsor
Collaboratori
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
- esercizio
- qualità della vita
- fragilità
- stato nutrizionale
- nutrizione
- trapianto di fegato
- prestazione fisica
- composizione corporea
- sarcopenia
- preabilitazione
- malnutrizione
- malattia epatica allo stadio terminale
- dieta
- stato funzionale
- cirrosi epatica
- proteina
- malattia del fegato
- terapia nutrizionale
- protein distribution
Termini MeSH pertinenti aggiuntivi
- Manifestazioni neurologiche
- Malattie del sistema nervoso
- Manifestazioni neuromuscolari
- Processi patologici
- Disturbi della nutrizione
- Condizioni patologiche, anatomiche
- Malattie dell'apparato digerente
- Atrofia muscolare
- Atrofia
- Insufficienza epatica
- Insufficienza epatica
- Fibrosi
- Condizioni patologiche, segni e sintomi
- Comportamento
- Malattie nutrizionali e metaboliche
- Segni e sintomi
- Fragilità
- Malnutrizione
- Malattie del fegato
- Cirrosi epatica
- Sarcopenia
- Malattia epatica allo stadio terminale
- Attività motoria
- Dieta, cibo e nutrizione
- Fenomeni fisiologici
- Fenomeni fisiologici nutrizionali
- Dieta
Altri numeri di identificazione dello studio
- 113/05.12.2025
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .