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RecruitingHepatorenal Syndrome

A Retrospective Analysis of Outcomes in Patients With Hepatorenal Syndrome at Methodist Dallas Medical Center

Eligible age

18–85 yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

No

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About this study

Hepatorenal syndrome (HRS) is a common cause of acute kidney injury (AKI) in patients with liver disease \[1\]. Increased activity and presence of vasodilators such as nitric oxide in cirrhotic patients leads to vasodilation, especially in the splanchnic circulation, resulting in hemodynamic changes that precipitate renal injury \[1\]. Patients may present with elevated serum creatinine (Cr), benign urine sediment, and low urine sodium \[1\].

Sponsor: Methodist Health System

You may qualify if…

  • ✓ All patients \>18 years old that were hospitalized between April 1st 2019 and April 1st 2023 who either presented with HRS-AKI or developed a diagnosis of HRS during the hospital course. HRS-AKI will be defined based on the ICA criteria, described below:
  • ✓ 1. Presence of cirrhosis, acute liver failure, or acute-on-chronic liver failure
  • ✓ 2. An increase in serum Cr of ≥0.3 mg/dL within 48 hours or ≥50% from baseline value and/or urinary output ≤0.5 mL/kg of body weight for ≥6 hours (requires use of a urinary catheter)
  • ✓ 3. No full or partial response for ≥2 days of diuretic withdrawal and volume expansion with albumin (dosed at 1 g/kg of body weight/day)
  • ✓ 4. Absence of shock
  • ✓ 5. No current or recent treatment with nephrotoxic drugs
  • ✓ 6. Absence of parenchymal renal disease
  • ✓ 7. Suggestion of renal vasoconstriction based on FENa \<0.2%

You may not qualify if…

  • ✕ 1\. HRS-AKI patients \<18 years of age 2. All patients hospitalized between April 1st 2019 and April 1st 2023 without a diagnosis of HRS-AKI.

Where it's recruiting

Texas

Dallas

Source: ClinicalTrials.gov · NCT06095440 · last updated 2026-05-01

A Retrospective Analysis of Outcomes in Patients With Hepatorenal Synd · TrialPath