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Decompensated Cirrhosis and AscitesPhase 3PRECIOSANCT03451292

Effects of Long-Term Administration of Human Albumin in Participants With Decompensated Cirrhosis and Ascites

A Phase 3 study testing Albutein 20% and SMT in people with Decompensated Cirrhosis and Ascites, run by Grifols Therapeutics LLC at 66 sites in 14 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a phase 3, multicenter, randomized, controlled, parallel-group, and open-label clinical study to evaluate the efficacy of standard medical treatment (SMT) + Albutein 20% administration versus SMT alone in participants with decompensated cirrhosis and ascites. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Decompensated Cirrhosis and Ascites
What is being tested?
Albutein 20% and SMT
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
410 participants
Where
66 sitesin 14 countries
Study dates
24 Jul 2018to 21 May 2024
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female participants ≥18 years of age.
  • Participants with diagnosis of liver cirrhosis (based on clinical, laboratory, endoscopic, and ultrasonographic features or on histology).
  • Participants who have been hospitalized for acute decompensation of liver cirrhosis with ascites (or with prior history of ascites requiring diuretic therapy) with or without ACLF at admission or during hospitalization but without ACLF at Screening.
  • In participants with cirrhosis due to hepatitis B virus, decompensation must occur in the setting of continuous (no less than 3 months) appropriate antiviral therapy.
  • In participants with cirrhosis due to hepatitis C virus, only decompensated participants who will not receive antiviral therapy during the study period will be included (Participants receiving antiviral therapy within 14 days prior to enrollment cannot be included in the study).
  • In participants with cirrhosis due to autoimmune hepatitis, decompensation must occur in the setting of continuous immunosuppressive therapy.
  • Participants must be willing and able to provide written informed consent or have an authorized representative able to provide written informed consent on behalf of the participant in accordance with local law and institutional policy.
  • Chronic liver failure-consortium acute decompensation (CLIF-C AD) score > 50 points at screening.

Who cannot join

  • Participants with ACLF at Screening
  • Participants with type 1 hepatorenal syndrome (HRS) currently on treatment with vasoconstrictors or hemodialysis.
  • Participants with transjugular intrahepatic portosystemic shunt (TIPS) or other surgical porto-caval shunts.
  • Participants with refractory ascites as defined by the International Club of Ascites (ICA) criteria without any other event of acute decompensation.
  • Participants receiving dual anti-platelet therapy or anti-coagulant therapy (exception: deep vein thrombosis (DVT) prophylaxis).
  • Participants with ongoing endoscopic eradication of esophageal varices with ≤ 2 endoscopic sessions completed before screening.
Show all 22Show fewer
  • Participants with evidence of current locally advanced or metastatic malignancy.
  • Participants with acute or chronic heart failure (New York Heart Association [NYHA]).
  • Participants with severe (grade III or IV) pulmonary disease (Global Obstructive Lung Disease [GOLD]).
  • Participants with nephropathy with renal failure with serum creatinine >2 milligrams/deciliters (mg/dL) or systemic hypertension.
  • Participants with severe psychiatric disorders.
  • Participants with a known infection with human immunodeficiency virus (HIV) or have clinical signs and symptoms consistent with current HIV infection.
  • Females who are pregnant, breastfeeding, or if of childbearing potential, unwilling to practice effective methods of contraception
  • Participants with previous liver transplantation.
  • Participants with known or suspected hypersensitivity to albumin.
  • Participants participating in another clinical study within 3 months prior to screening.
  • Participants with active drug addiction (exceptions: active alcoholism or marijuana).
  • In the opinion of the investigator, the participants may have compliance problems with the protocol and the procedures of the protocol.
  • Participants with ongoing or recent variceal bleeding (participants can be included 2 weeks after hemorrhagic episode).
  • Participants with septic shock at screening.
  • Participants with ongoing spontaneous bacterial peritonitis (SBP) infection (participants can be included upon resolution).
  • Participants with current infection of coronavirus disease of 2019 (COVID19), those who are less than 14 days post recovery, or those who have clinical signs and symptoms consistent with COVID19 infection.

Trial locations and contacts

66 sites in 14 countries.

66 sites in 14 countries

Poland9 sites
  • Oddział Gastroenterologii i Hepatologii Uniwersyteckie Centrum Kliniczne im. prof.K.Gibińskiego SUM w Katowicach

    Katowice, 40-751

  • SP ZOZ Szpital Uniwersytecki w Krakowie, Zakład Endoskopii SIV 31Aug22

    Krakow, 30-688

  • Oddział Kliniczny Gastroenterologii Ogólnej i Onkologicznej, Uniwersytecki Szpital Kliniczny im. Barlickiego

    Lodz, 90-153

  • Klinika Chorób Wewnętrznych, Diabetologii i Farmakologii Klinicznej, Centralny Szpital Kliniczny

    Lodz, 92-216

  • Oddział Kliniczny Gastroenterologii Ogólnej i Onkologicznej, Uniwersytecki Szpital Kliniczny im. Barlickiego

    Lublin, 20954

  • ID Clinic

    Mysłowice, 41-400

  • Klinika Gastroenterologii i Hepatologii z Pododdziałem Chorób Wewnętrznych Kliniczny Szpital Wojewodzki nr 1

    Rzeszów

  • Centrum Badań Klinicznych

    Wroclaw, 51-162

  • Samodzielny Publiczny Szpital im.Papieza Jana Pawla II

    Zamość, 22-400

Other trials in Poland

Serbia9 sites
  • Clinical Hospital Center "Dr Dragisa Misovic-Dedinje", Clinic for Internal Medicine, Gastroenterology Department

    Belgrade, 11000

  • Clinical Hospital Center Zvezdara, Clinic for Internal Diseases, Clinical Department for Gastroenterology and Hepatology

    Belgrade, 11000

  • University Clinical Centre of Serbia, Clinic for Gastroenterology and Hepatology

    Belgrade, 11000

  • Military Medical Academy, Clinic for Gastroenterology and Hepatology

    Belgrade, 11040

  • Clinical Hospital Center "Bezanijska Kosa", Clinic for Internal Medicine, Department for Gastroenterology and Hepatology

    Belgrade, 11080

  • University Clinical Center Kragujevac, Clinic for Internal Medicine, Gastroenterohepatology Center

    Kragujevac, 34000

  • 'University Clinical Center Nis, Clinic for Gastroenterology and Hepatology

    Niš, 18000

  • Institution: General Hospital Pančevo, Internal Diseases Department, Gastroenterology Section

    Pančevo, 26101

  • 'Health Center Uzice, Internal Diseases Department, Gastroenterology Section

    Užice, 31000

Other trials in Serbia

Bulgaria8 sites
  • MHAT "Pazardzhik" Ltd

    Pazardzhik, 4400

  • MHAT"Sv. Pantelymon"

    Plovdiv, 4000

  • MHAT " Hadzhi Dimitar" Ltd

    Sliven, 8800

  • MHAT Sliven to MMA Sofia

    Sliven, 8800

  • MHAT "Sveta Sofia"

    Sofia, 1000

  • UMHAT "Sveti Ivan Rilski"

    Sofia, 1000

  • UMHATEM "N.I.Pirogov"

    Sofia, 1000

  • First Private MHAT Vratsa

    Vratsa, 3000

Other trials in Bulgaria

United States7 sites
  • University of Missouri Hospital

    Columbia, South Carolina, 65201

  • Southern California Research Center

    Coronado, California, 92118

  • Dallas VA Medical Center

    Dallas, Texas, 75216

  • University of Miami Hospital

    Miami, Florida, 33136

  • Rutgers-New Jersey Medical School

    Newark, New Jersey, 07103

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • McGuire VA Medical Center

    Richmond, Virginia, 23249

Other trials in United States

Spain7 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

  • Hospital Clínic de Barcelona

    Barcelona, 08036

  • Hospital de la Santa Creu i Sant Pau

    Barcelona

  • Hospital Universitario Ramón y Cajal

    Madrid, 28034

  • Hospital Puerta de Hierro Majadahonda

    Majadahonda

  • Hospital Marqués de Valdecilla

    Santander, 39008

  • Hospital Universitario Politecnico La Fe

    Valencia

Other trials in Spain

France5 sites
  • Hôpital Minjoz - CHU Besaçon

    Besançon, 25000

  • Hôpital Henri Mondor-Creteil

    Créteil, 94010

  • CHU de Nice - Hôpital l'Archet 2

    Nice, CS 23079

  • CHRU de Strasbourg - Hôpital Hautepierre

    Strasbourg, 67200

  • Centre Hépato-Biliaire - Hôpital Universitaire Paul Brousse

    Villejuif, 94804

Other trials in France

Hungary5 sites
  • Magyar Honvédség Egészségügyi Központ Gasztroenterológiai Osztály

    Budapest, 1062

  • Semmelweis Egyetem I. sz. Sebészeti és Intervenciós Gasztroenterológiai Klinika

    Budapest, 1082

  • Debreceni Egyetem Klinikai Központ Gasztroenterológiai Klinika

    Debrecen, 4032

  • Markhot Ferenc Oktatókórház és Rendelőintézet

    Eger, 3300

  • Albert Schweitzer Kórház

    Hatvan, 3000

Other trials in Hungary

Germany4 sites
  • Charité - Universitaetsmedizin Berlin

    Berlin, 13353

  • Universitätsklinikum Essen

    Essen, 45147

  • Universitätsklinikum Frankfurt

    Frankfurt, 60590

  • Universitätsklinikum Jena

    Jena, 7740

Other trials in Germany

Belgium3 sites
  • Université libre de Bruxelles

    Brussels, 1070

  • Antwerp University Hospital

    Edegem, 2650

  • UZ Leuven - Campus Gasthuisberg

    Leuven, 3000

Other trials in Belgium

Bosnia and Herzegovina3 sites
  • University Clinical Centre of the Republic Srpska, Clinic for Internal Diseases, Department of gastroenterology, hepatology and toxicology with internal medicine

    Mostar, 88000

  • Dr. Abdulah Nakas General Hospital, Department of Internal Medicine, Department of Gastroenterohepatology

    Sarajevo

  • Zenica Cantonal Hospital, Department of Internal Medicine with hemodialysis, Department of Gastroenterology and hepatology

    Zenica

Other trials in Bosnia and Herzegovina

Italy3 sites
  • Azienda Ospedaliero-Universitaria di Bologna Policlinico - S.Orsola

    Bologna

  • ASST Grande Ospedale Metropolitano Niguarda

    Milan, 20162

  • Azienda Ospedaliera di Padova

    Padova, 35131

Other trials in Italy

Canada1 site
  • University Health Network - Toronto General Hospital

    Toronto

Other trials in Canada

Denmark1 site
  • Hvidovre University Hospital

    Hvidovre, 2650

Other trials in Denmark

United Kingdom1 site
  • Royal Free NHS Foundation Trust Hospital

    London, Londong, NW3 2QG

Other trials in United Kingdom

About this study

Official title: Prevention of Mortality With Long-Term Administration of Human Albumin in Subjects With Decompensated Cirrhosis and Ascites

This is a phase 3, multicenter, randomized, controlled, parallel-group, and open-label clinical study to evaluate the efficacy of standard medical treatment (SMT) + Albutein 20% administration versus SMT alone in participants with decompensated cirrhosis and ascites. The study population will consist of participants being discharged after hospitalization for acute decompensation of liver cirrhosis with ascites (or with prior history of ascites requiring diuretic therapy) with or without acute-on-chronic liver failure (ACLF) at admission or during hospitalization but without ACLF at discharge.

Being tested
Albutein 20%, SMT
Medical subject headings
Ascites

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Albutein 20%Drug

    Injectable solution

  • SMTOther

    Participants received SMT according to institution standards for the management of decompensated cirrhosis.

Study groups in NCT03451292
Study groupRoleWhat they receive
SMT + Albutein 20%ExperimentalParticipants received Albutein 20%, at a dose of 1.5 grams/kilograms (g/kg), based on their body weight (maximum 100 grams per participant), as an intravenous (IV) infusion on Day 1, followed by the same dose of Albutein 20% every 10±2 days along with standard medical treatment (SMT) administered as per institution standards for the management of decompensated cirrhosis up to 12 months.
Receives: Drug: Albutein 20%; Other: SMT
SMTActive comparatorParticipants received SMT up to 12 months as per institution standards for the management of decompensated cirrhosis.
Receives: Other: SMT

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to Liver Transplantation or Death Through 1 Year After Randomization: Percentage of Participants With an Event

    Time to one-year transplant-free survival was calculated as earlier of [(date of liver transplantation or date of death) - randomization date + 1] for participants who died or had liver transplant within the analysis period of 361 days. Participants who neither died nor had liver transplant within analysis period had their time to event censored at earlier of date of last contact or cut-off date. Participants who terminated early for reasons other than death were followed up at months 3, 6, and 12 to collect information on liver transplantation and death, these events if reported by cut-off Day 361, were considered for the endpoint. The percentage of participants with events are presented. The percentage of participants was calculated as [(participants with an event up to the analysis cut-off Day 361) / (number of participants in the ITT group)].

    Measured: Up to Day 361

Secondary outcomes (7)
  1. Time to Liver Transplantation or Death Through 3 Months After Randomization: Percentage of Participants With an Event

    Time to 3-months transplant-free survival was calculated as earlier of [(date of liver transplantation or date of death) - randomization date + 1] for participants who died or had liver transplant within the analysis period of 91 days. Participants who neither died nor had liver transplant within analysis period had their time to event censored at earlier of date of last contact or cut-off date. Participants who terminated early for reasons other than death were followed up at months 3, 6, and 12 to collect information on liver transplantation and death, these events if reported by cut-off Day 91, were considered for the endpoint. The percentage of participants with events are presented. The percentage of participants was calculated as [(participants with an event up to the analysis cut-off Day 91) / (number of participants in the ITT group)].

    Measured: Up to Day 91

  2. Time to Liver Transplantation or Death Through 6 Months After Randomization: Percentage of Participants With an Event

    Time to 6-months transplant-free survival was calculated as earlier of [(date of liver transplantation or date of death) - randomization date + 1] for participants who died or had liver transplant within the analysis period of 181 days. Participants who neither died nor had liver transplant within analysis period had their time to event censored at earlier of date of last contact or cut-off date. Participants who terminated early for reasons other than death were followed up at months 3, 6, and 12 to collect information on liver transplantation and death, these events if reported by cut-off Day 181, were considered for the endpoint. The percentage of participants with events are presented. The percentage of participants was calculated as [(participants with an event up to the analysis cut-off Day 181) / (number of participants in the ITT group)].

    Measured: Up to Day 181

  3. Time to Death Through 3 Months After Randomization: Percentage of Participants With an Event

    Time to 3-months survival was calculated as the earlier of [(date of death) - randomization date + 1] for those participants who died within the analysis period of 91 days. Participants who did not die within the analysis period were censored at the earlier of the date of last contact or analysis cut-off date. Participants who terminated early for reasons other than death were followed up at months 3, 6, and 12 to collect information on death, these events if reported before the analysis cut-off Day 91 of this endpoint, were considered. The percentage of participants with events (death) without censoring participants who underwent liver transplantation within the analysis period were reported. The percentage of participants was calculated as [(participants with an event up to the analysis cut-off Day 91) / (number of participants in the ITT group)].

    Measured: Up to Day 91

  4. Time to Death Through 6 Months After Randomization: Percentage of Participants With an Event

    Time to 6-months survival was calculated as the earlier of [(date of death) - randomization date + 1] for those participants who died within the analysis period of 181 days. Participants who did not die within the analysis period were censored at the earlier of the date of last contact or analysis cut-off date. Participants who terminated early for reasons other than death were followed up at months 3, 6, and 12 to collect information on death, these events if reported before the analysis cut-off Day 181 of this endpoint, were considered. The percentage of participants with events (death) without censoring participants who underwent liver transplantation within the analysis period were reported. The percentage of participants was calculated as [(participants with an event up to the analysis cut-off Day 181) / (number of participants in the ITT group)].

    Measured: Up to Day 181

  5. Time to Death Through 1 Year After Randomization: Percentage of Participants With an Event

    Time to 1 year survival was calculated as the earlier of [(date of death) - randomization date + 1] for those participants who died within the analysis period of 361 days. Participants who did not die within the analysis period were censored at the earlier of the date of last contact or analysis cut-off date. Participants who terminated early for reasons other than death were followed up at months 3, 6, and 12 to collect information on death, these events if reported before the analysis cut-off Day 361 of this endpoint, were considered. The percentage of participants with events (death) without censoring participants who underwent liver transplantation within the analysis period were reported. The percentage of participants was calculated as [(participants with an event up to the analysis cut-off Day 361) / (number of participants in the ITT group)].

    Measured: Up to Day 361

  6. Total Number of Paracenteses Through 1 Year After Randomization

    Paracenteses is a medical procedure used to remove excess fluid from the abdominal cavity. For each participant, the total number of reported paracenteses on treatment was calculated. Number of paracenteses per participant while on treatment was reported.

    Measured: Up to Day 361

  7. Number of Participants With Refractory Ascites According to the International Club of Ascites (ICA) Through 1 Year After Randomization

    Refractory Ascites was defined as ascites that cannot be mobilized, or the early recurrence of which cannot be prevented because of a lack of response to sodium restriction and diuretic, or the development of diuretic-induced complications that preclude the use of an effective diuretic dosage treatment. Incidence of refractory ascites occurring on treatment was defined as any incidence that occurred with a start date/time on or after the participants date/time of randomization (for SMT Alone group) or commencement of Albutein (SMT+ Albutein 20% group) treatment.

    Measured: Up to Day 361

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Mar 2018
  2. Study start24 Jul 2018
  3. Primary completion21 May 2024
  4. Study completion21 May 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
410 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03451292
Sponsor's protocol ID
IG1601
Other IDs
2016-001789-28, 2016
Acronym
PRECIOSA
Status last verified
May 2025
First submitted
12 Feb 2018
Last updated
6 Jun 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Fernandez J, Claria J, Amoros A, Aguilar F, Castro M, Casulleras M, Acevedo J, Duran-Guell M, Nunez L, Costa M, Torres M, Horrillo R, Ruiz-Del-Arbol L, Villanueva C, Prado V, Arteaga M, Trebicka J, Angeli P, Merli M, Alessandria C, Aagaard NK, Soriano G, Durand F, Gerbes A, Gustot T, Welzel TM, Salerno F, Banares R, Vargas V, Albillos A, Silva A, Morales-Ruiz M, Carlos Garcia-Pagan J, Pavesi M, Jalan R, Bernardi M, Moreau R, Paez A, Arroyo V. Effects of Albumin Treatment on Systemic and Portal Hemodynamics and Systemic Inflammation in Patients With Decompensated Cirrhosis. Gastroenterology. 2019 Jul;157(1):149-162. doi: 10.1053/j.gastro.2019.03.021. Epub 2019 Mar 22.

    PubMed 30905652

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Albutein 20% and SMT in people with Decompensated Cirrhosis and Ascites, run by Grifols Therapeutics LLC at 66 sites in 14 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in Poland, Serbia, Bulgaria, United States, Spain and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Jun 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to Liver Transplantation or Death Through 1 Year After Randomization: Percentage of Participants With an Event (time frame: Up to Day 361). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03451292, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jun 2025.

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