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Role of N-Acetylcysteine in Non-Acetaminophen-Induced Liver Failure

RecruitingNAAges 18 Years - 60 YearsAllKing Edward Medical University
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In plain words

What the trial is, and whether it could suit you

This randomized controlled trial evaluates whether oral N-acetylcysteine (NAC), given alongside standard supportive care, improves survival and reduces mortality in patients with non-acetaminophen-induced acute liver failure (ALF), compared to supportive care alone. Secondary objectives are to assess NAC's effect on length of hospital stay and improvement in liver function tests. Sixty-two adult patients (18-60 years) will be randomized 1:1 to NAC or control, with outcomes assessed at 28 days (survival/mortality) and day 4 (liver function tests).

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Male or female, aged 18-60 years * Diagnosed with non-acetaminophen- induced acute hepatic failure (per operational definition/EASL criteria) * Etiology other than acetaminophen overdose (viral hepatitis HAV/HBV/HEV, non-acetaminophen drug-induced liver injury, or idiopathic) * No NAC treatment received for current episode prior to enrollment Exclusion Criteria: * History of chronic liver disease or cirrhosis * Prior severe cardiac, renal, neurological, or infectious disease that could confound outcomes * Prior liver transplant or current transplant candidacy * Known allergy/contraindication to NAC * Pregnant women.
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What it tests

  • N Acetyl Cysteine
  • Standard supportive care
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Where

1 site
King Edward Medical University/Mayo Hospital Lahore
Lahore, Pakistan
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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