125 Participants Needed

Carbon Monoxide Measurement for Liver Regeneration

JK
RM
Overseen ByRaquel Molina
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Englewood Hospital and Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how measuring carbon monoxide levels in the breath can aid in understanding liver regeneration after surgery. Researchers aim to determine if a link exists between carbon monoxide production and the liver's healing and function after partial removal. They collect breath samples from participants to monitor these levels. Individuals undergoing partial liver removal due to liver disease or cancer may be suitable for this study.

As an unphased trial, this study provides a unique opportunity to contribute to groundbreaking research that could enhance liver surgery outcomes.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this method is safe for monitoring liver regeneration?

Research suggests that carbon monoxide (CO) might aid liver healing after surgery by accelerating recovery. Although specific safety data for CO use in this trial is unavailable, CO treatments have been studied in other contexts. For example, inhaled CO has undergone safety testing in kidney treatments. Researchers prioritize liver safety when developing new drugs. While specific data for this trial is lacking, existing research indicates that CO is generally safe in similar medical situations.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores a novel method for supporting liver regeneration by measuring carbon monoxide levels in the breath. Unlike traditional methods that might rely on imaging or blood tests to assess liver health, this approach offers a non-invasive and potentially quicker way to monitor liver regeneration. By detecting carbon monoxide, which can be a byproduct of liver activity, this technique could provide real-time insights into how well the liver is recovering, paving the way for more personalized and timely interventions.

What evidence suggests that carbon monoxide measurement is effective for liver regeneration?

Research shows that carbon monoxide (CO) can affect liver health. Studies have found that CO helps the liver heal and regrow after partial removal. In patients with liver transplants, lower CO levels have been linked to better monitoring of liver function. Additionally, CO has been used to prevent damage when blood flow returns to the liver after surgery, improving survival rates. This trial will involve all participants providing breath samples to detect carbon monoxide levels, which could enhance understanding and support of liver recovery.12356

Who Is on the Research Team?

CB

Cherif Boutros, MD

Principal Investigator

Englewood Hospital

Are You a Good Fit for This Trial?

This trial is for individuals undergoing partial hepatectomy, a surgical procedure to remove part of the liver. It's aimed at those who may have conditions like liver cancer or hepatocellular carcinoma and are interested in monitoring their liver regeneration post-surgery.

Inclusion Criteria

I am planning to undergo surgery to remove part of my liver due to cancer.
I understand and am willing to sign the consent form.

Exclusion Criteria

Patients identified as members of a vulnerable population, except women of childbearing potential with negative pregnancy test
I am under 18 years old.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-surgery Assessment

Participants provide baseline breath samples to measure carbon monoxide levels

1 day
1 visit (in-person)

Post-surgery Monitoring

Participants provide breath samples at 4 and 24 hours post-resection to measure carbon monoxide levels

1 day
2 visits (in-person)

Follow-up

Participants undergo CT liver volumetric studies and blood tests to assess liver regeneration and function

3 months
2 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Carbon Monoxide Measurement
Trial Overview The study is testing a method to measure carbon monoxide (CO) production using a device called smokerlyzer. The goal is to see if CO levels can indicate how well the liver regenerates after surgery and predict recovery outcomes.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: all participantsExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Englewood Hospital and Medical Center

Lead Sponsor

Trials
21
Recruited
770+

Citations

Carbon Monoxide Enhances Early Liver Regeneration in ...Taken together these data demonstrate that CO accelerates liver regeneration ... Liver regeneration is suppressed in small-for size liver grafts after ...
Carbon Monoxide Measurement for Liver RegenerationResearch shows that carbon monoxide levels decrease significantly in patients after liver transplantation, indicating a potential role in monitoring liver ...
NCT04195438 | Postoperative Heme Oxygenase Induction ...The study will monitor carbon monoxide production in patients undergoing liver resection. Carbon monoxide will be checked from arterial blood gas obtained ...
Carbon monoxide-loaded red blood cells ameliorate ...Intravenously administered CO-RBCs effectively delivered CO to the MASH liver, where they prevented fat accumulation by promoting fatty acid oxidation.
Carbon Monoxide in Healthcare Monitoring Balancing ...In liver transplants, CO has been shown to improve survival rates by reducing ischemia-reperfusion injury, which occurs when blood flow resumes ...
Nano-designed carbon monoxide donor SMA/CORM2 ...Nano-designed carbon monoxide donor SMA/CORM2 exhibits protective effect against acetaminophen induced liver injury through macrophage ...
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