LiverPAL: A Trial of Inpatient Palliative Care for Patients With Advanced Liver Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMassachusetts General Hospital

About this trial

The goal of this clinical trial is to evaluate whether early integration of palliative care in the care of hospitalized patients with advanced liver disease (AdvLD) can improve patients' quality of life, physical symptoms, mood, and serious illness communication. Palliative care is a medical specialty focused on lessening (or "palliating") symptoms and assisting in coping with serious illness.

Eligibility criteria

Qualifiers

Ascites (requiring diuretics or serial large volume paracenteses)

Spontaneous bacterial peritonitis

Hepatic hydrothorax (requiring diuretics)

Variceal bleed (with one or more occurrences)

Disqualifiers

Prior history of liver transplantation

Have uncontrolled hepatic encephalopathy, cognitive impairment, psychiatric disorder or other comorbid condition which the primary medical, hepatology, and/or transplant surgery teams believes prohibits the ability to provide informed consent

Current or recent (within 5 years of receiving curative cancer treatment) history of extrahepatic malignancy (excluding non-melanoma skin cancer)

Presence of hepatocellular carcinoma beyond Milan criteria

Trial design

Treatments tested in this trial

  • LiverPAL

Treatment groups

200 Participants
are divided into 2 treatment groups

Sponsors and collaborators