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Trial · NCT00248625

N-acetylcysteine in Non-Acetaminophen Pediatric Acute Liver Failure

NCT00248625, Phase 3, Completed, University of Pittsburgh; results first posted 2016-07-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. N-acetylcysteine in Non-Acetaminophen Pediatric Acute Liver Failure. Trials, record NCT00248625. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00248625

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
N-acetylcysteine in Non-Acetaminophen Pediatric Acute Liver Failure
NCT number
NCT00248625
Status
Completed
Phases
Phase 3
Enrollment
184 participants, actual
Lead sponsor
University of Pittsburgh
Conditions
Acute Liver Failure, Hepatic Encephalopathy
Interventions
N-acetylcysteine, Placebo
First posted
2005-11-04
Last updated
2016-07-28
Results first posted
2016-07-28

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimarySurvivalOne year following randomizationSpontaneous survival without transplant plus survival following transplantation
SecondarySpontaneous RecoveryOne year following randomizationSurvival without liver transplantation
SecondaryCumulative Percent Incidence of Transplantation by 1 YearWithin 1 year of randomization
SecondaryLength of Hospital StayRandomization to hospital discharge
SecondaryCategorized Length of ICU StayWithin 7 days of randomization
The length of ICU stay was categorized as number of days in ICU within 7 days of randomization, unless participant either died or received an LTx within this time period. Special categories were created for these cases.
SecondaryNumber of Organ Systems FailingWithin 7 days of randomization
SecondaryHighest Coma Grade of Hepatic EncephalopathyWithin 7 days of randomization
West Haven Criteria for hepatic encephalopathy (Grade 0 - IV ) is used for participants \> 3 year of age. Coma grade IV indicates a participant who is comatose , with no reflexes, is decerebrate and has abnormal EEG changes with very slow delta activity. For participants less than 3 years the Whittington Scale was used. The Whittington scale does not use EEG changes and has only 3 levels, early (grades I and II), Mid (III) with somnolence, stupor, combativeness and Late (IV) for participants who are comatose with absent reflexes and decerebrate or decorticate posturing.
SecondaryInfectious ComplicationWithin 7 days of randomization

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSurvivalOne year following randomizationAll participants who were enrolled in the study were included in the survival analysisParticipantsNUMBER
SECONDARYSpontaneous RecoveryOne year following randomizationAll participants enrolled in studyparticipantsNUMBER
SECONDARYCumulative Percent Incidence of Transplantation by 1 YearWithin 1 year of randomizationpercentage of participantsNUMBER
SECONDARYLength of Hospital StayRandomization to hospital dischargeAll participants enrolled in study with hospital stay information, 2 participants (1 in each arm) did not have hospital discharge information.daysMEDIAN
SECONDARYCategorized Length of ICU StayWithin 7 days of randomizationparticipantsNUMBER
SECONDARYNumber of Organ Systems FailingWithin 7 days of randomizationparticipantsNUMBER
SECONDARYHighest Coma Grade of Hepatic EncephalopathyWithin 7 days of randomizationAll enrolled participants where coma grade could be assessed. Four participants (two in each randomization arm) could not have coma grade assessed during the 7 days after randomization.participantsNUMBER
SECONDARYInfectious ComplicationWithin 7 days of randomizationParticipantsNUMBER

Results by group50

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
SurvivalN-acetylcysteine (NAC)68Participants
SurvivalPlacebo76Participants
Spontaneous RecoveryN-acetylcysteine (NAC)33participants
Spontaneous RecoveryPlacebo49participants
Cumulative Percent Incidence of Transplantation by 1 YearN-acetylcysteine (NAC)45percentage of participants
Cumulative Percent Incidence of Transplantation by 1 YearPlacebo35percentage of participants
Length of Hospital StayN-acetylcysteine (NAC)103Inter-Quartile Range 13 to 103days
Length of Hospital StayPlacebo21Inter-Quartile Range 9 to 103days
Categorized Length of ICU StayN-acetylcysteine (NAC)0 days29participants
Categorized Length of ICU StayPlacebo0 days34participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo92
Overall StudySTARTEDN-acetylcysteine (NAC)92
Overall StudyCOMPLETEDPlacebo92
Overall StudyCOMPLETEDN-acetylcysteine (NAC)90
Overall StudyNOT COMPLETEDPlacebo0
Overall StudyNOT COMPLETEDN-acetylcysteine (NAC)2

Adverse events44

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInfectionInfections and infestationsN-acetylcysteine (NAC)1192
otherInfectionInfections and infestationsPlacebo892
otherRashSkin and subcutaneous tissue disordersN-acetylcysteine (NAC)492
otherRashSkin and subcutaneous tissue disordersPlacebo292
otherBronchospasmRespiratory, thoracic and mediastinal disordersN-acetylcysteine (NAC)192
otherBronchospasmRespiratory, thoracic and mediastinal disordersPlacebo092
otherArrhythmiaCardiac disordersN-acetylcysteine (NAC)192
otherArrhythmiaCardiac disordersPlacebo492
otherAspirationRespiratory, thoracic and mediastinal disordersN-acetylcysteine (NAC)192
otherAspirationRespiratory, thoracic and mediastinal disordersPlacebo092

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityN-acetylcysteine (NAC)
Total, all-cause mortalityPlacebo
Total, other adverse eventsN-acetylcysteine (NAC)1992
Total, other adverse eventsPlacebo1692
Total, serious adverse eventsN-acetylcysteine (NAC)592
Total, serious adverse eventsPlacebo492

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
15789368BACKGROUNDPubMed
15791615BACKGROUNDPubMed
16737880BACKGROUNDPubMed
16950959BACKGROUNDPubMed
18643912BACKGROUNDPubMed
19643443BACKGROUNDPubMed
21621221BACKGROUNDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
U01DK072146A Multi-Center Group to Study Acute Liver Failure in ChildrenSQUIRES, ROBERT HUNIVERSITY OF PITTSBURGH AT PITTSBURGHNATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES2005 to 2014

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
N-acetylcysteine (NAC) vs Placebo: SurvivalTrial comparisons
N-acetylcysteine (NAC) vs Placebo: Infectious ComplicationTrial comparisons
N-acetylcysteine (NAC) vs Placebo: Spontaneous RecoveryTrial comparisons
N-acetylcysteine (NAC) vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00248625

GET https://conductscience.org/api/trials/v1/NCT00248625/results?page=2