Evidence map›Paper›PMID 40699522›Full record

Trial reportHepatology international2026

A randomized, phase Ib trial of recombinant human serum albumin in cirrhotic patients with ascites.

Xinrui Wang, Wanyu Li, Fei Kong, Xiaolin Guo, Qinglong Jin, Runping Gao, Yulin Hu, Yanjun Cai, Guijie Xin, Huifan Ji and 21 more

Registry-linked trialAbstract readClinical Trial, Phase IRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Hepatology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04701697 (Phase Ib Study of Recombinant Human Albumin Injection for the Treatment of Ascites in Patients With Hepatic Cirrhosis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04701697 phase1completednot on this map

Phase Ib Study of Recombinant Human Albumin Injection for the Treatment of Ascites in Patients With Hepatic Cirrhosis

TypeinterventionalSponsorThe First Hospital of Jilin UniversityRan2020 to 2020Enrolled36ConditionsAscitesArmsRecombinant Human Albumin Injection, HumanAlbumin
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors.

Xinrui Wang *Department of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Wanyu Li *Department of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Fei KongDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Xiaolin GuoDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Qinglong JinDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Runping GaoDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Yulin HuDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Yanjun CaiDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Guijie XinDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Huifan JiDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Hongxin PiaoYanbian Hospital of Yanbian University, Yanbian, 133000, Jilin, China.
Zhaoxu FuYanbian Hospital of Yanbian University, Yanbian, 133000, Jilin, China.
Yifei WangDepartment of Gastroenterology, Tonghua Central Hospital, Tonghua, 134000, Jilin, China.
Zhiyong PiaoDepartment of Gastroenterology, Tonghua Central Hospital, Tonghua, 134000, Jilin, China.
Siqi WangDepartment of Gastroenterology, Tonghua Central Hospital, Tonghua, 134000, Jilin, China.
Rui HuaDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Xiaoyu WenDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Yue QiDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Jinglan JinDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Chong WangDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Zhongfeng WangDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Fang XuDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Qiang ZhouDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Xu LiDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Ge YuDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Yang WangDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Tao YangTonghua Anrate Biopharmaceutical, Tonghua, 134000, Jilin, China.
Wei XiangTonghua Anrate Biopharmaceutical, Tonghua, 134000, Jilin, China.
Yu PanDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China.
Junqi NiuDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China. junqiniu@jlu.edu.cn.ORCID http://orcid.org/0000-0001-5415-2024
Yanhang GaoDepartment of Hepatology, Center of Infectious Diseases and Pathogen Biology, The First Hospital of Jilin University, Changchun, 130021, China. yanhang@mail.jlu.edu.cn.

Funding

National Science Fund of China 81970519Program for JLU Science and Technology Innovative Research Team 2017TD-08
6 · The paper itself

Abstract

backgroundRecombinant human serum albumin (rHA) is a promising alternative to human serum albumin (HSA) for managing ascites in cirrhotic patients. This phase Ib study aims to assess the safety, tolerability, and pharmacokinetics/pharmacodynamics (PK/PD) profiles of rHA in this population.

methodsThis randomized, open-label, phase Ib trial was conducted between December 2019 and September 2020 at 3 medical centers in China. Patients with cirrhotic ascites were randomly assigned to receive rHA or HSA at 10 g/day, 20 g/day, or 30 g/day. Each group had 12 participants (nine receiving rHA and three receiving HSA as positive control). Treatment lasted up to 14 days or until serum albumin levels reached 35 g/L, followed by a 28-day follow-up. Adverse events monitored assessed safety and tolerability, while PK/PD was evaluated by tracking serum albumin levels and plasma colloid osmotic pressure (PCOP) before and after each dose (ClinicalTrials.gov No. NCT04701697).

resultsThirty-six Chinese participants were enrolled, with 32 completing the study. The incidence of adverse events was similar between the rHA and HSA groups (44.4% vs. 44.4%, p > 0.05). Serum albumin concentration increases were comparable between groups during treatment and follow-up. While most participants experienced weight and abdominal circumference decreases, no significant dose effect was observed (p > 0.05). No anti-drug antibodies were detected.

conclusionIn this study, rHA demonstrated similar safety and PK/PD to HSA in cirrhotic patients with ascites. rHA was well-tolerated, supporting the need to evaluate its safety and efficacy in a phase II clinical study.

Indexed as

AscitesLiver CirrhosisSerum AlbuminSerum Albumin, HumanAdultAgedChinaFemaleHumansMaleMiddle AgedRecombinant ProteinsTreatment OutcomeRecombinant ProteinsSerum AlbuminSerum Albumin, HumanEfficacyLiver cirrhosisPhase I clinical trialRecombinant human serum albuminSafety

Identifiers

PMID40699522
PMCPMC12923478

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.