Efficacy and Safety of Artificial Liver Support System Treatment for Immune Checkpoint Inhibitors Related Liver Failure in Patients With Hepatocellular Carcinoma
This study aims to investigate the efficacy and safety of artificial liver support system treatment for immune checkpoint inhibitors related liver failure in patients with hepatocellular carcinoma.
• Age from 18 to 65 years old;
• Clinical diagnosis of chronic hepatitis b virus infection (positive hepatitis b surface antigen or positive hepatitis b virus DNA \> 0.5 year);
• Clinical diagnosis of hepatocellular carcinoma and receive immune checkpoint inhibitors treatment. The last treatment of immune checkpoint inhibitors is less than three months from inclusion;
• The level of hepatitis b virus DNA \< 2000 IU/mL;
• Serum aspartate aminotransferase/alanine aminotransferase \> 20 times upper limit of normal;serum total bilirubin\>10 times upper limit of normal;
• Prothrombin time international ratio \> 1.5;
• Platelets \> 50\*10 E9/L;
• Without intrahepatic bile duct dilation due to tumor progression.