A Trial of Somatostatin With Endoscopic Variceal Ligation (EVL) in Control of Acute Variceal Bleeding
NCT01267669 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 61
Last updated 2010-12-28
Summary
Background: Efficacy of endoscopic variceal sclerotherapy in achieving initial control of acute variceal bleeding and five-day haemostasis has been shown to significantly improve when vasoactive drug is added. However, there is limited data whether addition of somatostatin, to endoscopic variceal ligation (EVL) improves the efficacy of EVL.
Aim: To compare EVL plus somatostatin versus EVL plus placebo in control of acute variceal bleeding.
Patients and methods: Consecutive cirrhotic patients with acute variceal bleeding from esophageal varices were enrolled in the trial. After emergency EVL, patients were randomized to receive either somatostatin (250 mcg/hr) or placebo infusion. Primary endpoint was treatment failure within 5 days. Treatment failure was defined as fresh hematemesis ≥2 hour after start of therapy or death.
Conditions
- Acute Bleeding Esophageal Varices
- Portal Hypertension
- Cirrhosis
Interventions
- DRUG
-
Somatostatin
Emergency EVL plus Somatostatin (250 mcg/hr) infusion for 5 days
- DRUG
-
Emergency EVL plus placebo infusion for 5 days
Sponsors & Collaborators
-
Govind Ballabh Pant Hospital
lead OTHER_GOV
Principal Investigators
-
Shiv K Sarin, MD, DM · G B Pant Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 12 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2005-11-30
- Primary Completion
- 2009-11-30
- Completion
- 2009-11-30
Countries
- India
Study Locations
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