To Compare the Efficacy of Nor Adrenaline and Terlipressin vs Step up Terlipressin Therapy in Hepatorenal Syndrome
NCT01649037 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2016-08-31
Summary
All consecutive patients with liver cirrhosis having Acute Kidney Injury at admission or during hospitalization will be included in the study.
The diagnosis of liver cirrhosis will be based on the clinical grounds including Laboratory tests, endoscopic evidence, imaging (Ultrasonography/computed tomography) findings, and liver histology, when available.
Conditions
- Hepatorenal Syndrome
Interventions
- DRUG
-
nor adrenaline and terlipressin
IV bolus terlipressin at the dose of 0.5 to 1 mg every 6 hours with the maximum daily cumulative dose of 4 mg/day. Continuous IV infusion of NA starting at 0.5 mg/h with doubling of dose after every 4 hours in case of no response.\[ No response defined as MAP \< 10, or 4 hr Urine output \< 200 ml\] with maximum dose upto 3 mg/h.
- DRUG
-
step up terlipressin therapy
IV bolus terlipressin starting at 1.5 mg every 6 hours with increase in dose by 0.5 mg/6 hours in case of no response \[\< 25% decrease in s.creatinine\] after every 48 hours. Maximum daily cumulative dose of 12 mg/day.
Sponsors & Collaborators
-
Institute of Liver and Biliary Sciences, India
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-08-31
- Primary Completion
- 2015-06-30
- Completion
- 2015-06-30
Countries
- India
Study Locations
More Related Trials
-
Terlipressin + Albumin Versus Midodrine + Octreotide in the Treatment of Hepatorenal Syndrome
NCT00742339 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
RAI & HRS: Relationship Between Relative Adrenal Insufficiency and Failure of Treatment in Hepatorenal Syndrome
NCT04273750 ·Status: COMPLETED
-
Treatment of Hepatorenal Syndrome With Terlipressin Plus Albumin vs Albumin
NCT00287664 ·Status: SUSPENDED ·Phase: PHASE4
-
The Effect of Terlipressin on Recovery of Liver Function After Hepatectomy
NCT04221672 ·Status: UNKNOWN ·Phase: PHASE3
-
Endothelin Receptor Antagonism With Ambrisentan to Treat Hepatorenal Syndrome
NCT06256432 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Efficacy of High Dose Albumin Therapy in Improving Liver Transplant-free Survival in Patients With Acute Decompensation of Cirrhosis
NCT05956197 ·Status: UNKNOWN
-
Efficacy and Safety of Continuous Infusion of Terlipressin vs Bolus Terlipressin in ACLF Patients With Acute Esophageal Variceal Bleed
NCT06815770 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2/PHASE3
-
Efficacy of Targeted And Response-Guided Albumin Therapy Versus Standard Medical Treatment In Outcomes Of Recurrent Ascites In Patients With Decompensated Cirrhosis.
NCT04679571 ·Status: UNKNOWN ·Phase: NA
-
Treatment of Hepatorenal Syndrome With Terlipressin Infusion Adjusted to Hemodynamic Response
NCT01530711 ·Status: UNKNOWN ·Phase: PHASE4
-
Treatment of Type-1 Hepatorenal Syndrome Associated With Sepsis
NCT01932151 ·Status: COMPLETED ·Phase: NA
-
The Effect of Terlipressin in the Prevention of Type 2 Hepatorenal Syndrome by Improving Mean Arterial Pressure
NCT02489864 ·Status: UNKNOWN ·Phase: PHASE4
-
On Demand Versus Protocol-guided Renal Replacement Therapy for Management of Stage 3 Acute Kidney Injury in Patients With Cirrhosis
NCT02937935 ·Status: UNKNOWN ·Phase: NA
-
Terlipressin in Septic Shock in Cirrhosis
NCT00628160 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
To Assess the Efficacy of Early Introduction of a Combination of Low Dose Vasopressin Analogue in Addition to Noradrenaline as a Vasopressor in Patients of Cirrhosis With Septic Shock
NCT02468063 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of Terlipressin With Albumin Versus Midodrine With Albumin Versus Albumin Alone in Prevention of Paracentesis Induced Circulatory Dysfunction in Cirrhosis
NCT03144713 ·Status: COMPLETED ·Phase: NA
-
To Study and Compare the Clinical Course and Development of Organ Failure in Severe Acute Hepatitis Without Ascites, Non-cirrhotic and Cirrhotic Patients With Ascites [Acute on Chronic Liver Failure] and Acute Deterioration of Previously Decompensated Cirrhosis.
NCT02465619 ·Status: WITHDRAWN
-
Impact of Continuous Renal Replacement Therapy on Systemic Hemodynamics and Lactate Clearance in Critically Ill Cirrhotics With Septic Shock.
NCT04949178 ·Status: UNKNOWN
-
Continuous Versus Bolus Infusion of Terlipressin for Portal Hypertension Related Bleeding in Liver Cirrhosis
NCT03130127 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Nor-epinephrine Versus Midodrine/Octreotide in Patients With Hepatorenal Syndrome
NCT04522297 ·Status: COMPLETED ·Phase: NA
-
Optimal Clinical Predictors to AKI in Cirrhotic Patients Experienced Acute Gastrointestinal Hemorrhage
NCT04184934 ·Status: UNKNOWN
-
Study of Terlipressin Versus Placebo to Treat Hepatorenal Syndrome Type 1
NCT00089570 ·Status: COMPLETED ·Phase: PHASE3
-
Study To Confirm Efficacy and Safety of Terlipressin in Hepatorenal Syndrome (HRS) Type 1
NCT02770716 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy & Safety of Pigtail Catheter Drainage Versus Need Based Thoracocentesis for Recurrent Hepatic Hydrothorax.
NCT06007820 ·Status: UNKNOWN ·Phase: NA
-
Angiotensin 2 for Hepatorenal Syndrome
NCT04048707 ·Status: WITHDRAWN ·Phase: PHASE2
-
Early TIPS in Patients With Liver Cirrhosis and Ascites
NCT06576934 ·Status: RECRUITING ·Phase: NA