Treatment of Low-grade Cirrhotic Portal Hypertension Due to Hepatitis B Virus With Fuzheng Huayu and Entecavir
NCT02945956 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 192
Last updated 2020-02-13
Summary
Portal hypertension is a common pathology in chronic liver disease, particularly in liver cirrhosis. Hepatitis B Virus (HBV) is one of most etiologies of liver cirrhosis in China. The basic reason for portal hypertension in HBV is the largely deposition of hepatic extracellular matrixes which causes high pressure in liver vessels. One of the most common symptoms of cirrhotic portal hypertension is gastroesophageal varices.The effective inhibition of HBV can partially stop or reverse liver fibrosis in patients with chronic Hepatitis and liver cirrhosis due to HBV and the anti-fibrotic strategy focusing on the regulation of hepatic extracellular matrix may have a great benefit. Therefore, antivirals therapy is also a basic treatment for low-grade cirrhotic portal hypertension. Fuzheng Huayu has been found to enhance the degradation of collagens in fibrotic liver and have a good action against liver fibrosis in patients with chronic hepatitis B. However, there are no high quality clinical evidences which can demonstrate if the combination of anti-viral and anti-fibrotic therapy can relieve the pressure of liver vessels and decline incidence rate and bleeding rate of gastroesophageal varices.
Conditions
- Portal Hypertension
Interventions
- DRUG
-
Entecavir
The subjects will be taking 1 Entecavir tablet per day for 96 weeks.
- DRUG
-
Entecavir + Fuzheng Huayu
The subjects will be taking 1 Entecavir tablet per day and 4 Fuzheng Huayu tablets three times a day for 96 weeks.
Sponsors & Collaborators
-
Ruijin Hospital
collaborator OTHER -
Shanghai Zhongshan Hospital
collaborator OTHER -
Longhua Hospital
collaborator OTHER -
Shanghai Public Health Clinical Center
collaborator OTHER_GOV -
ShuGuang Hospital
lead OTHER
Principal Investigators
-
CHENGHAI LIU, PHD,MD · ShuGuang Hospital
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
- 2018-04-05
- Primary Completion
- 2020-06-30
- Completion
- 2021-06-30
Countries
- China
Study Locations
More Related Trials
-
A Study to Test Whether BI 685509 Alone or in Combination With Empagliflozin Helps People With Liver Cirrhosis Caused by Viral Hepatitis or Non-alcoholic Steatohepatitis (NASH) Who Have High Blood Pressure in the Portal Vein (Main Vessel Going to the Liver)
NCT05282121 ·Status: TERMINATED ·Phase: PHASE2
-
Impact of Fentanyl Analgesia on the Accuracy of HVPG Measurements in Patients With Portal Hypertension
NCT04724148 ·Status: UNKNOWN ·Phase: NA
-
A Study to Investigate the Safety and Effect of the Study Drug (FE 204205) in Patients With Cirrhotic Portal Hypertension
NCT02929407 ·Status: TERMINATED ·Phase: PHASE1
-
Effect of Long-term Carvedilol to Prevent Decompensation or Death in Patients With Asymptomatic Child-Pugh A5 to B8 Cirrhosis and Clinically Significant Portal Hypertension: a Multicenter Double-blind Randomized Control Trial
NCT06263816 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Effects of Metformin on Hepatic Venous Pressure Gradient in Patients With Cirrhosis and Portal Hypertension
NCT06687265 ·Status: RECRUITING ·Phase: PHASE2
-
Efficacy of Nonselective Beta Blocker vs Placebo in Patients With Acute-on-chronic Liver Failure With Small/ no Esophageal Varices
NCT02583698 ·Status: COMPLETED ·Phase: NA
-
Improvement of Portal Hypertension During Viral Suppression in Patients With Hepatitis Delta (IMPHROVE-D)
NCT04863703 ·Status: ACTIVE_NOT_RECRUITING
-
Surrogate Markers of Portal Pressure
NCT02508298 ·Status: COMPLETED ·Phase: NA
-
Acute Portal Pressure Reduction by Metformin and Carvedilol Compared to Carvedilol Alone in Cirrhosis.
NCT07108075 ·Status: RECRUITING ·Phase: NA
-
Effect of Antiviral Therapy on HVPG in Patients With Viral Cirrhosis
NCT04797910 ·Status: UNKNOWN
-
Beta-blockers for Prevention Of Growth Of Small Esophageal Varices In Cirrhosis: An Randomized Controlled Trial (RCT)
NCT00772057 ·Status: COMPLETED ·Phase: NA
-
Virtual Hepatic Venous Pressure Gradient (vHVPG) With CT Angiography (CHESS1601)
NCT02842697 ·Status: COMPLETED ·Phase: NA
-
Randomized Controlled Trial to Assess the Effects of Sapropterin on Hepatic and Systemic Hemodynamics in Patients With Liver Cirrhosis and Portal Hypertension
NCT01456286 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Spironolactone on Fibrosis Progrssion-Portal Hypertension(FP-PH)in Cirrhosis
NCT02907749 ·Status: COMPLETED ·Phase: PHASE4
-
A Pilot Study: Defining Peripheral Endothelial Function in Portal Hypertensive Cirrhotic Patients
NCT02356250 ·Status: WITHDRAWN
-
The Treatment of Hepatocirrhosis and Portal Hypertension
NCT02778425 ·Status: COMPLETED ·Phase: NA
-
Observation Study of Prednisone and Cyclosporine in Treatment of Thrombocytopenia in Hepatitis B Cirrhosis
NCT01987791 ·Status: UNKNOWN
-
Can MRI Evaluate Beta-blocker Response in Portal Hypertension?
NCT03114813 ·Status: UNKNOWN
-
The Effect of Monitoring PVP on Clinical Outcomes in Patients With PH
NCT04820166 ·Status: RECRUITING
-
The Effect of Terlipressin on Recovery of Liver Function After Hepatectomy
NCT04221672 ·Status: UNKNOWN ·Phase: PHASE3
-
Carvedilol and Alverine in Portal Hypertension
NCT06696248 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2/PHASE3
-
Effectiveness of Treatments for Cirrhosis With Varicose Veins
NCT06961474 ·Status: ACTIVE_NOT_RECRUITING
-
Endoscopic Ultrasound-guided Measurement of Portal Vein Pressure Gradient
NCT07062289 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparative Efficacy of Various Non-invasive Methods in Assessing Response to Beta-blockers as Secondary Prophylaxis for Acute Variceal Bleed.
NCT05166317 ·Status: UNKNOWN
-
The Efficacy and Safety of Alverine in the Treatment of Portal Hypertension in Patients With Liver Cirrhosis
NCT06470386 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2/PHASE3