Comparison of Endoscopic Band Ligation Plus 24-hour Versus 72-hour Terlipressin Therapy
NCT05331768 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 109
Last updated 2022-04-18
Summary
In the Western world, liver cirrhosis is a significant issue. Acute variceal bleeding (AVB) is a considerable complication of cirrhosis associated with high mortality. Still, the combination of endoscopic variceal ligation and terlipressin-like treatment decreases the risks of rebleeding and mortality. This therapy with terlipressin usually was used for 72 hours. However, there are some studies demostrating that using terlipressin for 24 hours could control variceal bleeding with fewer side effects.
Conditions
- Esophageal and Gastric Varices
Interventions
- COMBINATION_PRODUCT
-
banding ligation plus terlipressin infusion
Subjects were randomly allocated to banding ligation plus terlipressin infusion for 24 hours (24-h group) or banding ligation plus terlipressin infusion for 72 hours (72-h group) using a blocked allocation strategy. The 72-h group received the standard treatment with administration of intravenous terlipressin (Glypressin® Ferring Pharmaceuticals) with an initial intravenous bolus of 2 mg (10 ml) and thereafter every 6 hours for a period of 72 hours. Terlipressin was administered blinded after endoscopic treatment and infused as a 5 ml bolus in a pre-prepared syringe. The 24-h group received intravenous terlipressin (Glypressin® Ferring Pharmaceuticals) as an initial intravenous bolus of 2 mg (10 ml) and thereafter every 6 hours for a period of 24 hours.
Sponsors & Collaborators
-
Instituto Mexicano del Seguro Social
lead OTHER_GOV
Principal Investigators
-
Alejandro González-Ojeda · Instituto Mexicano del Seguro Social
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-01-01
- Primary Completion
- 2021-09-30
- Completion
- 2021-09-30
Countries
- Mexico
Study Locations
More Related Trials
-
To Assess Safety and Efficacy of Bolus Versus Continuous Infusion of Terlipressin in Acute Variceal Bleeding
NCT02695862 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Continuous Terlipressin Therapy After Endoscopic Variceal Ligation
NCT06027970 ·Status: UNKNOWN ·Phase: PHASE3
-
Primary Prevention of Gastric Varices Bleed
NCT05859009 ·Status: WITHDRAWN ·Phase: NA
-
To Compare the Safety and Efficacy of Balloon Occluded/Plug Assisted Retrograde Transvenous Obliteration With Endoscopic Variceal Obturation for Primary Prophylaxis of Gastric Varices With Large Spontaneous Shunt
NCT05677230 ·Status: COMPLETED ·Phase: NA
-
Endoscopic Band Ligation (EBL) Versus Propranolol for Primary Prophylaxis of Variceal Bleeding
NCT00965900 ·Status: UNKNOWN ·Phase: PHASE4
-
Balloon-occluded Retrograde Transvenous Obliteration for Gastric Variceal Rebleeding
NCT06106971 ·Status: RECRUITING ·Phase: PHASE3
-
Endoscopic Ultrasound-guided Coil With Cyanoacrylate Injection Versus Balloon-Occluded Retrograde Transvenous Obliteration in Managing Patients With Gastric Varices
NCT05500625 ·Status: UNKNOWN ·Phase: NA
-
Beta Blockers Versus Variceal Band Ligation and Beta Blockers for Primary Prophylaxis of Variceal Bleeding
NCT00409084 ·Status: TERMINATED ·Phase: PHASE3
-
EBL Versus EBL and Propranolol for the Prevention of Variceal Rebleeding in Pts With Previous Variceal Treatment
NCT00966082 ·Status: UNKNOWN ·Phase: PHASE4
-
TIPS in Fundal Variceal Bleeding (the TFB Study)
NCT02364297 ·Status: UNKNOWN ·Phase: NA
-
Efficacy and Safety of Endoscopic Injection of Fibrin Sealant Versus Endoscopic Ligature for Bleeding Esophageal Varices
NCT00161915 ·Status: COMPLETED ·Phase: PHASE3
-
Follow-up of Glypressin (Terlipressin) Clinical Efficacy in the Treatment of Bleeding Oesophageal Varices
NCT01335516 ·Status: COMPLETED
-
Endoscopic Band Ligation (EBL) Versus Endoscopic Band Ligation and Propranolol for the Prevention of Variceal Rebleeding
NCT00966121 ·Status: UNKNOWN ·Phase: PHASE4
-
N-Butyl-2-Cyanoacrylate Injection Versus Band Ligation for Gastric Variceal Hemorrhage
NCT00292331 ·Status: COMPLETED ·Phase: PHASE3
-
Treatment for Prevention of Variceal Rebleeding Guided by the Hemodynamic Response
NCT00563602 ·Status: UNKNOWN ·Phase: PHASE4
-
Comparing Two Methods to Stop Vomiting of Blood Using the Endoscope
NCT01131962 ·Status: COMPLETED ·Phase: PHASE3
-
PROPRANOLOL PLUS LIGATION REDUCES RECURRENCE OF ESOPHAGEAL VARICES?
NCT01893541 ·Status: COMPLETED ·Phase: PHASE4
-
Short Course Terlipressin for Control of Acute Variceal Bleeding
NCT00369694 ·Status: COMPLETED ·Phase: PHASE4
-
A Trial of Ligation Plus Nadolol Versus Nadolol Alone in the Prophylaxis of First Variceal Bleeding in Cirrhosis
NCT00921349 ·Status: COMPLETED ·Phase: PHASE4
-
Color Doppler US and TE as Predictors for Presence of Gastroesophageal Varices and Variceal Bleeding in Patients With LC
NCT05891184 ·Status: UNKNOWN
-
Secondary Prophylaxis After Variceal Bleeding in Non-Responders
NCT00450164 ·Status: COMPLETED ·Phase: PHASE4
-
Ulcer Bleeding After Band Ligation of Esophageal Varices
NCT06082219 ·Status: NOT_YET_RECRUITING
-
Efficacy and Safety of Contrast EUS-Guided Tissue Glue/Coil Devascularization vs. BRTO for Preventing Recurrent Gastric Variceal Bleeding
NCT07049146 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Cross-section Band Ligation Versus Stepladder Band Ligation of Esophageal Varices
NCT06881082 ·Status: RECRUITING ·Phase: NA
-
Standard Therapy and TIPS for Moderate to High-risk Esophageal and Gastric Variceal Bleeding
NCT06013670 ·Status: RECRUITING ·Phase: NA