Body Composition Changes After TIPS and Associated Clinical Outcomes
NCT05420753 · Status: RECRUITING · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 22
Last updated 2023-11-07
Summary
The purpose of this study is to prospectively assess the impact of TIPS creation on muscle mass and physical function in patients with cirrhosis, and to determine whether these changes correlate with improved outcomes in patients awaiting liver transplantation. Retrospective observational studies have shown improvement in muscle mass and body composition in cirrhotic patients undergoing TIPS. The investigators aim to now prospectively study this through a pilot randomized controlled trial tracking patients managed with TIPS creation compared to those managed without TIPS to determine whether these observational findings can be seen in a randomized cohort. The investigators hypothesize that TIPS creation will lead to improved muscle mass, body composition and muscle function within the first 12 months after the procedure compared to a control group without TIPS, and that these changes will improve liver disease outcomes in patients awaiting liver transplantation.
Conditions
- Cirrhosis, Liver
- Sarcopenia
Interventions
- PROCEDURE
-
Transjugular Intrahepatic Portosystemic Shunt (TIPS) creation
During a TIPS procedure, the interventional radiologist, with the help of x-ray and ultrasound guidance, makes a channel through the liver to connect the portal vein (the vein that carries blood from the digestive organs to the liver) to one of the hepatic vein (three veins that carry blood away from the liver back to the heart) using a special type of needle. The interventional radiologist then replaces the needle with a wire and catheter, and a small tubular device called a stent graft is placed in this channel to keep the pathway open between the two blood vessels.
Sponsors & Collaborators
-
Oregon Health and Science University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-05-01
- Primary Completion
- 2025-12-31
- Completion
- 2025-12-31
Countries
- United States
Study Locations
More Related Trials
-
Early TIPS in Patients With Liver Cirrhosis and Ascites
NCT06576934 ·Status: RECRUITING ·Phase: NA
-
TIPS With or Without BCAA
NCT07281846 ·Status: RECRUITING ·Phase: NA
-
Incidence of Diabetes and Metabolic Disorders After TIPS in Cirrhotic Patients
NCT04387058 ·Status: UNKNOWN ·Phase: NA
-
Role of Nutritional Intervention for the Treatment of Sarcopenia in Cirrhotic Patients with Refractory Ascites Candidate to Transjugular Intrahepatic Portosystemic Shunt Placement and Identification of Prognostic Factors Related to Clinical Outcome
NCT06814626 ·Status: RECRUITING ·Phase: PHASE3
-
Effect of Transjugular Intrahepatic Portosystemic Shunt on Oxygenation in Cirrhotic Patients With Hepatopulmonary Syndrome
NCT02148536 ·Status: COMPLETED
-
Treatment of Sarcopenia Improves the Muscle Mass and Muscle Strength of Patients With Liver Cirrhosis-Child C
NCT03633279 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Transjugular Intrahepatic Portosystemic Shunts Improve Survival in Patients With Cirrhosis and Recurrent Ascites
NCT06196723 ·Status: COMPLETED
-
Role of Sarcopenia and Nutritional/Physical Therapy Intervention in Post-TIPS Hepatic Encephalopathy
NCT05346029 ·Status: RECRUITING ·Phase: NA
-
Comparison of Underdilated Versus Standard TIPS in Preventing Variceal Rebleeding in Patients With Cirrhosis
NCT07253389 ·Status: RECRUITING ·Phase: NA
-
Transitional Care Interventions for Patients With Cirrhosis Post-TIPS
NCT02877953 ·Status: UNKNOWN ·Phase: NA
-
Lean Mass Evaluation of Cirrhotic Patients With Ascites With the Use DXA
NCT02421848 ·Status: COMPLETED
-
TIPS for PH Patients: an Observational, Cohort Study
NCT06221982 ·Status: RECRUITING
-
Optimizing Portal Hypertension With TIPS and Interval Metabolic Surgery for Advanced Liver Disease
NCT07058155 ·Status: RECRUITING ·Phase: PHASE4
-
Evaluation of 3D Overlay During Transjugular Intrahepatic Portosystemic Shunt (TIPS) Procedure
NCT02053571 ·Status: COMPLETED ·Phase: NA
-
Effectiveness and Safety of TIPS Stent Graft in the Treatment of Cirrhosis and Complications of Portal Hypertension
NCT06669806 ·Status: RECRUITING ·Phase: NA
-
Small Diameter TIPS in Patients with Severe Liver Atrophy and Variceal Bleeding
NCT06589531 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
TIPS Versus Portacaval Shunt for Acute Bleeding Varices in Cirrhosis
NCT00734227 ·Status: COMPLETED ·Phase: NA
-
TIPS With Coated Stents for Refractory Ascites in Patients With Cirrhosis
NCT00222014 ·Status: COMPLETED ·Phase: NA
-
Sarcopenia and Cirrhosis
NCT02132962 ·Status: COMPLETED ·Phase: NA
-
Glutamine Challenge as Predictor of Hepatic Encephalopathy After Transjugular Intrahepatic Portosystemic Shunt (TIPS)
NCT02026609 ·Status: TERMINATED
-
TIPS Combined With Variceal Embolization for the Prevention of Variceal Rebleeding in Patients With Cirrhosis
NCT02119988 ·Status: COMPLETED ·Phase: NA
-
Non-invasive Evaluation Program for TIPS and Follow Up Network
NCT03628807 ·Status: COMPLETED
-
Effect of Branched-chain Amino Acid Supplementation and Exercise on Muscle Quantity and Quality in Cirrhosis
NCT06088550 ·Status: COMPLETED ·Phase: NA
-
Magnetic Resonance Technics for the Assessment of Liver Function Before and After TIPS
NCT03933891 ·Status: UNKNOWN
-
The Effect of Laparoscopic Splenectomy and Azygoportal Disconnection on Liver Reserve Function for Cirrhosis Patients
NCT05325437 ·Status: RECRUITING ·Phase: NA