Spleen Stiffness as a Measure to Assess the REsponse to β Blocker Therapy (SPARE-B)
NCT06050837 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 130
Last updated 2023-09-22
Summary
HVPG is the gold standard for measurement of the presence and severity of portal hypertension. Clinically Significant Portal Hypertension (CSPH) is defined as HVPG ≥ 10 mmHg. Reducing the HVPG by use of non-selective beta blockers has been associated with reduced risk of variceal hemorrhage, ascites, SBP and thus has a positive effect on survival. Response to Beta blocker therapy is defined as a reduction of HVPG by 10% or to ≤ 12 mmHg.
HVPG is an invasive method of assessment of portal pressures, with lack of availability at many centres. While non-invasive tests to predict CSPH have been defined, predicting response to beta-blockers non-invasively is an unmet clinical need.
The aim of this study is to use splenic stiffness measurement, a non-invasive test, as a surrogate to assess the response of HVPG to beta blocker therapy.
Conditions
- High Risk Esophageal Varices
Interventions
- OTHER
-
No intervention
No intervention
Sponsors & Collaborators
-
Institute of Liver and Biliary Sciences, India
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-09-30
- Primary Completion
- 2024-08-31
- Completion
- 2024-08-31
Countries
- India
Study Locations
More Related Trials
-
Non-Invasive Portal and Hepatic Vein Pressure Estimation
NCT06210178 ·Status: RECRUITING ·Phase: NA
-
TIPS for Complicated Portal Hypertension Related to Porto-Sinusoidal Vascular Disease
NCT07163689 ·Status: RECRUITING
-
The Effect of Monitoring PVP on Clinical Outcomes in Patients With PH
NCT04820166 ·Status: RECRUITING
-
Hypersplenism in Patients With Liver Cirrhosis and Portal Hypertension
NCT03269877 ·Status: UNKNOWN
-
Impact of Fentanyl Analgesia on the Accuracy of HVPG Measurements in Patients With Portal Hypertension
NCT04724148 ·Status: UNKNOWN ·Phase: NA
-
Acute hemodynamiC Response To Carvedilol Predicts Survival in ACLF Patients
NCT06298656 ·Status: NOT_YET_RECRUITING
-
Can MRI Evaluate Beta-blocker Response in Portal Hypertension?
NCT03114813 ·Status: UNKNOWN
-
A Study to Test Whether Two Different Doses of Avenciguat Help People With Liver Cirrhosis and High Blood Pressure in the Portal Vein (Main Vessel Going to the Liver)
NCT05161481 ·Status: TERMINATED ·Phase: PHASE2
-
Beta-blockers for Prevention Of Growth Of Small Esophageal Varices In Cirrhosis: An Randomized Controlled Trial (RCT)
NCT00772057 ·Status: COMPLETED ·Phase: NA
-
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
-
Improvement of Portal Hypertension During Viral Suppression in Patients With Hepatitis Delta (IMPHROVE-D)
NCT04863703 ·Status: ACTIVE_NOT_RECRUITING
-
Acute Portal Pressure Reduction by Metformin and Carvedilol Compared to Carvedilol Alone in Cirrhosis.
NCT07108075 ·Status: RECRUITING ·Phase: NA
-
The Treatment of Hepatocirrhosis and Portal Hypertension
NCT02778425 ·Status: COMPLETED ·Phase: NA
-
Study on B-blockers to Prevent Decompensation of Cirrhosis With HTPortal
NCT01059396 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Antiviral Therapy on HVPG in Patients With Viral Cirrhosis
NCT04797910 ·Status: UNKNOWN
-
Treatment of Low-grade Cirrhotic Portal Hypertension Due to Hepatitis B Virus With Fuzheng Huayu and Entecavir
NCT02945956 ·Status: UNKNOWN ·Phase: PHASE4
-
Assessing Portal Hypertension With Methacetin Breath Test
NCT02143778 ·Status: COMPLETED ·Phase: NA
-
A Study to Test Whether Avenciguat Helps People With Liver Cirrhosis and High Blood Pressure in the Portal Vein (Main Vessel Going to the Liver) Who Had Bleeding in the Esophagus or Fluid Accumulation in the Belly
NCT06082843 ·Status: TERMINATED ·Phase: PHASE2
-
Frequency of Portal Hypertension Among Patient With Cirrhotic Liver With Ultrasound
NCT07051369 ·Status: ACTIVE_NOT_RECRUITING
-
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
-
A Pilot Study: Defining Peripheral Endothelial Function in Portal Hypertensive Cirrhotic Patients
NCT02356250 ·Status: WITHDRAWN
-
Safety of Discontinuing NSBBs in Cirrhotic Patients With Managed Primary Aetiological Factors
NCT06549673 ·Status: RECRUITING
-
HVPG-guided Laparoscopic Versus Endoscopic Therapy for Variceal Rebleeding in Portal Hypertension: A Multicenter Randomized Controlled Trial (CHESS1803)
NCT03783065 ·Status: UNKNOWN ·Phase: NA
-
Laparoscopic Versus Open Devascularization for Portal Hypertension, a Randomized Controlled Trial
NCT02178319 ·Status: UNKNOWN ·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