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临床试验/NL-OMON50796
NL-OMON50796招募中2 期

A GnRH Agonist IN pre-menopausal women STudy to treat severe Polycystic Liver Disease - AGAINST-PLD

niversitair Medisch Centrum Groningen0 个研究点目标入组 18 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
入组人数
18

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 64(—)

入选标准

  • - Female patients
  • - Diagnosis of polycystic liver disease defined as the presence of more than 10
  • liver cysts
  • - Age between 18 to 45 (inclusive) years;
  • - Very large liver for age, defined as the upper 10% of liver volumes in
  • specific age categories (based on a retrospective polycystic liver disease
  • registry, n=1.600 patients)
  • o 18-30 yr; height adjusted TLV > 2.0 L/m
  • o 30-35 yr; height adjusted TLV > 2.2 L/m
  • o 35-40 yr; height adjusted TLV > 2.5 L/m
  • o 40-45 years; height adjusted TLV > 3.0 L/m
  • Age independent hTLV > 2.0 L/m and PLD-Q score >30.
  • - With regard to the use of somatostatin analogues:
  • o patients use a somatostatin analogue and still have confirmed liver growth;
  • o patient have a reason not to use this medication, .e.g. patient used a
  • somatostatin analogue in the past but had to stop due to inefficacy or because
  • he/she did not tolerate it, patient has a contra-indication for using
  • somatostatin analogues, patient or treating physician chose not to try
  • somatostatin analogues, no availability of somatostatin analogues
  • - Voluntary written informed consent before performance of any study-related
  • procedures not part of standard medical care, and able to read, comprehend,
  • and respond to study questionnaires.

排除标准

  • - Post-menopausal status or (vasomotor) symptoms indicating upcoming menopause
  • - Anti Mullerian Hormone (AMH) measurement at screening visit <0.03 ng/ml.
  • - Active desire to have children, pregnancy or breast-feeding
  • - Contra-indications for leuprorelin, such as history of cardiovascular
  • disease, history of osteoporosis or osteoporosis determined by DEXA-scan at
  • screening (T score <= -2.5), unexplained vaginal bleeding, or a known
  • intolerance for leuprorelin
  • - Liver transplantation or liver surgery expected within 1.5 years, to the
  • discretion of the study doctor
  • - Use of hormonal oral contra-conception containing estrogen and/or
  • progesterone. In contrast, a hormone containing uterine device is not an
  • exclusion criteria.
  • - Contra-indications for both MRI and CT assessments (such as implants) or not
  • able or willing to undergo MRI and CT scan for other reasons (e.g.
  • claustrophobia, profound obesity)
  • - Kidney transplantation or chronic use of immunosuppressive agents (such as
  • cyclosporine, mycophenolic acid, tacrolimus but not prednisolone) for other
  • indications
  • - Therapy resistant severe hypertension, defined as a systolic blood pressure
  • >160 mmHg and/or diastolic blood pressure > 100 mm Hg.
  • - Clinically significant, uncontrolled medical condition that, in the opinion
  • of the investigator, would put the safety of the patient at risk through
  • participation, or which would affect the efficacy of safety analysis if the
  • condition exacerbated during the study, or that may significantly interfere
  • with study compliance, such as, but not restricted to, recurrent cholangitis,
  • recurrent ascites or hepato-venous outflow obstruction, (history of) depression
  • - Participation in other interventional studies at the same time.

研究者

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