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Study of Terlipressin Versus Placebo to Treat Hepatorenal Syndrome Type 1

Phase 3
Completed
Conditions
Hepatorenal Syndrome
Interventions
Drug: Placebo
Registration Number
NCT00089570
Lead Sponsor
Mallinckrodt
Brief Summary

The purpose of this study is to determine whether terlipressin is safe and effective in the treatment of patients with hepatorenal syndrome (HRS) type 1 when compared to placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
112
Inclusion Criteria
  • Chronic, or acute liver disease
  • Rapidly progressive reduction in renal function, e.g. doubling of serum creatinine to >2.5 mg/dL in less than two weeks.
  • No sustained improvement in renal function after diuretic withdrawal and plasma volume expansion
  • Proteinuria <500 mg per day
  • No evidence of granular casts in urinalysis or ultrasonographic evidence of obstructive uropathy or parenchymal renal disease
Exclusion Criteria
  • Ongoing shock
  • Uncontrolled bacterial infection
  • Current significant fluid losses
  • Current or recent treatment with nephrotoxic drugs (e.g. NSAIDs or aminoglycosides within 4 weeks)
  • Acute liver disease due to factors known to be also directly nephrotoxic (e.g. acetaminophen overdose)
  • Confirmed pregnancy
  • Severe cardiovascular disease
  • Evidence of intrinsic or parenchymal renal disease (e.g. acute tubular necrosis)
  • Participation in other clinical studies within 30 days

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TerlipressinterlipressinTerlipressin
PlaceboPlaceboPlacebo
Primary Outcome Measures
NameTimeMethod
Treatment SuccessDay 14
Secondary Outcome Measures
NameTimeMethod
Renal function and survivalRenal funtion to Day 14 and Survival to Day 180

Trial Locations

Locations (37)

Northwestern Memorial Hospital

🇺🇸

Chicago, Illinois, United States

University of Medicine & Dentistry of New Jersey - NJMS

🇺🇸

Newark, New Jersey, United States

Albert Einstein Medical Center

🇺🇸

Philadelphia, Pennsylvania, United States

University of Texas Southwestern Medical Center of Dallas

🇺🇸

Dallas, Texas, United States

UCSD Medical Center Hillcrest

🇺🇸

San Diego, California, United States

VA Medical Center

🇺🇸

San Diego, California, United States

California Pacific Medical Center

🇺🇸

San Francisco, California, United States

Mayo Clinic Hospital

🇺🇸

Phoenix, Arizona, United States

UCLA School of Medicine

🇺🇸

Los Angeles, California, United States

University of Colorado Hospital & Health Sciences Center

🇺🇸

Denver, Colorado, United States

VA CT Health Care System

🇺🇸

West Haven, Connecticut, United States

Mayo Clinic Jacksonville

🇺🇸

Jacksonville, Florida, United States

The Johns Hopkins Hospital

🇺🇸

Baltimore, Maryland, United States

Fairview-University Medical Center

🇺🇸

Minneapolis, Minnesota, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Weill Cornell Medical Center

🇺🇸

New York, New York, United States

Center for Liver Disease & Transplantation Clinic

🇺🇸

New York, New York, United States

Mount Sinai Medical Center/Mount Sinai Hospital

🇺🇸

New York, New York, United States

The University of North Carolina at Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

Hospital of the University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

Methodist University Hospital

🇺🇸

Memphis, Tennessee, United States

St. Luke's Episcopal Hospital, St. Luke's Texas Liver Institute

🇺🇸

Houston, Texas, United States

VCU Medical Center

🇺🇸

Richmond, Virginia, United States

University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

University of Arizona College of Medicine

🇺🇸

Tucson, Arizona, United States

University of California, San Francisco

🇺🇸

San Francisco, California, United States

Georgetown University Hospital

🇺🇸

Washington, D.C., District of Columbia, United States

Tulane University Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

Lahey Clinic

🇺🇸

Burlington, Massachusetts, United States

Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Oregon Health Sciences University

🇺🇸

Portland, Oregon, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

UC Davis Medical Center

🇺🇸

Sacramento, California, United States

Yale New Haven Hospital

🇺🇸

New Haven, Connecticut, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

983285 Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

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