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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)

Mayo Clinic Hospital

🇺🇸

Phoenix, Arizona, United States

University of Arizona College of Medicine

🇺🇸

Tucson, Arizona, United States

UCLA School of Medicine

🇺🇸

Los Angeles, California, United States

UC Davis Medical Center

🇺🇸

Sacramento, California, 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

University of California, San Francisco

🇺🇸

San Francisco, California, United States

University of Colorado Hospital & Health Sciences Center

🇺🇸

Denver, Colorado, United States

Yale New Haven Hospital

🇺🇸

New Haven, Connecticut, United States

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Mayo Clinic Hospital
🇺🇸Phoenix, Arizona, United States

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