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Primary Prophylaxis of Hepatic Encephalopathy in Patients With Cirrhosis

Phase 4
Conditions
Hepatic Encephalopathy
Interventions
Registration Number
NCT01175538
Lead Sponsor
Govind Ballabh Pant Hospital
Brief Summary

To assess the effects of lactulose for the prevention of first episode of altered sensorium (hepatic encephalopathy, primary prophylaxis) in patients with cirrhosis.

Detailed Description

Development of hepatic encephalopathy in a patient with cirrhosis is associated with poor survival rate of 10-70% at one year depending upon hepatic and renal functions. Treating patients to prevent development of first episode of hepatic encephalopathy is classified as primary prophylaxis of hepatic encephalopathy and preventing recurrence of hepatic encephalopathy in patients who had previous episode of hepatic encephalopathy is secondary prophylaxis of hepatic encephalopathy

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • cirrhotic patients(18-70yrs) who never had encephalopathy
Exclusion Criteria
  • history of taking lactulose in the past 6 weeks
  • alcohol intake during the past 6 weeks
  • hepatocellular carcinoma
  • previous TIPS or shunt surgery
  • significant co morbid illness such as heart, respiratory, or renal failure
  • neurologic diseases such as alzheimer's disease, parkinson's disease and nonhepatic metabolic encephalopathies.
  • patients on psychoactive drugs such as antidepressants or sedatives
  • who restarted alcohol during follow up

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
LactuloseLactulose-
Primary Outcome Measures
NameTimeMethod
prevention of first episode of hepatic encephalopathy6 months
Secondary Outcome Measures
NameTimeMethod
Side effects to lactulose and mortality6 months

Trial Locations

Locations (1)

G B Pant Hospital

🇮🇳

New Delhi, Delhi, India

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