A Feasibility Study of the Automated Fluid Shunt (AFS) for Automated Ascites Removal
Not Applicable
Completed
- Conditions
- Refractory Ascites
- Registration Number
- NCT00870662
- Lead Sponsor
- NovaShunt AG
- Brief Summary
The purpose of this study is to determine whether the Automatic Fluid Shunt (AFS) can reduce the number of paracentesis procedures in patients with refractory ascites.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 7
Inclusion Criteria
- Female or male patients ≥ 18 years of age
- Removal of at least 10 L of ascites in the preceding 2 months for symptom relief
- Failure to respond to a maximum of 160 mg/d of furosemide and 400 mg/d of spironolactone (or equivalent doses of loop-acting and distal-acting diuretics), or intolerance to high dose diuretics because of hyponatremia, hyperkalemia, or other side-effects
- Dietary sodium restriction <90 mcg/d.
- Serum creatinine levels of less than 1.8 mg/dL for at least 7 days before study entry.
- Total bilirubin levels of less than 3 mg/dL.
- Expected survival of greater than 6 months
- Written informed consent
Exclusion Criteria
- Presence of recurring systemic or local infection, such as peritonitis, urinary tract infection, or abdominal skin infection.
- Presence of peritoneal carcinomatosis
- Evidence of extensive ascites loculation
- Obstructive uropathy
- Coagulopathy that could not be corrected to a prothrombin time INR <1.8,
- Thrombocytopenia that could not be corrected to a platelet count greater than 60,000/mm3
- Any other clinically significant disease that could be adversely affected by study participation judged by the Investigator
- Any condition requiring emergency treatment
- Pregnancy
- Inability to obtain informed consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Number of paracentesis procedures required 6 month
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie automated peritoneovenous shunt efficacy in refractory ascites?
How does the AFS system compare to standard paracentesis in reducing hospitalizations for cirrhotic ascites?
Which biomarkers predict response to implantable ascites shunt therapy in liver disease patients?
What are the adverse event profiles of implantable ascites shunts versus traditional paracentesis?
Are there alternative devices to the AFS system for automated ascites management in liver disease?
Trial Locations
- Locations (2)
Vseobecna fakultni nemocnice v Praze
🇨🇿Prague, Czech Republic
IKEM
🇨🇿Prague, Czech Republic
Vseobecna fakultni nemocnice v Praze🇨🇿Prague, Czech Republic