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临床试验/EUCTR2014-002037-59-ES
EUCTR2014-002037-59-ES进行中(未招募)1 期

Clinical Study of the BreathID® LF System to train the algorithm for the ¹³C-Methacetin Breath Test (MBT) in assessment of Portal Hypertension in Patients with Compensated Liver Cirrhosis - Protocol Number: CSPH-EX-0414

Exalenz BioScience Ltd.0 个研究点目标入组 200 人开始时间: 2014年9月11日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
200

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • 1.Adult men or women (>18 years of age)
  • 2.Able (or legal guardian) and willing to sign an Informed Consent Form
  • 3.Known chronic liver disease with cirrhosis confirmed by either:
  • a.liver biopsy or
  • b.clinical (palpable left lobe, splenomegaly) and laboratory (platelets <150,000/mm3 or albumin< 3.8g/dL, or INR >1.3) evidence of cirrhosis and/or
  • c.imaging studies by abdominal sonography, computer assisted axial tomography, or magnetic resonance imaging, showing a nodular liver and/or enlarged spleen and/or portosystemic collaterals with portal vein patency and/or minimal ascites, and/or colloid shift on a colloid-isotope liver-spleen scan or measurements of liver stiffness suggestive of cirrhosis
  • 4.Indicated to undergo HVPG testing
  • 5.Can tolerate an overnight (8-hour) fast
  • 6.For patients treated with beta blockers: They have to be on a stable dose for at least 6 weeks prior to any study related tasks (MBT or HVPG measurement)
  • 7.For patients who stopped their treatment with beta blockers: Their last dose should be at least 6 weeks prior to any study related tasks (MBT or HVPG measurement)
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 50
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 50

排除标准

  • 1.Decompensated cirrhosis as clinically defined by the occurrence of any of the following: ascites, hepatic encephalopathy, variceal bleeding or hepatorenal syndrome
  • 2.Renal failure (creatinine > 2.5 mg/dl)
  • 3.Known acute renal tubular disease
  • 4.Known hypotension (Systolic Pressure <100mmHg)
  • 5.Hypocoagulablity defined as PT >6 and INR >2.3.
  • 6.Congestive heart failure (assessed clinically as NIHA >2)
  • 7.Known pulmonary hypertension (right ventricular systolic pressure > 45 mm Hg)
  • 8.Uncontrolled diabetes mellitus (HBA1C >9.5gr%)
  • 9.Concurrent prednisone or immunosuppressive treatment, if therapy and/or response to treatment are not stable for at least 3 months.
  • 10.Documented hepatocellular carcinoma lesion larger than 3cm and/or multifocal lesions and/or evidence of vascular invasions
  • 11.Gastric bypass surgery or extensive small bowel resection
  • 12.Total parenteral nutrition
  • 13.Any organ transplant recipient
  • 14.Pregnant or breast feeding
  • 15.Allergy to acetaminophen and/or other related medications.
  • 16.Documented drug-related concurrent hepatotoxicity or drug-related silent steatosis or drug-related fibrosis (e.g. amiodarone, methotrexate and tamoxifen)
  • 17.Uncontrolled malabsorption or diarrhea
  • 18.Documented non-cirrhotic PHT, partial / complete portal venous occlusion, hepatic venous occlusion, previous PHT surgery, or placement of a transjugular intrahepatic portosystemic shunt (TIPS)
  • 19.Primary or secondary biliary cirrhosis, primary or secondary sclerosing cholangitis, hepatic sarcoidosis, or other cholestatic disorders
  • 20.Subjects unable to perform the MBT within 7 days of HVPG procedure.
  • 21.Subject should not have taken any of the following for at least 48 hours prior to the breath test: Acyclovir , allopurinol, carbamazepine, cimetidine, ciprofloxacin, daidzein, (herbal) disulfiram, echinacea, enoxacin, famotidine, fluvoxamine, methoxsalen, mexiletine, montelukast, norfloxacin, phenylpropanolamine, phenytoin, propafenone, rifampin, terbinafine, ticlopidine, thiabendazole, verapamil, zileuton or oral contraceptives or any medication that might interfere with Methacetin metabolism or might affect CYP 1A2
  • 22.Subject should not have taken amiodarone or statins within the last 30 days prior to the breath test or HVPG procedure

研究者

发起方
Exalenz BioScience Ltd.

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