EUCTR2005-003557-27-DE
Active, not recruiting
Not Applicable
Covered Transjugular Intrahepatic Portosystemic Stent Shunt versus Optimized medical Treatment for the Secondary Prevention of Variceal Bleeding in Cirrhosis
Dean of the Medical Faculty (University of Bonn)0 sitesNovember 21, 2005
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- liver cirrhosis
- Sponsor
- Dean of the Medical Faculty (University of Bonn)
- Status
- Active, not recruiting
- Last Updated
- 10 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •? liver cirrhosis (histological or clinical diagnosis)
- •? Child\-Pugh\-score \< 12
- •? serum bilirubin \< 3 mg/dl
- •? significant variceal bleeding \> 5 days prior to randomization
- •? clinical indication for rebleeding prophylaxis (i.e. presence of esophageal varices ? grade 2\)
- •? age 18 to 75 years
- •? written informed consent
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1\.2 Adults (18\-64 years) yes
Exclusion Criteria
- •? overt hepatic encephalopathy independent from bleeding
- •? prehepatic portal hypertension
- •? type II gastric varices as exclusive bleeding site
- •? established chronic drug treatment with betablockers and/or nitrates against portal hypertension
- •? listing for liver transplantation on T2 status
- •? existing portosystemic shunt (TIPS or surgical shunt)
- •? heart failure \> NYHA 2 or ejection fraction \< 40 %
- •? contraindication against propranolol or nitrates
- •? platelet count \< 30 G/l, prothrombine index \< 30 %, disseminated intravascular coagulation
- •? advanced malignancy or severe infection
Outcomes
Primary Outcomes
Not specified
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