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临床试验/NCT05538546
NCT05538546尚未招募不适用

The Value of Baveno VI Criteria for Screening and Monitoring of Varices Needing Treatment in Patients With Compensated Cirrhosis

Huashan Hospital0 个研究点目标入组 1,000 人开始时间: 2022年9月最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
入组人数
1,000
主要终点
The missing rate of Baveno criteria at 12th month follow-up visit

研究概览

简要总结

Patients meet Baveno VI criteria (with a liver stiffness <20kPa and with a platelet count >150,000 are considered to have very low risk of having varices requiring treatment, but whether these patients can be followed up by repetition of this criteria lacks sufficient evidence. This study aimed to assess the value of Baveno VI criteria for following up and monitoring of varices needing treatment in patients with compensated cirrhosis.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients with liver cirrhosis diagnosed according to clinical or pathological criteria;
  • No decompensation events in the past, no ascites shown by ultrasound, no significant abnormality in liver function and coagulation function;
  • Willing to carry out routine diagnosis and treatment evaluation and follow-up liver stiffness test and gastroscopy;
  • Patients meet Baveno VI criteria (with a liver stiffness <20kPa and with a platelet count >150,000) at baseline, or patients don't meet Baveno VI criteria (with a liver stiffness ≥ 20kPa or with a platelet count ≤150,000) at baseline, but don't have varices requiring treatment (proved by endoscopy).
  • Voluntarily signed the informed consent.

排除标准

  • Patients with liver carcinoma;
  • Patients with portal vein thrombosis;
  • Patients with varices requiring treatment confirmed by gastroscopy during the screening period;
  • Patients who have received propranolol, ligation, sclerosis, splenectomy, transcatheter splenic arterial embolization, transjugular interhepatic portosystemicstent-shunt and other treatments to decrease portal hypertension in the past.

结局指标

主要结局

The missing rate of Baveno criteria at 12th month follow-up visit

时间窗: 12 months from baseline

The number of patients with varices requiring treatment under endoscopy divided by the number of patients meet Baveno criteria at 12th month follow-up visit

次要结局

  • The missing rate of Baveno criteria at 24th month follow-up visit(24 months from baseline)
  • Cumulative rate of decompensation events(24 months from baseline)
  • Cumulative rate of gastrointestinal bleeding(24 months from baseline)
  • Cumulative rate of 6-week death post gastrointestinal bleeding(24 months from baseline)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Wen-hong Zhang

Professor

Huashan Hospital

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