The GORE® VIATORR® TIPS Endoprosthesis Versus Large-Volume Paracentesis for the Treatment of Ascites in Patients With Portal Hypertension
Trial Snapshot
- Phase
- Not Applicable
- Status
- Terminated
- Sponsor
- Enrollment
- 26
- Locations
- 2
- Primary Endpoint
- Transplant-free Survival
Study Overview
Brief Summary
The purpose of this study is to demonstrate that TIPS with the GORE® VIATORR® TIPS Endoprosthesis improves transplant-free survival compared to LVP alone in patients who have cirrhosis of the liver with portal hypertension and difficult to treat ascites.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 69 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •> Patient has cirrhosis of the liver with portal hypertension
- •> Patient has difficult to treat ascites
- •> Patient is 18 years or older and <70 years old at randomization
- •> Patient is willing and able to comply with all study protocol requirements, including specified follow-up and testing.
- •> Patient, or legal authorized representative, is willing to provide written informed consent prior to enrollment in the study.
Exclusion Criteria
- •> Patient has more than 6 large volume paracenteses within 90 days prior to randomization
- •> Patient is contraindicated for TIPS placement
- •> Patient has had previous TIPS placement
Outcomes
Primary Outcomes
Transplant-free Survival
Time Frame: Through 24 months
Time from randomization to death from any cause prior to transplant. Subjects who undergo liver transplant will be censored at the time of transplant. Subjects without an event will be censored at the date of last follow-up. * Note: The outcome entered below is the number of participants who were either alive or had a liver transplant at time of study termination.
Secondary Outcomes
- Overall Survival(Through 24 months)
- Time to Transplant(Through 24 months)
- Frequency of Paracentesis(Through 24 months)
- Frequency of Hepatic Encephalopathy(Through 24 months)
- Procedural Success(Time of TIPS Procedure (within 2 weeks of enrollment for TIPS arm, at least 6 months after enrollment for Control arm crossover participants))
- Liver Disease Complications (Adverse Events)(Through 24 months)
