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Clinical Trials/NCT00738348
NCT00738348CompletedNot Applicable

Effect of Perioperative Sivelstat Administration for Liver Resection

Kochi University1 site in 1 country50 target enrollmentStarted: April 2007Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
50
Locations
1
Primary Endpoint
The incidence of liver damage due to reperfusion injury by Pringle maneuver was measured by several cytokines, including IL-8, IL-6, and HMGB-1.

Study Overview

Brief Summary

It is reported that sivelstat improved and preserved the postoperative renal function in the orthopedic management. Moreover because sivelstat reduced the migration of neutrophil, it improved acute lung injury. During liver resection, Pringle maneuver, clamping the hepatoduodenal ligament, was performed. Pringle maneuver causes reperfusion injury of the liver. We have a hypothesis that sivelstat prevent the warm shock of reperfusion injury of the liver by Pringle maneuver.

Detailed Description

Whether the incidence of postoperative morbidities, such as liver failure, renal failure, or congestive heart failure, was reduced by administration of perioperative sivelstat.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Single Group
Primary Purpose
Prevention
Masking
Triple (Participant, Care Provider, Investigator)

Eligibility Criteria

Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • liver disease which surgical management was indicated

Exclusion Criteria

  • weight loss greater than 10 per cent during the previous 6 months, signs of distant metastasis, or of respiratory, renal or heart disease

Arms & Interventions

2

Active Comparator

250mL of 5% glucose plus 300mg of sivelstat was infected through the vein at 10mL per an hour

Intervention: sivelstat (Drug)

1

Placebo Comparator

250mL of 5% glucose was injected though the vein at 10mL per an hour

Intervention: glucose (Drug)

Outcomes

Primary Outcomes

The incidence of liver damage due to reperfusion injury by Pringle maneuver was measured by several cytokines, including IL-8, IL-6, and HMGB-1.

Time Frame: during hospitalization

Secondary Outcomes

  • The duration of ICU stay and hospital stay, postoperative complications, and the liver damage at 6 POD, measuring hepato-biliary enzyme(during hospitalization)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Takehiro Okabayashi

University

Kochi University

Study Sites (1)

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