MedPath

Terlipressin

Generic Name
Terlipressin
Brand Names
Terlivaz
Drug Type
Biotech
CAS Number
14636-12-5
Unique Ingredient Identifier
7Z5X49W53P
Background

Terlipressin is a synthetic analogue of vasopressin, which is an endogenous neurohormone that acts as a vasoconstrictor. It is a prodrug of lypressin, or lysine vasopressin. Compared to endogenous vasopressin, terlipressin has a longer half life and increased selectivity for the V1 receptor. As a potent vasopressor, terlipressin has been investigated in various shock states and conditions with diminished vasomotor tone. It was also studied in hepatorenal syndrome (HRS) and variceal bleeding. The drug was first approved by the FDA in September 2022.

Indication

Terlipressin is a vasopressin receptor agonist indicated to improve kidney function in adults with hepatorenal syndrome with rapid reduction in kidney function. The US prescribing information states that patients with a serum creatinine > 5 mg/dL are unlikely to experience benefit from terlipressin.

Associated Conditions
Hepato-Renal Syndrome, Hepatorenal Syndrome Type 1, Oesophageal varices haemorrhage, Portal Hypertension

The Effect of Terlipressin on Intesitnal Function in Septic Shock Patients

Not Applicable
Conditions
Terlipressin
Septic Shock
Interventions
First Posted Date
2014-12-03
Last Posted Date
2014-12-30
Lead Sponsor
Liu ZiMeng
Target Recruit Count
40
Registration Number
NCT02306239
Locations
🇨🇳

the First Affiliated Hospital of Sumyetsan University, Guangzhou, Guangdong, China

Hemodynamic Effects of Terlipressin and High Dose Octreotide

Phase 4
Completed
Conditions
Gastric and Esophageal Varices
Interventions
First Posted Date
2014-04-22
Last Posted Date
2016-06-13
Lead Sponsor
Shanghai Zhongshan Hospital
Target Recruit Count
88
Registration Number
NCT02119884
Locations
🇨🇳

180 Fenglin Road, Shanghai, Shanghai, China

Perioperative Evaluation of Terlipressin Infusion During Living Donor Liver Transplantation on Incidence of Acute Kidney

Phase 4
Completed
Conditions
Acute Kidney Injury
Liver Transplantation
Terlipressin
NGAL
Interventions
Drug: placebo
First Posted Date
2014-02-11
Last Posted Date
2016-12-15
Lead Sponsor
National Liver Institute, Egypt
Target Recruit Count
25
Registration Number
NCT02059460
Locations
🇪🇬

National Liver Institute, Shebeen Alkom, Menoufiya, Egypt

Treatment of Type-1 Hepatorenal Syndrome Associated With Sepsis

Not Applicable
Completed
Conditions
Hepatorenal Syndrome
Interventions
First Posted Date
2013-08-30
Last Posted Date
2013-09-05
Lead Sponsor
Hospital Clinic of Barcelona
Target Recruit Count
18
Registration Number
NCT01932151
Locations
🇪🇸

Hospital Clinic de Barcelona, Barcelona, Spain

Terlipressin Administration in Patients Undergoing Major Liver Resection

Phase 2
Terminated
Conditions
Liver Resection
Liver Failure
Interventions
Drug: Placebo
First Posted Date
2013-08-14
Last Posted Date
2018-03-29
Lead Sponsor
Insel Gruppe AG, University Hospital Bern
Target Recruit Count
150
Registration Number
NCT01921985
Locations
🇨🇭

Dep. of Visceral Surgery, University Hospital Berne, Berne, Switzerland

Efficacy and Safety of Monotherapy With Noradrenaline and Terlipressin in Patients of Cirrhosis With Septic Shock Admitted to Intensive Care Unit

Not Applicable
Completed
Conditions
Cirrhosis With Septic Shock
Interventions
First Posted Date
2013-04-19
Last Posted Date
2016-11-22
Lead Sponsor
Institute of Liver and Biliary Sciences, India
Target Recruit Count
84
Registration Number
NCT01836224
Locations
🇮🇳

Institute of liver and Biliary Sciences, New Delhi, Delhi, India

Continuos Terlipressin Infusion in Septic Shock

Not Applicable
Conditions
Septic Shock
Interventions
First Posted Date
2012-10-02
Last Posted Date
2014-12-30
Lead Sponsor
First Affiliated Hospital, Sun Yat-Sen University
Target Recruit Count
1000
Registration Number
NCT01697410
Locations
🇨🇳

Surgical intensive care unit, 1st affiliated hospital of Sun Yat-sen university, Guangzhou, Guangdong, China

An Exploratory Haemodynamic Study in Patients With Compensated Cirrhosis and Portal Hypertension

Phase 2
Completed
Conditions
Compensated Cirrhosis and Portal Hypertension
Interventions
First Posted Date
2012-07-16
Last Posted Date
2016-03-15
Lead Sponsor
Novartis Pharmaceuticals
Target Recruit Count
47
Registration Number
NCT01640964
Locations
🇬🇧

Novartis Investigative Site, Edinburgh, United Kingdom

TYPE 2 HEPATORENAL SYNDROME

Phase 3
Completed
Conditions
Safety and Efficacy of Terlipressin and Noradrenaline and Predictive Factors of Response in Type 2 HRS
Interventions
First Posted Date
2012-07-11
Last Posted Date
2012-07-11
Lead Sponsor
Post Graduate Institute of Medical Education and Research, Chandigarh
Target Recruit Count
46
Registration Number
NCT01637454
Locations
🇮🇳

Postgraduate Institute of Medical Education and Research Chandigarh, Chandigarh, India

Treatment of Hepatorenal Syndrome With Terlipressin Infusion Adjusted to Hemodynamic Response

Phase 4
Conditions
Hepatorenal Syndrome Type I
Cirrhosis
Interventions
First Posted Date
2012-02-10
Last Posted Date
2016-08-18
Lead Sponsor
Pere Gines
Target Recruit Count
40
Registration Number
NCT01530711
Locations
🇪🇸

Hospital Moisés Broggi, Sant Joan Despí, Barcelona, Spain

🇪🇸

Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

🇪🇸

Hospital Vall d´Hebron, Barcelona, Spain

and more 3 locations
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