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 Safety & Efficacy of Terlipressin vs Octreotide for the Control of Variceal Bleed

Phase 4
Completed
Conditions
Portal Hypertension
Cirrhosis
Hematemesis
Melena
Interventions
First Posted Date
2007-09-26
Last Posted Date
2007-12-05
Lead Sponsor
Aga Khan University
Target Recruit Count
320
Registration Number
NCT00534677
Locations
🇵🇰

The Aga Khan University Hospital, Karachi, Sindh, Pakistan

Continuous Infusion of Terlipressin in Septic Shock

Phase 2
Completed
Conditions
Septic Shock
Interventions
First Posted Date
2007-06-01
Last Posted Date
2008-02-29
Lead Sponsor
University of Roma La Sapienza
Target Recruit Count
45
Registration Number
NCT00481572
Locations
🇮🇹

Department of Anesthesiology and Intensive care of the University of Rome "La Sapienza", Rome, Viale del Policlinico 155, Italy

Noradrenalin vs Terlipressin in Hepatorenal Syndrome

Phase 3
Completed
Conditions
Hepatorenal Syndrome
Interventions
First Posted Date
2006-08-31
Last Posted Date
2008-04-11
Lead Sponsor
University of Turin, Italy
Target Recruit Count
20
Registration Number
NCT00370253
Locations
🇮🇹

San Giovanni Battista Hospital, Turin, Italy

Short Course Terlipressin for Control of Acute Variceal Bleeding

Phase 4
Completed
Conditions
Hemorrhage
Esophageal Varices
Portal Hypertension
Interventions
First Posted Date
2006-08-29
Last Posted Date
2008-09-25
Lead Sponsor
Aga Khan University
Target Recruit Count
130
Registration Number
NCT00369694
Locations
🇵🇰

The Aga Khan University Hospital, Karachi, Sindh, Pakistan

Treatment of Hepatorenal Syndrome With Terlipressin Plus Albumin vs Albumin

Phase 4
Suspended
Conditions
Cirrhosis
Hepatorenal Syndrome
First Posted Date
2006-02-07
Last Posted Date
2007-04-11
Lead Sponsor
Hospital Clinic of Barcelona
Target Recruit Count
100
Registration Number
NCT00287664
Locations
🇪🇸

Hospital Clinic, Barcelona, Spain

Renal and Cardiovascular Effects of Terlipressin in Patients With Cirrhosis and Ascites

Phase 2
Completed
Conditions
Cirrhosis
Ascites
First Posted Date
2005-06-27
Last Posted Date
2006-03-09
Lead Sponsor
Hvidovre University Hospital
Registration Number
NCT00115947
Locations
🇩🇰

Hvidovre Hospital, Copenhagen, Hvidovre, Denmark

Study of Terlipressin Versus Placebo to Treat Hepatorenal Syndrome Type 1

Phase 3
Completed
Conditions
Hepatorenal Syndrome
Interventions
Drug: Placebo
First Posted Date
2004-08-09
Last Posted Date
2017-10-27
Lead Sponsor
Mallinckrodt
Target Recruit Count
112
Registration Number
NCT00089570
Locations
🇺🇸

Northwestern Memorial Hospital, Chicago, Illinois, United States

🇺🇸

University of Medicine & Dentistry of New Jersey - NJMS, Newark, New Jersey, United States

🇺🇸

Albert Einstein Medical Center, Philadelphia, Pennsylvania, United States

and more 34 locations
© Copyright 2025. All Rights Reserved by MedPath