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临床试验/JPRN-jRCTs061220114
JPRN-jRCTs061220114招募中1 期

Efficacy and safety of tolvaptan for patients with ascites after liver resection, prospective study (Efficacy and safety of tolvaptan after liver resection, prospective study)

Ohdan Hideki0 个研究点目标入组 30 人开始时间: 2023年3月31日最近更新:

试验速览

阶段
1 期
状态
招募中
发起方
入组人数
30

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 18age old 至 ot applicable(—)
性别
All

入选标准

  • Patients eligible for the study were required to me
  • et all the following criteria
  • (1) underwent hepatectomy for liver diseases
  • (2) aged 18 years or more
  • (3) Performance Status (PS) of the Eastern Cooper
  • ative Oncology Group (ECOG) is 0-1
  • (4) the functions of major organs (bone marrow, liv
  • er, lungs, kidneys, etc.).
  • A) White blood cell count: 2,000 / mm3 or more
  • B) Amount of hemoglobin: 7.0 g / dL or more
  • C) Platelet count: 30,000 / mm3 or more
  • D) Total bilirubin: less than 5.0 mg / dL
  • E) Creatinine: less than 2.0 mg / dl
  • (5) Patients who have sufficient judgment to understand the content of the research and have given their written consent to participate in this study.
  • (6) a drainage's volume of 5 ml / BW 1 kg / day or more on the first day after surgery

排除标准

  • Primary Screening
  • (1) Patients who have been taking tolvaptan (brand name: SAMSCA) preoperatively.
  • (2) Patients with a history of serious drug hypersensitivity or hypersensitivity to any component of tolvaptan or similar compounds.
  • (3) Patients with no thirst or difficulty in fluid intake, anuria, or hepatic encephalopathy who have difficulty in adequate hydration.
  • (4) Pregnant women or women who may be pregnant
  • (5) Patients with severe (NYHA classification III or higher) ischemic heart disease or severe valvular heart disease.
  • (6) Patients with severe hepatic cirrhosis (hepatic impairment degree C).
  • (7) Patients with renal dysfunction (Cre>2.0) and hyperkalemia (K>5.5).
  • (8) Patients with dyspnea requiring oxygen administration due to severe respiratory impairment (Hugh-Jones classification IV or higher), interstitial pneumonia or pulmonary fibrosis.
  • (9) Patients with serious preoperative complications such as infection or gastrointestinal bleeding.
  • (10) Patients who require complicated resection of other organs other than the gallbladder, gastrointestinal anastomosis, biliary reconstruction, lymph node dissection, or revascularization.
  • (11) Patients with psychosis or psychiatric symptoms that make participation in the study difficult.
  • (12) Other patients who are deemed inappropriate to participate in the study by the principal investigator or subinvestigators.
  • Secondary Screening
  • (13)Patients who do not feel thirst or have difficulty with fluid intake, anuric patients, or patients with hepatic encephalopathy who have difficulty with adequate hydration.
  • (14) Patients who required complicated resection of other organs other than the gallbladder, gastrointestinal anastomosis, biliary reconstruction, lymph node dissection, or revascularization.
  • (15) Patients with serious postoperative complications such as infection or gastrointestinal bleeding.
  • (16) Other patients who are deemed inappropriate for the study by the principal investigator or a subinvestigator.

研究者

发起方
Ohdan Hideki

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