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临床试验/NCT04797910
NCT04797910Unknown不适用

Effect of Antiviral Therapy on HVPG in Patients With Viral Cirrhosis

Nanfang Hospital, Southern Medical University0 个研究点目标入组 24 人开始时间: 2021年3月10日最近更新:
适应症

试验速览

阶段
不适用
入组人数
24
主要终点
HVPG changed and reached the response standard

研究概览

简要总结

Complications associated with portal hypertension are the leading cause of death in patients with cirrhosis. Until now, hepatic venous pressure gradient (HVPG) - the difference between the wedged hepatic venous pressure (WHVP) and the free hepatic vein pressure (FHVP)- has been the criterion standard to determine portal pressure. Antiviral therapy may decrease HVPG which needs to be verified.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients with viral cirrhosis were diagnosed;
  • Age 18-80 years;
  • Need and willing to accept measure HVPG;
  • First HVPG measurement of more than 5 mmHg;
  • Signed Informed Consent

排除标准

  • Patients with viral cirrhosis have been treated with antiviral therapy and have achieved virological response;
  • Ready to accept or have accepted a TIPS procedure;
  • Splenic embolization was performed;
  • Inaccurate measurement of HVPG due to combined hepatic venous shunt;
  • Complicated with alcoholic liver disease, autoimmune liver disease or other types of liver disease;
  • Complicated with liver cancer or other organ malignancy;
  • Combined with severe cardiopulmonary disease affects survival;
  • Complicated with severe renal insufficiency;
  • Concomitant portal vein cavernous degeneration or extensive portal vein thrombosis;
  • Women who are planning to become pregnant or who are pregnant or breastfeeding.

结局指标

主要结局

HVPG changed and reached the response standard

时间窗: one year

HVPG response to therapy indicates a decrease in HVPG of at least 10% from baseline or to less than 12 mmHg after chronic treatment with NSBBs.

次要结局

  • Antiviral therapy achieved a virological response(one year)

研究者

申办方类型
Other
责任方
Sponsor

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