跳至主要内容
临床试验/EUCTR2014-005523-27-ES
EUCTR2014-005523-27-ES进行中(未招募)1 期

Multicenter prospective randomized trial of the effect of rivaroxaban on survival and development of complications of portal hypertension in patients with cirrhosis - CIRROXABA

INSTITUTO DE INVESTIGACIONES BIOMEDICAS AUGUST PI I SUNYER (IDIBAPS)0 个研究点目标入组 160 人开始时间: 2015年7月10日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
160

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • a. Aged between 18 and 75 years of both sexes.
  • b. Clinical and / or laboratory criteria, ultrasound and / or liver biopsy compatible with the diagnosis of viral cirrhosis (If HBV: HBV-DNA must be negative; if HCV: SVR should be at least for 6 months prior to enrollment); alcohol (in the last 6 months: in men less than 60 g daily intake in women less than 40 g); NASH and cryptogenic.
  • c. Presence of clinically significant portal hypertension (CSPHT) defined by clinical criteria (presence of esophageal varices or ascites), elastography (liver Fibroscan® ? 21 kPa) or hemodynamic (HVPG ? 10 mmHg)
  • d. Mild to moderate hepatic impairment defined by Child-Pugh of 7-10 points.
  • e. Written informed consent to participate in the study
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 160
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 160

排除标准

  • a. Any previous or current thrombosis in splenoportal axis (must be ruled out by US-Doppler earlier than one month after randomization; if doubts: AngioCT or AngioMRI if required).
  • b. Background of hepatic encephalopathy grade II or higher
  • c. Ascites that required prior practice of paracentesis in the last year
  • d. Indication for use of anticoagulant and / or antiplatelet therapy for any reason.
  • e. Hypersensitivity to the active ingredient or to excipients
  • f. Active bleeding, clinically significant, or risk of major bleeding.
  • g. Pregnancy and lactation.
  • h. HCC or malignant neoplasia at the time of inclusion.
  • i. Any comorbidity involving a therapeutic limitation and/or a life expectancy <12 months.
  • j. Existence of risk bleeding esophageal varices or prior variceal bleeding. They may not be included untill full treatment (stable beta blockers dosage or eradication trough varices ligation).
  • k. Pregnancy or lactation.
  • l. Severe thrombocytopenia <40,000 platelets / dl.
  • m. Kidney failure (creatinine clearance <15ml / min).
  • n. TIPS or portosystemic shunt carrier.
  • o. Child-Pugh score greater than 10.
  • p. In HCV liver cirrosis patients: not carrying at least six months in SVR. In HBV liver cirrosis patients: HBV DNA is not negative .
  • q. Active alcoholism (60 g / day in men and 40 in women)
  • r. Use of potent inhibitors of cytochrome CYP450 3A4 (ketoconazole, protease inhibitor antiretroviral treatment in HIV patients) or cytochrome inductors (rifampicin. Phenytoin ...).
  • s. Participation in another clinical trial

研究者

发起方
INSTITUTO DE INVESTIGACIONES BIOMEDICAS AUGUST PI I SUNYER (IDIBAPS)

相似试验