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
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