Comparison of Terlipressin, Somatostatin, and Octreotide for Control of Variceal Bleeding
RCT for the Effect of Early Administration of Vasoactive Substances When Combined With Endoscopic Treatment in Acute Gastro-esophageal Variceal Bleeds: Comparisons Among Terlipressin, Somatostatin, and Octreotide
1 other identifier
interventional
1,034
1 country
1
Brief Summary
This study is performed to compare the efficacy of terlipressin, somatostatin, and octreotide in patients with variceal bleeding for the control of variceal bleeding in combination with endoscopic therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Sep 2006
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2006
CompletedFirst Submitted
Initial submission to the registry
August 25, 2009
CompletedFirst Posted
Study publicly available on registry
August 26, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2010
CompletedResults Posted
Study results publicly available
March 19, 2018
CompletedMarch 19, 2018
August 1, 2017
3.7 years
August 25, 2009
April 23, 2013
August 22, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
5-day Treatment Failure (Failure to Control Bleeding, Rebleeding, or Death)
5 days after enrollment
Secondary Outcomes (1)
Active Bleeding During the First Endoscopic Exam, Needing Blood Transfusion for 5 Days, Experiencing Adverse Effects
5 days after enrollment
Study Arms (3)
Terlipressin
ACTIVE COMPARATORtreat with terlipressin IV for 5 days and endoscopic treatment
Somatostatin
ACTIVE COMPARATORtreat with somatostatin IV for 5 days and endoscopic treatment
Octreotide
ACTIVE COMPARATORtreat with octreotide IV for 5 days and endoscopic treatment
Interventions
loading with 2 mg IV, and then 1 mg IV every 4 hours for 5 days
loading with 250 microgram IV, and then 250 microgram/hour continuous IV for 5 days
loading with 50 microgram IV, and then 25 microgram/hour continuous IV for 5 days
Eligibility Criteria
You may qualify if:
- liver cirrhosis
- age between 16 and 75 years
- Patients who have upper GI bleeding symptoms (hematemesis or melena) within 24 hours before enrollment
- Patients whose systolic blood pressure \<100 mmHg or pulse rate \>100/min at the enrollment
- Patients who were not performed endoscopic or pharmacologic therapy for varices
- Signed informed consent
You may not qualify if:
- Pregnancy
- Positive anti-HIV Ab
- A history of severe side-effects or contraindications to study drugs
- Severe cardiovascular diseases: acute myocardial infarction, A-V block, congestive heart failure, ischemic heart disease, hypertension (systolic blood pressure \>170 mmHg or diastolic pressure \>100 mmHg)
- Chronic renal failure
- Hepatocellular carcinoma with protal vein thrombosis
- Coexisting malignancy except hepatocellular carcinoma
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Korea Universitylead
Study Sites (1)
Korea University Anam Hospital
Seoul, 136-705, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Prof. Soon Ho Um
- Organization
- Korea University College of Medicine
Study Officials
- PRINCIPAL INVESTIGATOR
Soon Ho Um, Prof
Korea University
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
August 25, 2009
First Posted
August 26, 2009
Study Start
September 1, 2006
Primary Completion
May 1, 2010
Study Completion
May 1, 2010
Last Updated
March 19, 2018
Results First Posted
March 19, 2018
Record last verified: 2017-08