Dose Exploring and Setting Study for Tolvaptan to Treat Hepatic Cirrhosis With Ascites
A Phase 2 Randomized, Double-blinded, Multicenter and Placebo-controlled Clinical Trial to Evaluate the Safety and Efficacy of Different Doses of Tolvaptan Tablet in Patients With Cirrhotic Ascites
1 other identifier
interventional
180
1 country
1
Brief Summary
To observe the safety/efficacy of tolvaptan for treatment of patients with hepatic cirrhosis with ascites and exploring the dosage-effect relations of the drug.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Apr 2009
Shorter than P25 for phase_2
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
April 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2010
CompletedFirst Submitted
Initial submission to the registry
March 5, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2010
CompletedFirst Posted
Study publicly available on registry
May 6, 2011
CompletedOctober 12, 2012
May 1, 2011
9 months
March 5, 2010
October 10, 2012
Conditions
Outcome Measures
Primary Outcomes (1)
Body weight changes after 7 days of treatment (quantity of changes)
from day1 to day7
Secondary Outcomes (2)
Body weight change after 4 days of treatment (quantity of changes)
from day1 to day4
Waist circumference after 4 and 7 days of treatment (quantity and rate of changes)
from day1 to day7
Study Arms (3)
1. tolvaptan
EXPERIMENTAL15 mg, P.O., Qd, for 7 days,
2 tolvaptan
EXPERIMENTAL30 mg, P.O., Qd, for 7 days,
3. Placebo
EXPERIMENTAL30mg,P.O.,Qd, for 7 days.
Interventions
Eligibility Criteria
You may qualify if:
- hepatic cirrhosis patients after 7days treatment of loop diuretics and aldosterone antagonist but still with ascites
- Hospitalized patients or those who can be hospitalized in this trial between observation period and posttherapeutic observation (Visits at clinic will be allowed after day 8);
- During the observation period (-3 day to -1 day ), subjects whose body weight difference fall within ±1.0 kg range 2 days (day-2 and day -1) prior to initiation of trial drug treatment;
- Ages: ≥18 and ≤75 years of age;
- Genders: men or women;
- Signed the Informed Consent Form.
You may not qualify if:
- Patients with the following diseases, complications or symptoms:
- Hepatic encephalopathy (Coma scale Note 1) grade 2 or higher);
- Malignant ascites;
- Uncontrolled spontaneous bacterial peritonitis;
- Patients are likely to experience alimentary tract hemorrhage during the trial;
- Heart failure (NYHA cardiac function scale Note 2) stages 3 and 4);
- Anuria (daily urine volume below 100mL);
- Dysuria resulting from urethral stricture, calculus and tumors.
- Patients with the following medical history:
- Alimentary tract hemorrhage within 10 days prior to screening;
- Cerebrovascular accident within 1 month prior to screening;
- Gout attack within 1 month prior to screening;
- Past allergy or hypersensitive reactions to benzodiazepines (e.g. benazepril hydrochloride)
- Systolic pressure below 90mmHg at screening;
- Patients with the following abnormalities in laboratory examinations at screening:
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Renji hospital, Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200001, China
Related Publications (1)
Wang S, Zhang X, Han T, Xie W, Li Y, Ma H, Liebe R, Weng H, Ding HG. Tolvaptan treatment improves survival of cirrhotic patients with ascites and hyponatremia. BMC Gastroenterol. 2018 Sep 4;18(1):137. doi: 10.1186/s12876-018-0857-0.
PMID: 30180806DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Minde Zeng
RenJi Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 5, 2010
First Posted
May 6, 2011
Study Start
April 1, 2009
Primary Completion
January 1, 2010
Study Completion
April 1, 2010
Last Updated
October 12, 2012
Record last verified: 2011-05