Treatment of Hepatorenal Syndrome With Terlipressin Infusion Adjusted to Hemodynamic Response
AMELIORATE
1 other identifier
interventional
40
1 country
6
Brief Summary
Observe the effect of terlipressin on renal function in patients with SHR type I adjusting the dose based on hemodynamic response.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Apr 2012
Longer than P75 for phase_4
6 active sites
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
First Submitted
Initial submission to the registry
February 9, 2012
CompletedFirst Posted
Study publicly available on registry
February 10, 2012
CompletedStudy Start
First participant enrolled
April 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedAugust 18, 2016
August 1, 2016
4.7 years
February 9, 2012
August 17, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Changes in arterial pressure and creatinine
4 months
Secondary Outcomes (3)
Changes in plasmatic renin activity and aldosterone and noradrenaline concentration.
4 months
Treatment-related adverse events
4 months
Hepatorenal Syndrome reversion due to hemodynamic changes.
4 months
Study Arms (1)
terlipressin
EXPERIMENTALInterventions
Terlipressin dose: 2mg/24h, it will be modified depending on: Arterial pressure increase \< 10 mmHg and the creatinine values decrease \<25%, it will be increased every 8 hours until reaching an increase of at least 10mmHg arterial pressure or a creatinine decrease of the 25%. Albumin: Initial dose (first day) of 1g/Kg (up to a maximum of 100g) and the following days from 20 to 40 g/day.
Eligibility Criteria
You may qualify if:
- Patients with hepatorenal syndrome type 1.
- Signed informed consent.
You may not qualify if:
- At least 18 years old
- Negative pregnancy test in serum or urine in women of childbearing age, and agree to use adequate contraception since at least 14 days prior to the first dose of study drug until 14 days after the last.
- Active bacterial infection with symptoms of systemic inflammatory response (fever, tachycardia, tachypnea, hypotension, septic or blood count).
- Cardiac or respiratory failure clinically significant.
- Clinically significant peripheral artery disease.
- A history of ischemic heart disease.
- Hypersensitivity to terlipressin and / or albumin or any of the excipients.
- Pregnancy.
- Septic shock.
- Chronic renal failure.
- Women in lactation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Pere Gineslead
Study Sites (6)
Hospital Clinic i Provincial de Barcelona
Barcelona, Barcelona, 08036, Spain
Hospital del Mar
Barcelona, Barcelona, 08036, Spain
Hospital Vall d´Hebron
Barcelona, Barcelona, 08036, Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, Barcelona, 08041, Spain
Corporació Sanitària Parc Taulí
Sabadell, Barcelona, 08208, Spain
Hospital Moisés Broggi
Sant Joan Despí, Barcelona, 08970, Spain
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
German Soriano Pastor, MD
gsoriano@santpau.cat
- PRINCIPAL INVESTIGATOR
Juan Cordoba, MD
jcordoba@vhebron.net
- PRINCIPAL INVESTIGATOR
Isabel Cirera Lorenzo, MD
ICirera@parcdesalutmar.cat
- PRINCIPAL INVESTIGATOR
Marta Martín Llahí, MD
martinllahi@gmail.com
- PRINCIPAL INVESTIGATOR
Jordi Sánchez Delgado, MD
jsanchezd@tauli.cat
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- MD, PhD
Study Record Dates
First Submitted
February 9, 2012
First Posted
February 10, 2012
Study Start
April 1, 2012
Primary Completion
December 1, 2016
Study Completion
December 1, 2016
Last Updated
August 18, 2016
Record last verified: 2016-08