Spleen-ARFI-assisted-Portal-Hypertension-Evaluation-Study (SAPHES)
SAPHES
Prospective Evaluation of Non-invasive ARFI-elastography of Liver and Spleen and Portal Flow Measurement in Comparison With Invasive HVPG (Hepatic Venous Pressure Gradient)-Measurement for Patients With Portal Hypertension.
1 other identifier
interventional
45
1 country
1
Brief Summary
This study evaluates correlation in changes of HVPG-pressure values and stiffness values (ARFI) for spleen and liver and flow-volume values in Portal vein in patients with liver cirrhosis/Portal Hypertension, respectively, after new-admission of beta-blocker therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2017
Typical duration for not_applicable
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
January 10, 2017
CompletedFirst Submitted
Initial submission to the registry
October 16, 2017
CompletedFirst Posted
Study publicly available on registry
October 20, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2018
CompletedOctober 20, 2017
October 1, 2017
1.6 years
October 16, 2017
October 16, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in ARFI-elastography value for spleen due to beta-blocker therapy
ARFI-elastography: measured in m/s
6 and 12 weeks
Secondary Outcomes (9)
Correlation between changes in HVPG-values and ARFI-elastography values for liver
6 and 12 weeks
Correlation between changes in HVPG-values and ARFI-elastography values for spleen
6 and 12 weeks
Correlation between changes in HVPG-values and portal vein flow measurements
6 and 12 weeks
Correlation between changes in grade of esophageal varices and HVPG-values
12 weeks
Correlation between changes in grade of esophageal varices and ARFI-values for liver
12 weeks
- +4 more secondary outcomes
Study Arms (1)
cirrhosis patients
OTHERARFI-elastography and portal vein flow measurement: Liver and spleen of patients with a scheduled HVPG-investigation will be examined by an ARFI-elastography-investigation. Additionally the portal vein flow will be assessed. This examination will be done at d0 before the start of beta-blocker-administration and repeated as monitoring for portal hypertension treated by beta-blocker after 6 and 12 weeks, respectively. HVPG-measurement: HVPG-values will be assessed at d0, after 6 and after 12 Weeks, respectively.
Interventions
Liver and spleen-elastography assessed by ARFI-technique and the portal vein flow value-assessment by ultrasound investigation.
Evaluation of Portal Hypertension by HVPG-measurement
Eligibility Criteria
You may qualify if:
- liver cirrhosis
- portal hypertension
- indication to beta-blocker-therapy
You may not qualify if:
- contraindication to beta-blocker-therapy
- HVPG-measurement not feasible
- portal vein thrombosis
- hematologic underlying disease as the source for enlarged/stiff spleen or liver
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Universitätsklinikum Ulm
Ulm, Germany
Related Publications (1)
Binzberger A, Hanle M, Pfahler M, Kratzer W, Seufferlein T, Zizer E. Spleen and Liver Stiffness Evaluation by ARFI Imaging: A Reliable Tool for a Short-Term Monitoring of Portal Hypertension? Int J Hepatol. 2022 Sep 9;2022:7384144. doi: 10.1155/2022/7384144. eCollection 2022.
PMID: 36117519DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eugen Zizer, MD
University of Ulm
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Head of Department Internal Medicine I
Study Record Dates
First Submitted
October 16, 2017
First Posted
October 20, 2017
Study Start
January 10, 2017
Primary Completion
August 1, 2018
Study Completion
December 1, 2018
Last Updated
October 20, 2017
Record last verified: 2017-10