Status:

COMPLETED

Terlipressin in Septic Shock in Cirrhosis

Lead Sponsor:

Hospital Clinic of Barcelona

Conditions:

Liver Cirrhosis

Septic Shock

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

PHASE3

Brief Summary

Septic shock is a frequent and severe complication in cirrhosis. Current mortality rate ranges between 50 and 80% of cases. Refractory shock, hepatorenal failure and variceal bleeding are the main cau...

Detailed Description

Prospective, open labelled, RCT evaluating 72 cirrhotic patients with severe sepsis or septic shock (36 per arm) who were randomized to receive terlipressin plus alpha-adrenergic drugs or alpha-adrene...

Eligibility Criteria

Inclusion

  • Age between 18 and 80 years;
  • Diagnosis of cirrhosis based on histology or on clinical, laboratory and ultrasonographical data;
  • Diagnosis of septic shock based on the presence of data compatible with systemic inflammatory response syndrome, a mean arterial pressure below 60 mmHg during more than 1 hour despite adequate fluid resuscitation, and need for circulatory support with vasopressor drugs.

Exclusion

  • More than 24 hours of evolution of the shock;
  • Cardiac index \< 2,5 l/min;
  • History of HIV infection or clinically relevant pulmonary, renal or cardiac disease except for atrial fibrillation;
  • Pregnancy;
  • Advanced hepatocellular carcinoma (Milan criteria);
  • Previous history of transplantation;
  • Uncontrolled gastrointestinal bleeding.

Key Trial Info

Start Date :

October 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2012

Estimated Enrollment :

72 Patients enrolled

Trial Details

Trial ID

NCT00628160

Start Date

October 1 2006

End Date

December 1 2012

Last Update

February 24 2016

Active Locations (1)

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Hospital Clinic Barcelona

Barcelona, Catalonia, Spain, 08036