Effect of Lactulose on Minimal Hepatic Encephalopathy and Health-Related Quality of Life

NCT ID: NCT00375375

Last Updated: 2007-03-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-01-31

Study Completion Date

2004-12-31

Brief Summary

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Minimal hepatic encephalopathy (MHE) has a negative effect on patients' daily functioning. No study has so far investigated the effect of treatment related improvement in cognitive functions on health related quality-of-life (HRQOL). This study was carried out to determine the influence of treatment on psychomotor performance and on HRQOL in patients with MHE.

The mean number of abnormal NP tests decreased significantly in patients in treated group compared with patients in untreated group MANOVA for time and treatment, P =.001). Mean total SIP score improved among patients in the treated group after 3 months compared with patients in untreated group after 3 months (MANOVA for time and treatment, P=.002). Improvement in HRQOL was related to the improvement in psychometry. In conclusion, treatment with lactulose improves both cognitive functions and HRQOL in cirrhotic patients with MHE.

Detailed Description

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The study has been published in March 2007 in Hepatology

Lactulose Improves Cognitive Functions and Health-Related Quality of Life in Patients with Cirrhosis WhoHave Minimal Hepatic Encephalopathy.Srinivasa Prasad, Radha K. Dhiman, Ajay Duseja, Yogesh K. Chawla, Arpita Sharma, and Ritesh Agarwal. (HEPATOLOGY 2007;45:549-559.)

Conditions

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Minimal Hepatic Encephalopathy Hepatic Encephalopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Lactulose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* All the patients diagnosed as having cirrhosis of liver

Exclusion Criteria

* Overt HE or a history of overt HE;
* History of recent (\< 6 weeks) alcohol intake;
* Infection, recent (\< 6 weeks) antibiotic use or gastrointestinal bleeding;
* History of recent (\< 6 weeks) use of drugs affecting psychometric
* Performances like benzodiazepens, antiepileptics, psychotropic drugs;
* History of shunt surgery or transjugular intrahepatic portosystemic shunt for portal hypertension;
* Electrolyte imbalance;
* Renal impairment;
* Presence of hepatocellular carcinoma;
* Severe medical problems such as congestive heart failure, pulmonary disease, neurological or psychiatric disorder, etc., that could influence quality-of-life measurement;
* Inability to perform NP tests and to complete the SIP questionnaire due to bad vision.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Post Graduate Institute of Medical Education and Research, Chandigarh

OTHER

Sponsor Role lead

Principal Investigators

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Radha K Dhiman, MD,DM, FACG

Role: PRINCIPAL_INVESTIGATOR

Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India

Locations

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Postgraduate Institute of Medical Education and Research

Chandigarh, Uttarakhand, India

Site Status

Countries

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India

References

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Prasad S, Dhiman RK, Duseja A, Chawla YK, Sharma A, Agarwal R. Lactulose improves cognitive functions and health-related quality of life in patients with cirrhosis who have minimal hepatic encephalopathy. Hepatology. 2007 Mar;45(3):549-59. doi: 10.1002/hep.21533.

Reference Type RESULT
PMID: 17326150 (View on PubMed)

Other Identifiers

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Minimal hepatic encephalopathy

Identifier Type: -

Identifier Source: org_study_id

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