Sodium Restriction in the Management of Cirrhotic Ascites

NCT ID: NCT00548366

Last Updated: 2010-09-14

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2010-09-30

Brief Summary

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To determine the relationship between degree of sodium restriction and dietary compliance with clinical outcome of diuresis of portal hypertensive ascites in cirrhotic patients from a county hospital population.

Primary objective: Demonstrate that, when accompanied by the appropriate diuretic regimen, a No Added Salt diet (4 grams sodium per day) is as effective as a Low Sodium diet (2 grams sodium per day) in the management of cirrhotic ascites.

Detailed Description

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Secondary objectives:

1. Demonstrate that patient acceptance is greater and diuresis faster with a No Added Salt diet compared with a Low Sodium diet
2. Demonstrate that side-effects of diuretic therapy are the same or less when patients are on a No Added Salt diet
3. Determine if glomerular filtration rate estimated from the modified diet in renal disease equation differs from that obtained by a 24 hour urinary creatinine in patients with cirrhotic ascites

Conditions

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Ascites

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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1

4 gram sodium diet

Group Type EXPERIMENTAL

Sodium restriction

Intervention Type OTHER

4 gram sodium diet

2

2 gram sodium diet

Group Type ACTIVE_COMPARATOR

Sodium restriction

Intervention Type OTHER

2 gram sodium diet

Interventions

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Sodium restriction

4 gram sodium diet

Intervention Type OTHER

Sodium restriction

2 gram sodium diet

Intervention Type OTHER

Other Intervention Names

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No added salt diet Low sodium diet

Eligibility Criteria

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Inclusion Criteria

* Cirrhotic patients of any etiology with ascites from portal hypertension diagnosed by paracentesis,
* Age 18-75
* Clinical or radiographic (abdominal CT or ultrasound) estimate of moderate - severe ascites
* Spanish-speaking subjects will be eligible for participation

Exclusion Criteria

* Active drug or alcohol abuse,
* Active complications of SBP, hepatic encephalopathy, or GI bleed within 2 weeks,
* Hemorrhagic ascites, malignant ascites,
* Creatinine \>2 mg/dL or CCl \< 30 mL/min,
* K \> 5.5 mmol/L,
* Diuretic refractory ascites
* Allergy to or intolerance of either spironolactone or furosemide
* Homelessness, incarceration, inability to follow up in clinic, or comply with diet.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Texas Southwestern Medical Center

OTHER

Sponsor Role lead

Responsible Party

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UT Southwestern Medical Center at Dallas

Principal Investigators

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Jennifer A Cuthbert, M.D.

Role: STUDY_DIRECTOR

UT Southwestern Medical Center at Dallas

Locations

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Parkland Memorial Hospital

Dallas, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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UTSouthwestern 062007-066

Identifier Type: -

Identifier Source: org_study_id