Trial Outcomes & Findings for Use of Methacetin Breath Test to Predict Liver Failure in Patients With Cirrhosis (NCT NCT01157845)

NCT ID: NCT01157845

Last Updated: 2014-05-16

Results Overview

Patient dies of liver-related causes within 1 year of study entry

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

165 participants

Primary outcome timeframe

1 year

Results posted on

2014-05-16

Participant Flow

Participant milestones

Participant milestones
Measure
Laboratory Assay
BreathID (Methacetin breath test): 13C-labeled methacetin (75 mg) is given to the patient by mouth in a small volume of water, and expired 13C-labeled carbon dioxide is measured from a nasal cannula.
Overall Study
STARTED
165
Overall Study
COMPLETED
130
Overall Study
NOT COMPLETED
35

Reasons for withdrawal

Reasons for withdrawal
Measure
Laboratory Assay
BreathID (Methacetin breath test): 13C-labeled methacetin (75 mg) is given to the patient by mouth in a small volume of water, and expired 13C-labeled carbon dioxide is measured from a nasal cannula.
Overall Study
Lost to Follow-up
5
Overall Study
Withdrawal by Subject
12
Overall Study
Physician Decision
3
Overall Study
Protocol Violation
13
Overall Study
Study was ended
1
Overall Study
Device malfunction
1

Baseline Characteristics

Use of Methacetin Breath Test to Predict Liver Failure in Patients With Cirrhosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Laboratory Assay
n=165 Participants
BreathID (Methacetin breath test): 13C-labeled methacetin (75 mg) is given to the patient by mouth in a small volume of water, and expired 13C-labeled carbon dioxide is measured from a nasal cannula.
Age, Continuous
55.7 years
STANDARD_DEVIATION 10.43 • n=5 Participants
Sex: Female, Male
Female
59 Participants
n=5 Participants
Sex: Female, Male
Male
106 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
163 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
99 participants
n=5 Participants
Region of Enrollment
Israel
66 participants
n=5 Participants
Chronic Liver Disease Etiology
Alcoholic Liver Disease
22 participants
n=5 Participants
Chronic Liver Disease Etiology
Cholestatic
16 participants
n=5 Participants
Chronic Liver Disease Etiology
Cryptogenic cirrhosis
17 participants
n=5 Participants
Chronic Liver Disease Etiology
Hepatitis B
5 participants
n=5 Participants
Chronic Liver Disease Etiology
Hepatitis C
75 participants
n=5 Participants
Chronic Liver Disease Etiology
Fatty LIver
19 participants
n=5 Participants
Chronic Liver Disease Etiology
Other
11 participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Patient dies of liver-related causes within 1 year of study entry

Outcome measures

Outcome measures
Measure
Laboratory Assay
n=165 Participants
BreathID (Methacetin breath test): 13C-labeled methacetin (75 mg) is given to the patient by mouth in a small volume of water, and expired 13C-labeled carbon dioxide is measured from a nasal cannula.
Mortality From Liver Failure
11 participants

SECONDARY outcome

Timeframe: 1 year

Patient experiences complications of liver failure within 1 year of study entry and undergoes liver transplantation

Outcome measures

Outcome measures
Measure
Laboratory Assay
n=165 Participants
BreathID (Methacetin breath test): 13C-labeled methacetin (75 mg) is given to the patient by mouth in a small volume of water, and expired 13C-labeled carbon dioxide is measured from a nasal cannula.
Liver Transplantation
34 participants

Adverse Events

Laboratory Assay

Serious events: 107 serious events
Other events: 92 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Laboratory Assay
n=165 participants at risk
BreathID (Methacetin breath test): 13C-labeled methacetin (75 mg) is given to the patient by mouth in a small volume of water, and expired 13C-labeled carbon dioxide is measured from a nasal cannula.
Hepatobiliary disorders
Transplantation
20.6%
34/165 • Number of events 34
No breath test related adverse events reported.
Hepatobiliary disorders
Death
6.7%
11/165 • Number of events 11
No breath test related adverse events reported.
Hepatobiliary disorders
Abdominal pain
4.8%
8/165 • Number of events 11
No breath test related adverse events reported.
Hepatobiliary disorders
Hepatic Encephelopathy
3.6%
6/165 • Number of events 13
No breath test related adverse events reported.
Hepatobiliary disorders
Ascites
3.0%
5/165 • Number of events 6
No breath test related adverse events reported.
Hepatobiliary disorders
GI Bleeding
3.0%
5/165 • Number of events 5
No breath test related adverse events reported.
Surgical and medical procedures
Liver related procedure-TIPS
3.0%
5/165 • Number of events 5
No breath test related adverse events reported.
Hepatobiliary disorders
SBP (spontaneous bacterial peritonitis)
4.8%
8/165 • Number of events 13
No breath test related adverse events reported.
Renal and urinary disorders
Renal failure
3.0%
5/165 • Number of events 6
No breath test related adverse events reported.
Hepatobiliary disorders
Cellulitis
1.2%
2/165 • Number of events 2
No breath test related adverse events reported.
Hepatobiliary disorders
Fluid in respiratory tract
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Renal and urinary disorders
Urinary tract infection
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Blood and lymphatic system disorders
Hyponatremia
1.8%
3/165 • Number of events 3
No breath test related adverse events reported.
Gastrointestinal disorders
Bowel Resection
0.61%
1/165 • Number of events 2
No breath test related adverse events reported.
Respiratory, thoracic and mediastinal disorders
Asthma
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Respiratory, thoracic and mediastinal disorders
Chest pain
1.2%
2/165 • Number of events 2
No breath test related adverse events reported.
Surgical and medical procedures
Band Ligation Procedure
1.2%
2/165 • Number of events 2
No breath test related adverse events reported.
Surgical and medical procedures
RFA
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Infections and infestations
Sepsis
4.2%
7/165 • Number of events 9
No breath test related adverse events reported.

Other adverse events

Other adverse events
Measure
Laboratory Assay
n=165 participants at risk
BreathID (Methacetin breath test): 13C-labeled methacetin (75 mg) is given to the patient by mouth in a small volume of water, and expired 13C-labeled carbon dioxide is measured from a nasal cannula.
Gastrointestinal disorders
Diarrhea
4.8%
8/165 • Number of events 9
No breath test related adverse events reported.
General disorders
Hernia
1.2%
2/165 • Number of events 3
No breath test related adverse events reported.
Gastrointestinal disorders
Abdominal Pain
3.0%
5/165 • Number of events 16
No breath test related adverse events reported.
General disorders
Assorted Pains (excluding abdominal)
7.9%
13/165 • Number of events 19
No breath test related adverse events reported.
Gastrointestinal disorders
Vomiting
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Musculoskeletal and connective tissue disorders
Hip Fracture
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Nervous system disorders
Headaches, Migraines, Dizziness
3.6%
6/165 • Number of events 12
No breath test related adverse events reported.
General disorders
Fatigue
1.8%
3/165 • Number of events 3
No breath test related adverse events reported.
Blood and lymphatic system disorders
Blood related disorders
3.0%
5/165 • Number of events 5
No breath test related adverse events reported.
Infections and infestations
Infections
3.0%
5/165 • Number of events 5
No breath test related adverse events reported.
Psychiatric disorders
Depression
1.8%
3/165 • Number of events 3
No breath test related adverse events reported.
Surgical and medical procedures
Out-patient procedure-Paracentesis
6.7%
11/165 • Number of events 64
No breath test related adverse events reported.
General disorders
Fluid accumulation-edema
1.2%
2/165 • Number of events 2
No breath test related adverse events reported.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignancies
1.8%
3/165 • Number of events 3
No breath test related adverse events reported.
General disorders
Itching
3.0%
5/165 • Number of events 5
No breath test related adverse events reported.
General disorders
Others
3.6%
6/165 • Number of events 6
No breath test related adverse events reported.
Nervous system disorders
Seizure
1.2%
2/165 • Number of events 2
No breath test related adverse events reported.
Respiratory, thoracic and mediastinal disorders
Pneumonia
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Musculoskeletal and connective tissue disorders
Hip replacement
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Musculoskeletal and connective tissue disorders
Difficulty ambulating
1.2%
2/165 • Number of events 2
No breath test related adverse events reported.
Gastrointestinal disorders
Melena
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Gastrointestinal disorders
Other Gastrointestinal Disorders
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Psychiatric disorders
Lightheadedness
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Psychiatric disorders
Anxiety
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Psychiatric disorders
Suicidal thoughts
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
Psychiatric disorders
Other psychiatric disorders
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.
General disorders
Pleural Effusion
0.61%
1/165 • Number of events 1
No breath test related adverse events reported.

Additional Information

R. Todd Stravitz

Virginia Commonwealth University

Phone: 804-828-8514

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60