Efficacy of Pentoxifylline and Rifaximin Combination in Pentoxifylline Refractory Clinical and Subclinical Hepatopulmonary Syndrome

NCT ID: NCT01676597

Last Updated: 2013-12-17

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2014-09-30

Brief Summary

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* The study will be a prospective open labelled double blinded randomized controlled study.
* The study will be conducted on patients admitted to Department of Hepatology from 2012 to 2014 at Institute of Liver and Biliary Sciences, New Delhi
* Patients diagnosed as having clinical or subclinical hepatopulmonary syndrome will be started on oral pentoxifylline therapy 400 mg thrice daily for 12 weeks.
* Patients not responding to this therapy will be given divided into 2 arms with one arm receiving additional Tab Rifaximin 400 mg thrice daily or placebo for 12 weeks.

Detailed Description

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Conditions

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Hepatopulmonary Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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rifaximin and pentoxifylline

Tab Rifaximin 400 mg thrice daily + Pentoxifylline 400 mg thrice daily for 12 weeks

Group Type EXPERIMENTAL

Pentoxifylline and placebo

Intervention Type DRUG

Tab Pentoxifylline 400 mg thrice daily + Placebo thrice daily for 12 weeks

pentoxifylline and placebo

Tab Pentoxifylline 400 mg thrice daily + Placebo thrice daily for 12 weeks

Group Type ACTIVE_COMPARATOR

pentoxifylline and rifaximin

Intervention Type DRUG

Tab Rifaximin 400 mg thrice daily + Pentoxifylline 400 mg thrice daily for 12 weeks

Interventions

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pentoxifylline and rifaximin

Tab Rifaximin 400 mg thrice daily + Pentoxifylline 400 mg thrice daily for 12 weeks

Intervention Type DRUG

Pentoxifylline and placebo

Tab Pentoxifylline 400 mg thrice daily + Placebo thrice daily for 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Evidence of portal hypertension (esophagogastric varices or portal hypertensive gastropathy identified on esophagogastroduodenoscopy, and/or varices seen on computerized tomography scan or ultrasound, and/or splenomegaly with no other explanation, and/or ascites with no other explanation)
2. Intrapulmonary vascular dilatations (IPVDs) diagnosed on contrast echocardiogram (CE)
3. AaDO2 \> 15 mm Hg on standing room air arterial blood gas (ABG)
4. Ability and willingness to give informed consent

Exclusion Criteria

* Age \< 18 or \> 64
* Intrinsic significant cardiopulmonary disease
* Inability to perform pulmonary function tests
* Moderate to severe Pulmonary hypertension
* Advanced hepatic encephalopathy
* Inadequate echocardiographic window to allow for accurate transthoracic contrast echocardiography
* Antibiotic use within the last one month
* Listed for liver transplant in next 4 weeks
* Current use of exogenous nitrates
* Active bacterial infections
* Known malignancy
* Known intolerance to Pentoxifylline or rifaximin
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Liver and Biliary Sciences, India

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr Naveen Kumar, MD

Role: PRINCIPAL_INVESTIGATOR

Institute of Liver and Biliary Sciences

Locations

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Institute of Liver and Biliary Sciences

New Delhi, National Capital Territory of Delhi, India

Site Status RECRUITING

Countries

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India

Central Contacts

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Dr Naveen Kumar, MD

Role: CONTACT

Phone: 011-46300000

Email: [email protected]

Dr Ankit Bhardwaj

Role: CONTACT

Phone: 011-46300000

Email: [email protected]

Facility Contacts

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Dr Naveen, MD

Role: primary

Dr Ankit Bhardwaj

Role: backup

Other Identifiers

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ILBS-HPS-01

Identifier Type: -

Identifier Source: org_study_id