ETOS: Minimal Hepatic Encephalopathy in Childhood and Young Adult: epidemiOlogical Study and Pilot Interventional Study

NCT ID: NCT01798329

Last Updated: 2013-02-25

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

PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2015-09-30

Brief Summary

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The aim of the study is:

* Epidemiological/observational: investigating the presence of neuropsychological and electrophysiological alterations, suggesting a condition of minimal hepatic encephalopathy(and its behavioral correlates), in childhood and young adulthood affected by pre-hepatic portal hypertension due to portal vein thrombosis, even for implementing specific diagnostic protocols.
* Interventional: collecting preliminary data on the effects of a probiotic, in order to implement a controlled clinical study.

Detailed Description

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Epidemiological/observational study investigating the presence of neuropsychological and electrophysiological alterations, suggesting a condition of minimal hepatic encephalopathy(and its behavioral correlates), in childhood and young adulthood affected by pre-hepatic portal hypertension due to portal vein thrombosis, even for implementing specific diagnostic protocols

Conditions

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Hepatic Encephalopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Probiotic

Probiotic VSL#3 for 15 weeks, dosage variations according to the weight

Group Type ACTIVE_COMPARATOR

probiotic VSL#3

Intervention Type DIETARY_SUPPLEMENT

VSL#3 is a probiotic that reduces:

* urease faecal activity
* faecal pH
* inflammatory cytokine

Placebo

subjects treated with placebo for 15 weeks

Group Type PLACEBO_COMPARATOR

No interventions assigned to this group

Interventions

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probiotic VSL#3

VSL#3 is a probiotic that reduces:

* urease faecal activity
* faecal pH
* inflammatory cytokine

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* extra-hepatic portal vein thrombosis
* 4-20 years
* knowledge of italian language
* absence of perceptive or communicative deficit
* absence of psychiatric disease or mental retardation

Exclusion Criteria

* medical contraindications for required evaluations
* infective pathologies
* parenchymal hepatic pathologies
Minimum Eligible Age

4 Years

Maximum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Padova

OTHER

Sponsor Role collaborator

A.O. Ospedale Papa Giovanni XXIII

OTHER

Sponsor Role lead

Responsible Party

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Dr. Lorenzo D'Antiga

MD, Director of Pediatric Unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Azienda Ospedaliera Papa Giovanni XXIII

Bergamo, , Italy

Site Status

University of Padua

Padua, , Italy

Site Status

Countries

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Italy

Central Contacts

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Lorenzo D'Antiga, MD

Role: CONTACT

+39 0352673856

Ave Maria Biffi, psychologist

Role: CONTACT

+39 0352674482

Facility Contacts

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Lorenzo D'Antiga, MD

Role: primary

+39 0352673856

References

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Amodio P, Montagnese S, Gatta A, Morgan MY. Characteristics of minimal hepatic encephalopathy. Metab Brain Dis. 2004 Dec;19(3-4):253-67. doi: 10.1023/b:mebr.0000043975.01841.de.

Reference Type BACKGROUND
PMID: 15554421 (View on PubMed)

Amodio P, Campagna F, Olianas S, Iannizzi P, Mapelli D, Penzo M, Angeli P, Gatta A. Detection of minimal hepatic encephalopathy: normalization and optimization of the Psychometric Hepatic Encephalopathy Score. A neuropsychological and quantified EEG study. J Hepatol. 2008 Sep;49(3):346-53. doi: 10.1016/j.jhep.2008.04.022. Epub 2008 Jun 2.

Reference Type BACKGROUND
PMID: 18602716 (View on PubMed)

Amodio P, Marchetti P, Del Piccolo F, de Tourtchaninoff M, Varghese P, Zuliani C, Campo G, Gatta A, Guerit JM. Spectral versus visual EEG analysis in mild hepatic encephalopathy. Clin Neurophysiol. 1999 Aug;110(8):1334-44. doi: 10.1016/s1388-2457(99)00076-0.

Reference Type BACKGROUND
PMID: 10454268 (View on PubMed)

Amodio P, Del Piccolo F, Marchetti P, Angeli P, Iemmolo R, Caregaro L, Merkel C, Gerunda G, Gatta A. Clinical features and survivial of cirrhotic patients with subclinical cognitive alterations detected by the number connection test and computerized psychometric tests. Hepatology. 1999 Jun;29(6):1662-7. doi: 10.1002/hep.510290619.

Reference Type BACKGROUND
PMID: 10347105 (View on PubMed)

Other Identifiers

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ETOS

Identifier Type: -

Identifier Source: org_study_id

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