Health Condition 1: K769- Liver disease, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Liver cirrhosis patients between 18 to 70 yrs with low risk esophageal varices and HOD (osteoporosis/osteopenia will be enrolled). 2. Patient and attendants willing to give informed consent
Exclusion criteria
Exclusion criteria: 1. Age 70 years 2. Patients with prior history of fracture 3. History of upper GI bleed in last 2 months 4. Patients with post EVL ulcers 5. High risk esophageal varices or gastric varices without endoscopic treatment. 6. Active peptic ulcer 7. Severe vascular ectasia 8. Esophageal stricture 9. Achalasia 10. Creatinine clearance below 30ml/min 11. Malignancy(except HCC) 12. Hyperparathyroidism 13. Patients using NSAIDs, corticosteroids ,anticoagulants or ongoing alcohol beverages 14. Bisphosphonate hypersensitivity/Oral bisphosphonate within 12 months 15. Grade 2/3 ascites 16. Hepatic encephalopathy(Grade 3 &4) 17. Critically ill patients 18. Post LT patients 19. HRT within 6 mths 20. Pregnant and lactating women 21. Patient with bleeding disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in BMD at lumbar spineTimepoint: 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| Association between severity of HOD with severity of cirrhosisTimepoint: 1 year;Change in BMD at femur neckTimepoint: 1 year;Change in bone turnover marker after 1 year of ibandronateTimepoint: 1 year;Change in liver fraility index after 1 year of ibandronate therapyTimepoint: 1 year;Fracture rate after 1 year of ibandronate therapyTimepoint: 1 year;Incidence of UGI bleed in both armsTimepoint: 1 year | — |
Countries
India
Contacts
Institute of Liver and Biliary Sciences