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Covered Transjugular Intrahepatic Portosystemic Stent Shunt versus Optimized medical Treatment for the Secondary Prevention of Variceal Bleeding in Cirrhosis

Covered Transjugular Intrahepatic Portosystemic Stent Shunt versus Optimized medical Treatment for the Secondary Prevention of Variceal Bleeding in Cirrhosis

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2005-003557-27-DE
Enrollment
Unknown
Registered
2005-11-21
Start date
Unknown
Completion date
Unknown
Last updated
2015-07-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

liver cirrhosis

Interventions

Trade Name: e.g. Dociton 10 Pharmaceutical Form: INN or Proposed INN: Propranolol Concentration unit: mg milligram(s) Concentration type: equal Trade Name: e.g. Dociton 40 Pharmaceutical Form: INN

Sponsors

Dean of the Medical Faculty (University of Bonn)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: ? liver cirrhosis (histological or clinical diagnosis) ? Child-Pugh-score 5 days prior to randomization ? clinical indication for rebleeding prophylaxis (i.e. presence of esophageal varices ? grade 2) ? age 18 to 75 years ? written informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: ? overt hepatic encephalopathy independent from bleeding ? prehepatic portal hypertension ? type II gastric varices as exclusive bleeding site ? established chronic drug treatment with betablockers and/or nitrates against portal hypertension ? listing for liver transplantation on T2 status ? existing portosystemic shunt (TIPS or surgical shunt) ? heart failure > NYHA 2 or ejection fraction < 40 % ? contraindication against propranolol or nitrates ? platelet count < 30 G/l, prothrombine index < 30 %, disseminated intravascular coagulation ? advanced malignancy or severe infection ? females of child bearing potential not using a safe contraceptive measure during the study or females with a positive pregnancy test prior to study or nursing women ? patients who participated in another clinical trial in the past which may interfere with the current trial

Design outcomes

Primary

MeasureTime frame
Main Objective: rebleeding incidence;Secondary Objective: overall survival, safety, quality of life and direct and indirect costs, side effects, complications;Primary end point(s): rebleeding

Countries

Germany

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026