In the prevention of variceal bleeding betablockers are used. The efficacy of betablockers is evaluated by repeated HVPG measurement. The aims: To evaluate the relationship between the polymorphisms of beta-2 adrenergic receptors to the treatment response in patients with portal hypertension treated with carvedilol. Project will be performed as a prospective study on 100 patients with liver cirrhosis and portal hypertension MedDRA version: 13.1 Level: LLT Classification code 10009210 Term: Cirr
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Liver cirrhosis with portal hypertension and esophageal varices Indication for treatment with betablockers in the prevention of variceal bleeding Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 100 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Hepatocellular carcinoma Advanced liver failure (Child-Pugh more than 13 points) Contraindication to carvedilol: Decompensated hearth failureNYHA IV Known sensitivity to carvedilol or vehicules Astma bronchiale A-V block 2-3. degree Severe bradycardie (under 50 beats/min) Cardiogenic shock Sick-sinus syndrom Severe hypotension (systolic BP under 85 mm Hg) Portosystemic shunt Portal vein thrombosis Gravidity or lactation Age under 18 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the relationship between the polymorphisms of beta-2 adrenergic receptors to the treatment response in patients with portal hypertension treated with carvedilol;Secondary Objective: To evaluate the relationship between noninvasive parameters of hepatic fibrosis and degree of portal hypertension and to evaluate the possibility to replace the invasive measurement of HVPG by use of these parameters;Primary end point(s): treatmen efficacy;Timepoint(s) of evaluation of this end point: 2 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): No secondary endpoints;Timepoint(s) of evaluation of this end point: See E.5.2 | — |
Countries
Czech Republic
Contacts
Všeobecná fakultní nemocnice v Praze