cirrhosis and portal hypertension MedDRA version: 20.0 Level: HLT Classification code 10036201 Term: Portal hypertensions System Organ Class: 100000004866 MedDRA version: 20.0 Level: LLT Classification code 10009211 Term: Cirrhosis liver System Organ Class: 100000004871
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -age> 18 years -diagnosed with cirrhosis -informed consent -clinical indication for liver vein catherisation (LVC) and/or transjugular intrahepatic portosystemic shunt (TIPS) 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 44 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range 0
Exclusion criteria
Exclusion criteria: servere liver disease (Child Pugh class 12-15) pregnancy incable to understand or read Danish side effects og allergies to Metformin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Main objective of the study is to investigate if Metformin lowers portal blood pressure in patients with cirrhosis. ;Secondary Objective: The effect/changes of Metformin on intestine and liver ;Primary end point(s): Changes in portal pressure during LVC (Metformin vs placebo) Changes in Plasma lactate concentration in v. porta before/after Metformin;Timepoint(s) of evaluation of this end point: 90 minutes after oral consumption | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Metabolic changes in the intestine (arterial blood - v. porta) and liver (v. porta - v. hepatica): Lactate, glucose, purovate, ketones, H+(pH), cytokines, Metformin, TNF- a, insulin, glucagon, GLP-1, GIP, VIP, ammonium, FGF-21 and amino acids. ;Timepoint(s) of evaluation of this end point: 90 minutes after oral consumption | — |
Countries
Denmark
Contacts
Aarhus University Hospital