Liver Cirrhosis, Child A or B
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) age between 18 and 75 years; (2) proven liver cirrhosis with a diagnosis based on histology or unequivocal clinical, sonographic, and laboratory findings; (3) alcoholic etiology of cirrhosis had to have refused taking alcohol for >=3 months before the start of the study; (4) Child-Pugh score >=9; and (5) absent or small esophageal varices.
Exclusion criteria
Exclusion criteria: (1) mean arterial pressure <60 mmHg; (2) ARB intolerance; (3) current treatment with ARB, angiotensin-converting enzyme inhibitors, or beta-blockers; (4) hypertrophic cardiomyopathy or renal arterial stenosis; (5) serum creatinine >1.6 mg/dL; (6) hyperkalemia defined as plasma potassium >5.5 meq/L; (7) hepatocellular carcinoma; and (8) portal thrombosis. Current treatment with diuretics was allowed and not changed during the study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is the rate of patients showing reduction in HVPG of more than 20% of baseline values after a year. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary endpoint is the rate of patients showing reduction in blood markers of hepatic fibrosis | — |
Countries
Japan
Contacts
Kitasato University East Hospital Department of Gastroenterology, Internal Medicine