Decompensated cirrhosis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with ascites due to cirrhosis, poorly reacted by following conventional diuretics. 1)more than 40mg furosemide + more than 25mg spironolactone or 2)more than 20mg furosemide + more than 50mg spironolactone
Exclusion criteria
Exclusion criteria: (1)Hepatic encephalopathy (2)Hepatocellular carcinoma vascular invasion is observed in hepatic vein trunk, portal vein trunk,or inferior vena cava (3)NYHA Class 3 or more of heart disease (4)anuria, urinary tract stenosis, stones, or tumors urinary excretion. (5)Patients with cerebrovascular disease within 30 days. (6)Patients with following laboratory values can be seen:Hb<8.0g/dl,T-bil> 4.0mg/dl,Cre>2.0mg/dl,serum Na>147mEq/l,serum K>5.5mEq/l
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the relationship between the pharmacokinetics of Tolvaptan and portal hypertension. | — |
Secondary
| Measure | Time frame |
|---|---|
| the relationship between the diuretic effect and the pharmacokinetics of Tolvaptan. | — |
Countries
Japan
Contacts
Juntendo University Nerima Hospital Department of Gastroenterology