Ascites, Liver Cirrhosis
Conditions
Brief summary
Primary: To evaluate the efficacy of satavaptan in the absence of concomitant diuretic drugs in reducing the recurrence of ascites. Secondary: To evaluate the tolerability and safety of satavaptan in the absence of concomitant diuretic drugs over a 52-week treatment period in patients with cirrhosis of the liver and recurrent ascites. The one-year double blind placebo controlled period is extended up to 2 years in a long term safety study (PASCCAL-2).
Interventions
oral administration once daily
oral administration once daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with cirrhosis of the liver. * Patients resistant to the effects of diuretics, intolerant of diuretics or otherwise unsuitable for treatment with diuretics according to the judgement of the investigator. * Patients with recurrent ascites having undergone both of the following: * therapeutic paracentesis for the removal of ascites in the previous 24 hours with the removal of = or \> 4 litres of fluid. * at least one other therapeutic paracentesis in the previous 3 months.
Exclusion criteria
* Patients with an existing functional transjugular intrahepatic portosystemic shunt (TIPS) or other shunt. * Known hepatocellular carcinoma. * Patients with ascites of cardiac origin or due to peritoneal infection (e.g. tuberculosis) or peritoneal carcinoma * Patients previously exposed to satavaptan in the past 12 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number and time of recurrences of therapeutic paracenteses | up to 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Time from randomisation to first recurrence of ascites | study period |
| Increase in ascites | over 12 weeks |
Countries
Argentina, Australia, Belgium, Bosnia and Herzegovina, Brazil, Bulgaria, Canada, Chile, Czechia, France, Germany, Malaysia, Mexico, Poland, Romania, Russia, Serbia, Singapore, Spain, Turkey (Türkiye), United States