Cirrhosis, Portal Hypertension
Conditions
Keywords
Cirrhosis, Portal Hypertension
Brief summary
Portal hypertension is a common complication of chronic liver diseases and is responsible for most clinical consequences of cirrhosis. measurement of the hepatic venous pressure gradient(HVPG) is the gold standard for evaluating the presence and severity of portal hypertension, this technique is considered invasive and is not routinely performed in all centers. Wisteria floribunda agglutinin-positive human Mac-2 binding protein (WFA+-M2BP) is a secreted N-glycoprotein, which has been reported as a novel marker in assessing liver fibrosis.However, the correlation of WFA+-M2BP with HVPG is unclear.The aim of this study was to explore the relationship between WFA+-M2BP and HVPG.
Detailed description
Portal hypertension is a common complication of chronic liver diseases and is responsible for most clinical consequences of cirrhosis. Accurate assessment of portal hypertension is essential for strategy of treatment and judgement of prognosis. Although measurement of the hepatic venous pressure gradient(HVPG) is the gold standard for evaluating the presence and severity of portal hypertension, this technique is considered invasive and is not routinely performed in all centers. Therefore, it is urgent to explore a noninvasive assessment of portal hypertension. Wisteria floribunda agglutinin-positive human Mac-2 binding protein (WFA+-M2BP) is a secreted N-glycoprotein, which has been reported as a novel marker in assessing liver fibrosis. Recently, a retrospective study investigated the role of WFA+-M2BP in assessing the degree of liver cirrhosis and predicting mortality. However, the correlation of WFA+-M2BP with HVPG is unclear. And the role of WFA+-M2BP in predicting the clinical outcome of liver fibrosis patients is needed to be further evaluated. The aim of this study was to explore the relationship between WFA+-M2BP and HVPG, as well as its predictive ability of complication rate, including large varices, bleed status, and ascites, and liver disease-related mortality.
Interventions
DRUGCarvedilol
an initial dose of 6.25 mg once-daily that was adjusted over 5-7 days to the maximum tolerated dose, keeping heart rate \>55 beats per minute, or up to 12.5 mg/day
Sponsors
Shandong Provincial Hospital
Shanghai Changzheng Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Patients agreed to sign the informed consents 2. Patients aged 18-80 years,males or females 3. Patients with liver cirrhosis was diagnosed by previous liver biopsy or by compatible clinical, biochemical, and ultrasonographic/CT/MRI findings. 4. Patients were not treated with nonselective β-blockers(propranolol or carvedilol ) within previous 3 months
Exclusion criteria
1. Uncontrolled hypertension, diabetes or other serious cardiac problems（NYHA class IV）and pulmonary disease 2. Severe renal function injury(serum creatinine≥1.2 fold of upper limits of normal) 3. Conformed or highly suspicious diagnosis of liver malignant tumors or concomitant disease with reduced life expectancy 4. Acute hepatic failure or acute on chronic liver failure(ACLF) 5. Human immunodeficiency virus(HIV) infection 6. Previous portosystemic shunt 7. After liver transplantation 8. Pregnancy and breastfeeding 9. With contraindications of intervention surgery(hypersensitivity to iodinated contrast media, puncture site infection, severe coagulation defects, uncontrolled hyperthyroidism and multiple myeloma) 10. Participated in other drug clinical trails within 3 months 11. The researchers thought it was not suitable for this clinical trail
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| serum WFA+-M2BP levels | 3 months | serum WFA+-M2BP levels |
| Changes of portal pressure (PP) | 3 months | portal pressure (PP) will be estimated from the hepatic venous pressure gradient(HVPG) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of death or liver transplantation | up to 1 year | number of death or liver transplantation |
| complications of cirrhosis | up to 1 year | large varices, bleed status and ascites |
Contacts
Primary ContactWei-Fen Xie, MD
Outcome results
None listed