Carvedilol vs. Propranolol in Second Prophylaxis of Variceal Bleeding
Launched by WEST CHINA HOSPITAL · Dec 14, 2022
Trial Information
Current as of January 13, 2025
Unknown status
Keywords
ClinConnect Summary
Non-selective beta blockers combined with endoscopic variceal band ligation (EVL) is the most effective methods for the prevention of variceal bleeding. Carvedilol has emerged as the preferred NSBB for treating portal hypertension in compensated cirrhosis due to strong evidence demonstrating that it has a more pronounced effect than propranolol to reduce the hepatic vein pressure gradient (HVPG), together with good patient acceptability and safety profile. However, No data from prospectively designed trials are available on the efficacy of carvedilol in the secondary prophylaxis of variceal...
Gender
ALL
Eligibility criteria
- Inclusion Criteria:
- • Between 18 and 80 years old;
- • With liver cirrhosis diagnosed by previous biopsy or by clinical criteria, and analytical image;
- • At least 5 days after index variceal bleeding;
- • Informed consent.
- Exclusion Criteria:
- • Refusal to participate in the study;
- • Portal hypertension resulting from other causes than liver cirrhosis;
- • More than 42 days after index variceal bleeding;
- • Bleeding from cardiofundal gastric varices;
- • Portal venous thrombosis \>50% of the portal vein trunk;
- • Contraindications to beta-blockers (asthma, chronic obstructive pulmonary disease, atrioventricular block, heart failure, bradycardia with HR ≤40 bpm, arteria hypotension with systolic blood pressure \<90 mm Hg, peripheral arterial disease, uncontrolled diabetes);
- • Prior NSBB+EVL combined treatment, TIPS implantation or surgical shunt as secondary prophylaxis of variceal bledding;
- • Chronic kidney disease;
- • Pregnancy or lactation;
- • Neoplastic disease.
Trial Officials
Xuefeng Luo, M.D.
Principal Investigator
West China Hospital
About West China Hospital
West China Hospital, affiliated with Sichuan University, is a leading medical institution renowned for its comprehensive healthcare services, advanced research initiatives, and commitment to medical education. As a prominent clinical trial sponsor, the hospital leverages its extensive resources and expertise to facilitate innovative research in various therapeutic areas. With a focus on improving patient outcomes and advancing medical knowledge, West China Hospital collaborates with various stakeholders to conduct rigorous clinical trials that adhere to the highest ethical and scientific standards. Its state-of-the-art facilities and multidisciplinary teams ensure the successful execution of trials, contributing significantly to the global healthcare landscape.
Contacts
Jennifer Cobb
Immunology at National Institute of Allergy and Infectious Diseases (NIAID)
Locations
People applied
Timeline
First submit
Trial launched
Trial updated
Estimated completion
Not reported
Discussion 0
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