Status:

COMPLETED

Brain Muscle Axis During Treatment of Hepatic Encephalopathy With L-ornithine L-aspartate

Lead Sponsor:

Imperial College London

Conditions:

Hepatic Encephalopathy

Minimal Hepatic Encephalopathy

Eligibility:

All Genders

18-65 years

Phase:

PHASE4

Brief Summary

Patients with cirrhosis of the liver may suffer from a condition called hepatic encephalopathy which in its mildest form as mental slowing and impaired reaction times in driving and machinery operatio...

Detailed Description

This is a Phase IV randomised double blind, placebo controlled study. Thirty four patients with cirrhosis will be studied with psychometric tests, clinical brain magnetic resonance imaging(MRI),includ...

Eligibility Criteria

Inclusion

  • Ambulant patients of any Child-Pugh stage cirrhosi and PHEs defined MHe or grade 1 encephalopathy

Exclusion

  • Previous episodes of overt HE without a clear precipitant
  • Recurrent excessive alcohol consumption (abstinence for those with alcoholic liver disease otherwise less than 28 units per week)
  • Severe coagulopathy (INR\>2, platelets \<60 000/uL, Fibrinogen \<1mg/dl)
  • known myopathy or myositis, taruma to lower extremities within 3 months)
  • Renal dysfunction with a serum creatinine\>3mg/dl (265micromol/L)
  • Ferromagnetic implants
  • Recent intestinal haemorrhage within 1 month
  • Claustrophobia
  • Weight \>120kg
  • Major psychoactive medication such as antipsychotic agents
  • Known cerebrovascular disease or pre-existing neurological conditions
  • Age less than 18 or greater than 65.

Key Trial Info

Start Date :

August 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2015

Estimated Enrollment :

42 Patients enrolled

Trial Details

Trial ID

NCT01847651

Start Date

August 1 2013

End Date

June 1 2015

Last Update

October 22 2015

Active Locations (1)

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1

Liver unit St Mary's Hospital, 10th floor QEQM Wing, South Wharf Road

London, London, United Kingdom, W2 1NY