Status:

TERMINATED

Tolvaptan to Reduce Length of Stay in Hospitalized Patients With Cirrhosis and Hyponatremia

Lead Sponsor:

NYU Langone Health

Collaborating Sponsors:

Otsuka America Pharmaceutical

Conditions:

Hyponatremia

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Hyponatremia is a condition in which there is a low sodium level in the blood. Individuals with cirrhosis may develop low blood sodium as a complication of their liver disease. In these patients, the ...

Detailed Description

As per hyponatremia standard treatment of care, all patients considered for the study will have had diuretic therapy discontinued for at least 1 day prior to the screening visit and received volume ex...

Eligibility Criteria

Inclusion

  • Cirrhosis
  • Screening within 24 hours of admission
  • Na level less than 130mEq/L
  • Presence of fluid overload with either history of ascites or edema
  • Cr \< 2.0mg/dl
  • Planned length of stay after randomization of at least 24 hours
  • Anticipated survival of at least 8 days
  • Ability to provide informed consent

Exclusion

  • Hospitalization greater than 24 hours at screening
  • Depletional hyponatremia
  • Hyponatremia due to hyperglycemia
  • Acute and transient hyponatremia associated with head trauma or post-operative states
  • Hyponatremia due to primary polydipsia, adrenal insufficiency, or hypothyroidism
  • Urgent need for treatment of hyponatremia with saline or hypertonic saline
  • Treatment with demeclocycline, lithium chloride, and urea
  • Cr greater than 2.0mg/dl
  • Stage 3 or 4 hepatic encephalopathy
  • Inability to provide informed consent
  • Planned discharge within 24 hours
  • Anticipated survival less than 8 days
  • GI bleeding within one month of enrollment

Key Trial Info

Start Date :

March 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2015

Estimated Enrollment :

2 Patients enrolled

Trial Details

Trial ID

NCT01890694

Start Date

March 1 2012

End Date

March 1 2015

Last Update

December 11 2017

Active Locations (1)

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NYU Langone Medical Center

New York, New York, United States, 10016