Status:

COMPLETED

Norepinephrine Infusion Versus Midodrine & Octreotide in Patients With Hepatorenal Syndrome Type 1.

Lead Sponsor:

National Hepatology & Tropical Medicine Research Institute

Conditions:

Renal Impairment in Hepatorenal Syndrome

Eligibility:

All Genders

18-75 years

Phase:

PHASE4

Brief Summary

This study aimed to investigate the efficacy of midodrine plus octreotide versus norepinephrine and to determine the predictive factors of response in patients with HRS-AKI.

Detailed Description

Both sexes aged 18 years or older having cirrhosis, ascites, and a diagnosis of HRS-AKI based on the 2015 International Club of Ascites (ICA) diagnostic criteria \[2\] were eligible for participation....

Eligibility Criteria

Inclusion

  • All patients that will be included in the study have cirrhosis as diagnosed by clinical, biochemical, and ultrasound findings, with HRS type 1, the absence of bacterial infections; however, patients with bacterial infections could be included in the study if renal failure persisted after infection resolution by clinical, laboratory indices up to 48 hours.

Exclusion

  • Patients will be excluded if there are advanced cardiovascular diseases due to poor prognosis or any extrahepatic disease that could affect the short-term prognosis, the presence of advanced hepatocellular carcinoma or presence of contraindication to norepinephrine as hypotension due to blood volume deficits except emergency measure, mesenteric or peripheral vascular thrombosis unless there is life-saving procedure, profound hypoxia or hypercarbia.

Key Trial Info

Start Date :

August 15 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 10 2020

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT03455322

Start Date

August 15 2018

End Date

July 10 2020

Last Update

February 23 2021

Active Locations (1)

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NHTMRI

Cairo, Egypt