Status:

NOT_YET_RECRUITING

Clinical Study to Evaluate the Efficacy and Safety of Dapagliflozin in Patients With Refractory Cirrhotic Ascites

Lead Sponsor:

Mansoura University

Conditions:

Refractory Ascites

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The aim of this clinical trial is to evaluate the safety and efficacy of low dose dapagliflozin use along with standard care versus the standard care alone in improving the clinical outcomes of patien...

Eligibility Criteria

Inclusion

  • Adults \>18 years diagnosed with decompensated liver cirrhosis complicated with ascites grade 2.
  • Refractory ascites defined as one of the following:
  • Ascites cannot be mobilized despite adherence to low sodium diet of ≤88 mmol/day for ≥1 week and maximum diuretic treatment dose (spironolactone 400 mg/day or furosemide (160 mg/day).
  • Recurrence can't be prevented by medical therapy, Re-appearance of grade 2 or moderate ascites with moderate symmetrical abdominal distention, or grade 3 with massive ascites with marked abdominal distention within 4 weeks of initial mobilization.

Exclusion

  • Presenting blood pressure below 90/60 or history of hypotension requires vasopressor treatment.
  • History of recurrent urinary tract infections, defined by the occurrence of 2 or more acute UTIs within months or 3 within a year.
  • History of hypersensitivity to SGLT2 inhibitors.
  • History of diabetic ketoacidosis or presence of risk factors for DKA (i.e alcohol consumption, type 1 diabetes).
  • Pregnant or lactating women.
  • History of recurrent episodes of hypoglycemia defined as plasma glucose concentration \<70mg/dL.
  • Severe renal dysfunction defined as, eGFR \<20 ml/min/1.73m2.

Key Trial Info

Start Date :

April 15 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 15 2025

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT06919523

Start Date

April 15 2025

End Date

September 15 2025

Last Update

April 9 2025

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