Hepatic Encephalopathy Clinical Trial
Official title:
Comparison of Different Treatment Regimens in Patients With Stage 1-2 Type C Hepatic Encephalopathy: AST-120 vs Lactulose
The purpose of this study is to evaluate the safety and effectiveness of the experimental drug AST-120 compared to lactulose in patients with mild hepatic encephalopathy.
This is a multi-center, open-label, four week trial comparing AST-120 to lactulose in
patients with mild (Stage 1-2) hepatic encephalopathy.
Patients will be randomized into two groups:
- Lactulose
- AST-120
Patients meeting the inclusion criteria will take either AST-120 or lactulose for 4 weeks
(28 days). AST-120 will be distributed in 2 gram sachets to be taken four times daily.
Lactulose will be taken in the same formulation, at the same dose and frequency as
previously prescribed for the individual patient.
Lactulose naïve patients who are randomized to lactulose will receive an initial dose of
30cc twice a day. The dose should be titrated at the discretion of the investigator until
the patient is experiencing 2-3 soft stools per day.
Patients randomized to AST-120 will receive 2 grams four times a day for the duration of the
study. Titration of AST-120 will NOT be allowed.
Patients will be evaluated throughout the study for efficacy and safety. A follow-up visit
will be scheduled 1 week after the end of the 4 week treatment period.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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