Liver Cirrhosis Clinical Trial
Official title:
Hemodynamic Response of Rifaximin and Non-selective β-blocker Combination Therapy Versus Non-selective β-blocker Monotherapy in Cirrhotic Patients With Esophageal Varices
To reduce portal pressure, the only recommended medication is nonselective beta
blocker(NSBB). However, NSBB has some limitation to apply clinically because of poor
response rate and compliance.
Recent literature has supported the role of bacterial translocation as a mediator of
splanchnic vasodilatation and portal hypertension. This stimulates the release of
pro-inflammatory cytokines and the activation of the vasodilator NO resulting in a more
pronounced deterioration of the baseline hyperdynamic circulatory state. Selective gut
decontamination with Rifaximin can induce inhibition of bacterial translocation and
associated worsening of portal hypertension. The investigators hypothesized that Rifaximin
plus NSBB could result in decrease of portal pressure in cirrhotic patients with esophageal
varices.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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