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Clinical Trial Summary

We will address the hypothesis that refractory ascites and Type 2 hepatorenal syndrome are mediated in part by diminished circulatory volume and that treatment with midodrine, octreotide and albumin can improve renal and patient outcomes by restoring effective circulating volume and systemic perfusion.

Our primary objective is to assess change in creatinine clearance using inulin. We will enroll 15 patients with Type 2 hepatorenal syndrome or refractory ascites once inclusion and exclusion criteria are satisfied. They will be treated for 1 month with octreotide LAR, albumin and midodrine. Renal, serum and neurohormonal parameters will be measured before, during, and after initiation of drug and compared.


Clinical Trial Description

n/a


Study Design

Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


NCT number NCT00240045
Study type Interventional
Source University of Alberta
Contact
Status Completed
Phase Phase 2/Phase 3
Start date October 2005
Completion date July 2007

See also
  Status Clinical Trial Phase
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Active, not recruiting NCT01438970 - Effects of Treatment of Ascites by the ALFApump System on Renal and Circulatory Function Phase 2
Not yet recruiting NCT04621617 - Midodrine and Albumin in Patients With Refractory Ascites Phase 3
Recruiting NCT05700708 - Point-of-Care Echocardiography to Assess Impact of Dynamic Cardiac Function, Renal and Cardiac Biomarkers in Cirrhosis With Refractory Ascites
Terminated NCT02026609 - Glutamine Challenge as Predictor of Hepatic Encephalopathy After Transjugular Intrahepatic Portosystemic Shunt (TIPS) N/A
Recruiting NCT01558895 - Infrared Ray Heat Treatment in Liver Cirrhosis Patients With Refractory Ascites Phase 2/Phase 3
Recruiting NCT04043858 - Safety and Efficacy of Midodrine Hydrochloride in the Management of Refractory Ascites Due to Cirrhosis in Children N/A
Completed NCT01532427 - ALFApump System Post Marketing Surveillance Registry
Completed NCT01440829 - The Effectiveness of L-ornithine-L-aspartate (LOLA) on Plasma Ammonia in Cirrhotic Patients After TIPS Phase 2/Phase 3
Completed NCT00870662 - A Feasibility Study of the Automated Fluid Shunt (AFS) for Automated Ascites Removal N/A
Active, not recruiting NCT05434286 - Point-of-Care Echocardiography to Assess Impact of Dynamic Cardiac Function, Renal and Cardiac Biomarkers in Cirrhosis With Hepatorenal Syndrome-Acute Kidney Injury
Completed NCT06196723 - Early Transjugular Intrahepatic Portosystemic Shunts Improve Survival in Patients With Cirrhosis and Recurrent Ascites