Endoscopic Band Ligation (EBL) Versus Endoscopic Band Ligation and Propranolol for the Prevention of Variceal Rebleeding in Pts With Previous Variceal Treatment

This study is currently recruiting participants.
Verified August 2009 by Korea University
Sponsor:
Information provided by:
Korea University
ClinicalTrials.gov Identifier:
NCT00966082
First received: August 25, 2009
Last updated: NA
Last verified: August 2009
History: No changes posted

August 25, 2009
August 25, 2009
August 2008
July 2011   (final data collection date for primary outcome measure)
Rebleeding from esophageal varices [ Time Frame: 2 years ] [ Designated as safety issue: No ]
Same as current
No Changes Posted
Upper gastrointestinal bleeding; Significant esophageal variceal bleeding; Mortality; Adverse events [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
Same as current
Not Provided
Not Provided
 
Endoscopic Band Ligation (EBL) Versus Endoscopic Band Ligation and Propranolol for the Prevention of Variceal Rebleeding in Pts With Previous Variceal Treatment
RCT Comparing the Efficacies of Endoscopic Band Ligation (EBL) and Combined Treatment of Beta-blocker and EBL for the Prevention of Esophageal Variceal Rebleeding in Patients With Previous Endoscopic Variceal Treatment

Both propranolol and endoscopic band ligation (EBL) are effective for prevention of variceal rebleeding. Recently several studies compared the efficacy of EBL alone and with a combination of propranolol and EBL. However, the results of recent studies showed discrepancy. In addition, most of all recent studies included patients without previous endoscopic treatment for varices. This study is performed to compare the efficacy and safety of EBL alone and EBL combined with propranolol in patients who were previously performed endoscopic variceal treatment.

Not Provided
Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
  • Cirrhosis
  • Variceal Bleeding
  • Procedure: endoscopic band ligation
    Perform EBL until esophageal varices are eradicated, and then follow-up endoscopy with 3-6 months interval
  • Procedure: Endoscopic band ligation and propranolol

    Perform EBL until esophageal varices are eradicated, and then follow-up endoscopy with 3-6 months interval

    Active Comparator: EBL+Propranolol Perform EBL same as EBL group. In addition, take propranolol to reduce 25% in HR or HR ≤55/min

  • Active Comparator: Endoscopic band ligation
    Perform endoscopic band ligation (EBL) until eradication of esophageal varices, and then follow-up endoscopy with 3-6 months interval
    Intervention: Procedure: endoscopic band ligation
  • Active Comparator: EBL+Propranolol
    EBL
    Intervention: Procedure: Endoscopic band ligation and propranolol
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
180
July 2013
July 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Liver cirrhosis
  • Age between 18 and 70 years
  • Successful control of esophageal variceal bleeding within 6 weeks before enrollment

Exclusion Criteria:

  • Gastric variceal bleeding
  • Patients with systolic blood pressure <100 mmHg or basal heart rate <60/min
  • Portal vein thrombosis
  • Prominent hepatic encephalopathy
  • Coexisting untreated malignancy
  • Severe cerebrovascular or cardiovascular disease, renal failure
  • No previous history of endoscopic, radiologic, or surgical treatment for varices or ascites
  • Contraindication to beta-blocker
  • Pregnancy
  • Refusal to give consent to participate in the trial
Both
18 Years to 70 Years
No
Contact: Soon Ho Um, Prof 82-2-920-5019 umsh@korea.ac.kr
Contact: Yeon Seok Seo, MD 82-2-920-6608 drseo@korea.ac.kr
Korea, Republic of
 
NCT00966082
EBLPPL-2
No
Liver Cirrhosis Clinical Research Center, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Anam Hospital
Korea University
Not Provided
Not Provided
Korea University
August 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP