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The Safety & Efficacy of Terlipressin vs Octreotide for the Control of Variceal Bleed
This study has been completed.
First Received: September 24, 2007   Last Updated: December 4, 2007   History of Changes
Sponsor: Aga Khan University
Information provided by: Aga Khan University
ClinicalTrials.gov Identifier: NCT00534677
  Purpose

Terlipressin and Octreotide are two common agents used as adjuvants in the management of variceal bleeding. Both agents have been claimed equivalent to endoscopic therapy in randomized studies. There are no head to head clinical trials of these two agents available in the literature. We aimed to compare the efficacy and safety of Terlipressin and Octreotide in combination with Endoscopic Variceal band Ligation (EVL)in patients presenting with Esophageal Variceal Bleed (EVB).


Condition Intervention Phase
Portal Hypertension
Cirrhosis
Hematemesis
Melena
Drug: Terlipressin
Drug: Octreotide
Phase IV

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Efficacy And Safety Of Terlipressin Vs Octreotide As Adjuvant Therapy In Bleeding Esophageal Varices

Resource links provided by NLM:


Further study details as provided by Aga Khan University:

Primary Outcome Measures:
  • Safety & Efficacy [ Time Frame: 5 days ] [ Designated as safety issue: Yes ]

Enrollment: 320
Study Start Date: May 2004
Study Completion Date: July 2005
Arms Assigned Interventions
A: Active Comparator Drug: Terlipressin
2 mg stat & then 1 mg q6h iv and Placebo of Octreotide
B: Active Comparator Drug: Octreotide
Octreotide 50mcg/hr infusion & a placebo of Terlipressin

Detailed Description:

The effectiveness of combining Endoscopic treatment with Octreotide or Terlipressin has not been prospectively studied in esophageal variceal hemorrhage (EVH).

This prospective, randomized clinical trial will help us in better patient management more efficiently and cost effectively.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All cirrhotic patients with upper GI bleed secondary to esophageal varices of 18 years or more of age

Exclusion Criteria:

  • Ulcerative esophagitis,
  • Mallory Weiss tear,
  • Bleeding gastric or duodenal ulcers,
  • Bleeding from gastric varices or portal hypertensive gastropathy and
  • Upper GI bleed as a result of thrombocytopenia or bleeding diathesis.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00534677

Locations
Pakistan, Sindh
The Aga Khan University Hospital
Karachi, Sindh, Pakistan, 74800
Sponsors and Collaborators
Aga Khan University
Investigators
Principal Investigator: Shahab Abid, FCPS, FACG The Aga Khan University
Study Director: Wasim Jafri, FRCP, FACG The Aga Khan University
Study Director: Saeed S Hamid, FRCP, FACG The Aga Khan University
Study Director: Salih Mohammad, FCPS; MACG The Aga Khan University
  More Information

No publications provided

Responsible Party: The Aga Khan University ( Dr. Shahab Abid )
Study ID Numbers: 297-Med/ERC-04
Study First Received: September 24, 2007
Last Updated: December 4, 2007
ClinicalTrials.gov Identifier: NCT00534677     History of Changes
Health Authority: Pakistan: Research Ethics Committee

Keywords provided by Aga Khan University:
Variceal bleed
Cirrhosis
Vasoactive agents
Terlipressin
Octreotide
Safety & Efficacy

Additional relevant MeSH terms:
Liver Diseases
Vomiting
Coagulants
Signs and Symptoms, Digestive
Gastrointestinal Diseases
Fibrosis
Antineoplastic Agents
Physiological Effects of Drugs
Hematologic Agents
Octreotide
Liver Cirrhosis
Hypertension, Portal
Hemorrhage
Signs and Symptoms
Pathologic Processes
Therapeutic Uses
Terlipressin
Vasoconstrictor Agents
Cardiovascular Diseases
Hematemesis
Lysine Vasopressin
Antineoplastic Agents, Hormonal
Gastrointestinal Hemorrhage
Vascular Diseases
Gastrointestinal Agents
Cardiovascular Agents
Antihypertensive Agents
Hemostatics
Pharmacologic Actions
Digestive System Diseases

ClinicalTrials.gov processed this record on November 09, 2009