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Study · Randomized controlled trial · n = 87 · 1993

5 results

Terlipressin plus transdermal nitroglycerin vs. octreotide in the control of acute bleeding from esophageal varices: a multicenter randomized trial.

Silvain C, Carpentier S, Sautereau D, Czernichow B, Métreau JM, Fort E, Ingrand P, Boyer J, Pillegand B, Doffël M

Hepatology (Baltimore, Md.)1 Jul 1993Cited by 59 (Europe PMC)

Summary

The text of this summary is not shown here, because the article license does not allow reuse. Read it at the source (opens in a new tab)

Text rights: Publisher copyright. Results still quote short attributed sentences.

Results from this study5

5 results from studies that gave the peptide. 5 results from people.

  1. 01HumanRandomized controlled trialEfficacy outcome

    In cirrhotic patients with variceal bleeding, octreotide controlled bleeding in 78% (36/46) versus 59% (24 of 41) with terlipressin plus nitroglycerin (p = 0.064).

    In plain wordsIn variceal bleeding, octreotide controlled bleeding in 78% versus 59% with terlipressin plus nitroglycerin (p = 0.064).

    Peptide
    Octreotide
    Outcome
    IncreaseBleeding control at 12 hr
    Study

    n = 87

    Comparator
    Terlipressin plus transdermal nitroglycerin
    Outcome group
    Gastrointestinal protection · Gastrointestinal
    Studied dose
    25 micrograms/hr · intravenous infusion · 12 hrAs given in this study (human).

    Measurements

    Bleeding controlled at 12 hr
    78%
    octreotide group, 36 of 46 patients
    Bleeding controlled at 12 hr
    59%
    terlipressin plus nitroglycerin group, 24 of 41 patients

    Source sentences

    Summary
    At 12 hr, bleeding was controlled in 59% (24 of 41) in group 1 and 78% (36/46) of group 2 patients (Fisher's exact test, p = 0.064).
    2 context sentences
    Summary · context
    Over 16 mo, 87 patients with endoscopically proved active bleeding from esophageal or cardiac varices were enrolled in five centers in France and randomly assigned to receive intravenous terlipressin (2 mg and then 1 mg/4 hr over 24 hr) and transdermal nitroglycerin (10 mg/12 hr over 24 hr) (group 1)
    Summary · context
    or octreotide (continuous intravenous infusion of 25 micrograms/hr over 12 hr and then 100 micrograms at hr 12 and hr 18 subcutaneously) (group 2).
  2. 02HumanRandomized controlled trialEfficacy outcome

    In variceal bleeding, mean transfusion requirement was one blood unit (range 0 to 5) with octreotide versus three (range 0 to 13) with terlipressin plus nitroglycerin (p = 0.002).

    In plain wordsIn variceal bleeding, octreotide required fewer blood units than terlipressin plus nitroglycerin.

    Peptide
    Octreotide
    Outcome
    DecreaseTransfusion requirements over 12 hr
    Study

    n = 87

    Comparator
    Terlipressin plus transdermal nitroglycerin
    Outcome group
    Gastrointestinal protection · Gastrointestinal
    Studied dose
    25 micrograms/hr · intravenous infusion · 12 hrAs given in this study (human).

    Measurements

    Mean transfusion requirement over 12 hr
    1 blood units
    octreotide group, range 0 to 5
    Mean transfusion requirement over 12 hr
    3 blood units
    terlipressin plus nitroglycerin group, range 0 to 13

    Source sentences

    Summary
    Mean transfusion requirements over this 12-hr period were significantly greater in group 1 (three blood units; range = 0 to 13) than in group 2 (one blood unit; range = 0 to 5) (p = 0.002).
    2 context sentences
    Summary · context
    Over 16 mo, 87 patients with endoscopically proved active bleeding from esophageal or cardiac varices were enrolled in five centers in France and randomly assigned to receive intravenous terlipressin (2 mg and then 1 mg/4 hr over 24 hr) and transdermal nitroglycerin (10 mg/12 hr over 24 hr) (group 1)
    Summary · context
    or octreotide (continuous intravenous infusion of 25 micrograms/hr over 12 hr and then 100 micrograms at hr 12 and hr 18 subcutaneously) (group 2).
  3. 03HumanRandomized controlled trialSafety outcome

    In variceal bleeding, three patients (6%) died with octreotide versus five (12%) with terlipressin plus nitroglycerin within 48 hr.

    In plain wordsIn variceal bleeding, deaths within 48 hours were 6% with octreotide versus 12% with terlipressin plus nitroglycerin.

    Peptide
    Octreotide
    Outcome
    DecreaseMortality within 48 hr
    Study

    n = 87

    Comparator
    Terlipressin plus transdermal nitroglycerin
    Outcome group
    Mortality · Gastrointestinal
    Studied dose
    25 micrograms/hr over 12 hr, then 100 micrograms at hr 12 and hr 18 · intravenous infusion followed by subcutaneous injectionAs given in this study (human).

    Measurements

    Deaths within first 48 hr
    6%
    octreotide group, 3 patients
    Deaths within first 48 hr
    12%
    terlipressin plus nitroglycerin group, 5 patients

    Source sentences

    Summary
    During the first 48-hr period, five patients (12%) died in group 1, compared with 3 (6%) in group 2.
    2 context sentences
    Summary · context
    Over 16 mo, 87 patients with endoscopically proved active bleeding from esophageal or cardiac varices were enrolled in five centers in France and randomly assigned to receive intravenous terlipressin (2 mg and then 1 mg/4 hr over 24 hr) and transdermal nitroglycerin (10 mg/12 hr over 24 hr) (group 1)
    Summary · context
    or octreotide (continuous intravenous infusion of 25 micrograms/hr over 12 hr and then 100 micrograms at hr 12 and hr 18 subcutaneously) (group 2).
  4. 04HumanRandomized controlled trialSafety outcome

    In variceal bleeding, few side effects occurred with either octreotide or terlipressin plus nitroglycerin.

    In plain wordsIn variceal bleeding, few side effects occurred with either octreotide or terlipressin plus nitroglycerin.

    Peptide
    Octreotide
    Outcome
    Direction not reportedSide effects
    Study

    n = 87

    Comparator
    Terlipressin plus transdermal nitroglycerin
    Outcome group
    Adverse events · Gastrointestinal
    Studied dose
    25 micrograms/hr over 12 hr, then 100 micrograms at hr 12 and hr 18 · intravenous infusion followed by subcutaneous injectionAs given in this study (human).

    Source sentences

    Summary
    Few side effects were noted in either group.
    2 context sentences
    Summary · context
    Over 16 mo, 87 patients with endoscopically proved active bleeding from esophageal or cardiac varices were enrolled in five centers in France and randomly assigned to receive intravenous terlipressin (2 mg and then 1 mg/4 hr over 24 hr) and transdermal nitroglycerin (10 mg/12 hr over 24 hr) (group 1)
    Summary · context
    or octreotide (continuous intravenous infusion of 25 micrograms/hr over 12 hr and then 100 micrograms at hr 12 and hr 18 subcutaneously) (group 2).
  5. 05HumanNon-randomized trialEfficacy outcome

    Among patients with initial bleeding control, repeat bleeding occurred in 27% (10 of 36) with octreotide versus 20% (5 of 24) with terlipressin plus nitroglycerin.

    In plain wordsAfter initial control, repeat bleeding occurred in 27% with octreotide versus 20% with terlipressin plus nitroglycerin.

    Peptide
    Octreotide
    Outcome
    IncreaseRepeat bleeding after 12 hr
    Study

    n: not reported in source

    Comparator
    Terlipressin plus transdermal nitroglycerin
    Outcome group
    Gastrointestinal protection · Gastrointestinal
    Studied dose
    25 micrograms/hr over 12 hr, then 100 micrograms at hr 12 and hr 18 · intravenous infusion followed by subcutaneous injectionAs given in this study (human).

    Measurements

    Repeat bleeding after first 12 hr
    27%
    octreotide group, 10 of 36 patients
    Repeat bleeding after first 12 hr
    20%
    terlipressin plus nitroglycerin group, 5 of 24 patients

    Source sentences

    Summary
    After the first 12 hr, 20% of patients (5 of 24) had repeat bleeding in group 1 compared with 27% (10 of 36) in group 2.
    2 context sentences
    Summary · context
    Over 16 mo, 87 patients with endoscopically proved active bleeding from esophageal or cardiac varices were enrolled in five centers in France and randomly assigned to receive intravenous terlipressin (2 mg and then 1 mg/4 hr over 24 hr) and transdermal nitroglycerin (10 mg/12 hr over 24 hr) (group 1)
    Summary · context
    or octreotide (continuous intravenous infusion of 25 micrograms/hr over 12 hr and then 100 micrograms at hr 12 and hr 18 subcutaneously) (group 2).

AI wrote and checked these results. AI can make mistakes, so check important results against the source.

Version history

PepBank keeps every version of the data on this study. Status changes from Retraction Watch, Europe PMC and Crossref are listed with their source.

  1. Version 2Current

    28 Oct 2026, 02:03 UTC

    Study results updated

  2. Version 1

    27 Oct 2026, 16:36 UTC

    First added · source update from Europe PMC

Subjects

Terms as the source lists them.

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