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Trial · Interventional

TerminatedNot applicableResults postedRegistry data

Treatment of Type I Hepatorenal Syndrome (HRS) With Pentoxyfylline

This trial does not test a peptide that PepBank tracks.

  • Names Octreotide, does not test it. It appears in the summary.

Overview

Status
Terminated
Phase
Not applicable
Enrollment
12 participants (actual)
Sponsor
Patrick Northup, MD · Other
Design
Randomized · Quadruple masking
Countries
1 country

United States

Start
Apr 2014
Primary completion
31 Dec 2017
Completion
31 Dec 2017
First posted
25 Apr 2014 (estimated)
Last update posted
29 May 2019
Conditions
Hepatorenal Syndrome

Timeline

1 trial · 1 stopped early · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20142015201620172018
  1. N/A

    Treatment of Type I Hepatorenal Syndrome (HRS) With Pentoxyfylline

    NCT02123576

    Apr 2014 to 31 Dec 2017

    Terminated

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

Pentoxyfylline therapy in addition to the standard of care of albumin, midodrine and octreotide therapy is superior to the standard of care alone in the treatment of Type I hepatorenal syndrome in the first 14 days of hospitalization.

Interventions

  • PentoxyfyllineDrug
  • PlaceboDrug
  • AMO TherapyDrug

Arms2

  • Experimental

    Treatment

    Pentoxyfylline 400mg three times a day or 400mg twice a day for eGFR 10-50 and 400mg once a day for eGFR \<10 for 90 days in addition to standard AMO therapy

  • Placebo comparator

    Placebo

    This is a standard placebo pill.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Number of Participants With Treatment Success

    Time frame · 14 days

    Registry description

    We define this as a decrease in serum creatinine level to \<1.5 mg/dL without dialysis or death

Secondary outcomes(5)
  1. Change in Serum Creatinine From Baseline

    Time frame · baseline and 14 days

  2. Incidence of Treatment Failure

    Time frame · up to day 14

    Registry description

    Defined as creatinine level above baseline value after day 7, dialysis or death

  3. Number of Participants With Combined Outcome of Treatment Success and Partial Response

    Time frame · 14 days

    Registry description

    We define as serum creatinine level decreased by \>50% from baseline but not to \<1.5 mg/dL, without dialysis or HRS recurrence

  4. Transplant Free Survival

    Time frame · day 30 and 180

  5. Overall Survival

    Time frame · up to 1 year

    Registry description

    This will be the combination of transplant free survival and those patients who received liver transplant

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeCount of participants· 14 days

Number of Participants With Treatment Success

GroupValue (Participants)
Treatment1
Placebo1
Secondary and other outcome results(5)
Secondary outcomeMean· baseline and 14 days

Change in Serum Creatinine From Baseline

GroupValue (g/dL)
Treatment0.48
Placebo0.03
Secondary outcomeCount of participants· up to day 14

Incidence of Treatment Failure

GroupValue (Participants)
Treatment3
Placebo3
Secondary outcomeCount of participants· 14 days

Number of Participants With Combined Outcome of Treatment Success and Partial Response

GroupValue (Participants)
Treatment1
Placebo2
Secondary outcomeMean· day 30 and 180

Transplant Free Survival

GroupValue (days)
Treatment80
Placebo36
Secondary outcomeMean· up to 1 year

Overall Survival

GroupValue (days)
Treatment102
Placebo59

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
TreatmentPentoxyfylline 400mg three times a day or 400mg twice a day for eGFR 10-50 and 400mg once a day for eGFR \<10 for 90 days in addition to standard AMO therapy Pentoxyfylline AMO Therapy: Albumin, midodrine and octreotide therapy (standard of care for HRS)5 / 61 / 60 / 6
PlaceboThis is a standard placebo pill. Placebo AMO Therapy: Albumin, midodrine and octreotide therapy (standard of care for HRS)3 / 60 / 60 / 6

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 75 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Hospitalized patients with acute or chronic liver disease * Type I HRS * Aged greater than or equal to 18 * Non-pregnant Exclusion Criteria: * Allergy or hypersensitivity to PTX or intolerance to methylxanthines (e.g. caffeine, theophylline) * Concurrent use of nephrotoxic drugs * Age less than 18 * Pregnancy * Uncontrolled bacterial infection * Renal parenchymal disease (e.g. acute tubular necrosis, glomerular disease, interstitial nephritis and urinary obstruction) * Shock * TNF alpha antagonist use * Subject is institutionalized or a prisoner * Recent cerebral or retinal hemorrhage (contraindication to PTX) * Severe or poorly controlled cardiovascular disease as determined by the principal investigator to hinder the ability to adhere to study protocols

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