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This is an open-label, multi-center study, investigating the efficacy and safety of terlipressin in Japanese patients with hepatorenal syndrome type 1.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Terlipressin | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Terlipressin | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in SCr value from baseline to end of treatment | 16 days |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events and its severity | Up to 84 days | |
| Laboratory test values | Up to 84 days | |
| Vital signs |
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Inclusion Criteria:
- Patients who were diagnosed with HRS type 1 according to the diagnostic criteria of HRS and whose serum creatinine value (SCr) doubled at 2.5 mg/dL or greater within 2 weeks or whose 24h creatinine clearance (Ccr) decreased by half at less than 20 mL/min.
Patients should meet all the following 5 criteria:
[Modified International Ascites Club's Diagnostic criteria of HRS]
Chronic or acute liver disease with advanced hepatic failure and portal hypertension.
Low glomerular filtration rate (SCr >1.5 mg/dL or 24h Ccr <40 mL/min)
Absence of shock, ongoing bacterial infection, current or recent (within 2 weeks) treatment with nephrotoxic drug
No sustained improvement in renal function (decrease in SCr to 1.5 mg/dL or less or increase in 24h Ccr to 40 mL/min or more) following diuretic withdrawal and expansion of plasma volume with 1,500 mL/24h of isotonic saline for 24 to 48h.
Protein urea <500 mg/dL, and no ultrasonographic evidence of obstructive uropathy or parenchymal renal disease
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Development Support | Ferring Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational site | Kansai | Japan | ||||
| Investigational site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22038555 | Background | Narahara Y, Kanazawa H, Sakamoto C, Maruyama H, Yokosuka O, Mochida S, Uemura M, Fukui H, Sumino Y, Matsuzaki Y, Masaki N, Kokubu S, Okita K. The efficacy and safety of terlipressin and albumin in patients with type 1 hepatorenal syndrome: a multicenter, open-label, explorative study. J Gastroenterol. 2012 Mar;47(3):313-20. doi: 10.1007/s00535-011-0485-8. Epub 2011 Oct 25. |
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| ID | Term |
|---|---|
| D000077585 | Terlipressin |
| ID | Term |
|---|---|
| D008236 | Lypressin |
| D014667 | Vasopressins |
| D010909 | Pituitary Hormones, Posterior |
| D010907 | Pituitary Hormones |
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| 16 days |
| ECG | Day 1,4,7,10,13,16 |
| The percentage of patients with Hepatorenal syndrome reversal (SCr value <=1.5 mg/dL) | 16 days |
| The percentage of patients showing 20% or more reduction in SCr value from the baseline | 16 days |
| 24h Ccr, urine volume, urea nitrogen (BUN), urinary sodium excretions | 16 days |
| Mean arterial blood pressure, serum Na, serum K, plasma renin activity, aldosterone, norepinephrine, antidiuretic hormone (ADH), atrial natriuresis peptide (ANP) | 16 days |
| Overall survival | Up to 84 days |
| Pharmacokinetics - assessment of blood concentration | Blood PK sample collection: pre-dose, 5, 15, 30, 60, 90, 120, 150, 180, 240, and 360 minutes post-dose |
| Kanto |
| Japan |
| D036361 |
| Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D009479 | Neuropeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009842 | Oligopeptides |
| D009419 | Nerve Tissue Proteins |
| D011506 | Proteins |