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This study is to evaluate the efficacy of a 2-week course of tolvaptan in improving serum sodium and the excretion of extracellular fluid in liver cirrhotic patients with ascites and hyponatremia
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tolvaptan | Active Comparator | Tablet, QD, 2 weeks |
|
| Placebo | Placebo Comparator | Tablet, QD, 2 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tolvaptan | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Serum Na | 2 weeks (Baseline, Day 14) |
| Measure | Description | Time Frame |
|---|---|---|
| BCM (body composition monitoring) | 7 days | |
| body weight | 7 days | |
| A composite endpoint of ascites worsening |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hallym Univ. Chuncheon Sacred Heart Hospital | Bucheon-si | South Korea | ||||
| Soonchunhyang Univ. Bucheon Hospital |
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| ID | Term |
|---|---|
| D007010 | Hyponatremia |
| ID | Term |
|---|---|
| D014883 | Water-Electrolyte Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000077602 | Tolvaptan |
| ID | Term |
|---|---|
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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|
| in case |
| Serum Na normalization rate | 14 days |
| Biochemistry | Total protein, Albumin, ALP, ALT, AST, r-GT, BUN, Creatinine, Glucose, Cl, K, Na, Ca, Total bilirubin, Uric acid), Hematology (WBC count, Hemoglobin, Hematocrit, Platelets, Serum osm, NT pro-BNP | 7 days |
| ECG | 7 days |
| Adverse event | Daily |
| Physical examination | HEENT, Thorax, Abdomen, Urogenital, Extremities, Neurological, Skin and Mucosae | 7 days |
| Vital signs | Daily |
| Blood coagulation | PT, INR | 7 days |
| Urinalysis | Protein, pH, Glucose, Blood, Bilirubin, Urobilinogen, Random urine Na/K, Urine osm | 7 days |
| Bucheon-si |
| South Korea |
| Wonju Christian Hospital | Wŏnju | South Korea |