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Primary aim:
-To assess the effect of metformin use on the treatment of minimal hepatic encephalopathy in patients with liver cirrhosis.
Secondary aim:
-To evaluate if metformin is a safety drug in patients showing liver cirrhosis.
In this study, 30 patients will be included divided in two arms. Investigators and patients will not know the treatment used (double blind).
Arm 1: Metformin 1000mg twice a day (2000 mg/day), during 12 weeks. Arm 2: Placebo 1000mg twice a day (2000mg/day), during 12 weeks.
At the end of the study, patients will be followed-up 8 weeks more to control the appearance of adverse effects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Metformin | Active Comparator | Patients receiving metformin |
|
| Placebo | Placebo Comparator | Patients receiving placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Metformin | Drug | Metformin 1000mg twice a day |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with Minimal hepatic encephalopathy | Measurement of the results of critical flicker frequency after 12 weeks of metformin treatment | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with Minimal hepatic encephalopathy | Measurement of the results of PHES after 12 weeks of metformin treatment | 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Manuel Romero-Gomez, PhD, MD | Contact | mromerogomez@us.es |
| Name | Affiliation | Role |
|---|---|---|
| Manuel Romero-Gomez, PhD, MD | Valme University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fundación Pública Andaluza para la Gestión de la investigación en salud de Sevilla (FISEVI) | Recruiting | Seville | Spain |
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| ID | Term |
|---|---|
| D008103 | Liver Cirrhosis |
| D006501 | Hepatic Encephalopathy |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D008687 | Metformin |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
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| Placebo | Drug | Placebo 1000mg twice a day |
|
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D017093 | Liver Failure |
| D048550 | Hepatic Insufficiency |
| D001928 | Brain Diseases, Metabolic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |