Effectiveness and Safety of TIPS Stent Graft in the Treatment of Cirrhosis and Complications of Portal Hypertension
A Prospective, Multi-Center, Single-Arm Clinical Study to Evaluate the Effectiveness and Safety of LIVERTYTM TIPS Stent Graft in the Treatment of Cirrhosis and Complications of Portal Hypertension
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Huang
- Phone Number: 8617801014015
- Email: haojia.huang@bd.com
Study Locations
-
-
Hunan
-
Changsha, Hunan, China, 410005
- Recruiting
- Hunan Provincial People's Hospital
-
Contact:
- shengdan Nie
- Phone Number: +86-0731-83929310
- Email: kybgcp@163.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- The subject who is 18 years old or above but 75 years old or below;
- The subject who is diagnosed with portal hypertension caused by liver cirrhosis with the history of gastrointestinal variceal bleeding or bleeding, hepatic hydrothorax, and refractory or recurrent ascites;
- The subject must have adequate functional hepatic reserve with a Model for End-Stage Liver Disease (MELD) Score of ≤13 or Child-Pugh Score of ≤18;
- The subject with platelet count≥ 20×10^9 /L;
- Subjects or their guardians who can understand the content of the clinical trial, voluntarily participate in the clinical trial and sign the ICF and can complete the follow-up period according to the requirements of the clinical trial.
Exclusion Criteria:
- The subject who is pregnant or lactating or plan to get pregnant during the clinical trial;
- According to the judgment of investigator, the subject with main portal vein thrombosis which thrombus occupying >50% of the portal vein lumen and affecting postoperative hemodynamics;
- The subject who has received surgical or interventional treatment (such as TIPS, surgical shunt and retrograde transvenous obliteration (-RTO) for treatment of complications from portal hypertension. Note: The subject who have received -RTO for variceal bleeding at least 8 weeks before signing the informed consent form can be included in the clinical trial;
- The subject who needs to receive or have received splenectomy;
- The subject who has received or plan to receive liver transplantation;
- The subject who cannot have a shunt channel established in the liver parenchyma between the hepatic vein and the portal vein as determined by the investigators;
- The subject with extrahepatic or hepatic malignancies;
- The subject with Budd-Chiari syndrome and hepatic sinusoidal obstruction syndrome;
- The subject with congenital cystic dilatation of bile duct (Caroli disease) and obstructive dilation of biliary tract;
- The subject with polycystic liver disease;
- The subject with cavernous transformation of the portal vein;
- The subject with severe or refractory hepatic encephalopathy (Grade 2 or above according to the West Haven Criteria);
- The subject with a TBIL level higher than 51.3 μmol/L (excluding the Patients with cholestatic cirrhosis);
- The subject with coagulation disorders (INR: >2.5);
- The subject with a systolic pressure lower than 80 mmHg;
- The subject with severe tricuspid regurgitation or congestive heart failure;
- The subject with myocardial infarction within the past 3 months;
- The subject with moderate to severe pulmonary arterial hypertension, or severe hepatopulmonary syndrome;
- The subject with uncontrolled systemic infection or inflammation;
- The subject with severe renal insufficiency (Scr level:>199.5 μmol/L) or needing to receive dialysis;
- The subject known to be allergic to the contrast media or to the constituent materials of the TIPS covered segment;
- The subject with the history of epilepsy or mental illness or with cognitive impairment;
- The subject with the expected survival time of less than 1 year;
- The subject who is otherwise determined as ineligible for participation in this Study by investigators;
- The subject who is participating in any other unfinished drug or medical device clinical trials.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: TIPS Stent Graft device
after creating and dilating the hepatic parenchymal tract, the device is planted to cover the intrahepatic shunt and hepatic vein.
A second stent graft may be placed in overlapped fashion.
|
a covered TIPS stent graft
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Stent patency rate after treatment completion*
Time Frame: 6 months
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Technical success rate
Time Frame: immediately after the intervention
|
immediately after the intervention
|
|
Hemodynamic success rate
Time Frame: immediately after the intervention
|
immediately after the intervention
|
|
Incidence of subjects free from receiving TIPS shunt reoperation after treatment completion*
Time Frame: 1 month, 3 months, 6 months and 12 months
|
1 month, 3 months, 6 months and 12 months
|
|
Stent patency rate after treatment completion*
Time Frame: 1 month, 3 months and 12 months
|
1 month, 3 months and 12 months
|
|
Incidence of subjects free from severe hepatic encephalopathy after treatment completion*
Time Frame: 1 month, 3 months, 6 months and 12 months
|
1 month, 3 months, 6 months and 12 months
|
|
Incidence of subjects free from rebleeding after treatment completion*
Time Frame: 1 month, 3 months, 6 months and 12 months
|
1 month, 3 months, 6 months and 12 months
|
|
The proportion of clinical improvement on ascites after treatment completion*
Time Frame: 3 months, 6 months, and 12 months
|
3 months, 6 months, and 12 months
|
|
The proportion of clinical improvement on hepatic hydrothorax after treatment completion*
Time Frame: 3 months, 6 months, and 12 months
|
3 months, 6 months, and 12 months
|
|
Liver transplant-free survival rate post-index procedure
Time Frame: 6 months and 12 months
|
6 months and 12 months
|
|
Overall survival rate post-index procedure
Time Frame: 1 month, 3 months, 6 months and 12 months
|
1 month, 3 months, 6 months and 12 months
|
|
Incidence of medical device-related and/or operation-related severe complications
Time Frame: 1 month
|
1 month
|
|
TEP related adverse events (AE) after treatment completion*
Time Frame: 6 months and 12 months
|
6 months and 12 months
|
|
Adverse events (AE) after index procedure
Time Frame: 6 months and 12 months
|
6 months and 12 months
|
|
Serious adverse events (SAE) after index procedure
Time Frame: 6 months and 12 months
|
6 months and 12 months
|
|
Device deficiencies
Time Frame: through study completion, an average of 1 year
|
through study completion, an average of 1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BDPI-22CHTIPS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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