Viatorr CX Case-control Study for Complications of Portal Hypertension (VIATORR-CX)

April 23, 2019 updated by: Jonel Trebicka, University Hospital, Bonn

Viatorr Control Expansion Compared to Bare-metal and Regular Viatorr for Complications of Portal Hypertension

To evaluate the clinical benefits in the patients receiving Viatorr CX over a period of 12 months of structured Follow-up (before TIPS, at TIPS, 1 week after TIPS, at 6 weeks, 4 months, 6 months, 9 months, 12 months), regarding clinical endpoints, such as HE, readmission, liver injury, cardiac function, response to TIPS and the passive expansion of the stents in real life.

Study Overview

Status

Completed

Intervention / Treatment

Detailed Description

Case-control study using the patients in the University Clinic Bonn receiving Viatorr CX (n=40), using a comparison ration 1:1:1 to Viatorr and bare metal stents.

Of these patients, 20 patients will receive Viatorr CX and the assessement of the width of the stent as outlined in the JVIR-paper published this year.

The Viatorr and BMS controls with similar age, gender, Child, MELD and indication for TIPS.

A total of 125 patients with the primary composite-endpoint HE/readmission will be investigated Secondary endpoints are liver injury, cardiac function, response to TIPS and the passive expansion of the stents in real life.

Study Type

Observational

Enrollment (Actual)

40

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Bonn, Germany, 53127
        • Laboratory for Liver Fibrosis and Portal Hypertension

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

14 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Case-control study using the patients in our center receiving Viatorr CX (n=40), using a comparison ration 1:1:1 to Viatorr and bare metal stents (all available data from our center). Thereby, we will choose 20 patients receiving Viatorr CX and the assessement of the width of the stent as outlined in the JVIR-paper published this year. The Viatorr and BMS controls with similar age, gender, Child, MELD and indication for TIPS. We will investigate a total 125 patients with the primary composite-endpoint HE/readmission, and secondary endpoints will be liver injury, cardiac function, response to TIPS and the passive expansion of the stents in real life.

Description

Inclusion Criteria:

  • Patients suitable for TIPS

Exclusion Criteria:

  • Contraindication for TIPS

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Case-Control
  • Time Perspectives: Prospective

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Bare metal stent (BMS) TIPS
retrospective patients receiving BMS-TIPS for treatment of complications of portal hypertension.
Transjugular Intrahepatic Portosystemic Shunt
Regular Viatorr (RV) TIPS
retrospective patients receiving RV-TIPS for treatment of complications of portal hypertension.
Transjugular Intrahepatic Portosystemic Shunt
Viatorr Control Expansion (VCX)TIPS
prospective patients receiving VCX-TIPS for treatment of complications of portal hypertension.
Transjugular Intrahepatic Portosystemic Shunt

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Readmissions
Time Frame: 12 months
Number of readmissions will be documented using a structured CRF
12 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Hepatic encephalopathy (HE)
Time Frame: 12 months
Number of Episodes of overt HE (West Haven Criteria > Grad I)
12 months
Liver injury
Time Frame: 12 months
Increase in liver function tests
12 months
Response to TIPS
Time Frame: 12 months
grade of ascites after TIPS
12 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Jonel Trebicka, MD, PhD, Laboratory for Liver Fibrosis and Portal Hypertension

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 23, 2016

Primary Completion (Actual)

December 1, 2018

Study Completion (Actual)

December 1, 2018

Study Registration Dates

First Submitted

March 3, 2017

First Submitted That Met QC Criteria

March 13, 2017

First Posted (Actual)

March 20, 2017

Study Record Updates

Last Update Posted (Actual)

April 24, 2019

Last Update Submitted That Met QC Criteria

April 23, 2019

Last Verified

April 1, 2019

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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