- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05578573
Comparison Between Conventional Angiocatheter Versus New Anchoring Device (KARAHOC) Used for Paracentesis
October 10, 2022 updated by: Sang Gyune Kim
Comparison of Success Rate and Complication Between Conventional Angiocatheter Versus New Anchoring Device (KARAHOC) Used for Paracentesis in Cirrhotic Patients With Ascites
Comparison of success rate and complication between conventional angiocatheter versus new anchoring device (KARAHOC) used for paracentesis in cirrhotic patients with ascites.
Study Overview
Status
Enrolling by invitation
Conditions
Intervention / Treatment
Detailed Description
This study is a multi-center, prospective, interventional study, in which subjects who meet the selection criteria are registered at each institution during the study period from the date of research approval.
Regardless of the order, paracentesis using KARAHOC and conventional angiocatheter will be performed once in all patients.
The criteria for successful paracentesis is set as 3L or more of ascites drainage.
During paracentesis, albumin will be infused in all patients.
Heart rate and blood pressure will be measured before the procedure and right after the completion of drainage, and 30 minutes later.
The incidence of complications will be compared between two methods.
In addition, patient and operator satisfaction will be investigated using a visual analogue scale.
Study Type
Interventional
Enrollment (Anticipated)
80
Phase
- Not Applicable
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
-
-
Gyeonggi Do
-
Bucheon, Gyeonggi Do, Korea, Republic of, 14584
- Soon Chun Hyang University Bucheon Hospital
-
-
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
17 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Adult over the age of 19
- Patients with pathological or clinical diagnosis of liver cirrhosis
- Patients with Grade 2 or higher grade of ascites as a complication due to portal hypertension
- Patients requiring periodic paracentesis
- Patients consent to this study
Exclusion Criteria:(If at least one of the following conditions apply)
- Patients with ascites due to peritoneal metastasis due to malignant tumor
- Patients with high bleeding risk (PT INR>3, PLT<30,000/mm3) difficult to perform ascites puncture
- Patients with hepatic encephalopathy or hepatorenal syndrome(HRS)
- Patients with severe cardiovascular disease, lung disease, or DIC
- Patients refusing paracentesis
- Patients who can control ascites using diuretics
- Pregnancy
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
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: KARAHOC group
A group of patients in which paracentesis will be performed using a KARAHOC device.
|
After leaving a mark on the part where the puncture is to be performed using a pen, sterilization dressing are performed, local anesthesia is performed aseptic then ascites paracentesis by KARAHOC device.
|
Active Comparator: conventional group
A group of patients in which paracentesis will be performed using an angiocatheter.
|
After leaving a mark on the part where the puncture is to be performed using a pen, sterilization dressing are performed, local anesthesia is performed aseptic then ascites paracentesis by angiocatheter
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparison of success rate between conventional angiocatheter versus KARAHOC device used for paracentesis
Time Frame: through study completion, an average of 1 year
|
The criterion for successful paracentesis is defined as drainage of 3L or more at an initial attempt.
|
through study completion, an average of 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
comparison of complication rate
Time Frame: through study completion, an average of 1 year
|
the frequency of bleeding, hypotension, acute kidney injury, infection
|
through study completion, an average of 1 year
|
operator satisfaction for each procedure
Time Frame: through study completion, an average of 1 year
|
measure the amount of satisfaction using visual analogue scales distributed from 1 to 10, higher score means better outcome
|
through study completion, an average of 1 year
|
patient satisfaction for each procedure
Time Frame: through study completion, an average of 1 year
|
measure the amount of satisfaction using visual analogue scales distributed from 1 to 10, higher score means better outcome
|
through study completion, an average of 1 year
|
Number of Participants with repeated paracentesis
Time Frame: through study completion, an average of 1 year
|
Whether to do paracentesis again due to initial failure or catheter dislocation
|
through study completion, an average of 1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Sang gyune Kim, PhD, Soonchunhyang University Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Gentilini P, Casini-Raggi V, Di Fiore G, Romanelli RG, Buzzelli G, Pinzani M, La Villa G, Laffi G. Albumin improves the response to diuretics in patients with cirrhosis and ascites: results of a randomized, controlled trial. J Hepatol. 1999 Apr;30(4):639-45. doi: 10.1016/s0168-8278(99)80194-9.
- Iwakiri Y. Pathophysiology of portal hypertension. Clin Liver Dis. 2014 May;18(2):281-91. doi: 10.1016/j.cld.2013.12.001. Epub 2014 Feb 25.
- Moore KP, Aithal GP. Guidelines on the management of ascites in cirrhosis. Gut. 2006 Oct;55 Suppl 6(Suppl 6):vi1-12. doi: 10.1136/gut.2006.099580. No abstract available.
- Gines P, Arroyo V, Quintero E, Planas R, Bory F, Cabrera J, Rimola A, Viver J, Camps J, Jimenez W, et al. Comparison of paracentesis and diuretics in the treatment of cirrhotics with tense ascites. Results of a randomized study. Gastroenterology. 1987 Aug;93(2):234-41. doi: 10.1016/0016-5085(87)91007-9.
- Quintero E, Gines P, Arroyo V, Rimola A, Bory F, Planas R, Viver J, Cabrera J, Rodes J. Paracentesis versus diuretics in the treatment of cirrhotics with tense ascites. Lancet. 1985 Mar 16;1(8429):611-2. doi: 10.1016/s0140-6736(85)92147-6.
- Salerno F, Badalamenti S, Incerti P, Tempini S, Restelli B, Bruno S, Bellati G, Roffi L. Repeated paracentesis and i.v. albumin infusion to treat 'tense' ascites in cirrhotic patients. A safe alternative therapy. J Hepatol. 1987 Aug;5(1):102-8. doi: 10.1016/s0168-8278(87)80067-3.
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)
January 17, 2022
Primary Completion (Anticipated)
December 31, 2022
Study Completion (Anticipated)
December 31, 2022
Study Registration Dates
First Submitted
January 16, 2022
First Submitted That Met QC Criteria
October 10, 2022
First Posted (Actual)
October 13, 2022
Study Record Updates
Last Update Posted (Actual)
October 13, 2022
Last Update Submitted That Met QC Criteria
October 10, 2022
Last Verified
October 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- KARAHOC STUDY
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
IPD Plan Description
There is not a plan to make IPD available.
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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