Study 15 of 27 for search of: "Adrenoleukodystrophy"
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Adrenal Insufficiency in Cirrhotics With Ascites. Effects of Hydrocortisone on Renal and Haemodynamic Function (AILD)
This study is not yet open for participant recruitment.
Verified by University of Turin, Italy, April 2008
Sponsored by: University of Turin, Italy
Information provided by: University of Turin, Italy
ClinicalTrials.gov Identifier: NCT00657306
  Purpose

Relative adrenal insufficiency (RAI) is an well known condition in patients with septic shock. Liver failure (including chronic liver failure)and sepsis are both characterized by hyperdynamic circulatory failure (with low arterial pressure) and high levels of pro-inflammatory cytokines.

Hydrocortisone has been shown to have a beneficial effect on clinical outcome. The aim of this study is to evaluate the incidence of RAI in the different settings of ascites in cirrhosis and the usefulness of hydrocortisone in this context.


Condition Intervention Phase
Cirrhosis With Ascites
Drug: hydrocortisone
Drug: dextrose solution 5%
Phase II

Genetics Home Reference related topics: X-linked adrenoleukodystrophy
MedlinePlus related topics: Cirrhosis
Drug Information available for: Hydrocortisone Cortisol 21-phosphate Cortisol succinate Hydrocortamate Hydrocortisone 21-sodium succinate Hydrocortisone acetate Hydrocortisone cypionate Hydrocortisone hemisuccinate Proctofoam-HC Dextrose Epinephrine Epinephrine bitartrate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Subject), Active Control, Parallel Assignment, Efficacy Study
Official Title: Adrenal Insufficiency in Cirrhotics With Ascites. Effects of Stress Doses of Hydrocortisone on Renal Function and on Liver and Systemic Haemodynamics

Further study details as provided by University of Turin, Italy:

Primary Outcome Measures:
  • renal function [ Time Frame: 10 days ] [ Designated as safety issue: No ]

Estimated Enrollment: 50
Study Start Date: May 2008
Estimated Study Completion Date: May 2009
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Hydrocortisone, 50 mg/6 h per day
Drug: hydrocortisone
50 mg/6 h per day
2: Placebo Comparator
dextrose solution 5%
Drug: dextrose solution 5%
dextrose solution 5% 100 ml/6 h per day

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Cirrhosis with ascites, with or without hepatorenal syndrome

Exclusion Criteria:

  • Age < 18 and > 75 years
  • Shock or bacterial infection present at the inclusion or during the previous week
  • Bleeding present at the inclusion or during the previous week
  • Multifocal HCC
  • Organic renal failure
  • Hearth or pulmonary failure
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00657306

Contacts
Contact: Carlo Alessandria, MD 00390116335561 carloalessandria@libero.it
Contact: Monica Carello, MD 00390116335569 monicacarello@virgilio.it

Locations
Italy
San Giovanni Battista Hospital
Turin, Italy, 10126
Sponsors and Collaborators
University of Turin, Italy
Investigators
Principal Investigator: Carlo Alessandria, MD Division of gastroenterology and hepatology
  More Information

Responsible Party: Carlo Alessandria ( AOU San Giovanni Battista di Torino )
Study ID Numbers: AILD
Study First Received: April 9, 2008
Last Updated: April 11, 2008
ClinicalTrials.gov Identifier: NCT00657306  
Health Authority: Italy: National Institute of Health

Keywords provided by University of Turin, Italy:
Cirrhosis
Ascites
Adrenal insufficiency
Hepatorenal syndrome
Portal hypertension

Study placed in the following topic categories:
Addison's disease
Adrenal Insufficiency
Hydrocortisone
Autoimmune Diseases
Cortisol succinate
Fibrosis
Stress
Adrenal Gland Diseases
Endocrine System Diseases
Liver Cirrhosis
Hypertension, Portal
Hypoadrenalism
Portal hypertension
Adrenal gland hypofunction
Hepatorenal syndrome
Ascites
Adrenoleukodystrophy
Addison Disease
Hydrocortisone acetate
Endocrinopathy
Epinephrine
X-linked adrenoleukodystrophy
Hepatorenal Syndrome
Hypertension

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Pathologic Processes
Immune System Diseases
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009