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The Safety & Efficacy of Terlipressin vs Octreotide for the Control of Variceal Bleed
This study has been completed.
Sponsored by: Aga Khan University
Information provided by: Aga Khan University
ClinicalTrials.gov Identifier: NCT00534677
  Purpose

Terlipressin and Octreotide are two common agents used as adjuvants in the management of variceal bleeding. Both agents have been claimed equivalent to endoscopic therapy in randomized studies. There are no head to head clinical trials of these two agents available in the literature. We aimed to compare the efficacy and safety of Terlipressin and Octreotide in combination with Endoscopic Variceal band Ligation (EVL)in patients presenting with Esophageal Variceal Bleed (EVB).


Condition Intervention Phase
Portal Hypertension
Cirrhosis
Hematemesis
Melena
Drug: Terlipressin
Drug: Octreotide
Phase IV

MedlinePlus related topics: Cirrhosis Esophagus Disorders High Blood Pressure
Drug Information available for: Octreotide Octreotide acetate Terlipressin
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Efficacy And Safety Of Terlipressin Vs Octreotide As Adjuvant Therapy In Bleeding Esophageal Varices

Further study details as provided by Aga Khan University:

Primary Outcome Measures:
  • Safety & Efficacy [ Time Frame: 5 days ] [ Designated as safety issue: Yes ]

Enrollment: 320
Study Start Date: May 2004
Study Completion Date: July 2005
Arms Assigned Interventions
A: Active Comparator Drug: Terlipressin
2 mg stat & then 1 mg q6h iv and Placebo of Octreotide
B: Active Comparator Drug: Octreotide
Octreotide 50mcg/hr infusion & a placebo of Terlipressin

Detailed Description:

The effectiveness of combining Endoscopic treatment with Octreotide or Terlipressin has not been prospectively studied in esophageal variceal hemorrhage (EVH).

This prospective, randomized clinical trial will help us in better patient management more efficiently and cost effectively.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All cirrhotic patients with upper GI bleed secondary to esophageal varices of 18 years or more of age

Exclusion Criteria:

  • Ulcerative esophagitis,
  • Mallory Weiss tear,
  • Bleeding gastric or duodenal ulcers,
  • Bleeding from gastric varices or portal hypertensive gastropathy and
  • Upper GI bleed as a result of thrombocytopenia or bleeding diathesis.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00534677

Locations
Pakistan, Sindh
The Aga Khan University Hospital
Karachi, Sindh, Pakistan, 74800
Sponsors and Collaborators
Aga Khan University
Investigators
Principal Investigator: Shahab Abid, FCPS, FACG The Aga Khan University
Study Director: Wasim Jafri, FRCP, FACG The Aga Khan University
Study Director: Saeed S Hamid, FRCP, FACG The Aga Khan University
Study Director: Salih Mohammad, FCPS; MACG The Aga Khan University
  More Information

Responsible Party: The Aga Khan University ( Dr. Shahab Abid )
Study ID Numbers: 297-Med/ERC-04
Study First Received: September 24, 2007
Last Updated: December 4, 2007
ClinicalTrials.gov Identifier: NCT00534677  
Health Authority: Pakistan: Research Ethics Committee

Keywords provided by Aga Khan University:
Variceal bleed
Cirrhosis
Vasoactive agents
Terlipressin
Octreotide
Safety & Efficacy

Study placed in the following topic categories:
Lysine Vasopressin
Liver Diseases
Vomiting
Esophageal disorder
Signs and Symptoms, Digestive
Fibrosis
Gastrointestinal Diseases
Vascular Diseases
Gastrointestinal Hemorrhage
Octreotide
Liver Cirrhosis
Hypertension, Portal
Hemorrhage
Portal hypertension
Arginine Vasopressin
Esophageal varices
Signs and Symptoms
Digestive System Diseases
Varicose Veins
Terlipressin
Vasopressins
Esophageal Diseases
Hematemesis
Hypertension

Additional relevant MeSH terms:
Antineoplastic Agents, Hormonal
Coagulants
Antineoplastic Agents
Physiological Effects of Drugs
Hematologic Agents
Gastrointestinal Agents
Cardiovascular Agents
Antihypertensive Agents
Pharmacologic Actions
Hemostatics
Pathologic Processes
Natriuretic Agents
Therapeutic Uses
Vasoconstrictor Agents
Cardiovascular Diseases
Antidiuretic Agents

ClinicalTrials.gov processed this record on January 16, 2009