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HepQuant to Predict Hepatic Encephalopathy After TIPS

Primary Purpose

Hepatic Encephalopathy, Cirrhosis, Liver

Status
Withdrawn
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
HepQuant
Sponsored by
Northwestern University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Hepatic Encephalopathy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects over the age of 18 able to provide consent
  • Subjects undergoing initial TIPS procedure for the primary indication of treatment of ascites

Exclusion Criteria:

  • Prisoners
  • Pregnant women
  • Subjects undergoing TIPS placement as part of an investigational study outside of usual clinical care
  • Subjects taking beta-blocker medications or angiotensin converting enzyme inhibitors
  • Subjects with evidence of porto-systemic shunts present on imaging (eg splenorenal shunt)
  • Subjects with calculated MELD score >12 based on most recent laboratory values before consent
  • Subjects with prior history of overt hepatic encephalopathy (grade 3-4) that was primary reason for hospitalization. Episodes of hepatic encephalopathy that were the consequence of other precipitating event (such as variceal bleeding or infection) will not be considered exclusionary.
  • Subjects with a known sensitivity to albumin preparations, any ingredient in the formulation, or components of the container
  • Subjects unable to fast for >5 hours prior to the HepQuant administration or subjects who are unable to drink the oral dose of the cholate (~40mL of liquid).

Sites / Locations

  • Northwestern University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

HepQuant Testing

Arm Description

Outcomes

Primary Outcome Measures

Onset of Hepatic Encephalopathy

Secondary Outcome Measures

Full Information

First Posted
December 6, 2020
Last Updated
August 5, 2022
Sponsor
Northwestern University
Collaborators
HepQuant, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04664621
Brief Title
HepQuant to Predict Hepatic Encephalopathy After TIPS
Official Title
HepQuant to Predict Hepatic Encephalopathy in Patients Who Receive Transjugular Intrahepatic Portosystemic Shunt (TIPS) for Refractory Ascites - a Pilot Study
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Withdrawn
Why Stopped
Grant expired
Study Start Date
February 25, 2020 (Actual)
Primary Completion Date
September 30, 2021 (Actual)
Study Completion Date
September 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Northwestern University
Collaborators
HepQuant, LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
A pilot study to determine if a simple blood test can predict patients at risk for significant episodes of confusion and disorientation that can occur in patients who receive an artificial shunt through the liver to control complications of liver disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Encephalopathy, Cirrhosis, Liver

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HepQuant Testing
Arm Type
Experimental
Intervention Type
Diagnostic Test
Intervention Name(s)
HepQuant
Intervention Description
Patients undergoing TIPS procedure will receive a HepQuant test prior to and then after TIPS.
Primary Outcome Measure Information:
Title
Onset of Hepatic Encephalopathy
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects over the age of 18 able to provide consent Subjects undergoing initial TIPS procedure for the primary indication of treatment of ascites Exclusion Criteria: Prisoners Pregnant women Subjects undergoing TIPS placement as part of an investigational study outside of usual clinical care Subjects taking beta-blocker medications or angiotensin converting enzyme inhibitors Subjects with evidence of porto-systemic shunts present on imaging (eg splenorenal shunt) Subjects with calculated MELD score >12 based on most recent laboratory values before consent Subjects with prior history of overt hepatic encephalopathy (grade 3-4) that was primary reason for hospitalization. Episodes of hepatic encephalopathy that were the consequence of other precipitating event (such as variceal bleeding or infection) will not be considered exclusionary. Subjects with a known sensitivity to albumin preparations, any ingredient in the formulation, or components of the container Subjects unable to fast for >5 hours prior to the HepQuant administration or subjects who are unable to drink the oral dose of the cholate (~40mL of liquid).
Facility Information:
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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HepQuant to Predict Hepatic Encephalopathy After TIPS

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