Effectiveness and Safety of TIPS Stent Graft in the Treatment of Cirrhosis and Complications of Portal Hypertension

Last updated: February 7, 2025
Sponsor: C. R. Bard
Overall Status: Active - Recruiting

Phase

N/A

Condition

Stress

Vascular Diseases

Hyponatremia

Treatment

TIPS Stent Graft

Clinical Study ID

NCT06669806
BDPI-22CHTIPS
  • Ages 18-75
  • All Genders

Study Summary

This Study is a prospective, multi-center, single-arm objective perform an criteria (OPC) study. A 12 months follow-up study on the patients who intend to receive the treatment of cirrhosis and complications of portal hypertension with the TIPS Stent Graft will be conducted. The primary evaluation endpoint of this Study is the stent patency at 6 months after treatment completion .

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. The subject who is 18 years old or above but 75 years old or below;

  2. The subject who is diagnosed with portal hypertension caused by liver cirrhosis withthe history of gastrointestinal variceal bleeding or bleeding, hepatic hydrothorax,and refractory or recurrent ascites;

  3. The subject must have adequate functional hepatic reserve with a Model for End-StageLiver Disease (MELD) Score of ≤13 or Child-Pugh Score of ≤18;

  4. The subject with platelet count≥ 20×10^9 /L;

  5. Subjects or their guardians who can understand the content of the clinical trial,voluntarily participate in the clinical trial and sign the ICF and can complete thefollow-up period according to the requirements of the clinical trial.

Exclusion

Exclusion Criteria:

  1. The subject who is pregnant or lactating or plan to get pregnant during the clinicaltrial;

  2. According to the judgment of investigator, the subject with main portal veinthrombosis which thrombus occupying >50% of the portal vein lumen and affectingpostoperative hemodynamics;

  3. The subject who has received surgical or interventional treatment (such as TIPS,surgical shunt and retrograde transvenous obliteration (-RTO) for treatment ofcomplications from portal hypertension. Note: The subject who have received -RTO forvariceal bleeding at least 8 weeks before signing the informed consent form can beincluded in the clinical trial;

  4. The subject who needs to receive or have received splenectomy;

  5. The subject who has received or plan to receive liver transplantation;

  6. The subject who cannot have a shunt channel established in the liver parenchymabetween the hepatic vein and the portal vein as determined by the investigators;

  7. The subject with extrahepatic or hepatic malignancies;

  8. The subject with Budd-Chiari syndrome and hepatic sinusoidal obstruction syndrome;

  9. The subject with congenital cystic dilatation of bile duct (Caroli disease) andobstructive dilation of biliary tract;

  10. The subject with polycystic liver disease;

  11. The subject with cavernous transformation of the portal vein;

  12. The subject with severe or refractory hepatic encephalopathy (Grade 2 or aboveaccording to the West Haven Criteria);

  13. The subject with a TBIL level higher than 51.3 μmol/L (excluding the Patients withcholestatic cirrhosis);

  14. The subject with coagulation disorders (INR: >2.5);

  15. The subject with a systolic pressure lower than 80 mmHg;

  16. The subject with severe tricuspid regurgitation or congestive heart failure;

  17. The subject with myocardial infarction within the past 3 months;

  18. The subject with moderate to severe pulmonary arterial hypertension, or severehepatopulmonary syndrome;

  19. The subject with uncontrolled systemic infection or inflammation;

  20. The subject with severe renal insufficiency (Scr level:>199.5 μmol/L) or needingto receive dialysis;

  21. The subject known to be allergic to the contrast media or to the constituentmaterials of the TIPS covered segment;

  22. The subject with the history of epilepsy or mental illness or with cognitiveimpairment;

  23. The subject with the expected survival time of less than 1 year;

  24. The subject who is otherwise determined as ineligible for participation in thisStudy by investigators;

  25. The subject who is participating in any other unfinished drug or medical deviceclinical trials.

Study Design

Total Participants: 166
Treatment Group(s): 1
Primary Treatment: TIPS Stent Graft
Phase:
Study Start date:
November 21, 2024
Estimated Completion Date:
October 01, 2026

Connect with a study center

  • Hunan Provincial People's Hospital

    Changsha, Hunan 410005
    China

    Active - Recruiting

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