Phase II Study of Lactulose and Circadian Rhythms in Patients With Cirrhosis
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Purpose
OBJECTIVES: I. Assess the effect of lactulose on the circadian rhythm of plasma melatonin in patients with subclinical hepatic encephalopathy.
II. Assess the intrasubject variability of circadian melatonin levels and neuropsychological tests.
III. Assess which elements of the neuropsychological test battery show the response to lactulose.
| Condition | Intervention | Phase |
|---|---|---|
|
Portal Hypertension Hepatic Encephalopathy Cirrhosis |
Drug: lactulose |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Primary Purpose: Treatment |
| Estimated Enrollment: | 16 |
| Study Start Date: | November 1994 |
| Estimated Study Completion Date: | February 1997 |
PROTOCOL OUTLINE: Patients are alternately assigned to 1 of 2 treatment groups: no therapy for 3 weeks followed by lactulose for 3 weeks versus lactulose for 3 weeks followed by no therapy for 3 weeks.
A dietician advises patients on a 1 g/kg per day protein diet. The lactulose dose is adjusted to result in 2 or 3 loose bowel movements per day.
Eligibility| Ages Eligible for Study: | up to 64 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
- Clinical diagnosis of cirrhosis with portal hypertension or portal-systemic shunting
--Prior/Concurrent Therapy--
- No concurrent therapy for hepatic encephalopathy
--Patient Characteristics--
- Age: Under 65
- Performance status: Not specified
- Hematopoietic: Not specified
- Hepatic: See Disease Characteristics
- Renal: Not specified
- Other: No alcohol intake within 1 month prior to entry No requirement for beta blockers No requirement for corticosteroids Not in intercontinental travel
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00004796 History of Changes |
| Other Study ID Numbers: | 199/11934, NU-523 |
| Study First Received: | February 24, 2000 |
| Last Updated: | June 23, 2005 |
| Health Authority: | United States: Federal Government |
Keywords provided by Office of Rare Diseases (ORD):
|
cardiovascular and respiratory diseases cirrhosis gastrointestinal disorders |
hypertensive disorder portal hypertension rare disease |
Additional relevant MeSH terms:
|
Hepatic Encephalopathy Hypertension Hypertension, Portal Liver Cirrhosis Fibrosis Liver Failure Hepatic Insufficiency Liver Diseases Digestive System Diseases Brain Diseases, Metabolic Brain Diseases |
Central Nervous System Diseases Nervous System Diseases Metabolic Diseases Vascular Diseases Cardiovascular Diseases Pathologic Processes Lactulose Gastrointestinal Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013