Value of Von Willebrand Factor in Portal Hypertension
Recruitment status was Recruiting
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Purpose
In patients with liver cirrhosis elevated levels of von Willebrand factor antigen (vWF-Ag) are found frequently but the clinical significance is unclear. vWF-Ag plays an important role in primary haemostasis and development of thrombotic vascular obliteration is discussed as a possible mechanism leading to portal hypertension. Invasive measurement of hepatic venous pressure gradient (HVPG) is the current gold standard for the diagnosis of portal hypertension. The investigators hypothesize that vWF-Ag levels in plasma may correlate with portal pressure and predict clinically significant portal hypertension (CSPH, HVPG >=10mmHg) and its complications.
| Condition |
|---|
|
Liver Cirrhosis Portal Hypertension |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Von Willebrand Factor As Non-Invasive Predictor Of Clinically Significant Portal Hypertension And Mortality In Patients With Liver Cirrhosis |
- von Willebrand Factor Ag Level [ Time Frame: at first visit (HVPG Measurement) (day 1) ] [ Designated as safety issue: No ]von Willebrand Factor Antigen Levels are measured via ELISA and compared /corrlated to Hepatic Venous Pressure Gradient (HVPG). von Willebrand Factor Antigen levels are drawn and analyzed at the day of HVPG measurement. No follow up measurements will be performed, survival will be measured as secondary outcome parameter
- Overall Mortality [ Time Frame: 3 Months ] [ Designated as safety issue: No ]Survival of Patients after index measurement of von Willebrand Factor and HVPG
| Estimated Enrollment: | 300 |
| Study Start Date: | September 2006 |
| Estimated Study Completion Date: | May 2011 |
| Estimated Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
Patients with alcoholic, viral (chronic hepatitis C), and cryptogenic liver cirrhosis are included. Portal hemodynamics are assessed by HVPG measurement, vWF-Ag levels were measured by ELISA. Results will be compared. 3 and 6 months mortality will be recorded.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients with liver cirrhosis of all etioloiges, routinely scheduled for routine HVPG measurement will systematically be included during the study period
Inclusion Criteria:
- Liver cirrhosis
Exclusion Criteria:
- no HVPG measurement
Contacts and Locations| Contact: Arnulf Ferlitsch, MD | +43140400 | arnulf.ferlitsch@meduniwien.ac.at |
| Austria | |
| Medical University of Vienna | Recruiting |
| Vienna, Austria, 1090 | |
| Contact: Arnulf Ferlitsch +436765666536 arnulf.ferlitsch@meduniwien.ac.at | |
| Principal Investigator: Arnulf Ferlitsch, MD | |
| Principal Investigator: | Arnulf Ferlitsch, MD | Medical University of Vienna |
More Information
No publications provided
| Responsible Party: | Arnulf Ferlitsch, MD, Medizinische Universität Wien |
| ClinicalTrials.gov Identifier: | NCT01358123 History of Changes |
| Other Study ID Numbers: | vwfcirr |
| Study First Received: | May 18, 2011 |
| Last Updated: | May 20, 2011 |
| Health Authority: | Austria: Ethikkommission |
Keywords provided by Medical University of Vienna:
|
liver cirrhosis portal hypertension survival von willebrand factor hepatic venous pressure gradient |
Additional relevant MeSH terms:
|
Hypertension Hypertension, Portal Liver Cirrhosis Fibrosis Vascular Diseases |
Cardiovascular Diseases Liver Diseases Digestive System Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on June 17, 2013