Spleen Stiffness as a Measure to Assess the REsponse to β Blocker Therapy (SPARE-B)
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ClinicalTrials.gov Identifier: NCT06050837 |
Recruitment Status :
Not yet recruiting
First Posted : September 22, 2023
Last Update Posted : September 22, 2023
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Tracking Information | |||||
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First Submitted Date | September 16, 2023 | ||||
First Posted Date | September 22, 2023 | ||||
Last Update Posted Date | September 22, 2023 | ||||
Estimated Study Start Date | September 30, 2023 | ||||
Estimated Primary Completion Date | August 31, 2024 (Final data collection date for primary outcome measure) | ||||
Current Primary Outcome Measures |
To evaluate the diagnostic accuracy of change in splenic stiffness to predict HVPG responders to beta-blockers at 4 weeks [ Time Frame: 4 weeks ] | ||||
Original Primary Outcome Measures | Same as current | ||||
Change History | No Changes Posted | ||||
Current Secondary Outcome Measures |
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Original Secondary Outcome Measures | Same as current | ||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||
Descriptive Information | |||||
Brief Title | Spleen Stiffness as a Measure to Assess the REsponse to β Blocker Therapy (SPARE-B) | ||||
Official Title | Spleen Stiffness as a Measure to Assess the REsponse to β Blocker Therapy (SPARE-B). | ||||
Brief Summary | HVPG is the gold standard for measurement of the presence and severity of portal hypertension. Clinically Significant Portal Hypertension (CSPH) is defined as HVPG ≥ 10 mmHg. Reducing the HVPG by use of non-selective beta blockers has been associated with reduced risk of variceal hemorrhage, ascites, SBP and thus has a positive effect on survival. Response to Beta blocker therapy is defined as a reduction of HVPG by 10% or to ≤ 12 mmHg. HVPG is an invasive method of assessment of portal pressures, with lack of availability at many centres. While non-invasive tests to predict CSPH have been defined, predicting response to beta-blockers non-invasively is an unmet clinical need. The aim of this study is to use splenic stiffness measurement, a non-invasive test, as a surrogate to assess the response of HVPG to beta blocker therapy. |
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Detailed Description | Aim and Objective: To evaluate change in splenic stiffness measurement as a surrogate for response to non-selective beta blockers in patients with high-risk esophageal varices. Primary objectives: To evaluate the diagnostic accuracy of change in splenic stiffness to predict HVPG responders to beta-blockers at 4 weeks - Study population: All patients aged ≥ 18 years and ≤ 70 years presenting to Institute of Liver and Biliary Sciences, New Delhi with high-risk esophageal varices upon presentation and are giving written consent for participation in the study.
Stopping rule - Development of variceal bleed Expected outcome of the project: Change in splenic stiffness will correlates with change in HVPG and can reliably predict response to non-selective beta blockers in patient with high-risk esophageal varices. |
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Study Type | Observational | ||||
Study Design | Observational Model: Cohort Time Perspective: Prospective |
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Target Follow-Up Duration | Not Provided | ||||
Biospecimen | Not Provided | ||||
Sampling Method | Non-Probability Sample | ||||
Study Population | All patients aged ≥ 18 years and ≤ 70 years presenting to Institute of Liver and Biliary Sciences, New Delhi with high-risk esophageal varices upon presentation and are giving written consent for participation in the study. | ||||
Condition | High Risk Esophageal Varices | ||||
Intervention | Other: No intervention
No intervention
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Study Groups/Cohorts | Not Provided | ||||
Publications * | Not Provided | ||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||
Recruitment Status | Not yet recruiting | ||||
Estimated Enrollment |
130 | ||||
Original Estimated Enrollment | Same as current | ||||
Estimated Study Completion Date | August 31, 2024 | ||||
Estimated Primary Completion Date | August 31, 2024 (Final data collection date for primary outcome measure) | ||||
Eligibility Criteria | Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender |
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Ages | 18 Years to 70 Years (Adult, Older Adult) | ||||
Accepts Healthy Volunteers | No | ||||
Contacts |
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Listed Location Countries | India | ||||
Removed Location Countries | |||||
Administrative Information | |||||
NCT Number | NCT06050837 | ||||
Other Study ID Numbers | ILBS-SPARE-B-01 | ||||
Has Data Monitoring Committee | No | ||||
U.S. FDA-regulated Product |
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IPD Sharing Statement |
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Current Responsible Party | Institute of Liver and Biliary Sciences, India | ||||
Original Responsible Party | Same as current | ||||
Current Study Sponsor | Institute of Liver and Biliary Sciences, India | ||||
Original Study Sponsor | Same as current | ||||
Collaborators | Not Provided | ||||
Investigators | Not Provided | ||||
PRS Account | Institute of Liver and Biliary Sciences, India | ||||
Verification Date | September 2023 |