[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100368129":3},{"organization":4,"armGroups":7,"interventions":21,"overallOfficials":41,"centralContacts":45,"locations":52,"responsibleParty":125,"collaborators":128,"id":141,"slug":142,"hasResults":143,"nctId":144,"briefTitle":145,"officialTitle":146,"acronym":147,"eligibilityCriteria":148,"healthyVolunteers":143,"sex":149,"minAge":150,"maxAge":151,"enrollmentInfo":152,"targetDuration":50,"studyType":155,"phases":156,"briefSummary":158,"conditions":159,"keywords":165,"overallStatus":55,"whyStopped":50,"lastUpdateSubmitDate":170,"lastUpdatePostDateStruct":171,"startDateStruct":174,"completionDateStruct":176,"leadSponsor":178,"locationsCount":179},{"fullName":5,"class":6},"Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Rifaximin and lactulose","ACTIVE_COMPARATOR","Rifaximin 550 milligram b.i.d. combined with lactulose",[13,14],"Drug: Rifaximin 550 milligram Oral Tablet [XIFAXAN]","Drug: Lactulose 667 milligram\u002Fmilliliter Oral Solution",{"label":16,"type":17,"description":18,"interventionNames":19},"Placebo and lactulose","PLACEBO_COMPARATOR","Placebo b.i.d. combined with lactulose",[20,14],"Drug: Placebo oral tablet",[22,29,35],{"type":23,"name":24,"description":25,"armGroupLabels":26,"otherNames":27},"DRUG","Rifaximin 550 milligram Oral Tablet [XIFAXAN]","Rifaximin 550 milligram b.i.d. 72 hours before TIPS placement till 3 months post-TIPS",[9],[28],"TARGAXAN",{"type":23,"name":30,"description":31,"armGroupLabels":32,"otherNames":33},"Placebo oral tablet","Placebo b.i.d. 72 hours before TIPS placement till 3 months post-TIPS",[16],[34],"Placebo",{"type":23,"name":36,"description":37,"armGroupLabels":38,"otherNames":39},"Lactulose 667 milligram\u002Fmilliliter Oral Solution","Lactulose based on soft stool frequency, 72 hours before TIPS placement till 3 months post-TIPS",[16,9],[40],"Lactulose syrup",[42],{"name":43,"affiliation":5,"role":44},"Bart Takkenberg, MD, PhD","PRINCIPAL_INVESTIGATOR",[46],{"name":47,"role":48,"phone":49,"phoneExt":50,"email":51},"Koos de Wit, MD","CONTACT","0031-20-5668468",null,"leverresearch@amc.uva.nl",[53,68,81,92,103,114],{"facility":54,"status":55,"city":56,"state":50,"zip":50,"country":57,"countryCode":58,"cosmosGeoPoint":59,"geoPoint":64,"contacts":65},"Universitaire Ziekenhuizen Leuven","RECRUITING","Leuven","Belgium","BE",{"type":60,"coordinates":61},"Point",[62,63],4.70093,50.87959,{"lat":63,"lon":62},[66],{"name":67,"role":48,"phone":50,"phoneExt":50,"email":50},"Frederik Nevens, prof. dr.",{"facility":69,"status":55,"city":70,"state":50,"zip":50,"country":71,"countryCode":72,"cosmosGeoPoint":73,"geoPoint":77,"contacts":78},"Academic Medical Centre","Amsterdam","Netherlands","NL",{"type":60,"coordinates":74},[75,76],4.88969,52.37403,{"lat":76,"lon":75},[79],{"name":80,"role":48,"phone":50,"phoneExt":50,"email":50},"Bart Takkenberg, dr.",{"facility":82,"status":55,"city":83,"state":50,"zip":50,"country":71,"countryCode":72,"cosmosGeoPoint":84,"geoPoint":88,"contacts":89},"University Medical Center Groningen","Groningen",{"type":60,"coordinates":85},[86,87],6.56667,53.21917,{"lat":87,"lon":86},[90],{"name":91,"role":48,"phone":50,"phoneExt":50,"email":50},"F.J.C. Cuperus, Dr.",{"facility":93,"status":55,"city":94,"state":50,"zip":50,"country":71,"countryCode":72,"cosmosGeoPoint":95,"geoPoint":99,"contacts":100},"Leiden University Medical Center","Leiden",{"type":60,"coordinates":96},[97,98],4.49306,52.15833,{"lat":98,"lon":97},[101],{"name":102,"role":48,"phone":50,"phoneExt":50,"email":50},"M. Coenraad, Dr.",{"facility":104,"status":55,"city":105,"state":50,"zip":50,"country":71,"countryCode":72,"cosmosGeoPoint":106,"geoPoint":110,"contacts":111},"Radboud University","Nijmegen",{"type":60,"coordinates":107},[108,109],5.85278,51.8425,{"lat":109,"lon":108},[112],{"name":113,"role":48,"phone":50,"phoneExt":50,"email":50},"E.T.T.L. Tjwa, Dr.",{"facility":115,"status":55,"city":116,"state":50,"zip":50,"country":71,"countryCode":72,"cosmosGeoPoint":117,"geoPoint":121,"contacts":122},"Erasmus Medical Center","Rotterdam",{"type":60,"coordinates":118},[119,120],4.47917,51.9225,{"lat":120,"lon":119},[123],{"name":124,"role":48,"phone":50,"phoneExt":50,"email":50},"S. Coenen, Drs.",{"type":44,"investigatorFullName":126,"investigatorTitle":127,"investigatorAffiliation":5,"oldNameTitle":50,"oldOrganization":50},"Dr. Bart Takkenberg","Study Chair",[129,130,131,133,135,136,138],{"name":115,"class":6},{"name":93,"class":6},{"name":132,"class":6},"Maastricht University Medical Center",{"name":134,"class":6},"Radboud University Medical Center",{"name":82,"class":6},{"name":137,"class":6},"Universitaire Ziekenhuizen KU Leuven",{"name":139,"class":140},"Norgine","INDUSTRY","100368129","phase-4-prevention-of-post-tips-hepatic-encephalopathy-by-administration-of-rifaximin-and-lactulose-100368129",false,"NCT04073290","Prevention of Post-TIPS Hepatic Encephalopathy by Administration of Rifaximin and Lactulose","Prevention of Hepatic Encephalopathy by Administration of Rifaximin and Lactulose in Patients With Liver Cirrhosis Undergoing TIPS Placement: a Multi-centre Randomized, Double Blind, Placebo Controlled Trial.","PEARL","Inclusion Criteria:\n\n1. Elective TIPS placement for refractory ascites or recurrent variceal bleeding:\n\n   Recurrent tense ascites and one or more of the following criteria:\n\n   i. Not responding to the maximal dose of diuretics (400 milligram spironolactone and 160 milligram furosemide).\n\n   ii. Kidney insufficiency (Creatinine \\> 135 umol\u002FL) induced by diuretics. iii. Electrolyte disturbances (Sodium \\\u003C 125 mmol\u002FL, Potassium \\> 5.5 mmol\u002FL) induced by diuretics.\n\n   iv. Not tolerating higher dose of diuretics (e.g. because of subjective side effects like muscle cramps).\n\n   Recurrent variceal bleeding, not responsive to treatment with endoscopic band ligation and beta-blockers, with a high risk of failure of endoscopic treatment:\n\n   i. Patients with a variceal bleeding and Child-Pugh C (10-13 points) cirrhosis or ii. Patients with a variceal bleeding, Child-Pugh B and an active bleeding during endoscopy\n2. Age ≥18 years\n3. Confirmed liver cirrhosis as documented by liver biopsy, elastography (e.g. Fibroscan) or combination of usual radiological and biochemical criteria.\n4. Signed informed consent\n\nExclusion Criteria:\n\n1. Any absolute contraindications for TIPS placement\n2. Use of ciclosporin\n3. Life-threatening variceal bleeding with emergency TIPS placement which can not be delayed 72 hours\n4. Age \\> 80 years\n5. Non-cirrhotic portal hypertension\n6. Portal vein thrombosis (main trunk)\n7. HIV\n8. Current or recent (\\\u003C3 months) use of rifaximin\n9. Overt neurologic diseases such as Alzheimer's disease, Parkinson's disease\n10. Pregnant or breastfeeding women\n11. Patients refusing or unable to sign informed consent","ALL","18 Years","80 Years",{"count":153,"type":154},238,"ESTIMATED","INTERVENTIONAL",[157],"PHASE4","Rationale: Hepatic encephalopathy (HE) is a major and common complication in patients with liver cirrhosis. HE can be classified in the extensive range of neurocognitive deterioration as minimal HE (MHE), covert HE (grade I), or overt HE (OHE, grade II-IV). Liver cirrhosis is the most common cause of portal hypertension (PH). Patients who develop complications of PH, like variceal bleeding or refractory ascites, can benefit from a Transjugular Intrahepatic Portosystemic Shunt (TIPS) placement. Unfortunately, post-TIPS HE is a common and often severe complication. Incidence of new onset or worsening of HE after TIPS is approximately 20-45%. Currently there is no strategy to prevent post-TIPS HE.",[160,161,162,163,164],"Hepatic Encephalopathy","Cirrhosis, Liver","Portal Hypertension","Liver Diseases","Pathological Processes",[166,167,168,169],"Rifaximin","Lactulose","post-TIPS HE","Prevention","2025-01-27",{"date":172,"type":173},"2025-01-28","ACTUAL",{"date":175,"type":173},"2020-01-21",{"date":177,"type":154},"2026-12-31",{"name":5,"class":6},6]