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10.1111/apt.14052

http://scihub22266oqcxt.onion/10.1111/apt.14052
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suck abstract from ncbi


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pmid28370090
      Aliment+Pharmacol+Ther 2017 ; 45 (11 ): 1390-1402
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  • Reversal of hepatorenal syndrome type 1 with terlipressin plus albumin vs placebo plus albumin in a pooled analysis of the OT-0401 and REVERSE randomised clinical studies #MMPMID28370090
  • Sanyal AJ ; Boyer TD ; Frederick RT ; Wong F ; Rossaro L ; Araya V ; Vargas HE ; Reddy KR ; Pappas SC ; Teuber P ; Escalante S ; Jamil K
  • Aliment Pharmacol Ther 2017[Jun]; 45 (11 ): 1390-1402 PMID28370090 show ga
  • BACKGROUND: The goal of hepatorenal syndrome type 1 (HRS-1) treatment is to improve renal function. Terlipressin, a synthetic vasopressin analogue, is a systemic vasoconstrictor used for the treatment of HRS-1, where it is available. AIM: To compare the efficacy of terlipressin plus albumin vs. placebo plus albumin in patients with HRS-1. METHODS: Pooled patient-level data from two large phase 3, randomised, placebo-controlled studies were analysed for HRS reversal [serum creatinine (SCr) value ?133 ?mol/L], 90-day survival, need for renal replacement therapy and predictors of HRS reversal. Patients received intravenous terlipressin 1-2 mg every 6 hours plus albumin or placebo plus albumin up to 14 days. RESULTS: The pooled analysis comprised 308 patients (terlipressin: n = 153; placebo: n = 155). HRS reversal was significantly more frequent with terlipressin vs. placebo (27% vs. 14%; P = 0.004). Terlipressin was associated with a more significant improvement in renal function from baseline until end of treatment, with a mean between-group difference in SCr concentration of -53.0 ?mol/L (P < 0.0001). Lower SCr, lower mean arterial pressure and lower total bilirubin and absence of known precipitating factors for HRS were independent predictors of HRS reversal and longer survival in terlipressin-treated patients. CONCLUSIONS: Terlipressin plus albumin resulted in a significantly higher rate of HRS reversal vs. albumin alone in patients with HRS-1. Terlipressin treatment is associated with improved renal function. (ClinicalTrials.gov identifier: OT-0401, NCT00089570; REVERSE, NCT01143246).
  • |Adult [MESH]
  • |Albumins/*therapeutic use [MESH]
  • |Clinical Trials, Phase III as Topic [MESH]
  • |Drug Therapy, Combination [MESH]
  • |Female [MESH]
  • |Hepatorenal Syndrome/*drug therapy [MESH]
  • |Humans [MESH]
  • |Lypressin/*analogs & derivatives/therapeutic use [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Randomized Controlled Trials as Topic [MESH]
  • |Terlipressin [MESH]
  • |Treatment Outcome [MESH]


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