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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Aliment+Pharmacol+Ther
2017 ; 45
(11
): 1390-1402
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
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]