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Phase 3 N=56 Randomized Treatment

A Trial to Improve Quality of Life in People With Cirrhosis

Cirrhosis

Enrolled (actual)
56
Serious AEs
3.6%
Results posted
Nov 2023
Primary outcome: Primary: Short Form-8 Health Survey (SF-8) at 28 Days — 8.1; 6.55; 70.9; 63.84 score on a scale — p=0.6

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Lactulose (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Michigan
Primary completion
Nov 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Short Form-8 Health Survey (SF-8) at 28 Days
8.1; 6.55; 70.9; 63.84 0.6
SECONDARY
Animal Naming Test (ANT)
3.7; -0.15; 21.2; 18.52 0.001 sig
SECONDARY
Change in Overall Sleep Quality
0.4; 0.0 0.05
SECONDARY
Regular Daily Activity Impairment
3.0; 4.8 0.02 sig
SECONDARY
Participants Who Fell
1; 3 0.6
SECONDARY
Daily Bowel Movements
5; 2 0.2

Summary

This trial is being completed to evaluate whether a crystallized form of lactulose (Kristalose) will improve quality of life, sleep and cognitive function in patients with cirrhosis that have not been diagnosed with Hepatic Encephalopathy (HE), but report reduced quality of life.

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of cirrhosis - must meet one of the following criteria:
  • liver biopsy, OR
  • history of cirrhosis complication: ascites, variceal bleeding, hepatic encephalopathy, OR
  • 2 of the following 4 criteria:
  • Ultrasound, Computed tomography (CT) or Magnetic resonance imaging (MRI) findings of cirrhosis (cirrhotic appearing liver, splenomegaly, varices, ascites)
  • Fibroscan liver stiffness score >13 Kilopascal (kPa)
  • Laboratory testing: aspartate aminotransferase (AST)/platelet ratio index (APRI) >2.0
  • CT, MRI or Esophagogastroduodenoscopy (EGD) showing presence of esophageal varices

Exclusion Criteria

  • Non-English speaking
  • Pregnancy (self-reported)
  • Unable or unwilling to provide consent
  • History of liver transplant
  • Disorientation at the time of enrollment, Dementia, or Treated Memory Disorder
  • History of prior lactulose use or HE within 6 months
  • Metastatic solid malignancy or blood malignancy
  • Hemoglobin A1C > 12 (within past year)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05061992). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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