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Clinical Trials in China / NCT06320912
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Efficacy and Safety of Intraparenchymal Portal Vein Covered Stents in Treating Portal Hypertension and Its Complications

NCT06320912 · tracked via the Priya Life Science China tracker
Sponsor
Shanghai Shenqi Medical Technology Co., Ltd
Phase
Not applicable
Started
2024-04-05
Last updated
2024-03-20

Condition(s) studied

Portal Hypertension

Investigational drug(s) / intervention(s)

The intraparenchymal portal vein covered stentTIPS Covered Stent System GORE

The intraparenchymal portal vein covered stent: The intraparenchymal portal vein covered stent, produced by Shanghai Shenqi Medical Technology Co., Ltd., is used for a transjugular approach. It establishes an artificial shunt between the hepatic vein and the main branches of the portal vein within the liver. This helps in reducing portal venous pressure and alleviating or improving the symptoms of portal hypertension and its complications, such as variceal bleeding, gastropathy, refractory ascites, and/or hepatic hydrothorax.

TIPS Covered Stent System GORE: The GORE® VIATORR® Transjugular Intrahepatic Portosystemic Shunt (TIPS) Covered Stent consists of an implantable covered stent and a percutaneous delivery catheter.

Study summary

The objective of this study is to assess the non-inferiority of the intraparenchymal portal vein covered stent in terms of safety and efficacy for managing portal hypertension and its related complications, in comparison to the currently available TIPS Covered Stent System by GORE.

Eligibility

Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria: * Age 18-75 years (inclusive); male or non-pregnant female. * Diagnosed with cirrhosis and associated complications of portal hypertension (such as esophageal and gastric variceal bleeding, refractory ascites), and meeting the consensus recommendations for TIPS indications (see Appendix 5). * Participants must understand the purpose of the trial, voluntarily participate, sign an informed consent form, and be willing to complete the follow-up according to the project requirements. Exclusion Criteria: * Severe right heart failure, congestive heart failure (LVEF \< 40%), or severe valvular heart dysfunction. * Uncontrolled systemic infection or inflammation. * Persistent moderate to severe pulmonary hypertension after treatment (tricuspid regurgitant peak velocity \> 3.4 m/s or pulmonary artery systolic pressure \> 50 mmHg). * Patients in hepatic encephalopathy coma or comatose phase (West Haven Criteria Stage III, IV). * Severe liver dysfunction, Child-Pugh score \> 13, or MELD score \> 18. * Serum creatinine (Scr) \> 178 umol/L or on dialysis. * Stage IIIa or higher liver malignancy. * Budd-Chiari syndrome, hepatic veno-occlusive disease, or obstructive cholestasis. * Polycystic liver disease. * Unrectifiable coagulopathy (INR \> 5 or PLT count \< 20 x 10\^9/L). * Main portal vein thrombosis occupying \> 50% of the lumen area or cavernous transformation of the portal vein. * Previous TIPS procedure or planned liver transplantation within a year. * Allergy to contrast agents or nickel-titanium alloys. * Life expectancy less than 1 year. * Participation in other drug or medical device clinical trials within three months before screening. * Other conditions deemed by the researcher as unsuitable for participation in this clinical trial.

Primary outcome measure(s)

Trial sites (1)

FacilityCityRegionStatus
Southern Medical University Nanfang Hospital Guangzhou Guangdong

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Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06320912 on ClinicalTrials.gov ↗ ← All trials in China