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Active, not recruitingNCT02799160ParacentesisUpdated Feb 13, 2024

Clinical, Biochemical and Haemodynamic Effects of Large-volume Paracentesis (LVP) in Inflammatory Situations

An observational study in Paracentesis, sponsored by Charite University, Berlin, Germany. Active, not recruiting at 1 site in Germany. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-02-13.

Sponsored by Charite University, Berlin, Germany · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
22
Ages
18 Years to 70 Years
Sex
All
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Study summary

This observational study evaluates the clinical, biochemical and haemodynamic effects of large-volume paracentesis (LVP) in 50 patients with and without signs of inflammation

Read the detailed description

Ascites is one of the common complications in advanced liver cirrhosis. Large-volume paracentesis (LVP) is a widely used symptomatic intervention to remove large amounts of peritoneal fluid. Despite a low rate of interventional-associated complications like fistula or non life-threatening bleeding LVP induces an impairment of circulatory function. The hypothesis is that haemodynamic changes can be detected by non-invasive monitoring and that these haemodynamic changes could be associated to postinterventional organ dysfunction or complications. Additionally the investigators hypothesize that paracentesis-induced circulatory dysfunction could also be associated to present clinical and laboratory signs of inflammation or infection and could influenced by increased viable and non-viable bacterial translocation.

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Conditions studied

  • Paracentesis
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In context

Lead sponsor

Charite University, Berlin, Germany is the lead sponsor of 836 studies on the registry; 129 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients of the Medical Department, Division of Hepatology and Gastroenterology (including Metabolic Diseases)

Inclusion criteria

  • Female and male Patients between 18-70 years with liver cirrhosis and ascites
  • Indication for paracentesis

Exclusion criteria

Exclusion Criteria:

  • Infectious disease in the last 4 weeks
  • Active alcohol-consumption or missing data of alcohol use
  • Missing inform consent
  • Missing speech comprehension
  • Neurological or psychiatric disease that compromise consenting
  • Hepatic encephalopathy stage III (West-Haven criteria)
  • Heart failure NYHA IV
  • Renal insufficiency or hepatorenal syndrome
  • Atrial fibrillation
  • Pacemaker
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
22 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna
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What researchers measure

Primary outcomes

  1. Change over time of stroke-volume (milliliter) before, under and after paracentesis

    Baseline Monitoring 10 minutes before paracentesis, under paracentesis, 12 hours, 24 hours and 48 hours after paracentesis

    Time frame: 10 minutes prior to start of paracentesis and 30 minutes, 60 minutes, 12 hours, 24 hours, and 48 hours after start of paracentesis

  2. Change over time of arterial pressure (millimeter of mercury) before, under and after paracentesis

    Baseline Monitoring 10 minutes before paracentesis, under paracentesis, 12 hours, 24 hours and 48 hours after paracentesis

    Time frame: 10 minutes prior to start of paracentesis and 30 minutes, 60 minutes, 12 hours, 24 hours, and 48 hours after start of paracentesis

Secondary outcomes

  1. Incidence of adverse effects

    Clinical, laboratory and haemodynamic adverse effects of paracentesis

    Time frame: Over the full time of paracentesis, 12 hours and 48 hours and up to 2 weeks after paracentesis

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Study locations

1 site
  • Charite Universitätsmedizin Berlin
    Berlin, 13353, Germany
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References and documents

Publications

  • Ruiz-del-Arbol L, Monescillo A, Jimenez W, Garcia-Plaza A, Arroyo V, Rodes J. Paracentesis-induced circulatory dysfunction: mechanism and effect on hepatic hemodynamics in cirrhosis. Gastroenterology. 1997 Aug;113(2):579-86. doi: 10.1053/gast.1997.v113.pm9247479. PubMed 9247479 ↗
  • Coll S, Vila MC, Molina L, Gimenez MD, Guarner C, Sola R. Mechanisms of early decrease in systemic vascular resistance after total paracentesis: influence of flow rate of ascites extraction. Eur J Gastroenterol Hepatol. 2004 Mar;16(3):347-53. doi: 10.1097/00042737-200403000-00016. PubMed 15195901 ↗
  • Pozzi M, Osculati G, Boari G, Serboli P, Colombo P, Lambrughi C, De Ceglia S, Roffi L, Piperno A, Cusa EN, et al. Time course of circulatory and humoral effects of rapid total paracentesis in cirrhotic patients with tense, refractory ascites. Gastroenterology. 1994 Mar;106(3):709-19. doi: 10.1016/0016-5085(94)90706-4. PubMed 8119542 ↗
  • Albillos A, de la Hera A, Gonzalez M, Moya JL, Calleja JL, Monserrat J, Ruiz-del-Arbol L, Alvarez-Mon M. Increased lipopolysaccharide binding protein in cirrhotic patients with marked immune and hemodynamic derangement. Hepatology. 2003 Jan;37(1):208-17. doi: 10.1053/jhep.2003.50038. PubMed 12500206 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 13, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02799160
Lead sponsor
Charite University, Berlin, Germany
Collaborators
Technische Universität Berlin, Humboldt-Universität zu Berlin
Responsible party
Dr. med. Donata Grajecki (Dr. med., Charite University, Berlin, Germany) — Principal investigator
First posted
Jun 14, 2016
Start date
Oct 1, 2016
Primary completion
Nov 29, 2017
Completion
Jun 1, 2024 (estimated)
Last update
Feb 13, 2024

Study contacts

Wiedenmann Betram, Prof. Dr. med.
study director · Charite Universitätsmedizin Berlin

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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