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WithdrawnNCT03532750Updated Mar 31, 2022

Splenic Embolization for Portal Hypertension

An interventional study of Particle and Coil in Portal Hypertension, sponsored by University of Minnesota. Withdrawn at 1 site in United States. Open to participants aged 22 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-03-31.

Sponsored by University of Minnesota · Not applicable, Interventional, and Treatment

Why this study was withdrawn
PI left institution
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
22 Years to 70 Years
Sex
All
01

Study summary

The primary purpose of this study is to evaluate the safety and efficacy of partial splenic artery embolization in the treatment of symptomatic portal vein hypertension. A secondary aim is to evaluate the relative efficacy of two separate splenic artery embolization techniques, coiling versus particle embolization of the spleen. These two methods will be compared to standard medical management which consist of pain management and fluid draining.

Read the detailed description

This is a single center phase I/II study that is designed to assess the safety and efficacy of splenic artery embolization in the setting of symptomatic portal hypertension. All participating investigators have signed the protocol agreement and no investigator will be added until they sign the agreement. The study will not be initiated until FDA and IRB approval is obtained.

The study will consist of a 4 week screening period, day of treatment, and 12-month follow-up period. 60 subjects will be enrolled, with a goal of randomizing 30, at the University of Minnesota Medical Center. Enrollment is expected to take up to 48 months. The collection of data will be accomplished by utilizing a clinical research team that will obtain symptomatic portal hypertension improvement and safety assessments. Efficacy assessments will include; change in portal vein velocity, ascitic fluid production change, reduction in splenic size, and improvement in quality of life (QoL). Safety assessments include subject and investigator reported adverse events, subjective pain, and splenic abscess formation.

02

Conditions studied

  • Portal Hypertension
03

In context

Hypertension, Portal

332 studies on the registry are indexed under Hypertension, Portal; 106 are open to participants now.

Browse Hypertension, Portal studies →

Lead sponsor

University of Minnesota is the lead sponsor of 1,184 studies on the registry; 195 are open to participants now.

Of its 132 completed or terminated interventional studies of FDA-regulated products, 91 (69%) have results posted.

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

04

Who can participate

Ages eligible
22 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

    • Patients who are between 22-70 years of age.

      • Patient must have portal hypertension; as defined by: refractory ascites or unilateral right sided pleural effusions with concomitant liver cirrhosis and splenomegaly (spleen > 11 cm on CT or US).
      • Medically refractive/intolerant, ascites or unilateral right sided pleural effusions consistent with hepatic hydrothorax. Medically refractive defined as those with persistent need for paracentesis or thoracentesis despite maximal doses of diuretics (400 mg spironolactone and 160 mg furosemide per day) or those who are intolerant of furosemide (develop azotemia, electrolyte imbalance, encephalopathy or renal failure) or spironolactone (develop gynecomastia, decreased libido, and hyperkalemia).
      • Patients will need to meet one or more of the following requirements:

        • MELD >18 but \<35
        • Anatomic variation making TIPS impossible/difficult
        • Previous failed attempt to place TIPS
        • Unwilling to undergo TIPS
        • History of severe hepatic encephalopathy
        • Thrombosis of the hepatic veins
      • Willing and able to provide informed consent

Exclusion criteria

Exclusion Criteria:

  • Patients \< 22 and >70 years of age
  • Patients with CLDQ score of >6 or \<2
  • Patients with a weight >400 pounds
  • Patients with primary or secondary splenic cancer
  • Currently pregnant
  • Current systemic infection
  • Patients who have undergone prior splenectomy or other splenic surgery
  • Patients who have previously undergone splenic artery embolization for any reason (likely reasons would be trauma or thrombocytopenia)
  • Patients with splenic vascular anatomy that would increase the risk of non-target embolization.
  • Patients who have a INR or platelet count which are not correctable to \<1.8 and >35,000 respectively
  • Anaphylaxis to intravenous contrast.
  • Patients diagnosed with Budd-Chiari Syndrome (This will be assessed on pre-intervention CTA)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • No intervention
    Control

    This arm will undergo no study procedures and continue with best medical management. This entails managing pain and draining excess fluid.

  • Experimental
    Particle

    Randomized to receive either the Embozene or Embosphere particles

    Device: Particle

  • Experimental
    Coil

    Randomized to receive either Ruby or Interlock detachable coils

    Device: Coil

Interventions

  • DeviceParticle

    1. 300-500 µm Embosphere Particles, Merit Medical (Rockland, MA) 501(k) number K991549. 2. 300-500 µm Embozene Particles, Boston Scientific (Marlborough, MA) 501(k) number K133447. 3. Ruby detachable coils, Penumbra (Alameda, CA) 501(K) number K103305. 4. Interlock detachable coils, Boston Scientific (Marlborough, MA) 501(k) number K132578.

    Also known as: Embosphere Particles, Embozene Particles

  • DeviceCoil

    Ruby or Interlock detachable coils

    Also known as: Ruby Detachable Coils, Interlock Detachable Coils

06

What researchers measure

Primary outcomes

  1. Change in Quality of Life

    Administration of the Chronic Liver Disease Questionnaire (CLDQ)

    Time frame: pre-procedural (baseline) and at 1, 3, 6, and 12 month follow-up visits

  2. Incidence of Treatment Adverse Events

    Evaluation of all procedure-related adverse events (PRAE) and serious adverse events (SAE)

    Time frame: Patients will be evaluated for adverse events post procedural at 72hrs, 1 week, and 1, 3, 6, and 12 months

Secondary outcomes

  1. Ascites Production

    Fluid production

    Time frame: pre-procedural and at 1, 3, and 6 months

  2. Splenic Size

    Changes in size of spleen as indicated by MRI or CT

    Time frame: pre-procedural and at 1,3,6 and 12 months

  3. Portal Vein Velocity

    Changes in flow volume and velocity as evidenced by ultra sound

    Time frame: pre-procedural and at 1, 6 and 12 months

07

Study locations

1 site
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
08

References and documents

Individual participant data

Plan to share: No — All IPD generated for this study will only be reviewed by the study personnel who have been approved by the IRB. Any results that are shared, will be aggregate group data that does not address any individual participant directly.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 31, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03532750
Lead sponsor
University of Minnesota
Responsible party
Sponsor
First posted
May 22, 2018
Start date
Nov 1, 2018
Primary completion
Jul 1, 2021 (estimated)
Completion
Jul 1, 2021 (estimated)
Last update
Mar 31, 2022

Study contacts

Shamar Young, MD
principal investigator · University of Minnesota

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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