ClinicalTrials.gg
RecruitingNCT04801290Updated Sep 16, 2025

TIPS in Patients With Decompensated Liver Cirrhosis

An observational study in Decompensated Liver Cirrhosis, sponsored by Hannover Medical School. Recruiting at 1 site in Germany. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2025-09-16.

Sponsored by Hannover Medical School · Observational

From the registry’s dates

  • Started Aug 2019; still recruiting 7 years 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
250
Ages
18 Years to 99 Years
Sex
All
01

Study summary

This is a single center patient registry of patients receiving a transjugular intrahepatic portosystemic shunt (TIPS) at Hannover Medical School. By collecting and analyzing clinical data as well as blood samples, the overall aim is to optimize TIPS therapy (e.g. specify selection criteria).

02

Conditions studied

  • Decompensated Liver Cirrhosis

Keywords

  • Portal hypertension
  • TIPS
  • Refractory ascites
  • Variceal bleeding
  • Liver cirrhosis
03

In context

Hypertension, Portal

375 studies on the registry are indexed under Hypertension, Portal; 114 are open to participants now.

This study's planned enrollment of 250 is above the median of 150 across 135 observational studies indexed under Hypertension, Portal.

Browse Hypertension, Portal studies →

Lead sponsor

Hannover Medical School is the lead sponsor of 202 studies on the registry; 25 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with decompensated liver cirrhosis and an indication for TIPS placement at Hannover Medical School.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Liver cirrhosis
  • Indication for TIPS insertion
  • Treatment at the Department of Gastroenterology, Hepatology and Endocrinology of Hannover Medical School

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or Lactation
  • Age \<18 years
  • Lack of
  • Symptomatic anemia with \<7g/dl
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
250 participants (estimated)
Target follow-up
12 Months
Patient registry
Yes

Groups and cohorts

  • TIPS insertion

    Procedure: TIPS insertion

Interventions

  • ProcedureTIPS insertion

    Patients are included in the registry if they receive a transjugular intrahepatic portosystemic shunt at Hannover Medical School and provide written informed consent.

06

What researchers measure

Primary outcomes

  1. Mortality

    Patients who die within 1 year

    Time frame: 1 year

  2. Occurrence of (Minimal) Hepatic Encephalopathy

    Using the Portosystemic encephalopathy (PSE) syndrome test, critical flicker frequency (CFF) and animal naming test (S-ANT)

    Time frame: 1 year

  3. Change in Nutritional Status

    Nutritional Status will be measured by hand grip strength (dynamometer) in kg

    Time frame: 1 year

  4. Change in Quality of Life

    Using the questionnaire short-form 36 (SF36) (Score range 0-100, higher scores correspond to better quality of life)

    Time frame: 1 year

Secondary outcomes

  1. Change in inflammatory markers (e.g. cytokine)

    Different cytokines and markers of bacterial translocation (e.g. LPS) are measured

    Time frame: 12 months

  2. Change in different metabolites using mass spectroscopy (metabolomics measurements)

    More than 300 metabolites will be measured

    Time frame: 12 months

  3. Analysis of cellular immunity by collection of peripheral blood mononuclear cells (PBMCs)

    Fluorescence activated cell sorting (FACS) analysis, genetics and in vitro stimulation assays will be performed

    Time frame: 12 months

  4. Analysis of stool samples

    Analysis of the intestinal microbiome and metagenome analysis (shotgun sequencing)

    Time frame: 12 months

  5. Measurement of portal hypertension

    Measurement of the hepatic venous pressure gradient (HVPG) to ensure the efficacy of the TIPS insertion

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Dinkelborg K, Niehaus C, Bremer B, Wundes C, Tiede A, Petruch N, Deterding K, Kraft ARM, Hartleben B, Cornberg M, Wedemeyer H, Behrendt P, Maasoumy B. Acute HEV Infection Is a Relevant Cause of Decompensation and ACLF in Patients With Liver Cirrhosis. Liver Int. 2026 Jul;46(7):e70727. doi: 10.1111/liv.70727. PubMed 42261201 ↗
  • Sandmann L, Egge JFM, Tiede A, Ehrenbauer AF, Kabelitz MA, Rieland H, Mauz JB, Meyer BC, Wedemeyer H, Weissenborn K, Maasoumy B. Plasma Ammonia Levels Predict Hepatic Encephalopathy After Transjugular Intrahepatic Portosystemic Shunt Placement. United European Gastroenterol J. 2025 Sep;13(7):1171-1183. doi: 10.1002/ueg2.70095. Epub 2025 Aug 9. PubMed 40782353 ↗
  • Kabelitz MA, Gairing SJ, Tiede A, Schleicher EM, Ahl LG, Wagner L, Zucker-Reimann F, Rieland H, Mauz JB, Weinmann-Menke J, Meyer BC, Pitton MB, Wedemeyer H, Galle PR, Sandmann L, Maasoumy B, Labenz C. Impact of Frailty on the Prognosis of Patients With Liver Cirrhosis Undergoing Insertion of a TIPS. Aliment Pharmacol Ther. 2026 Jan;63(1):109-118. doi: 10.1111/apt.70315. Epub 2025 Aug 1. PubMed 40751304 ↗
  • Ehrenbauer AF, Schneider H, Stockhoff L, Tiede A, Lorenz C, Dirks M, Witt J, Gabriel MM, Wedemeyer H, Hinrichs JB, Weissenborn K, Maasoumy B. Predicting overt hepatic encephalopathy after TIPS: Value of three minimal hepatic encephalopathy tests. JHEP Rep. 2023 Jun 28;5(9):100829. doi: 10.1016/j.jhepr.2023.100829. eCollection 2023 Sep. PubMed 37600959 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2019 (actual). Primary completion is estimated for Dec 2027, 100 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 26, 2021
First posted
Mar 17, 2021
StartActual
Aug 29, 2019
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Sep 16, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04801290
Responsible party
Sponsor
First posted
Mar 17, 2021
Start date
Aug 29, 2019
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Sep 16, 2025

Study contacts

Benjamin Maasoumy, PD
Contact
Maasoumy.Benjamin@mha-hannover.de
+49 511 532-6529
Benjamin Maasoumy, PD
principal investigator · Hannover Medical School

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion