ClinicalTrials.gg
RecruitingNCT06764966Updated Feb 25, 2026

Statin and Beta Blocker Use in Patients With Decompensated Cirrhosis

A Phase 2 interventional study of Atorvastatin 20 mg and Placebo in Decompensated Liver Cirrhosis, Cirrhosis and Decompensated Cirrhosis of Liver, sponsored by CAMC Health System. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-25.

Primary conditionAscitesRegistry: FibrosisReclassifiedWhy we changed it
Registry
Fibrosis — the first condition term the registry derived for this study.
ClinicalTrials.gg
Ascites
Why
  1. Fibrosis is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Ascites.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by CAMC Health System · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Decompensated cirrhosis (liver disease) occurs when liver function decreases to the extent that serious complications develop and can include internal bleeding, fluid buildup in the abdomen, or mental confusion. This reduced decreased liver function subsequently decreases life expectancy. There is a critical need for strategies to delay progression to decompensation and reduce the occurrence of serious complications. Currently, limited therapeutic options are available for managing decompensated liver disease, with beta-blockers (BB) being the only proven medication with significant benefits in preventing disease progression. Statins have been historically under- prescribed in cirrhosis due to concerns of liver damage. However, there is emerging evidence that statin use may be beneficial and able to lessen liver disease worsening, with studies demonstrating its safety. Thus, we aim to conduct a pilot randomized controlled trial (RCT) study of 50 subjects comparing the outcomes of decompensated cirrhotic patients receiving the statin, atorvastatin, and a non-selective beta-blocker (NSBB) versus those receiving NSBB plus placebo. Both groups will be followed for 12 months to investigate the feasibility, safety, and efficacy of combination therapy.

02

Conditions studied

  • Decompensated Liver Cirrhosis
  • Cirrhosis
  • Decompensated Cirrhosis of Liver
  • Decompensated Cirrhosis and Ascites

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Keywords

  • Decompensated Cirrhosis
  • Decompensated Liver Disease
  • Statins
  • Beta-Blockers
  • Cirrhosis
03

In context

Ascites Reclassified

247 studies on the registry are indexed under Ascites; 57 are open to participants now.

This study's planned enrollment of 50 is close to the median of 54 across 179 interventional studies indexed under Ascites.

Browse Ascites studies →

Lead sponsor

CAMC Health System is the lead sponsor of 47 studies on the registry; 3 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 2 (40%) have results posted.

Compared within Ascites, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Fibrosis. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Patients age of 18 years or older diagnosed with any form of decompensated liver disease defined as ascites, hepatic encephalopathy, or variceal bleed presenting at Charleston Area Medical Center (CAMC) Memorial Hospital or CAMC-Gastroenterology Liver Clinic
  • Currently on an non-selective beta-blockers agreeing to have their liver disease managed by CAMC-Gastroenterology Liver Clinic as an outpatient for the 12-month follow-up period.

Exclusion criteria

Exclusion Criteria:

  • Any patient \<18 years of age
  • Patients with hepatocellular carcinoma
  • Patients with ongoing alcohol use (self-reported consumption of more than one alcoholic drink per week)
  • Patients exhibiting high-risk behaviors that could put them at risk for complications including IV substance use and history of medication non-adherence
  • Patients currently on statin therapy
  • Patients with a history of statin intolerance
  • Patients on the waitlist for liver transplantation
  • Patients taking medications with known drug interactions with statins
  • Patients not able to give or patients belonging to vulnerable categories as the Federal Regulations or Common Rule
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    NSBB plus statin

    Atorvastatin 20 mg once daily along with previously prescribed NSBB

    Drug: Atorvastatin 20 mg

  • Placebo comparator
    NSBB plus placebo

    Placebo once daily along with previously prescribed NSBB

    Drug: Placebo

Interventions

  • Atorvastatin 20 mg Once Daily with previously prescribed Non Selective Beta-Blocker

  • DrugPlacebo

    Placebo Once Daily along with previously prescribed Non Selective Beta Blocker

06

What researchers measure

Primary outcomes

  1. Feasibility- compare the number of participants who discontinued study medication for any reason during the 12-month follow-up period

    Time frame: 12 months

  2. Feasibility- compare the number of participants compliant with study treatment

    Participants will be considered compliant if they attend four follow-up visits and consume ≥ 75% of study medication (determined by pill counts)

    Time frame: 12 months

Secondary outcomes

  1. Safety - Adverse events

    Rate of reported treatment-related adverse events (muscle pain, muscle injury, liver injury, kidney dysfunction, other)

    Time frame: 12 months

  2. New Decompensating events

    Rate of new decompensating events (ascites, vatical bleeding, worsening jaundice, or encephalopathy) in each arm, time for development of new decompensating event

    Time frame: 12 months

  3. Hepatic transaminases levels

    Number of participants with increases in transaminases by more than five times the upper limit of normal

    Time frame: 12 months

  4. Survival rate

    Rate of survival between the two treatment arms

    Time frame: 12 months

  5. Transplant-free survival rate

    Number of participants without liver transplant during study participation

    Time frame: 12 months

  6. Rate of Hepatocellular Carcinoma Diagnosis

    Number of participants developing Hepatocellular Carcinoma over 12 months

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2025 (actual). Primary completion is estimated for Mar 2027, 18 months after the start.

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

Registered
Jan 7, 2025
First posted
Jan 9, 2025
StartActual
Sep 9, 2025
Primary completionEst.
Mar 2027
CompletionEst.
Mar 2027
Last update
Feb 25, 2026
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 Feb 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06764966
Lead sponsor
CAMC Health System
Responsible party
Nadeem Anwar (Section Chair, Gastroenterology, CAMC Health System) — Principal investigator
First posted
Jan 9, 2025
Start date
Sep 9, 2025
Primary completion
Mar 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Feb 25, 2026

Study contacts

Nadeem Anwar, MD
Contact
nadeem.anwar@vandaliahealth.org
304-351-1700
Nadeem Anwar, MD
principal investigator · CAMC Health System

Oversight

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

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