Lipopolysaccharide Binding Protein and Development of Infectious Events in Cirrhotic Patients
Study Details
Study Description
Brief Summary
The purpose of this study is to determine whether plasma levels of lipopolysaccharide binding protein (LBP) are correlated with PBMN pro- and anti-inflammatory cytokine secretion, as well as with the development of severe infectious events in cirrhotic patients with ascites. As a secondary purpose, the study will evaluate the effect of a prophylactic administration of ciprofloxacin on LBP, cytokines and infections in the same patients.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Active Ciprofloxacin |
Drug: Ciprofloxacin
Ciprofloxacin oral, 500 mg capsules, one capsule per day during four weeks.
Other Names:
|
Placebo Comparator: Placebo Placebo |
Drug: Placebo
Placebo capsules, one capsule per day during four weeks.
|
Outcome Measures
Primary Outcome Measures
- Lipopolysaccharide binding protein plasma levels [24 weeks]
Secondary Outcome Measures
- Severe infection [24 weeks]
- Pro- and anti-inflammatory cytokine secretion by PBMN cells [24 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Cirrhosis
-
Ascites
-
No history of spontaneous bacterial peritonitis and/or < 1 g of protein in ascites
-
No antibiotic use in previous 6 weeks
-
Absence of infection (documented by clinical history, blood cytology, urinalysis and urine culture, thorax x-ray and paracentesis)
-
Absence of GI bleeding or encephalopathy
-
Signature of informed consent
Exclusion Criteria:
-
Ciprofloxacin contraindication
-
Autoimmune hepatitis, sclerosing cholangitis or other autoimmune disease
-
13 Child-Pugh points
-
Inability to attend to regular visits
-
Current alcohol intake
-
Terminal disease with < 24 week expected survival
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran | Mexico | D.f. | Mexico | 14000 |
Sponsors and Collaborators
- Florencia Vargas-Vorackova
- Laboratorios Senosiain, S.A. de C.V.
Investigators
- Principal Investigator: Florencia Vargas-Vorackova, M.D., Ph.D., Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- GAS-149-07-09-1
- REF. 1612