Nitazoxanide in Prevention of Secondary Spontaneous Peritonitis
Study Details
Study Description
Brief Summary
the study is to evaluate the possible efficacy and safety of nitazoxanide as an adjuvant therapy in the secondary prevention of SBP in patient with cirrhosis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 3 |
Detailed Description
due to high recurrence rate of spontaneous bacterial peritonitis , we will study and evaluate the possible efficacy and safety of NTZ as an adjuvant therapy in the secondary prevention of SBP in patient with cirrhosis.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Placebo Comparator: Control Group They will receive standard therapy plus placebo |
Drug: Norfloxacin
Standard therapy
|
Active Comparator: Nitazoxanide Group They will receive standard therapy plus nitazoxanide |
Drug: Nitazoxanide
nitazoxanide adjuvant to standard therapy
Other Names:
Drug: Norfloxacin
Standard therapy
|
Outcome Measures
Primary Outcome Measures
- Prevention of Secondary Spontaneous Bacterial Peritonitis [3 months]
Reduction in incidence of secondary Spontaneous Bacterial Peritonitis (SBP) compared to control group
Secondary Outcome Measures
- Change in Biological Biomarkers [3 months]
Measurement of Tumor necrosis factor alfa , Procalcitonin(PCT), C-Reactive protein(CRP) and Erythrocyte sedimentation rate(ESR) with further calculation of PEC index [PEC index = PCT × (ESR + CRP)] before and after trial period
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients aged 21 - 65 years old with cirrhosis and ascites who had at least one previous confirmed episode of spontaneous bacterial peritonitis.
Exclusion Criteria:
- Exclusion criteria included active gastrointestinal bleeding Hepatic encephalopathy (>grade 2) Hepatocellular carcinoma (HCC) or other malignancies Allergy to used medications.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Tanta University
Investigators
- Study Director: Sahar M. Elhagar, Professor, Supervisor for my master degree
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NTZ in Prevention of SBP