Page last updated: 2024-11-03

propranolol and Hepatorenal Syndrome

propranolol has been researched along with Hepatorenal Syndrome in 8 studies

Propranolol: A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs.
propranolol : A propanolamine that is propan-2-ol substituted by a propan-2-ylamino group at position 1 and a naphthalen-1-yloxy group at position 3.

Hepatorenal Syndrome: Functional KIDNEY FAILURE in patients with liver disease, usually LIVER CIRRHOSIS or portal hypertension (HYPERTENSION, PORTAL), and in the absence of intrinsic renal disease or kidney abnormality. It is characterized by intense renal vasculature constriction, reduced renal blood flow, OLIGURIA, and sodium retention.

Research Excerpts

ExcerptRelevanceReference
" First-line therapies include carvedilol or propranolol to prevent variceal bleeding, lactulose for hepatic encephalopathy, combination aldosterone antagonists and loop diuretics for ascites, and terlipressin for hepatorenal syndrome."5.41Diagnosis and Management of Cirrhosis and Its Complications: A Review. ( Parikh, ND; Tapper, EB, 2023)
"We assessed the impact of propranolol on death, risk of hepatorenal syndrome and peritonitis in patients with cirrhosis."3.83Effect of propranolol on survival in patients with decompensated cirrhosis: a nationwide study based Danish patient registers. ( Bang, UC; Bendtsen, F; Benfield, T; Hyldstrup, L; Jensen, JE, 2016)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (25.00)29.6817
2010's4 (50.00)24.3611
2020's2 (25.00)2.80

Authors

AuthorsStudies
Mao, G1
Li, C1
Wang, H1
Jv, YH1
Zhang, Y1
Liu, L1
Tapper, EB1
Parikh, ND1
Hsu, SJ1
Huang, HC1
Kalambokis, GN1
Baltayiannis, G1
Christou, L1
Christodoulou, D1
Bang, UC1
Benfield, T1
Hyldstrup, L1
Jensen, JE1
Bendtsen, F1
Angeli, P1
Abraldes, JG1
Tarantino, I1
Turnes, J1
Garcia-Pagan, JC1
Rodés, J1
Bosch, J1
Duhamel, C1
Mauillon, J1
Berkelmans, I1
Bourienne, A1
Tranvouez, JL1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Treatment of Type I Hepatorenal Syndrome (HRS) With Pentoxyfylline: A Placebo Controlled, Blinded Pilot Study[NCT02123576]12 participants (Actual)Interventional2014-04-30Terminated (stopped due to Poor enrollment of study population)
Pilot Study to Evaluate the Correlation Between ¹³C Methacetin Breath Test (MBT) and HVPG Measurement as a Tool for Identifying Responders to Portal Hypertension Therapy[NCT01851252]Phase 119 participants (Actual)Interventional2013-10-31Completed
A Double-Blind, Randomized, Placebo-Controlled, Multicenter Phase III Study of Intravenous Terlipressin in Patients With Hepatorenal Syndrome Type 1[NCT00089570]Phase 3112 participants (Actual)Interventional2004-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Serum Creatinine From Baseline

(NCT02123576)
Timeframe: baseline and 14 days

Interventiong/dL (Mean)
Treatment0.48
Placebo0.03

Incidence of Treatment Failure

Defined as creatinine level above baseline value after day 7, dialysis or death (NCT02123576)
Timeframe: up to day 14

InterventionParticipants (Count of Participants)
Treatment3
Placebo3

Number of Participants With Combined Outcome of Treatment Success and Partial Response

We define as serum creatinine level decreased by >50% from baseline but not to <1.5 mg/dL, without dialysis or HRS recurrence (NCT02123576)
Timeframe: 14 days

InterventionParticipants (Count of Participants)
Treatment1
Placebo2

Number of Participants With Treatment Success

We define this as a decrease in serum creatinine level to <1.5 mg/dL without dialysis or death (NCT02123576)
Timeframe: 14 days

InterventionParticipants (Count of Participants)
Treatment1
Placebo1

Overall Survival

This will be the combination of transplant free survival and those patients who received liver transplant (NCT02123576)
Timeframe: up to 1 year

Interventiondays (Mean)
Treatment102
Placebo59

Transplant Free Survival

(NCT02123576)
Timeframe: day 30 and 180

Interventiondays (Mean)
Treatment80
Placebo36

Reviews

3 reviews available for propranolol and Hepatorenal Syndrome

ArticleYear
Exploration on the Effect of Nonselective
    BioMed research international, 2022, Volume: 2022

    Topics: Adrenergic beta-Antagonists; Esophageal and Gastric Varices; Female; Gastrointestinal Hemorrhage; He

2022
Diagnosis and Management of Cirrhosis and Its Complications: A Review.
    JAMA, 2023, 05-09, Volume: 329, Issue:18

    Topics: Adult; Ascites; Carvedilol; Esophageal and Gastric Varices; Gastrointestinal Hemorrhage; Hepatic Enc

2023
Management of ascites in patients with liver cirrhosis: recent evidence and controversies.
    Journal of the Chinese Medical Association : JCMA, 2013, Volume: 76, Issue:3

    Topics: Ascites; Hepatorenal Syndrome; Humans; Liver Cirrhosis; Lypressin; Midodrine; Portasystemic Shunt, T

2013

Other Studies

5 other studies available for propranolol and Hepatorenal Syndrome

ArticleYear
Red signs and not severity of cirrhosis should determine non-selective β-blocker treatment in Child-Pugh C cirrhosis with small varices: increased risk of hepatorenal syndrome and death beyond 6 months of propranolol use.
    Gut, 2016, Volume: 65, Issue:7

    Topics: Adrenergic beta-Antagonists; Ascites; Child; Esophageal and Gastric Varices; Hepatorenal Syndrome; H

2016
Effect of propranolol on survival in patients with decompensated cirrhosis: a nationwide study based Danish patient registers.
    Liver international : official journal of the International Association for the Study of the Liver, 2016, Volume: 36, Issue:9

    Topics: Aged; Cause of Death; Databases, Factual; Denmark; Dose-Response Relationship, Drug; Female; Hepator

2016
β-blockers and refractory ascites in cirrhosis: the message of a team of true scientists.
    Journal of hepatology, 2011, Volume: 55, Issue:4

    Topics: Adrenergic beta-Antagonists; Ascites; Bacterial Infections; Cardiovascular Diseases; Female; Hepator

2011
Hemodynamic response to pharmacological treatment of portal hypertension and long-term prognosis of cirrhosis.
    Hepatology (Baltimore, Md.), 2003, Volume: 37, Issue:4

    Topics: Antihypertensive Agents; Ascites; Bacterial Infections; Cohort Studies; Drug Therapy, Combination; F

2003
Hepatorenal syndrome in cirrhotic patients: terlipressine is a safe and efficient treatment; propranolol and digitalic treatments: precipitating and preventing factors?
    The American journal of gastroenterology, 2000, Volume: 95, Issue:10

    Topics: Adult; Aged; Digitoxin; Female; Hepatorenal Syndrome; Humans; Kidney Function Tests; Liver Cirrhosis

2000