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Study of Lactulose in Children With Chronic Liver Disease (MHE)

Indiana University logo

Indiana University

Status and phase

Terminated
Phase 2

Conditions

Minimal Hepatic Encephalopathy

Treatments

Drug: placebo
Drug: Lactulose

Study type

Interventional

Funder types

Other

Identifiers

NCT00811434
0808-19
Clarian Grant VFR-279

Details and patient eligibility

About

Pediatric patients with chronic liver disease may have Minimal Hepatic Encephalopathy(MHE)which can cause changes in behavior,intelligence and neurological function.By utilizing cognitive and developmental testing we will determine if patients have MHE. If so, we will trial 3 months of blinded placebo or Lactulose treatment followed by a washout period with no treatment. At this time patients are re-tested and then begin another three month period switching to the opposite treatment of first 3 months.Final cognitive/developmental testing will determine if Lactulose treatment has any effect on MHE.

Full description

In addition ,serum ammonia levels will be obtained at beginning of study,post-washout and at end of study to evaluate Lactulose effect on serum ammonia.

Enrollment

16 patients

Sex

All

Ages

5 to 18 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Clinical diagnosis of MHE as result of cognitive, developmental testing, pediatric pt. with cirrhosis as evidenced by imaging/biopsy

Exclusion criteria

  • patients with neurological,psychiatric or unstable medical conditions which may contribute to impaired cognitive function.
  • patients with known hearing or vision difficulties.
  • those patients who do not speak English will be excluded.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Triple Blind

16 participants in 2 patient groups, including a placebo group

Lactulose
Active Comparator group
Description:
3 months of Lactulose therapy based on pt. weight
Treatment:
Drug: Lactulose
placebo
Placebo Comparator group
Description:
1.5 ml/kg day po of sugar water placebo for three months
Treatment:
Drug: placebo

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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