Common heart drug may stop deadly bleeding in liver patients
NCT ID NCT05872698
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether beta-blockers, a type of blood pressure medicine, can reduce the risk of bleeding from small varices in people with cirrhosis and portal hypertension. About 763 adults with small varices will receive either beta-blockers or a placebo for up to 3 years. The goal is to see if the drug lowers the chance of serious liver complications like bleeding or liver failure.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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763 people
The number who actually took part.
- Started
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Apr 2019
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 years and over * Cirrhosis and portal hypertension, * Small oesophageal varices diagnosed within the last 6 months, defined as ≤5 mm in diameter or varices which completely disappear on moderate insufflation at gastroscopy. * Not received a beta-blocker in the last week * Capacity to provide informed consent Exclusion Criteria: * Non-cirrhotic portal hypertension * Medium/large oesophageal varices (current or history \[decreasing in size without curative therapy\]), defined as \>5 mm in diameter * Gastric (IGV and GOV2), duodenal, rectal varices with or without evidence of recent bleeding. * Previous variceal haemorrhage * Previous band ligation or glue injection of oesophageal and/or gastric varices * Red signs accompanying varices at endoscopy * Known intolerance to beta blockers * Contraindications to beta blocker use * Unable to provide informed consent * Child Pugh C cirrhosis * Already receiving a beta-blocker for another reason that cannot be discontinued * Graft cirrhosis post liver transplantation * Evidence of active malignancy without curative therapy planned * Pregnant or lactating women * Women of child bearing potential not willing to use adequate contraception during the period of IMP dosing, if relevant * Patients who have been on a CTIMP within the previous 3 months * Clinical symptoms consistent with COVID-19
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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King's College Hospital
London, London, SE5 9RS, United Kingdom
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Other studies related to the condition(s) this trial covers.
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