Trial names are self explanatory
Albumin for SBP
Albumin + Cefotaxime vs Cefotaxime alone
Reduced renal impairement
Reduced mortality
Antibiotics in Cirrhosis with haemorrhage
Ceftriaxone IV reduces infections more than oral norfloxacin
Early TIPS
VH with high rebleeding risk
Early TIPS improves one year survival and reduce rebleed compared to pharmacotherapy
REDUCe study
Demonstrated feasibility, with preliminary evidence of long-term abdominal drains (LTAD) acceptability, effectiveness and safety and reduction in health resource use.
Primary prophylaxis in SBP
NORFLOCIR trial
norfloxacin did not reduce 6-month mortality in patients with advanced cirrhosis, with >95% of patients included having no history of prior SBP.
In post-hoc analyses, norfloxacin, appeared to increase survival of patients with low ascites fluid protein concentrations.
Long term regular outpatient Human Albumin Solution (HAS) therapy
ANSWER study
Overall 18-month survival was significantly higher in the standard therapy plus HASĀ group