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Safety and efficacy of continuous infusion terlipressin (BIV201): A phase 2 trial in patients with decompensated cirrhosis and refractory ascites

Plain-language guide to PMID 40272365 (2025): open-label randomized controlled trial study of Terlipressin in 10 patients.

Key Facts

PMID
40272365
Journal
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Year
2025
Study type
Randomized Controlled Trial
Authors
Bajaj JS et al. (16 authors)
DOI
10.1097/LVT.0000000000000623

What This Study Did, in Plain Language

What Was Tested

Researchers studied Terlipressin in this randomized controlled trial publication.

Patients with cirrhosis and refractory ascites were randomly assigned (2:1) to receive two 28-day cycles of continuous infusion BIV201 plus standard of care (SOC) separated by a ≤56-day washout (n=10), or SOC alone (n=5).

Data analysis was limited by the small sample size and confounded by a potential interaction with gabapentinoids in the BIV201+SOC group.

Who Took Part

According to the abstract, 10 patients were involved.

The age groups tagged for this paper are adults, middle-aged adults and older adults, both men and women.

How the Study Was Run

In design terms this was a randomized and open-label study.

The patients were allocated by chance, so the Terlipressin group and the comparison group should start out alike.

Everyone knew when Terlipressin was being given (open label), which is simpler to run but leaves more room for expectations to affect what is reported.

What Was Measured

PubMed files the paper under topics including Ascites, Terlipressin, Liver Cirrhosis, Quality of Life, Vasoconstrictor Agents, Lypressin and Paracentesis.

The authors tagged it with the keywords decompensated cirrhosis, hyponatremia, outpatient and phase 2 clinical trial.

What This Means in Plain Language

The paper is a randomized and open-label study of Terlipressin in 10 patients.

With fewer than 40 people, it is a small study, so it is better read as an early signal for further research than as a settled answer.

The publication is from 2025 (Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society), a journal based in United States.

More context: the Terlipressin compound page, all human trials.

Our Notes on the Compound

Terlipressin: A synthetic vasopressin analog (Terlivaz) used for kidney failure in advanced liver disease and for variceal bleeding.

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.