Double-blind Randomized Controlled Trial in Severe Alcoholic Hepatitis
NCT01214226 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 278
Last updated 2011-06-01
Summary
The treatment of severe forms of alcoholic hepatitis (AH) constitutes a major challenge for clinicians involved in the management of severe alcoholic liver disease. In patients with Maddrey function higher than 32, compelling evidence from data has shown that corticosteroids improve short-term survival. However, novel strategies or molecules are required in light of the fact that approximately 40 % of patients continue to die at 6 months. A double-blinded randomized controlled trial of 101 patients has showed that Pentoxifylline improves survival of patients with severe AH, as compared to placebo. In terms of mechanisms, the effect of pentoxifylline is related to prevention of hepatorenal function whereas corticosteroids induce an early improvement in liver function. When considering these differences of mechanisms, many clinicians suggest that the addition of pentoxyfilline to corticosteroids is an attractive option that needs to be tested in patients with severe AH.
Conditions
- Alcoholic Hepatitis
- Alcoholic Liver Disease
Interventions
- DRUG
-
Pentoxifylline
400 mg prolonged-released tablets 3 time per day for 1 month.
- DRUG
-
prolonged-release tablets 3 time per day for 1 month
Sponsors & Collaborators
-
Ministry of Health, France
collaborator OTHER_GOV -
University Hospital, Lille
lead OTHER
Principal Investigators
-
Philippe MATHURIN, MD PhD · University Hospital, Lille
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-12-31
- Primary Completion
- 2010-12-31
- Completion
- 2011-01-31
Countries
- Belgium
- France
Study Locations
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