Effects of Rifaximin in Patients With Acute Alcoholic Hepatitis
NCT02116556 · Status: UNKNOWN · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 29
Last updated 2016-11-04
Summary
Acute alcoholic hepatitis (AAH) is a serious condition and one of the most frequent causes of Acute-on-Chronic Liver Failure. The current standard therapy (corticosteroids) is theme of debate and unsatisfactory in many patients (year mortality: 30%). One of the main causes of death is bacterial infections, which affect 40-50% of patients at 90 days. Intestinal decontamination with rifaximin (a nonabsorbable antibiotic) reduces endotoxemia, improves liver function and reduces the complications of decompensated alcoholic cirrhosis.
The Hypothesis/Objective: To assess whether oral decontamination with rifaximin prevents the development of infections associated with AAH and analyze its consequences.
Conditions
- Alcoholic Hepatitis
Interventions
- DRUG
-
Prednisone PO 40mg/day or IV equivalent dosage for 30 days. Patients not responding at 7 days (e.g. Lille Model ≥ 0.45) treatment with Prednisone will be suspended.
- DRUG
-
Rifaximin
Rifaximin PO 1200 mg/day for 90 days
Sponsors & Collaborators
-
Germans Trias i Pujol Hospital
collaborator OTHER -
Hospital del Mar
collaborator OTHER -
Hospital de Sant Pau
collaborator OTHER -
Hospital Universitari Vall d'Hebron Research Institute
lead OTHER
Principal Investigators
-
Victor Vargas, MD · Internal Medicine Service. Vall d'Hebron Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-04-30
- Primary Completion
- 2016-12-31
- Completion
- 2016-12-31
Countries
- Spain
Study Locations
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