Treatment Efficacy of Corticosteroids and Mycophenolate Mofetil in Patients With Immune Related Hepatitis
NCT04810156 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2022-12-14
Summary
This clinical trial is to clarify and investigate the patterns of immune-related hepatitis and the optimal treatment choice for patients who are steroid-dependent. The project aims to prospectively characterize the various histopathological, biochemical, and phenotypical liver injury patterns induced by immune checkpoint inhibitors and the treatment responses to corticosteroids. Furthermore, the effect of adding a second-line immunosuppressive drug, either MMF in steroid-refractory or steroid-dependent cases will be explored and compared.
Conditions
- Hepatitis, Drug-Induced
Interventions
- DRUG
-
Mycophenolate Mofetil
Day 1: MMF 500 mg twice a day Day 2: MMF 1000 mg twice a day
- DRUG
-
Solu-Medrol
2 mg/kg/day
- DRUG
-
Ursodeoxycholic acid
Patients with mixed or cholestatic liver injury pattern will also be administrated peroral UDCA according to weight
- DRUG
-
Prednisone tablet
Shift from solu-medrol IV to peroral prednisolon. A tapering plan will be performed.
Sponsors & Collaborators
-
Inge Marie Svane
lead OTHER
Principal Investigators
-
Inge M Svane · Study Director, National Center for Cancer Immune Therapy, Dept. of Oncology, Hospital Herlev
-
Rikke B Holmstrøm · Ph.D student, National Center for Cancer Immune Therapy, Dept. of Oncology, Hospital Herlev
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-04-07
- Primary Completion
- 2025-04-07
- Completion
- 2025-11-07
Countries
- Denmark
Study Locations
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