Role of Extended Low Dose Prednisolone in Achieving Clinical and Biochemical Remission in Steroid Responsive Severe Alcoholic Hepatitis
NCT06155760 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 150
Last updated 2023-12-04
Summary
Severity of alcoholic hepatitis is defined by Maddrey's discriminant function, value of 32 or higher indicates severe alcoholic hepatitis that carries an adverse prognosis with one month mortality of 30%-50%. Prednisolone (40 mg/day) given orally should be considered to improve 28-day mortality in patients with severe AH. Abstinence is key to long-term survival.
According to current protocol, we discontinue the treatment after 28 days but only 15 % patient is achieving the DF \< 32 after 28 days of treatment.
The aim of this study is to evaluate the role of extended low dose prednisolone (10mg) in achieving remission by day-90 in steroid responsive severe alcoholic hepatitis.
Conditions
- Severe Alcoholic Hepatitis
Interventions
- DRUG
-
Prednisolone
10mg of prednisolone plus standard medical therapy for 60 days
- OTHER
-
Standard Medical therapy
IV Albumin, Diuretics, Multi vitamins as per clinicians decision
- DRUG
-
Placebo
Sponsors & Collaborators
-
Institute of Liver and Biliary Sciences, India
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-25
- Primary Completion
- 2025-02-27
- Completion
- 2025-02-27
Countries
- India
Study Locations
More Related Trials
-
Efficacy of Plasma Exchange Therapy vs Standard Medical Therapy in Severe Alcoholic Hepatitis With High Discriminant Function
NCT06355726 ·Status: RECRUITING ·Phase: NA
-
Double-blind Randomized Controlled Trial in Severe Alcoholic Hepatitis
NCT01214226 ·Status: COMPLETED ·Phase: PHASE3
-
Effects of Prednisolone and Pentoxifylline on the Regulation of Urea Synthesis in Alcoholic Hepatitis
NCT01245257 ·Status: COMPLETED
-
Nutritional Interventions in Patients With Alcohol-associated Hepatitis
NCT06131177 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Complex Exploratory Study of Alcohol-Associated Hepatitis
NCT06358196 ·Status: NOT_YET_RECRUITING
-
Meta-Analysis of Drug Therapy in Patients With Severe Alcoholic Hepatitis
NCT02796469 ·Status: COMPLETED
-
Efficacy Study of Anakinra, Pentoxifylline, and Zinc Compared to Methylprednisolone in Severe Acute Alcoholic Hepatitis
NCT01809132 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A Study Evaluating the Efficacy of Glucocorticoids in Patients With Pre-ACLF-HBV
NCT01344174 ·Status: UNKNOWN ·Phase: NA
-
Trial of Anakinra (Plus Zinc) or Prednisone in Patients With Severe Alcoholic Hepatitis
NCT04072822 ·Status: COMPLETED ·Phase: PHASE2
-
G-CSF Plus NAC In Severe Alcoholic Hepatitis
NCT02971306 ·Status: UNKNOWN ·Phase: PHASE4
-
Metadoxine as a Therapy for Severe Alcoholic Hepatitis
NCT02161653 ·Status: COMPLETED ·Phase: PHASE4
-
Adrenal Insufficiency in Cirrhotics With Ascites. Effects of Hydrocortisone on Renal and Haemodynamic Function
NCT00657306 ·Status: UNKNOWN ·Phase: PHASE2
-
GCSF in Alcoholic Hepatitis
NCT03703674 ·Status: UNKNOWN ·Phase: PHASE4
-
Is Adrenal Insufficiency Under-diagnosed in Hospitalized Cirrhosis Patients?
NCT03368066 ·Status: COMPLETED ·Phase: PHASE3
-
Intensive Enteral Nutrition and Acute Alcoholic Hepatitis
NCT01801332 ·Status: COMPLETED ·Phase: NA
-
Study of the Drivers of Late Diagnosis of Alcohol Related Diseases, Alone or in Combination With Metabolic Dysfunconal Associated Fatty Liver Disease, Implementation and Evaluation of Itnerventions to Reduce Its Burden.
NCT06403332 ·Status: RECRUITING ·Phase: NA
-
Long Term Effect of Aggressive Nutritional Management on Survival in Patients With Alcoholic Liver Disease
NCT02140294 ·Status: COMPLETED ·Phase: NA
-
Utility of the Use of N-acetylcysteine Associated With Conventional Treatment in Patients With Severe Acute Alcoholic Hepatitis (Maddrey> 32)
NCT05294744 ·Status: RECRUITING ·Phase: NA
-
Growth Hormone in Decompensated Liver Cirrhosis
NCT05253287 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Granulocyte Colony Stimulating Factor Four Week Plus N-Acetyl Cysteine in Severe Alcoholic Hepatitis
NCT05840640 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Proteins in Patients With Cirrhosis and Prior Hepatic Encephalopathy
NCT00955500 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Naltrexone in Achieving and Maintaining Abstinence From Alcohol in Patients With Cirrhosis.
NCT04391764 ·Status: COMPLETED ·Phase: NA
-
Treatment of Sodium Retention in Liver Cirrhosis With Dexamethasone
NCT01311167 ·Status: TERMINATED ·Phase: PHASE3
-
Observation Study of Prednisone and Cyclosporine in Treatment of Thrombocytopenia in Hepatitis B Cirrhosis
NCT01987791 ·Status: UNKNOWN
-
Changes in gUt micRobiota After Enteral Feeding (in Alcoholic Hepatitis)
NCT04544020 ·Status: COMPLETED