Management of Immune Checkpoint Inhibition-related Hepatitis Using Low-dose Corticosteroids
NCT07167251 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 63
Last updated 2025-09-11
Summary
This study evaluates the effectiveness of low-dose corticosteroids in managing grade 2-3 immune-related hepatitis in cancer patients treated with immune checkpoint inhibitors. It aims to determine whether of 0.5-1miligram per kilogram bodyweight prednisolone is sufficient to manage immune-related hepatitis without the need for dose escalation or additional immunosuppressive therapy.
Conditions
- Immune Related Adverse Events
- Immune-Mediated Hepatitis
- Cancer
Interventions
- DRUG
-
Low-dose corticosteroids for immune-related hepatitis grade 3
Prednisolone 0.5-1 mg/kg orally for grade 3 IR-hepatitis; adjusted based on liver function; treatment per local standard of care.
- DRUG
-
Low-dose corticosteroids for immune-related hepatitis grade 2
Hold immunotherapy and reassess liver function at the treating physician's discretion. If liver function tests persistently worsen or continue to rise, consider administering prednisolone at 0.5 mg/kg body weight
Sponsors & Collaborators
-
Royal Marsden NHS Foundation Trust
collaborator OTHER -
Odense University Hospital
collaborator OTHER -
UMC Utrecht
collaborator OTHER -
University Hospital, Basel, Switzerland
lead OTHER
Principal Investigators
-
Andreas M Schmitt, MD · University Hospital, Basel, Switzerland
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-08-25
- Primary Completion
- 2026-12-31
- Completion
- 2026-12-31
Countries
- Switzerland
- United Kingdom
Study Locations
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