NCT02161653

Brief Summary

The purpose of this study is to determine whether metadoxine is effective for improve survival and reduced oxidative stress in patients with severe alcoholic hepatitis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
135

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Apr 2010

Longer than P75 for phase_4

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2010

Completed
4.2 years until next milestone

First Submitted

Initial submission to the registry

June 10, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 12, 2014

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2014

Completed
Last Updated

November 11, 2014

Status Verified

November 1, 2014

Enrollment Period

4.4 years

First QC Date

June 10, 2014

Last Update Submit

November 8, 2014

Conditions

Keywords

Severe alcoholic hepatitissurvivaloxidative stress

Outcome Measures

Primary Outcomes (2)

  • 30 day-survival

    30 days

  • Malondialdehyde serum levels

    14 and 30 days

Secondary Outcomes (2)

  • 3 month-survival

    3 months

  • 6 month-survival

    6 months

Study Arms (4)

Prednisone

NO INTERVENTION

Prednisone 40 mg daily by mouth during 30 days.

Pentoxifylline

NO INTERVENTION

Pentoxifylline 400 mg thrice in day by mouth during 30 days

Prednisone plus metadoxine

EXPERIMENTAL

Prednisone 40 mg daily by mouth plus Metadoxine 500 mg thrice in day by mouth during 30 days.

Drug: Prednisone plus Metadoxine

Pentoxifylline plus metadoxine

EXPERIMENTAL

Pentoxifylline 400 mg thrice in day by mouth plus Metadoxine 500 mg thrice in day by mouth during 30 days.

Drug: Pentoxifylline plus Metadoxine

Interventions

Prednisone plus metadoxine
Pentoxifylline plus metadoxine

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with clinical and biochemical criteria for severe alcoholic hepatitis: Total bilirubin greater than 5 mg/dl in absence of biliary tract obstruction evidenced by ultrasound, history of chronic alcohol intake, leukocytosis, neutrophilia, elevation of transaminases with an aspartate aminotransferase / alanine aminotransferase ratio equal or greater than 2, discriminant function greater than 32.

You may not qualify if:

  • Diabetes, chronic kidney disease, hepatitis C, hepatitis B and or human immunodeficiency virus infection, asthma or history of atopy or allergic reactions, therapy in the previous two years with steroids, pentoxifylline, metadoxine, S-adenosyl L- methionine, antioxidants or multivitamins.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital General de Mexico

Mexico City, D.f., 06726, Mexico

Location

Related Publications (1)

  • Higuera-de la Tijera F, Servin-Caamano AI, Serralde-Zuniga AE, Cruz-Herrera J, Perez-Torres E, Abdo-Francis JM, Salas-Gordillo F, Perez-Hernandez JL. Metadoxine improves the three- and six-month survival rates in patients with severe alcoholic hepatitis. World J Gastroenterol. 2015 Apr 28;21(16):4975-85. doi: 10.3748/wjg.v21.i16.4975.

MeSH Terms

Conditions

Hepatitis, Alcoholic

Interventions

PrednisonemetadoxinePentoxifylline

Condition Hierarchy (Ancestors)

HepatitisLiver DiseasesDigestive System DiseasesLiver Diseases, AlcoholicAlcohol-Induced DisordersAlcohol-Related DisordersSubstance-Related DisordersChemically-Induced Disorders

Intervention Hierarchy (Ancestors)

PregnadienediolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsTheobromineXanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, MSc.

Study Record Dates

First Submitted

June 10, 2014

First Posted

June 12, 2014

Study Start

April 1, 2010

Primary Completion

September 1, 2014

Study Completion

September 1, 2014

Last Updated

November 11, 2014

Record last verified: 2014-11

Locations