Comparison of Inflammatory Profiles and Regenerative Potential in Alcoholic Liver Disease (TargetOH)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Philippe Mathurin, MD,PhD
- Phone Number: +33 03 20 44 55 97
- Email: philippe.mathurin@chru-lille.fr
Study Locations
-
-
-
Lille, France
- Recruiting
- Hôpital Claude Huriez, CHRU
-
Principal Investigator:
- Philippe Mathruin, MD,PhD
-
Sub-Investigator:
- Alexandre Louvet, MD,PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- group A: patients with acute alcoholic hepatitis
- Active alcohol abuse defined by DSM IV and excessive alcohol consumption prior to admission (> 60 g per day for men and> 40 g per day for women)
- Moderate elevation of transaminases (less than 500 U / L) with a typical ASAT / ALAT ratio of 2: 1
- Bilirubin> 50 mg / l
- Absence of autoimmune liver disease (ANA <1/80, AML <1/80, LKM1 neg, AAM neg)
- Absence of hepatitis B and C and HIV infection (negative anti-HIV antibodies, negative HBsAg, negative HCV PCR)
- Patients with other acute complications than alcoholic hepatitis may be included (eg, digestive hemorrhage, acute renal failure, infection, etc.)
- Because there is no validated noninvasive tool for the diagnosis of alcoholic hepatitis, histological confirmation is required in all patients (preferably by transjugular biopsy): alcoholic hepatitis will be diagnosed on the presence of the following histological characteristics: Hepatocellular lesions (ballooning, Mallory body)/ Inflammatory infiltrate with polymorphonuclear neutrophils
- group B1: patients with alcoholic cirrhosis
- Decompensated or non-decompensated alcoholic cirrhosis, defined according to the HAS guidelines, ie by a liver biopsy or a cluster of clinico-biological arguments (www.has-sante.fr)
- group B2: patients free from chronic liver disease
- Justification of blood and liver sampling for the management of a pathology other than chronic liver disease (eg liver metastasis of digestive cancer occurring on healthy liver)
Exclusion Criteria:
- For groups A and B1:
- Patients with hepatocellular carcinoma of progressive non-hepatic cancer
- Presence of HBsAg
- Presence of anti-HCV antibodies by positive PCR
- Presence of antibodies to HIV 1 +2
- Pregnancy
- for group B2:
- Alcoholic liver disease
- Presence of HBsAg
- Presence of anti-HCV antibodies by positive PCR
- Presence of antibodies to HIV 1 +2
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: acute alcoholic hepatitis
collection of liver biopsies collection of blood samples in patients with acute alcoholic hepatitis (group A)
|
blood and ascites samples; extraction of explants, hepatic resection parts; hepatic parenchyma on liver biopsies
|
|
Other: Alcoholic cirrhosis
collection of liver biopsies collection of blood samples in patients with alcoholic cirrhosis (group B1)
|
blood and ascites samples; extraction of explants, hepatic resection parts; hepatic parenchyma on liver biopsies
|
|
Other: Without chronic liver disease
collection of liver biopsies collection of blood samples in patients without chronic liver disease (group B2)
|
blood and ascites samples; extraction of explants, hepatic resection parts; hepatic parenchyma on liver biopsies
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
the expression of proinflammatory cytokines
Time Frame: Baseline
|
Proinflammatory Cytokines (TNF, IL-1, IL-6, IL-8)
|
Baseline
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
the expression of genetic variants of pro-inflammatory cytokines
Time Frame: Baseline
|
Identification of genetic variants of pro-inflammatory cytokines that contribute to mortality of Alcoholic Liver Disease
|
Baseline
|
|
Cell lysis (AST, ALT, CK18 cleaved)
Time Frame: Baseline
|
Baseline
|
|
|
Regeneration markers (Ki-67, Fn14, CK7)
Time Frame: Baseline
|
Baseline
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Philppe Mathurin, MD,PhD, University Hospital, Lille
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2014_30
- 2014-A01452-45 (Other Identifier: ID-RCB Number, ANSM)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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