- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT07428538
Studie för att utvärdera säkerheten och effektiviteten av Larsucosterol hos deltagare med alkoholassocierad hepatit (AH)
RE-AHFIRM (Randomiserad studie av Larsucosterol vid alkoholassocierad hepatit för att bekräfta behandlingens säkerhet och effekt)
The primary purpose of this study is to evaluate the safety and efficacy of larsucosterol, as determined by transplant-free survival through Day 90 in participants with severe alcohol-associated hepatitis (AH) with pre-treatment Maddrey Discriminant Function (MDF) score greater than or equal to (>=) 32 and Model for End-stage Liver Disease (MELD) scores 21-30, inclusive.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Fas 3
Kontakter och platser
Studiekontakt
- Namn: Alycia Olsen
- Telefonnummer: 201-846-8376
- E-post: Alycia.Olsen@bauschhealth.com
Studera Kontakt Backup
- Namn: Varsha Bhatt, PhD
- Telefonnummer: 707-230-1712
- E-post: varsha.bhatt@bauschhealth.com
Studieorter
-
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Alabama
-
Birmingham, Alabama, Förenta staterna, 35233
- Rekrytering
- University of Alabama at Birmingham (UAB) Hospital
-
Mobile, Alabama, Förenta staterna, 36608-3271
- Har inte rekryterat ännu
- University of South Alabama
-
-
Arizona
-
Phoenix, Arizona, Förenta staterna, 85054
- Rekrytering
- Mayo Clinic - Phoenix
-
Phoenix, Arizona, Förenta staterna, 85006
- Rekrytering
- Banner - University Medical Center, Phoenix, Arizona
-
-
California
-
Coronado, California, Förenta staterna, 92118
- Indragen
- Southern California GI & Liver Centers - Coronado
-
Fresno, California, Förenta staterna, 93730
- Har inte rekryterat ännu
- Fresno Clinical Research Center (FCRC)
-
La Jolla, California, Förenta staterna, 92037
- Har inte rekryterat ännu
- Scripps
-
La Jolla, California, Förenta staterna, 92093
- Har inte rekryterat ännu
- UC San Diego School of Medicine
-
Los Angeles, California, Förenta staterna, 90048
- Rekrytering
- Cedars Sinai Medical Center
-
Los Angeles, California, Förenta staterna, 90095
- Har inte rekryterat ännu
- UCLA Health - Ronald Reagan Medical Center
-
Palo Alto, California, Förenta staterna, 94109
- Rekrytering
- Sutter Health
-
Redwood City, California, Förenta staterna, 94063
- Har inte rekryterat ännu
- Stanford Medicine - Clinical and Translational Research Unit - Redwood City
-
Sacramento, California, Förenta staterna, 95816
- Rekrytering
- University of California at Davis Medical Center
-
-
Connecticut
-
New Haven, Connecticut, Förenta staterna, 06510
- Har inte rekryterat ännu
- Yale School of Medicine
-
-
District of Columbia
-
Washington D.C., District of Columbia, Förenta staterna, 20007
- Har inte rekryterat ännu
- Georgetown University Medical Center
-
-
Florida
-
Gainesville, Florida, Förenta staterna, 32608
- Har inte rekryterat ännu
- University of Florida (UF)
-
Jacksonville, Florida, Förenta staterna, 32202
- Rekrytering
- Mayo Clinic
-
Miami, Florida, Förenta staterna, 33136
- Har inte rekryterat ännu
- University of Miami
-
Miami, Florida, Förenta staterna, 33165
- Har inte rekryterat ännu
- Reliant Medical Research
-
Orlando, Florida, Förenta staterna, 32804
- Har inte rekryterat ännu
- AdventHealth Transplant Institute
-
Tampa, Florida, Förenta staterna, 33606
- Rekrytering
- Tampa General Hospital
-
Tampa, Florida, Förenta staterna, 33613
- Har inte rekryterat ännu
- AdventHealth Medical Campus
-
-
Georgia
-
Atlanta, Georgia, Förenta staterna, 30322
- Har inte rekryterat ännu
- Emory University Hospital
-
Atlanta, Georgia, Förenta staterna, 30309
- Rekrytering
- Piedmont Atlanta Hospital - Piedmont Transplant Institute
-
Augusta, Georgia, Förenta staterna, 30912
- Har inte rekryterat ännu
- Augusta University
-
-
Illinois
-
Chicago, Illinois, Förenta staterna, 60612
- Rekrytering
- Rush University Medical Center
-
Chicago, Illinois, Förenta staterna, 60601
- Har inte rekryterat ännu
- Northwestern University - Feinberg School of Medicine
-
Maywood, Illinois, Förenta staterna, 60153
- Har inte rekryterat ännu
- Loyola University Medical Center (LUMC)
-
-
Indiana
-
Indianapolis, Indiana, Förenta staterna, 46202
- Har inte rekryterat ännu
- Indiana Institute for Medical Research (Indiana VA)
-
-
Iowa
-
Iowa City, Iowa, Förenta staterna, 52242
- Rekrytering
- University of Iowa Hospitals & Clinics
-
-
Kentucky
-
Lexington, Kentucky, Förenta staterna, 40507
- Har inte rekryterat ännu
- University of Kentucky -Chandler Medical Center
-
Louisville, Kentucky, Förenta staterna, 40206
- Har inte rekryterat ännu
- Robley Rex VA Medical Center
-
-
Louisiana
-
New Orleans, Louisiana, Förenta staterna, 70112
- Rekrytering
- Tulane University Health Sciences Center - Tulane Avenue
-
-
Maine
-
Portland, Maine, Förenta staterna, 04102-3134
- Har inte rekryterat ännu
- Maine Medical Center - Bramhall Campus
-
-
Maryland
-
Baltimore, Maryland, Förenta staterna, 21287
- Har inte rekryterat ännu
- Johns Hopkins Hospital
-
Baltimore, Maryland, Förenta staterna, 21202
- Rekrytering
- Mercy Medical Center - The Institute for Digestive Health and Liver Disease
-
-
Massachusetts
-
Boston, Massachusetts, Förenta staterna, 02114
- Rekrytering
- Massachusetts General Hospital
-
Boston, Massachusetts, Förenta staterna, 02118
- Rekrytering
- Boston University School of Medicine
-
Boston, Massachusetts, Förenta staterna, 02215
- Har inte rekryterat ännu
- Beth Israel Deaconess Medical Center
-
Boston, Massachusetts, Förenta staterna, 02111
- Har inte rekryterat ännu
- Tufts Medical Center
-
Worcester, Massachusetts, Förenta staterna, 01655
- Rekrytering
- UMass Chan Medical School
-
-
Michigan
-
Ann Arbor, Michigan, Förenta staterna, 48109
- Rekrytering
- University of Michigan
-
Detroit, Michigan, Förenta staterna, 48202
- Rekrytering
- Henry Ford Hospital System
-
-
Minnesota
-
Minneapolis, Minnesota, Förenta staterna, 55414-2924
- Har inte rekryterat ännu
- University of Minnesota Medical Center
-
-
Missouri
-
Kansas City, Missouri, Förenta staterna, 64111
- Har inte rekryterat ännu
- Saint Luke's Hospital of Kansas City
-
-
Nevada
-
Las Vegas, Nevada, Förenta staterna, 89154-9900
- Har inte rekryterat ännu
- University of Nevada Las Vegas
-
-
New Jersey
-
Camden, New Jersey, Förenta staterna, 08103
- Har inte rekryterat ännu
- Virtua Medical Group (VMG) - Virtua Center for Liver Disease - Toms River
-
Newark, New Jersey, Förenta staterna, 07103-2425
- Rekrytering
- Rutgers University New Jersey Medical School
-
-
New Mexico
-
Albuquerque, New Mexico, Förenta staterna, 87106-4713
- Rekrytering
- University of New Mexico (UNM) Hospital
-
-
New York
-
Manhasset, New York, Förenta staterna, 11030
- Rekrytering
- Northwell Health Physician Partners Sandra Atlas Bass Center for Liver Diseases
-
New York, New York, Förenta staterna, 10016
- Rekrytering
- NYU Langone Health
-
New York, New York, Förenta staterna, 10065
- Har inte rekryterat ännu
- NewYork-Presbyterian/Weill Cornell Medical Center
-
New York, New York, Förenta staterna, 10007
- Har inte rekryterat ännu
- Columbia University Medical Center (CUMC) - Presbyterian Hospital and Vanderbilt Clinic
-
Rochester, New York, Förenta staterna, 14642
- Har inte rekryterat ännu
- University of Rochester Medical Center
-
The Bronx, New York, Förenta staterna, 10467
- Rekrytering
- Montefiore Medical Center
-
Valhalla, New York, Förenta staterna, 10595
- Har inte rekryterat ännu
- Westchester Medical Center
-
-
North Carolina
-
Chapel Hill, North Carolina, Förenta staterna, 27514
- Har inte rekryterat ännu
- University of North Carolina (UNC Hospitals)
-
Charlotte, North Carolina, Förenta staterna, 28204
- Rekrytering
- Levine Cancer Institute / Atrium Health
-
Durham, North Carolina, Förenta staterna, 27710
- Har inte rekryterat ännu
- Duke University Hospital
-
-
Ohio
-
Cleveland, Ohio, Förenta staterna, 44106
- Har inte rekryterat ännu
- University Hospitals Cleveland Medical Center
-
Cleveland, Ohio, Förenta staterna, 44114
- Har inte rekryterat ännu
- Cleveland Clinic
-
Columbus, Ohio, Förenta staterna, 43210
- Rekrytering
- The Ohio State University Wexner Medical Center (OSUWMC)
-
-
Oregon
-
Portland, Oregon, Förenta staterna, 97239
- Har inte rekryterat ännu
- Oregon Health & Science University
-
-
Pennsylvania
-
Hershey, Pennsylvania, Förenta staterna, 17033
- Rekrytering
- Penn State Health, Milton S. Hershey Medical Center
-
Philadelphia, Pennsylvania, Förenta staterna, 19140
- Har inte rekryterat ännu
- Temple University Hospital
-
Philadelphia, Pennsylvania, Förenta staterna, 19104
- Rekrytering
- University of Pennsylvania Hospital
-
Philadelphia, Pennsylvania, Förenta staterna, 19107
- Har inte rekryterat ännu
- Thomas Jefferson University Hospital
-
Philadelphia, Pennsylvania, Förenta staterna, 19104-4551
- Rekrytering
- VA Medical Center - Philadelphia
-
Philadelphia, Pennsylvania, Förenta staterna, 19141
- Har inte rekryterat ännu
- Einstein Medical Center Philadelphia
-
Pittsburgh, Pennsylvania, Förenta staterna, 15213-3232
- Har inte rekryterat ännu
- University of Pittsburgh
-
-
South Carolina
-
Charleston, South Carolina, Förenta staterna, 29425
- Rekrytering
- Medical University of South Carolina
-
Charleston, South Carolina, Förenta staterna, 29401
- Har inte rekryterat ännu
- Ralph H. Johnson Department of Veterans Affairs Medical Center
-
-
Tennessee
-
Chattanooga, Tennessee, Förenta staterna, 37402
- Har inte rekryterat ännu
- Galen Medical Group - Galen Hepatology
-
Nashville, Tennessee, Förenta staterna, 37232
- Har inte rekryterat ännu
- Vanderbilt University Medical Center
-
-
Texas
-
Dallas, Texas, Förenta staterna, 75203
- Rekrytering
- The Liver Institute at Methodist Dallas Medical Center
-
Dallas, Texas, Förenta staterna, 75246
- Har inte rekryterat ännu
- Baylor Scott White Research Institute - Dallas
-
Denton, Texas, Förenta staterna, 75149-7418
- Har inte rekryterat ännu
- North Texas Gastroenterology
-
Fort Worth, Texas, Förenta staterna, 76104
- Har inte rekryterat ännu
- Baylor Scott & White All Saints Medical Center - Fort Worth
-
Houston, Texas, Förenta staterna, 77074
- Rekrytering
- Clinical Trial Network - Houston
-
Houston, Texas, Förenta staterna, 77030
- Rekrytering
- Baylor College of Medicine (BCM) - Baylor Clinic
-
San Antonio, Texas, Förenta staterna, 78229
- Rekrytering
- Methodist Healthcare - Methodist Hospital Specialty and Transplant
-
Temple, Texas, Förenta staterna, 76508
- Har inte rekryterat ännu
- Baylor Scott White Research Institute - Temple
-
-
Utah
-
Murray, Utah, Förenta staterna, 84107
- Rekrytering
- Intermountain Transplant Clinic
-
Salt Lake City, Utah, Förenta staterna, 84132
- Har inte rekryterat ännu
- University of Utah Health - University of Utah
-
-
Virginia
-
Charlottesville, Virginia, Förenta staterna, 22908
- Rekrytering
- University of Virginia Health
-
Richmond, Virginia, Förenta staterna, 23226
- Rekrytering
- Bon Secours Liver Institute of Richmond
-
Richmond, Virginia, Förenta staterna, 23249
- Rekrytering
- Richmond VA Medical Center
-
-
Washington
-
Seattle, Washington, Förenta staterna, 98104
- Har inte rekryterat ännu
- Swedish Medical Center
-
Seattle, Washington, Förenta staterna, 98101
- Har inte rekryterat ännu
- Virginia Mason Medical Center (VMMC) - Seattle
-
Seattle, Washington, Förenta staterna, 98104
- Har inte rekryterat ännu
- UW Medicine-Harborview Medical Center
-
-
West Virginia
-
Huntington, West Virginia, Förenta staterna, 25701
- Har inte rekryterat ännu
- Marshall Health
-
-
Wisconsin
-
Madison, Wisconsin, Förenta staterna, 53703
- Har inte rekryterat ännu
- University of Wisconsin-Madison
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria-
A participant will be eligible for inclusion in this study if he/she meets all the following criteria:
-
Able to provide written informed consent (either from participant or participant's legally acceptable representative).
-
Onset of jaundice within 8 weeks before hospital admission.
-
Average daily consumption of greater than (>) 40 (females) or >60 (males) grams alcohol for 6 months or longer, with less than (<) 8 weeks of abstinence before the onset of jaundice. Judgment regarding daily and long-term alcohol use and onset of jaundice will be made and documented by the site Investigator.
-
The determination of AH will be based on typical serum chemistry (as determined by local laboratory):
- Serum total bilirubin >3.0 milligrams per deciliter (mg/dL) (required at randomization)
- ALT <400 international unit per Liter (IU/L) (required at randomization)
- 50 <AST <400 IU/L
- AST <400 IU/L (required at randomization)
- AST >50 IU/L (at any time since current hospital admission or leading to this current hospitalization)
- AST/ALT >1.5 (at any time since current hospital admission or leading to this current hospitalization)
-
Maddrey discriminant function (MDF) >=32, assuming a control prothrombin time of 12 seconds.
NOTE: If a local laboratory's control time differs from 12 seconds, then the local laboratory's control time should be used. If control time is not stated or is stated as a range, the control time should be calculated by the formula prothrombin time/INR.
-
Original Model for End-stage Liver Disease (MELD; not MELD-Na) score: 21-30 (inclusive).
-
Male or female participants 18 years of age or older.
-
Women of child-bearing potential (defined as females who are not surgically sterile or who are not over the age of 52 and amenorrheic for at least 12 months) must utilize appropriate birth control throughout the 90-day portion of the study. Acceptable methods that may be used are abstinence, birth control pills ("The Pill") or patch, diaphragm, IUD (coil), vaginal ring, condom, surgical sterilization or progestin implant or injection, or sexual activity limited to a sterile (e.g., vasectomized) male partner.
-
Male participants must agree to use a medically acceptable method of contraception/birth control and refrain from sperm donation throughout the 90-day portion of the study.
-
Participants must agree to participate in an alcohol abstinence support program recommended by the local institution's addiction specialists.
-
Participants must be dosed within 9 calendar days (216 hours) of hospital admission inclusive of time spent in other hospital(s)
Exclusion Criteria-
A participant will be excluded from the study if he or she meets any of the following criteria:
-
Participants using systemic corticosteroids for current AH before enrollment or having a history of using systemic corticosteroids for more than 8 days in the last 30 days prior to screening.
NOTE: Inhaled, topical, or local corticosteroid injections are permitted NOTE: A participant who has a confirmed diagnosis of hypoadrenalism and is taking a physiological replacement dose of hydrocortisone (or equivalent) is permitted to take part in the trial
-
Participants experiencing or considered at high risk for alcohol withdrawal seizures or delirium tremens.
-
Active infection (such as spontaneous bacterial peritonitis [SBP], urinary tract infection [UTI], cellulitis, pneumonia, bacteremia, acute viral hepatitis, uncontrolled HIV, and active SARS CoV2 infection).
- Participants who are febrile with leukocytosis are also excluded until active infection has been excluded to the satisfaction of the PI in consultation with the medical monitor.
- Participants with bacterial infections may be enrolled provided they remain in the enrollment window and the infection is adequately treated. For example, participants with bacterial peritonitis may be considered for enrollment once the infection has been treated and follow up paracentesis confirms the absence of SBP.
- Participants with systemic fungal infection of any kind cannot be considered for this trial.
-
Serum creatinine >2.5 mg/dL.
-
Participants undergoing continuous veno-venous hemodialysis (CVVH).
-
Gastrointestinal bleeding not controlled by local therapy (i.e., band ligation or injection sclerotherapy). Participant who are at high risk of rebleeding or likely in need of TIPS insertion should be excluded.
-
TIPS insertion or variceal embolization within the last 4 weeks.
-
Known portal vein occlusion.
-
A history of pre-admission refractory ascites defined as more than 4 paracenteses in the previous 8 weeks despite diuretic therapy.
-
Liver biopsy (if carried out) with findings not compatible with AH. NOTE: A post-dose liver biopsy that is not compatible with AH will not be considered a protocol deviation.
-
Stage >=3 hepatic encephalopathy by West Haven criteria.
-
Participants with medical conditions that are expected to pose a high risk of short-term (less than or equal to [<=] 90 days) mortality unrelated to alcohol-associated hepatitis, or that may confound assessment of 90-day survival in the Investigator's judgement. Examples include, but are not limited to:
- Severe concomitant cardiopulmonary disease (e.g., New York Heart Association [NYHA] Class III or IV heart failure)
- Clinically significant cardiac arrhythmia (e.g., sustained ventricular tachycardia, unmanaged atrial fibrillation, QTc >=500 msec, or high-grade AV block)
- Ventilator-dependent respiratory failure, or Global Initiative for Chronic Obstructive Lung Disease [GOLD] Stage III or IV chronic obstructive pulmonary disease [COPD])
- End-stage renal disease requiring chronic, ongoing dialysis
- Severe uncontrolled endocrine or metabolic disorders
- Severe psychiatric illness likely to interfere with study participation
- Hypotension/shock as defined by the North American Consortium for the study of End-stage Liver Disease (NACSELD) criteria (i.e., Mean Arterial Pressure [MAP] <60 millimeter of mercury (mmHg), despite adequate fluid resuscitation and cardiac output)
-
Other concomitant cause(s) of liver disease as a result of:
- Autoimmune liver disease
- Ischemic hepatitis
- Wilson disease or alpha 1 antitrypsin deficiency
- Vascular liver disease (e.g., Budd-Chiari)
- Drug induced liver disease
- Surface antigen positive hepatitis B (HBsAg+). NOTE: Participants with isolated core antibody (anti-HBc) or who are on stable antiviral medication with known viral suppression are not excluded, but appropriate HBV prophylaxis should be considered if steroid dosing >4 weeks is anticipated.
- Acute hepatitis A (if test performed per SOC)
- Acute HCV or chronic hepatitis C with a history of decompensated cirrhosis. NOTE: participants with stable chronic HCV or successfully treated HCV are not excluded
- Acute hepatitis E (if test performed per SOC)
- Acute cytomegalovirus (CMV) viral hepatitis (if test performed per SOC)
-
Any known active malignancy or any malignancy diagnosed within the last five years other than curable skin cancer (basal cell or squamous cell carcinomas).
-
Existing or intended pregnancy or breast feeding.
-
Participation in another interventional clinical trial within 30 days of Screening.
-
History of organ transplantation other than corneal transplant.
-
Underlying disease that, in the opinion of the site Investigator, might be complicated or exacerbated by proposed treatments or might confound assessment of study drug.
-
Participant listed for liver transplant (LT) prior to study drug administration.
-
Concern of participant's willingness and ability to be compliant with the schedule of protocol assessments, per the Investigator's judgement.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Dubbel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Larsucosterol 30 mg
Participants will receive Larsucosterol 30 milligrams (mg) intravenous infusion on Day 1. |
Larsucosterol intravenous infusion.
Andra namn:
|
|
Placebo-jämförare: Placebo
Participants will receive intravenous infusion of placebo matched to Larsucosterol on Day 1. |
Matching-placebo (sterile water for injection) intravenous infusion. |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
Transplantfri överlevnad upp till dag 90
Tidsram: Upp till dag 90
|
Upp till dag 90
|
Sekundära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
Överlevnad efter 90 dagar
Tidsram: Dag 90
|
Dag 90
|
|
Tid till död upp till dag 90
Tidsram: Upp till dag 90
|
Upp till dag 90
|
|
Antal deltagare med dagar levande och utanför sjukhus upp till dag 90
Tidsram: Upp till dag 90
|
Upp till dag 90
|
|
Tid till första allmänna återinläggning efter utskrivning upp till dag 90
Tidsram: Upp till dag 90
|
Upp till dag 90
|
|
Antal deltagare med intensivvårdsavdelning (IVA) användning upp till dag 90
Tidsram: Upp till dag 90
|
Upp till dag 90
|
|
Förändring från baseline i Model for End-Stage Liver Disease (MELD)-score
Tidsram: Dag 7 till Dag 180
|
Dag 7 till Dag 180
|
|
Förändring från baslinjen i bilirubinnivåer
Tidsram: Upp till dag 180
|
Upp till dag 180
|
|
Transplantfri överlevnad upp till dag 180
Tidsram: Upp till dag 180
|
Upp till dag 180
|
|
Överlevnad efter 180 dagar
Tidsram: Dag 180
|
Dag 180
|
Samarbetspartners och utredare
Sponsor
Samarbetspartners
Utredare
- Studierektor: Varsha Bhatt, PhD, Bausch Health Americas, Inc.
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- LCAH3141
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Studerar en amerikansk FDA-reglerad produktprodukt
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