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Randomized Controlled Trial of Mycophenolate Mofetil Versus Steroid Therapy in Alcoholic Hepatitis
Sponsor: Institute of Liver and Biliary Sciences, India
Summary
Patients with acute alcoholic hepatitis will be identified based on national institute on alcohol abuse and alcoholism (NIAAA) will be identified, MELD score will be calculated, patents with MELD score between 20-35 will be randomized to two groups. Group A (intervention arm) will be receiving Mycofenolate mofetil at a dose of 750 mg twice daily and group B will be receiving steroid as per existing guidelines in a dose of 40 mg per day. Both the groups will be followed up for 90 days with assessment done at 4th, 7th and 28th day. Any significant event in addition will also be noted. Patients in group A will be also be monitored for development of complications like cytopenia due to Mycofenolate mofetil and infections will be monitored in both groups. Steroids will be stopped in the non-responders in group B based on Lille score at 4th and 7th day. The outcome variables of interest and to be measured are survival at 28 days and 90 days, clinical outcomes, including hospitalization and liver related outcomes.
Key Details
Gender
All
Age Range
18 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
60
Start Date
2025-01-20
Completion Date
2026-01-31
Last Updated
2025-01-23
Healthy Volunteers
No
Conditions
Interventions
Mycophenolate Mofetil
MMF at a dose of 750 mg twice daily for a period of 28 days,
Prednisone
Prednisone at a dose of 40 mg for 28 days.
Locations (1)
Institute of Liver & Biliary Sciences
New Delhi, National Capital Territory of Delhi, India