Status:
COMPLETED
Pentoxifylline/Nonalcoholic Steatohepatitis (NASH) Study: The Effect of Pentoxifylline on NASH
Lead Sponsor:
Northwestern University
Conditions:
Nonalcoholic Steatohepatitis
Liver Diseases
Eligibility:
All Genders
18-65 years
Phase:
PHASE2
PHASE3
Brief Summary
The purpose of this study is to explore the potential benefit of the medication, pentoxifylline, for the treatment of NASH.
Detailed Description
This is an investigational study looking at subjects who have been diagnosed with nonalcoholic steatohepatitis (NASH) or 'fatty liver disease'. There is currently no FDA approved available treatment f...
Eligibility Criteria
Inclusion
- Subjects must be willing to give written informed consent
- Diagnosis of steatohepatitis Grade \>= 1 (Brunt et al. criteria - Am J Gastroenterology 1999;94(9)2467-74) on biopsy within 6 months prior to entry into protocol
- No histologic evidence of cirrhosis
- Persistent ALT elevation (\> 1.5 the upper limit normal) over 6 months prior to entry into study
- Adult subjects 18-65 years of age of any race or gender
- Compensated liver disease with the following hematologic, biochemical, and serological criteria on entry into protocol:
- Hemoglobin \> 11 gm/dL for females and \> 12 gm/dL for males
- White blood cell (WBC) \> 2.5 K/UL
- Neutrophil count \> 1.5 K/UL
- Platelets \> 100 K/UL
- Direct bilirubin, within normal limits
- Indirect bilirubin within normal limits (unless non-hepatitis factors such as Gilbert's disease explain indirect bilirubin rise. In such cases total bilirubin must be \< 3.0 mg/dL)
- Albumin \> 3.2 g/dL
- Serum creatinine within normal limits
- Hemoglobin A1c (HgbA1c) \< 7%
- Antinuclear antibodies (ANA) \< 1:160
- Anti-smooth muscle Ab negative
- Serum hepatitis B surface antigen (HepBsAg) negative
- Serum hepatitis C antibody (HepC Ab) negative
- Iron/total iron binding capacity (TIBC) ratio (transferrin saturation) \< 45%
- Alpha-1-antitrypsin level within normal limits
- Ceruloplasmin level within normal limits
- Negative pregnancy test (females)
- Concomitant use of lipid lowering agents at study entry will not exclude patients from the study.
Exclusion
- Evidence of decompensated cirrhosis
- Active gastrointestinal (GI) bleeding
- Renal failure (creatinine clearance \< 80 mL/min)
- Active alcohol or drug abuse
- Uncontrolled diabetes (HgbA1c \> 7)
- Current treatment with anti-diabetic medications such as thiazolidinediones or metformin (stable doses of sulfonylureas are acceptable)
- Current treatment with anti-TNF alpha medication (i.e. Remicade or Enbrel)
- Current treatment with vitamin E
- Alcohol consumption \< 20 g/day (males) or \< 10 g/day (females) - assessed by one physician and confirmed with one family member.
- HIV positive status
- Any history of cerebral and/or retinal hemorrhage
- Prior intolerance of pentoxifylline or any other methylxanthine (i.e. caffeine, theophylline, or theobromine)
- Current use of theophylline
- Known diagnosis of malignancy
- Any other conditions which the investigator feels would make the subject unsuitable for enrollment, or could interfere with the subject completing the protocol
Key Trial Info
Start Date :
March 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 1 2009
Estimated Enrollment :
26 Patients enrolled
Trial Details
Trial ID
NCT00267670
Start Date
March 1 2005
End Date
September 1 2009
Last Update
September 9 2014
Active Locations (1)
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1
Northwestern University
Chicago, Illinois, United States, 60611