Status:
TERMINATED
Efficacy and Safety of Orally Administered DS102 in Patients With Acute Alcoholic Hepatitis
Lead Sponsor:
Afimmune
Conditions:
Severe Acute Decompensated Alcoholic Hepatitis
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
The purpose of this randomised, double-blind, placebo-controlled, phase II study is to assess the efficacy and safety of orally administered DS102 in adult patients with acute decompensated alcoholic ...
Eligibility Criteria
Inclusion
- Male or female patients aged 18 years and older
- Total bilirubin of ≥ 5 mg/dl (85μmol/l)
- Patients with definite or probable AH
- MELD ≥18 at baseline visit
- MDF ≥32 at baseline visit
- AST ≥50 U/L
- AST':ALT ratio \> 1.5
- Female patients, or female partners of male patients, of child bearing potential must use highly effective birth control methods or have a sterilised partner for the duration of the study. Highly effective birth control methods are defined as methods that can achieve a failure rate of less than 1% per year when used consistently and correctly. Such methods include intrauterine device or sexual abstinence.
- Note: A woman is considered of child bearing potential (WOCBP), i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy Note: Hormonal contraceptives are contraindicated in patients with severe hepatic diseases and are not acceptable as a birth control method in this study Note: Sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatments. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the subject
- Patient and/or legally authorised representative must provide informed consent
- Able to swallow the provided study medication
- Not eligible for liver transplant during this hospitalisation
Exclusion
- Pregnant or lactating females.
- Spontaneous liver function improvement defined by decrease of bilirubin level and MDF of \>10% within 5 days of hospital admission
- Grade 4 hepatic encephalopathy (West Haven Criteria)
- Type 1 hepatorenal syndrome (HRS) or a serum creatinine \>2 x ULN or the requirement for haemodialysis
- History of hypersensitivity to any substance in DS102 capsules or placebo capsules.
- Alcohol abstinence of \>6 weeks prior to screening
- Duration of clinically apparent jaundice \>3 months prior to baseline
- Other causes of liver disease including:
- Evidence of chronic viral hepatitis (Hepatitis B DNA positive or HCV RNA positive)
- Biliary obstruction
- Hepatocellular carcinoma
- Wilsons disease
- Budd Chiari Syndrome
- Non-alcoholic fatty liver disease
- History of or active non-liver malignancies other than curatively treated skin cancer (basal cell or squamous cell carcinomas).
- Previous entry into the study
- AST \>400 U/L or ALT \>270 U/L
- Treatment with any experimental drug within 30 days prior to Day 0 visit (Baseline), or 5 half-lives (whichever is longer).
- Patients who have used dietary supplements rich in omega-3 or omega-6 fatty acids in the four weeks prior to baseline.
- Patients dependent on inotropic support (adrenaline or noradrenaline), including Terlipressin
- Active variceal haemorrhage on this admission requiring more than 2 units of blood to maintain haemoglobin level within 48 hours
- Presence of refractory ascites
- Untreated or unresolved sepsis
- Patients with cerebral haemorrhage, extensive retinal haemorrhage, acute myocardial infarction (within last 6 weeks) or severe cardiac arrhythmias (not including atrial fibrillation)
- Known infection with HIV at screening.
- Significant systemic or major illnesses other than liver disease that, in the opinion of the investigator, would preclude or interfere with treatment with DS102 and/or adequate follow up.
- Previous liver transplantation
Key Trial Info
Start Date :
November 28 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 31 2020
Estimated Enrollment :
9 Patients enrolled
Trial Details
Trial ID
NCT03452540
Start Date
November 28 2018
End Date
March 31 2020
Last Update
July 29 2022
Active Locations (8)
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1
Schiff Center for Liver Diseases (University Hospital Miami)
Miami, Florida, United States, 33136
2
Cleveland Clinic Florida
Miami, Florida, United States, 33331
3
Kansas University Medical Center
Kansas City, Kansas, United States, 66160
4
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States, 02215