Status:

ACTIVE_NOT_RECRUITING

Clinicopathological Features and Genetic Susceptibility Screening of Recurrent Drug-induced Liver Injury

Lead Sponsor:

Beijing Friendship Hospital

Conditions:

Recurrent Drug-induced Liver Injury

Eligibility:

All Genders

18+ years

Brief Summary

The goal of this observational study is to screening for clinical, pathological and HLA features in patients with recurrent drug-induced liver injury. The main question it aims to answer is: Which pat...

Detailed Description

Research Objectives: 1. To summarise the clinicopathological characteristics of patients with recurrent drug-induced liver injury (DILI) in the Liver Disease Centre of Beijing Friendship Hospital in ...

Eligibility Criteria

Inclusion

  • Inclusion criteria for recurrent drug induced liver injury:
  • Liver enzymes returns to normal or has a tendency to remission after the first drug liver injury;
  • Signs and symptoms of liver injury after the patient takes the different drugs for liver injury again, and the liver enzymes returns to normal through follow-up.
  • Inclusion criteria for drug induced liver injury:
  • RUCAM ≥6 and met one of the following biochemical conditions: (1)ALT≥5 ULN, (2) or ALP ≥2 ULN, (3) or ALT≥3 ULN and TBil≥2 ULN.
  • RUCAM between 3-5, five experienced hepatologists in leading site evaluate and vote the diagnosis of DILI, the case would be enrolled if only ≥4 out of 5 hepatologists agree with the diagnosis.
  • Onset to enrollment ≤3 months.

Exclusion

  • 1\. Hepatotropic viral infection: hepatitis A, B, C, D and E. 2. Non-hepatotropic viral infection: cytomegalovirus (CMV) and Epstein-Barr virus (EBV), etc.
  • 3\. Hypoxic ischemic hepatitis and congestive liver disease. 4. Alcohol consumption: male \>40g/d, female \>20g/d, and ≥5 years.5. Biliary obstruction, primary biliary cholangitis; primary sclerosing cholangitis.
  • 6\. Autoimmune hepatitis: International Autoimmune Hepatitis Group (IAHG)simplified score ≥6 or complicated score ≥10, or differentiation from autoimmune hepatitis is impossible during enrollment.
  • 7\. Parasitic infection. 8. Sepsis. 9. Previous liver transplantation or bone marrow transplantation. 10. Pregnancy or lactation. 11. Genetic and metabolic liver diseases.

Key Trial Info

Start Date :

July 15 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

June 1 2028

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT06547229

Start Date

July 15 2024

End Date

June 1 2028

Last Update

August 12 2024

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Liver Research Center, Beijing Friendship Hospital, Key Laboratory on Translational Medicine on Cirrhosis, National Clinical Research Center for Digestive Disease, Capital Medical University, Beijing, China

Beijing, Beijing Municipality, China, 100050