Status:

NOT_YET_RECRUITING

A-TANGO Phase 2 Study

Lead Sponsor:

Yaqrit Ltd

Collaborating Sponsors:

European Foundation for Study of Chronic Liver Failure

University College, London

Conditions:

Acute-On-Chronic Liver Failure

Alcoholic Hepatitis

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

The purpose of this research is to know if a new combination of drugs (TAK-242 and G-CSF) in combination with standard therapy for acute-on-chronic liver failure (ACLF) is more effective than standard...

Detailed Description

The purpose of this Phase 2 clinical trial is to investigate * the safety of TAK-242 alone or in combination with G-CSF (G-TAK) in patients with sAH and ACLF. * the effect of TAK-242 alone or in comb...

Eligibility Criteria

Inclusion

  • Patients accepted for inclusion into the study must meet all of the following criteria:
  • Male and female subjects ≥18 of age and ≤75 years of age
  • Compliance with acceptable contraceptive methods.
  • With a diagnosis of severe alcoholic hepatitis that is resistant to steroid therapy as defined by a Lille score of \>0.45 and/or in whom steroids are contraindicated.
  • Eligible subjects will have Grade 1-3 ACLF with a maximum of three organ failures using the CLIF-C OF score AND the CLIF-C ACLF-CRP score of \>35 and \<60.

Exclusion

  • Patients with any of the following criteria are to be excluded:
  • Refusal to give informed consent
  • Mechanical ventilation due to respiratory failure and/or need for renal replacement therapy and or requiring inotropes for circulatory support with a noradrenaline requirement of \>0.5ug/kg/min to maintain mean arterial pressure \> 70mmHg
  • Subject has received any investigational drug within 30 days of randomization
  • Subject has any of the following conditions:
  • history of liver transplantation
  • postoperative decompensation after partial hepatectomy
  • liver failure without underlying chronic liver injury
  • Any untreated infections (\<48h antibiotic therapy) including gram-positive infections, active tuberculosis or coinfection with HIV.
  • Chronic or pre-existing kidney failure, survival prognosis of \<6 months due to severe co-morbid conditions that might confound study results or compromise subject safety
  • Methemoglobinemia, clinically-significant disseminated intravascular coagulation, uncontrolled bleeding, sickle cell anemia
  • Uncontrolled seizures, Creutzfeldt-Jakob disease, glucose-6-phosphate dehydrogenase deficiency.
  • Active malignancy, premalignant hematological disorders (e.g., myelodysplastic syndrome, chronic myeloid leukemia) or multiorgan failure (≥ 4 organ failures).
  • Pregnancy or nursing women
  • Allergy to eggs

Key Trial Info

Start Date :

September 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2026

Estimated Enrollment :

78 Patients enrolled

Trial Details

Trial ID

NCT06890039

Start Date

September 1 2025

End Date

December 31 2026

Last Update

July 29 2025

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