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NCT06355726

Efficacy of Plasma Exchange Therapy vs Standard Medical Therapy in Severe Alcoholic Hepatitis With High Discriminant Function

Status unknown NA Last updated 24 June 2024
What this trial tests

NA trial testing Plasma Exchange in Alcoholic Hepatitis in 60 participants. Status unknown.

Timeline
9 April 2024
Primary endpoint
28 February 2025
28 February 2025

Quick facts

Lead sponsorInstitute of Liver and Biliary Sciences, India
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment60
Start date9 April 2024
Primary completion28 February 2025
Estimated completion28 February 2025
Sites1 location across India

Drugs / interventions tested

Conditions studied

Sponsor

Institute of Liver and Biliary Sciences, India

Who can join

Adults 18 to 60, any sex, with Alcoholic Hepatitis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Alcoholic hepatitis, the most florid form of alcoholic liver disease, has a very high short-term mortality of up to 50% and no specific therapies are available other than steroids. Steroids also only show a limited utility in improving the short-term survival and boast no evidence of any long-term benefits. Additionally, only a small proportion of patients with alcoholic hepatitis are eligible to receive steroids. Thus, a large number of patients are either not eligible or do not respond to steroids and this group outnumbers those who do respond to steroids, leaving us without any specific therapeutic options for a majority of these individuals.\[1\] Even liver transplantation is not feasible in most cases due to the presence of sepsis or recent alcohol consumption and many ethical and logistic issues are involved despite the documented safety and survival benefits of early liver transplantation in patients with severe alcoholic hepatitis (SAH) not responding to medical management.\[2,8\] Therefore, newer, more effective, and nontransplant therapeutic options for managing severe alcoholic hepatitis are needed. TPE is expected to be an effective and well-tolerated bridge therapy in patients with severe alcoholic hepatitis of moderate severity not improving on SMT and without immediate prospects for liver transplantation.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Current Clinical Trials for Alcohol-Associated Hepatitis.
    Rady ED, Anouti A, Mitchell MC, Cotter TG. · · 2026 · cited 3× · PMID 40254132 · DOI 10.1016/j.ajpath.2025.03.009
  2. Emerging therapeutic regimens as alternatives to glucocorticoids for severe alcohol-associated hepatitis: a comprehensive review.
    Kumar R, Elangovan S, Asrani SK. · · 2026 · cited 1× · PMID 41715264 · DOI 10.3350/cmh.2025.1163

Verify or expand the search:

Other trials of Plasma Exchange

Trials testing the same drug.

Other recruiting trials for Alcoholic Hepatitis

Currently open trials in the same condition.

Other Institute of Liver and Biliary Sciences, India trials

Trials by the same sponsor.

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Data sources for this page

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