Effect of Probiotics on Gut-Liver Axis of Alcoholic Liver Disease
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 发起方
- 入组人数
- 130
- 试验地点
- 1
- 主要终点
- Liver Enzymes(ALT)
研究概览
简要总结
Background/Aims:
The investigators explored the therapeutic effects of probiotics in patients with AH.
Methods:
Between September 2010 and April 2012, the investigators conducted a 7-day, double-controlled, randomized, prospective clinical trial comparing the efficacy of probiotics in improving liver enzymes, LPS, pro-inflammatory cytokines. AH was defined as an aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 2 and elevated AST (ALT) level with an alcohol consumption history within 48 hours. Patients were randomized to receive 7 days of probiotics (1500 mg/day) or placebo. The levels of liver enzymes, modified Discriminant Function (mDF), LPS, and pro-inflammatory cytokines were checked at baseline and again after therapy.
详细描述
Background/Aims: Alcoholic hepatitis (AH) is one of the leading causes of liver diseases. Gut-derived microbial lipopolysaccharide (LPS) has been known as a central role in the pathogenesis of AH. Some animal studies suggested an emerging role of probiotics in restoration of the bowel flora and improving liver enzymes. We explored the therapeutic effects of probiotics in patients with AH.
Methods: Between September 2010 and April 2012, we conducted a 7-day, double-controlled, randomized, prospective clinical trial comparing the efficacy of probiotics in improving liver enzymes, LPS, pro-inflammatory cytokines. AH was defined as an aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 2 and elevated AST (ALT) level with an alcohol consumption history within 48 hours. Patients were randomized to receive 7 days of probiotics (1500 mg/day) or placebo. The levels of liver enzymes, modified Discriminant Function (mDF), LPS, and pro-inflammatory cytokines were checked at baseline and again after therapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Alcoholic Hepatitis
排除标准
- •Viral Hepatitis, other Hepatitis
研究组 & 干预措施
alcohol, hepatitis, Placebo
We explored the therapeutic effects of probiotics in patients with alcoholic hepatitis
干预措施: alcohol, hepatitis, Placebo (Drug)
hepatitis, alcohol, probiotics
We explored the therapeutic effects of probiotics in patients with alcoholic hepatitis
干预措施: hepatitis, alcohol, probiotics (Drug)
结局指标
主要结局
Liver Enzymes(ALT)
时间窗: 7 days after probiotics
Blood analysis was performed using standard methodologies.
次要结局
- Lipopolysaccharide (LPS) and Pro-inflammatory Cytokines(7 days after probiotics)
研究者
Ki Tae Suk
doctor, assistant professor
Chuncheon Sacred Heart Hospital