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A Study on Factors of Biochemical Response in Autoimmune Hepatitis

Not yet recruiting
Conditions
Autoimmune Hepatitis
Registration Number
NCT06356506
Lead Sponsor
Beijing Friendship Hospital
Brief Summary

The goal of this observational study is to clarify the clinical characteristics of autoimmune hepatitis (AIH) in China. The main questions it aims to answer are:

Human leukocyte antigen (HLA) gene susceptibility in Chinese AIH patients prognostic factors associated with AIH Participants will provide liver tests results and details of treatment during follow-up.

Detailed Description

This study aims to establish a high-quality, standardized prospective cohort of AIH with regular follow-up, clarify the clinical characteristics of AIH in China, construct a prognostic model, and explore new serum markers or AIH gene susceptibility, so as to provide key clinical evidence for the prevention and treatment of AIH in China.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
630
Inclusion Criteria
  1. ≥18 years old at the time of onset;
  2. AIH simplified score ≥6 and/or AIH revised score ≥10;
  3. Liver biopsy was performed and consistent with the pathological diagnosis of AIH;
  4. Patents were treatment naive or who were diagnosed and treated in other hospitals but have stopped glucocorticoid/immunosuppressive therapy for more than 3 months;
  5. Agree to participate in this study and sign the informed consent form.
Exclusion Criteria
  1. concomitant liver diseases: hepatotropic viral hepatitis (A, B, C, D, and E) and non-hepatotropic viral hepatitis (cytomegalovirus and Epstein-Barr virus (EBV) infection);
  2. concomitant with drug-induced liver injury, primary biliary cholangitis, primary sclerosing cholangitis, alcoholic liver disease, genetic and metabolic liver diseases;
  3. bone marrow or liver transplantation;
  4. incomplete baseline medical history and laboratory examination results;
  5. for previously diagnosed patients, immunosuppressive therapy was discontinued less than 3 months;
  6. Pregnancy or lactation;
  7. patients with contraindications to glucocorticoid/immunosuppressive therapy;
  8. complicated with other malignant tumors;
  9. complicated with mental disorders.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Alanine aminotransferase (ALT) recoveryFrom time of enrollment to the date of first ALT recovery, assessed up to 120 months

Normalization of ALT

Aspartate transaminase (AST) recoveryFrom time of enrollment to the date of first AST recovery, assessed up to 120 months

Normalization of AST

Liver transplantaitonFrom time of enrollment to the date of liver transplantation, assessed up to 120 months

Patients have liver transplantation because of AIH

Immunoglobulin G (IgG) recoveryFrom time of enrollment to the date of first IgG recovery, assessed up to 120 months

Normalization of IgG

DeathFrom time of enrollment to the date of death from liver disease, assessed up to 120 months

Patients die because of liver diseases

Progression to hepatocellular carcinoma (HCC)From time of enrollment to the first date of HCC diagnosed, assessed up to 120 months

Patients progress to hepatocellular carcinoma due to poor treatment response

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Beijing Friendship Hospital, Capital Medical University

🇨🇳

Beijing, China

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