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Protective Immune Mechanisms in Alcoholic Hepatitis

Completed
Conditions
Alcoholic Hepatitis
Registration Number
NCT01918462
Lead Sponsor
University of Aarhus
Brief Summary

The purpose of this study is to investigate the production, effects and interactions of the hepato-protective cytokine interleukine (IL)-22 in patients with alcoholic hepatitis.

Detailed Description

The investigators will study hepatic biopsies from patients with alcoholic hepatitis. In these biopsies, the investigators will assess the production of IL-22 and which cells produce the cytokine. The investigators will study the expression of the IL-22 receptor and also the production of the IL-22 binding protein, which can inhibit the actions of the cytokine.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
51
Inclusion Criteria
  • Diagnosis of alcoholic hepatitis:
  • relevant history of alcohol consumption (>40g/day for a minimum of 6 months with cessation of consumption no earlier than 3 months prior to admission)
  • bilirubin > 80 mol/l
  • neutrophil granulocytes > 10x10^9/L
  • exclusion of other liver pathology including biliary disease
  • histological verification on liver biopsy
  • Written, informed consent
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Exclusion Criteria
  • Other chronic inflammatory or autoimmune diseases
  • Severe, acute bacterial infection (peritonitis, sepsis, pneumonia, urinary tract infection etc.)
  • Cancer
  • Prednisolon or pentoxifylline treatment within the past 8 weeks
  • Pregnancy
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Frequency of IL-22-producing cellsat day 1 ( the day of diagnosis/arrival to the department)

This will be detected in hepatic biopsies taken at inclusion to the study.

Secondary Outcome Measures
NameTimeMethod
IL-22 binding proteinat day 1 ( the day of diagnosis/arrival to the department)

This will be detected in hepatic biopsies taken at inclusion to the study.

IL-22 receptorat day 1 ( the day of diagnosis/arrival to the department)

This will be detected in hepatic biopsies taken at inclusion to the study.

Signalling molecules and markers of hepatocyte destructionat day 1, at day 7 and at day 90 after diagnosis.

Thse measurements will be done on blood samples drawn at inclusion, at day 7 and at day 90 after diagnosis.

Trial Locations

Locations (1)

Department of Hepatology and gastroenterology V, Aarhus university hospital

🇩🇰

Aarhus, Denmark

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