MedPath

To evaluate the safety and efficacy of Saroglitazar 4 mg in thetreatment of Alcoholic Liver Disease.

Phase 2
Conditions
Alcoholic liver disease, unspecified,
Registration Number
CTRI/2019/08/020846
Lead Sponsor
Cadila Healthcare Ltd
Brief Summary

Alcoholic liver disease (ALD) comprises a clinical-histologic spectrum including fatty liver,

alcoholic hepatitis (AH), and cirrhosis with its complications. This condition develops in persons

with a history of prolonged and heavy alcohol use. A number of therapies have been assessed for the

treatment of ALD, but only two drugs (Prednisolone and Pentoxifylline) have been incorporated into

the treatment guidelines published by the American Association for the Study of Liver Disease and

the European Association for the Study of the Liver. Thus, there is a need to develop a treatment

which will provide effective therapy to patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
Other
Sex
All
Target Recruitment
60
Inclusion Criteria
  • 1)Heavy alcohol consumption (defined as >20 grams per day on average in women and > 60 grams per day on average in men for a minimum of 6 months and within the 6 weeks prior to study enrollment).
  • 2)Should meet the following criteria in the FibroMax test: 2a) Fibro Test (for hepatic fibrosis): Grades F1, F2 and F3.
  • 2b) Steato Test (for hepatic steatosis): Grades S1 and S2.
  • 2c) Ash Test (for alcoholic steatohepatitis): Grades H1 and H2.
  • 3)Ability to understand and give informed consent for participation.
Exclusion Criteria
  • 1)Patients with severe alcoholic liver disease as determined by the following criteria: a) Maddrey discriminant function (DF) score more than 32.
  • b) Model for end stage liver disease (MELD) score ≥14 2)Will be excluded if the patient meets the following criteria in the FibroMax test.
  • 2a) Fibro Test (for hepatic fibrosis):Grades F0 and F4.
  • 2b) Steato Test (for hepatic steatosis): Grades S0 and S3.
  • 2c) Ash Test (for alcoholic steatohepatitis): Grades H0 and H3.
  • 3)Severe renal impairment (Estimated glomerular filtration rate below 60 ml/min per 1.73m2).
  • 4)Uncontrolled upper gastrointestinal tract bleeding.
  • 5)AST and ALT values more than 400 IU/L.
  • 6)Participants on hepatotoxic medications like antitubercular medication, antiviral medication, etc.
  • 8)Participating in another clinical trial with an active intervention or drug or device with last dose taken within 60 days prior to screening.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1)Change in the following grades of FibroMax Test at 12 and 24 weeks [Timeframe:1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
baseline, 12 and 24 weeks].1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
a) Fibro Test (for hepatic fibrosis).1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
c) Ash Test (for alcoholic steatohepatitis).1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
b) Steato Test (for hepatic steatosis).1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
3. Change in Maddrey Discriminant function (DF) at 6, 12 and 24 weeks.1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
5. Change in AST levels at 6, 12 and 24 weeks.1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
6. Change in ALT levels at 6, 12 and 24 weeks.1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
2. Change in MELD score at 6, 12 and 24 weeks.1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
4. Change in GGT levels at 6, 12 and 24 weeks.1)Timeframe:baseline, 12 and 24 weeks | 2. at 6, 12 and 24 weeks. | 3. at 6, 12 and 24 weeks. | 4. at 6, 12 and 24 weeks. | 5. at 6, 12 and 24 weeks. | 6. at 6, 12 and 24 weeks.
Secondary Outcome Measures
NameTimeMethod
Frequency and severity of AEs and serious AEs.2. Alteration in laboratory parameters.

Trial Locations

Locations (6)

Apex Hospital Pvt. Ltd

🇮🇳

Jaipur, RAJASTHAN, India

Ashirwad Hospital and Research Centre

🇮🇳

Thane, MAHARASHTRA, India

Dr. Vasantrao Pawar Centre For Developmental Therapeutics Translational Research

🇮🇳

Nashik, MAHARASHTRA, India

Institute of Medical Science and SUM Hospital

🇮🇳

Khordha, ORISSA, India

Peerless Hospitex Hospital And Research Center Limited

🇮🇳

Kolkata, WEST BENGAL, India

SRM Institute of Medical Science (SIMS Hospital)

🇮🇳

Chennai, TAMIL NADU, India

Apex Hospital Pvt. Ltd
🇮🇳Jaipur, RAJASTHAN, India
Dr Mohan Goyal
Principal investigator
8432432000
mohandr77@gmail.com

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