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Paeoniflorin Combination of Hepatoprotective Drugs Versus Hepatoprotective Drugs Only for Auto-immune Hepatitis

Registration Number
NCT02878863
Lead Sponsor
Xiaoli Fan
Brief Summary

An open-label,prospective, randomized pilot study to evaluate the efficacy, safety and tolerability of paeoniflorin, for the treatment of autoimmune hepatitis (AIH) with mild necroinflammatory activity on liver biopsy.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Patients aged 20-70 years;
  • Diagnosed with AIH or primary biliary cirrhosis-autoimmune hepatitis overlap syndrome based on liver biopsy results and without indication of immunosuppressive therapy;
  • High levels of alanine aminotransferase (ALT) or aspartate aminotransferase (AST)(1-3 X ULN);
  • High levels of IgG(1-1.5 X ULN);
  • Liver biopsy showed mild lymphocytic piecemeal necrosis (interface hepatitis);
  • Agreed to participate in the trial, and assigned informed consent.
Exclusion Criteria
  • The presence of hepatitis A, B, C, D, or E virus infection;
  • Patients with presence of liver cirrhosis or portal hypertension;
  • Patients with presence of fulminant liver failure;
  • Primary sclerosing cholangitis, non-alcoholic steatohepatitis, drug induced liver disease or Wilson disease confirmed by liver biopsy;
  • Pregnant and breeding women;
  • Severe disorders of other vital organs, such as severe heart failure, cancer;
  • Parenteral administration of blood or blood products within 6 months before screening;
  • Recent treatment with drugs having known liver toxicity;
  • Taken part in other clinic trials within 6 months before screening.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Phosphatidylcholine or silymarinPhosphatidylcholine or silymarinPhosphatidylcholine or silymarin
Paeoniflorin + phosphatidylcholine or silymarinPaeoniflorin + phosphatidylcholine or silymarinPaeoniflorin tablets(600mg, tid)combination of phosphatidylcholine or silymarin
Primary Outcome Measures
NameTimeMethod
Percent of patients that achieve biochemical remission of AIHMonth 6 during treatment with paeoniflorin combination of hepatoprotective drugs or hepatoprotective drugs only

Biochemical remission is defined as alanine transaminase(ALT),aspartate transaminase(AST) and immunoglobulin G(IgG) within normal limits

Secondary Outcome Measures
NameTimeMethod
Alanine transaminase (ALT)Month 1, 3, 6
Aspartate transaminase(AST)Month 1, 3, 6
Immunoglobulin G(IgG)Month 1, 3, 6
Globin(GLB)Month 1, 3, 6
Total bilirubin(TB)Month 1, 3, 6
Direct bilirubin(DB)Month 1, 3, 6

Trial Locations

Locations (1)

West China Hospital

🇨🇳

Chengdu, Sichuan, China

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