Selonsertib in Combination With Prednisolone Versus Prednisolone Alone in Participants With Severe Alcoholic Hepatitis (AH)

NCT ID: NCT02854631

Last Updated: 2019-02-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-01

Study Completion Date

2018-05-31

Brief Summary

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The primary objective of this study is to evaluate the safety and tolerability of selonsertib (GS-4997) in combination with prednisolone versus prednisolone alone in participants with severe alcoholic hepatitis (AH).

Detailed Description

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Conditions

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Alcoholic Hepatitis (AH)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Selonsertib + Prednisolone

Selonsertib + prednisolone for 28 days

Group Type EXPERIMENTAL

Selonsertib

Intervention Type DRUG

18 mg tablet administered orally once daily

Prednisolone

Intervention Type DRUG

40 mg (4 x 10 mg tablets) administered orally once daily

Prednisolone

Selonsertib placebo + prednisolone for 28 days

Group Type PLACEBO_COMPARATOR

Prednisolone

Intervention Type DRUG

40 mg (4 x 10 mg tablets) administered orally once daily

Placebo

Intervention Type DRUG

Selonsertib placebo tablet administered orally once daily

Interventions

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Selonsertib

18 mg tablet administered orally once daily

Intervention Type DRUG

Prednisolone

40 mg (4 x 10 mg tablets) administered orally once daily

Intervention Type DRUG

Placebo

Selonsertib placebo tablet administered orally once daily

Intervention Type DRUG

Other Intervention Names

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GS-4997

Eligibility Criteria

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Inclusion Criteria

* Willing and able to give informed consent prior to any study specific procedures being performed. In individuals with hepatic encephalopathy (HE) which may impair decision-making, consent will be obtained per hospital procedures (eg, by Legally Authorized Representative)
* Clinical diagnosis of severe AH

* Maddrey's Discriminant Function (DF) ≥ 32 at screening

Exclusion Criteria

* Pregnant or lactating females;
* Other causes of liver disease including chronic hepatitis B (hepatitis B surface antigen \[HBsAg\] positive), chronic hepatitis C (HCV RNA positive), acetaminophen hepatotoxicity, biliary obstruction, and autoimmune liver disease;
* Serum aspartate aminotransferase (AST) \>400 U/L or alanine aminotransferase (ALT) \>300 U/L;
* Model for End Stage Liver Disease (MELD) \>30 at screening;
* Maddrey's DF \>60 at screening;
* Grade 4 Hepatic Encephalopathy (HE) by West Haven criteria;
* Concomitant or previous history of hepatocellular carcinoma;
* History of liver transplantation;
* HIV Ab positive;
* Clinical suspicion of pneumonia;
* Uncontrolled sepsis;
* Uncontrolled gastrointestinal (GI) bleeding or controlled GI bleeding within 7 days of screening that was associated with shock or required transfusion of more than 3 units of blood;
* Type 1 hepatorenal syndrome (HRS) or renal failure defined as a serum creatinine \>221 μmol/L (\>2.5 mg/dL) or the requirement for renal replacement therapy;
* Individuals dependent on inotropic (eg, epinephrine or norepinephrine) or ventilatory support (ie, endotracheal intubation or positive-pressure ventilation);
* Portal vein thrombosis;
* Acute pancreatitis;
* Cessation of alcohol consumption for more than 2 months before Baseline/ Day 1
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

Site Status

Southern California Research Centers

Coronado, California, United States

Site Status

Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status

Cleveland Clinic Florida

Weston, Florida, United States

Site Status

Oschner Medical Center

New Orleans, Louisiana, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Methodist Healthcare Dallas - The Liver Institute

Dallas, Texas, United States

Site Status

Liver Institute of Virginia

Newport News, Virginia, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Medizinische Universitat Graz

Graz, , Austria

Site Status

Universitätsklinik für Innere Medizin I

Innsbruck, , Austria

Site Status

Medical University Vienna

Vienna, , Austria

Site Status

Cliniques Universitaires UCL Saint-Luc

Brussels, , Belgium

Site Status

CUB Hopital Erasme

Brussels, , Belgium

Site Status

Ghent University Hospital

Ghent, , Belgium

Site Status

Universitair Ziekenhuis Leuven

Leuven, , Belgium

Site Status

Centre Hospitalier Universitaire de Liege

Liège, , Belgium

Site Status

University of Calgary

Calgary, Alberta, Canada

Site Status

University of Manitoba

Winnipeg, Manitoba, Canada

Site Status

Toronto General Hospital

Toronto, Ontario, Canada

Site Status

CHU Amiens Picardie

Amiens, , France

Site Status

CHU Angers

Angers, , France

Site Status

Hôpital Jean Minjoz

Besançon, , France

Site Status

C.H.U. de Caen

Caen, , France

Site Status

CHU henri Mondor

Créteil, , France

Site Status

CHU de Grenoble- Hopital Michallon

La Tronche, , France

Site Status

CHRU de Lille

Lille, , France

Site Status

Hôpital de la Croix Rousse

Lyon, , France

Site Status

Hopital La Pitie Salpetriere

Paris, , France

Site Status

Hopital Paul Brousse

Villejuif, , France

Site Status

University of Zurich

Zurich, , Switzerland

Site Status

Brighton & Sussex University Hospitals NHS Trust

Brighton, , United Kingdom

Site Status

Hull and East Yorkshire Hospitals NHS Trust

Hull, , United Kingdom

Site Status

Royal Liverpool & Broadgreen University Hospitals NHS Trust

Liverpool, , United Kingdom

Site Status

Barts Health NHS Trust

London, , United Kingdom

Site Status

Chelsea and Westminster Hospital

London, , United Kingdom

Site Status

Imperial College

London, , United Kingdom

Site Status

Kings College Hospital NHS Trust

London, , United Kingdom

Site Status

Freeman Hospital

Newcastle, , United Kingdom

Site Status

Nottingham University Hospitals NHS Trust

Nottingham, , United Kingdom

Site Status

Derriford Hospital

Plymouth, , United Kingdom

Site Status

Portsmouth Hospitals NHS Trust

Portsmouth, , United Kingdom

Site Status

Countries

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United States Austria Belgium Canada France Switzerland United Kingdom

Provided Documents

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Document Type: Study Protocol: Original

View Document

Document Type: Study Protocol: Amendment 1

View Document

Document Type: Study Protocol: Amendment 2

View Document

Document Type: Study Protocol: Amendment 3

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-000821-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-416-2124

Identifier Type: -

Identifier Source: org_study_id

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