A Comparison of Fecal Microbiota Transplantation and Steroid Therapy in Patients With Severe Alcoholic Hepatitis.

NCT ID: NCT03091010

Last Updated: 2020-01-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-08

Study Completion Date

2020-06-30

Brief Summary

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Study population: Patients attending the Out Patient Department and admitted to Institute of Liver and Biliary Sciences.

Study design: Prospective randomized controlled trial Study period: One year- January 2017- December 2018 Sample size: 130 (65 cases in each group) Intervention: The subjects will be given Fecal Microbiota Transplantation through a NJ tube placed after admission to the hospital. Participants will be administered the processed fecal microbiota sample collected from a related or unrelated healthy donor for a period of 7 days.

Monitoring and assessment:

The recipient will be monitored every day after Fecal Microbiota Transplantation therapy.

The recipient will undergo physical examination, complete blood counts, at baseline and a chest X ray, serum procalcitonin, CRP and Tumor Necrosis Factor alpha levels, Liver Function Tests, Kidney Function Tests, International Normalized Ratio and arterial ammonia, at day 0,4,7,14,28,90,180,270 and 365 from the start of therapy.

Microbiota analysis of the donors will be done at baseline and the recipients will be done on day 0,7,28,90 \& 180.

Detailed Description

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Conditions

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Severe Alcoholic Hepatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Fecal Microbiota Transplantation

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type OTHER

Fecal Microbiota Transplantation will be given 100mL of suspension. It will given for a period of 7 days

Steroid

Group Type ACTIVE_COMPARATOR

Steroids

Intervention Type DRUG

Oral steroids 40 mg (prednisolone) will be given for a period of 7 days in hospital followed by 3 weeks on OPD basis

Interventions

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Fecal Microbiota Transplantation

Fecal Microbiota Transplantation will be given 100mL of suspension. It will given for a period of 7 days

Intervention Type OTHER

Steroids

Oral steroids 40 mg (prednisolone) will be given for a period of 7 days in hospital followed by 3 weeks on OPD basis

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with severe alcoholic hepatitis .
* Eligible for steroid therapy.

Exclusion Criteria

* Upper gastrointestinal bleed within the past one month.
* Active sepsis
* Serum creatinine \> 1.5 mg/dl (Hepato renal syndrome)
* Intestinal paralysis
* Hepatic or extrahepatic malignancy
* Disseminated intravascular coagulation
* Discriminant Function (DF) \>90
Minimum Eligible Age

21 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Liver and Biliary Sciences, India

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Institute of Liver and Biliary Sciences

New Delhi, National Capital Territory of Delhi, India

Site Status

Countries

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India

Other Identifiers

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ILBS-Alcoholic Hepatitis-01

Identifier Type: -

Identifier Source: org_study_id

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