Study Results
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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RECRUITING
500 participants
OBSERVATIONAL
2017-06-19
2028-09-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
PROSPECTIVE
Study Groups
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Healthy controls
Blood draw
Patients will have a one time blood draw
Alcoholic hepatitis
Blood draw
Patients will have a one time blood draw
Alcoholic steatosis
Blood draw
Patients will have a one time blood draw
Alcoholic cirrhosis without HCC
Blood draw
Patients will have a one time blood draw
Nonalcoholic steatohepatitis (NASH)
Blood draw
Patients will have a one time blood draw
Alcoholic cirrhosis with HCC
Blood draw
Patients will have a one time blood draw
Interventions
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Blood draw
Patients will have a one time blood draw
Eligibility Criteria
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Inclusion Criteria
* Abnormal liver serum tests indicative of liver disease (elevated AST\>ALT, y-glutamyl transpeptidase and bilirubin) .
Alcoholic Hepatitis with Mild Fibrosis
Inclusion
* Steatosis plus hepatocellular damage (presence of Mallory bodies and hepatocellular ballooning)
* Polymorphonuclear infiltrate
* Fibrosis stage 1-2
Alcoholic Hepatitis with Advanced Fibrosis
Inclusion
* Steatosis plus hepatocellular damage (presence of Mallory bodies and hepatocellular ballooning)
* Polymorphonuclear infiltrate
* Fibrosis stage 3-4.
Alcoholic Cirrhosis
Inclusion
* Fibrosis stage 4
* Presence of complications of cirrhosis such as esophageal varices with our without a previous episode of bleeding, splenomegaly, ascites, hepatic corroborate the diagnosis of cirrhosis.
Alcoholic Cirrhosis with HCC
Inclusion
-Diagnostic criteria of cirrhosis and established HCC. The diagnosis of HCC will be established based on histological confirmation or contrast-enhanced radiographic imaging according to the AASLD recommendations.
Exclusion
* BMI\>35
* HBV
* Hemochromatosis
* Wilson's disease
* Autoimmune hepatitis
* Drug-inducted liver disease
* Hepatitis C
* Antitrypsin deficiency
* Patients who do not sign informed consent.
Non-alcoholic steatohepatitis
Inclusion -Biopsy proven NASH and chronic liver disease due to HCV patients.
Exclusion
* Cancer
* Diabetes
* Hypertension
* CAD or stroke
* Past history of liver disease
* Hepatitis C
* Antitrypsin deficiency
* Alcohol consumption of less than 7 drinks per week for women and less than 14 drinks per week for men
* BMI \>35.
Healthy controls
Inclusion
-AUDIT-C score less than 4 in men and less than 3 in women.
Exclusion
* Cancer (except of non-melanoma skin cancer)
* Diabetes
* Hypertension
* Hypercholesterolemia
* Coronary artery disease or stroke
* History of current or past liver disease of any etiology
* BMI \>27Kg/m2
18 Years
75 Years
ALL
Yes
Sponsors
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The Cleveland Clinic
OTHER
Responsible Party
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Srinivasan Dasarathy
Staff Physician
Principal Investigators
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Srinivisan Dasarathy, MD
Role: PRINCIPAL_INVESTIGATOR
Staff
Locations
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Cleveland Clinic Foundation
Cleveland, Ohio, United States
Countries
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Central Contacts
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Facility Contacts
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References
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Helsley RN, Miyata T, Kadam A, Varadharajan V, Sangwan N, Huang EC, Banerjee R, Brown AL, Fung KK, Massey WJ, Neumann C, Orabi D, Osborn LJ, Schugar RC, McMullen MR, Bellar A, Poulsen KL, Kim A, Pathak V, Mrdjen M, Anderson JT, Willard B, McClain CJ, Mitchell M, McCullough AJ, Radaeva S, Barton B, Szabo G, Dasarathy S, Garcia-Garcia JC, Rotroff DM, Allende DS, Wang Z, Hazen SL, Nagy LE, Brown JM. Gut microbial trimethylamine is elevated in alcohol-associated hepatitis and contributes to ethanol-induced liver injury in mice. Elife. 2022 Jan 27;11:e76554. doi: 10.7554/eLife.76554.
Other Identifiers
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17-718
Identifier Type: -
Identifier Source: org_study_id
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