Efficacy and Safety of Polyene Phosphatidylcholine in Treatment of Patients With Acute Drug-induced Liver Injury

NCT ID: NCT04595916

Last Updated: 2020-11-24

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

73 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-04

Study Completion Date

2020-11-02

Brief Summary

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The purpose of this study is to explore the efficacy and the safety of polyene phosphatidylcholine Injection in patients with acute drug-induced liver injury after 2-4 weeks of treatment.

Detailed Description

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This study is a phase IV study in subjects with acute drug-induced liver injury. As designed, the study will include a screening period of up to 1 week, 2 to 4 weeks of treatment, and 1 week of safety follow-up. The eligible subjects will randomly be assigned to polyene phosphatidylcholine group or magnesium isoglycyrrhizinate group to receive single-blind treatment with a ratio of 1:1.

Conditions

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Acute Drug Induced Liver Injury

Keywords

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ADILI

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Polyene Phosphatidylcholine

Group Type EXPERIMENTAL

Polyene phosphatidylcholine injection 930 mg QD

Intervention Type DRUG

Polyene phosphatidylcholine injection 930mg, diluted with 5% glucose solution 250ml, once a day, at least 2 weeks but no more than 4 weeks.

Magnesium Isoglycyrrhizinate

Group Type ACTIVE_COMPARATOR

Magnesium Isoglycyrrhizinate injection 200 mg QD

Intervention Type DRUG

Magnesium isoglycyrrhizinate injection 200mg, diluted with 5% glucose solution 250ml, once a day, at least 2 weeks but no more than 4 weeks.

Interventions

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Polyene phosphatidylcholine injection 930 mg QD

Polyene phosphatidylcholine injection 930mg, diluted with 5% glucose solution 250ml, once a day, at least 2 weeks but no more than 4 weeks.

Intervention Type DRUG

Magnesium Isoglycyrrhizinate injection 200 mg QD

Magnesium isoglycyrrhizinate injection 200mg, diluted with 5% glucose solution 250ml, once a day, at least 2 weeks but no more than 4 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 and ≤ 75 years, Male or female patients
* Alanine aminotransferase (ALT) ≥ 3 x upper limit of normal (ULN) and Total bilirubin (TBIL) ≤ 5 x upper limit of normal (ULN)
* The Roussel Uclaf Causality Assessment Method (RUCAM) score is more than or equal to 6 points. The patients with RUCAM score of 3-5 needs to be determined by all three investigators that the liver injury is likely to be caused by drugs
* The duration of the current liver injury does not exceed 6 months

Exclusion Criteria

* Liver injury caused by other diseases, such as viral hepatitis, alcoholic and non-alcoholic fatty liver disease, or autoimmune liver disease
* Acute liver failure or liver function decompensation, such as hepatic encephalopathy, ascites, albumin is less than 35g / L, the international standardized ratio (INR) of thrombin is more than 1.5
* Anemia or thrombocytopenia, hemoglobin is below 80 g/L, platelet count below 50,000 platelets per microliter
* Serum creatinine is more than 1.5 times ULN
* Severe hypokalemia, severe hypernatremia
* Patients have severe uncontrolled hypertension
* Severe diseases of vital organs such as heart, lung, brain, kidney, and gastrointestinal tract
* Treatment with polyene phosphatidylcholine injection or magnesium isoglycyrrhizinate injection within 5 days before informed consent
* Allergy or intolerance to benzyl alcohol and study drugs
* With no ability to express their complaints, such as mental illness and severe neurosis patient
* Pregnant or breastfeeding women, fertile women or men are reluctant to use contraception to avoid pregnancy during the trial
* Participation in another trial within 3 months before informed consent
* Patients who are considered by the investigator as inappropriate for the trial for other reasons
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sichuan Haisco Pharmaceutical Group Co., Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yimin Mao, M.D.

Role: STUDY_CHAIR

RenJi Hospital

Locations

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The Second Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status

Beijing Chest Hospital of Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Mengchao Hepatobiliary Hospital of Fujian Medical University

Fuzhou, Fujian, China

Site Status

Shenzhen People's Hospital

Shenzhen, Guangdong, China

Site Status

The Sixth People's Hospital of Zhengzhou

Zhengzhou, Henan, China

Site Status

The Third Hospital of Zhenjiang Affiliated Jiangsu University

Zhenjiang, Jiangsu, China

Site Status

Renji Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, China

Site Status

Tongji Hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Other Identifiers

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HSK-28-201

Identifier Type: -

Identifier Source: org_study_id