Recruiting PHASE2 Alcohol-associated Hepatitis

New treatment option for Alcohol-associated Hepatitis

Official title Integrated Therapies for Alcohol Use in Alcohol-associated Liver Disease (ITAALD) Trial

ClinicalTrials.gov ID: NCT07060638

What this study is testing

What is IL-22?

IL-22 is an investigational medicine, given as an injectable medicine, being studied as a potential treatment for alcohol-associated hepatitis.

Also referred to as F-652.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
This is a multicenter, randomized, double-blinded, placebo-controlled trial focused on the treatment of severe alcohol-associated hepatitis (sAH) and alcohol use disorder (AUD). The primary purpose of the study is to determine whether subjects receiving sAH therapy in addition to AUD treatments will have better alcohol and liver-related outcomes at 6 months compared to sAH therapy plus usual care for AUD.
  • Phase 2: a mid-size study of how well it works
  • You might receive a placebo (an inactive treatment) instead of the study drug, decided by chance. You may not know which one you got.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 to 70

You may be able to join if

  • Age ≥18, \<70
  • MELD 20-35
  • Definitive or probable diagnosis of sAH as defined by the NIAAA criteria4, 5 A. Onset of jaundice (defined as serum total bilirubin \>3 mg/dL) within...
  • Females of childbearing (reproductive) potential must have a negative serum or urine pregnancy test at screening.

You likely can't join if

  • Active listing for liver transplantation before screening
  • MELD score \ 35
  • Uncontrolled infection (persistent positive blood or other body fluid cultures despite 48 hours of antibiotic therapy)
  • Progressive hemodynamic compromise requiring intravenous pressors
  • Pneumonia as evidenced by clinical and/or radiological examination (will not perform radiology if not indicated by clinical exam)
  • Renal failure defined by estimated GFR (CKD-EPI) \<35 mL/min.
See the full eligibility criteria
Who can join
  • Age ≥18, \<70
  • MELD 20-35
  • Definitive or probable diagnosis of sAH as defined by the NIAAA criteria4, 5 A. Onset of jaundice (defined as serum total bilirubin \>3 mg/dL) within the prior 8 weeks B. Ongoing average consumption of \> 40 gm (for...
  • Females of childbearing (reproductive) potential must have a negative serum or urine pregnancy test at screening.
What rules you out
  • Active listing for liver transplantation before screening
  • MELD score \ 35
  • Uncontrolled infection (persistent positive blood or other body fluid cultures despite 48 hours of antibiotic therapy)
  • Progressive hemodynamic compromise requiring intravenous pressors
  • Pneumonia as evidenced by clinical and/or radiological examination (will not perform radiology if not indicated by clinical exam)
  • Renal failure defined by estimated GFR (CKD-EPI) \<35 mL/min.
  • Clinically active C. diff infection
  • Evidence of other liver diseases (such as autoimmune hepatitis, primary biliary cholangiopathy, primary sclerosing cholangitis, ischemic, sepsis- or drug-induced liver disease)
  • History or presence of cancer (including hepatocellular carcinoma) other than non-melanoma skin cancer
  • Prior exposure to systemic corticosteroid (glucocorticoid) or TNF-alpha inhibitors for more than 4 days within the previous 30 days prior to screening, specifically for the treatment of sAH.
  • Clinically significant pancreatitis- abdominal pain, elevated lipase (\> 3 X ULN), and at least edema of pancreas with fat-stranding on CT scan
  • Active gastrointestinal bleeding defined as hematemesis or melena with a decrease in hemoglobin more than 2 g/dl in 24 hours due to gastrointestinal bleeding, or with a decrease in mean arterial BP to \< 65 mmHg
  • Significant concomitant medical illnesses (such as uncontrolled congestive heart failure or COPD or progressive multi-organ failure) as determined by the study investigator
  • Uncontrolled mental illness as determined by the study investigator
  • Uncontrolled HBV, HIV, or HCV infection with persistent viremia. However, people with controlled (undetectable viral load) HIV and HBV on viral suppressive therapies will be enrolled and people with history of HCV will...
  • Active illicit opiates, cocaine, ketamine, or methamphetamine use in the last 30 days via patient report or medical chart review.
  • Uncontrolled diabetes mellitus with A1c \> 9
  • Pregnancy or breastfeeding
  • Known allergy or intolerance to therapeutic agents to be tested
  • Unwillingness to stop alcohol use and to undergo AUD treatment
  • Unwillingness to either abstain from sexual intercourse, or if sexually active, use a reliable method of birth control during the study and for at least 30 days after the last dose of the study medication. Examples of...
  • Participant has any condition or circumstance that adversely affects the participant, could cause noncompliance with treatment or visits, may impact the interpretation of clinical data, could cause bias, or may...

The study team makes the final eligibility decision.

Where it's taking place

  • Indianapolis, Indiana, United States
  • Louisville, Kentucky, United States
  • Rochester, Minnesota, United States
  • Cleveland, Ohio, United States
  • Dallas, Texas, United States
  • Richmond, Virginia, United States

Compensation & support

Compensation mentioned.

ClinicalTrials.gov doesn't provide a reliable structured field for payment or travel support - confirm details with the study team.

Questions & answers

Do participants get paid in this trial?

This study's listing includes signals that participants may be compensated or receive a stipend. Amounts vary and are set by the study team - confirm the details with them.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years to 70 years. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Indianapolis, Indiana, United States; Louisville, Kentucky, United States; Rochester, Minnesota, United States; Cleveland, Ohio, United States; Dallas, Texas, United States; Richmond, Virginia, United States. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.