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Efficacy of Ursodeoxycholic Acid versus Corticosteroids for the Treatment of Cholestatic Hepatitis Secondary to Immunotherapy: A Multicenter, Controlled, Randomized, Open Trial

Status
Not yet recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2025-521317-50-00
Enrollment
94
Registered
2025-10-30
Start date
Unknown
Completion date
Unknown
Last updated
2025-11-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cholestatic hepatitis induced by immune checkpoint inhibitors (ICIs)

Brief summary

The rate of patients showing an improvement of at least 25% in liver function tests (alkaline phosphatase and/or gamma-GT) from baseline on Day 21.

Detailed description

Rate of patients with resolution of hepatitis, i.e., grade ≤ 1 according to the current NCI CTC-AE classification, at 6 months after randomization, the time to hepatitis resolution (grade ≤ 1) defined as the time from the date of randomization to the date of resolution of hepatitis, the tolerance to UDCA or corticosteroids or both: Adverse events assessed according to the current NCI-CTC AE classification, Factors associated with response to UDCA at D21 among the immunotherapy molecule, duration of ICI treatment, presence or absence of bile duct dilation, tumor histology, Rate of patients in whom resumption of immunotherapy was possible after hepatitis within 12 months after randomization

Interventions

DRUGcomprimé sécable
DRUGURSODEOXYCHOLIC ACID

Sponsors

Centre Hospitalier Universitaire De Montpellier
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
The rate of patients showing an improvement of at least 25% in liver function tests (alkaline phosphatase and/or gamma-GT) from baseline on Day 21.

Secondary

MeasureTime frame
Rate of patients with resolution of hepatitis, i.e., grade ≤ 1 according to the current NCI CTC-AE classification, at 6 months after randomization, the time to hepatitis resolution (grade ≤ 1) defined as the time from the date of randomization to the date of resolution of hepatitis, the tolerance to UDCA or corticosteroids or both: Adverse events assessed according to the current NCI-CTC AE classification, Factors associated with response to UDCA at D21 among the immunotherapy molecule, duration of ICI treatment, presence or absence of bile duct dilation, tumor histology, Rate of patients in whom resumption of immunotherapy was possible after hepatitis within 12 months after randomization

Countries

France

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026