Health Condition 1: K703- Alcoholic cirrhosis of liver
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All consecutive patients with alcohol related cirrhosis with serum bilirubin less than 5mg per dl with an active alcohol consumption atleast within last 4 weeks aged between 18 -70yrs. 2. Fulfilling DSM – 5 criteria for alcohol use disorder (Association, 2013)
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. Acute illness or fever on the day of planned FMT 3. Ongoing/Past 2 weeks antibiotic use 4. Unclear diagnosis of CLD 5. Non-elective hospitalization within last month 6. Serum bilirubin more than 5mg per dl 7. Grade 2 or more Ascites 8. Any Episode of HE Grade 2 or more or requiring hospital admission within 3 months 9. Episode of AVB within last 3 months 10. Treatment with corticosteroids/Immunosupression within the past 60 days 11. Unwilling to participate 12. Dependence on any other substance (except Nicotine) 13. Psychiatric disorder requiring pharmacotherapy/Suicidal tendency 14. Known untreated, in-situ luminal GI cancers & chronic intrinsic GI diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess proportion of patients achieving and maintaining alcohol abstinence at 4 weeksTimepoint: 4 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in microbiota and mucosal composition and diversity at 12 weeks.Timepoint: 12 weeks;To assess difference in craving measures between groups at 4,12 weeks and 6 monthsTimepoint: 4,12 weeks and 6 months;To assess proportion of patients developing lapse and relapse at 4,12 weeks and 6 months.Timepoint: 4,12 weeks and 6 months;To assess proportion of patients maintaining abstinence from alcohol at 3 & 6 months.Timepoint: 3 & 6 months;To assess proportion of patients who got FMT at 12 weeks without liver related adverse effects compared to placebo.Timepoint: 12 weeks | — |
Countries
India
Contacts
Institute of Liver and Biliary Sciences