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Optimized Therapeutic Effect of Silybin Capsules on Agomelatine-Induced Abnormal Liver Enzymes and Exploration of Its Underlying Mechanisms

Optimized Therapeutic Effect of Silybin Capsules on Agomelatine-Induced Abnormal Liver Enzymes and Exploration of Its Underlying Mechanisms

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600120054
Enrollment
Unknown
Registered
2026-03-09
Start date
2026-03-20
Completion date
Unknown
Last updated
2026-03-16

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

Conditions

Drug-induced liver injury

Interventions

Silybin Capsules Group:Dministration of silybin capsules, 2 capsules each time, three times a day.
Polyene Phosphatidylcholine Group:Oral administration of polyene phosphatidylcholine, 2 capsules each time, three times a day.

Sponsors

Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1.Meeting the diagnostic criteria for depression in Western medicine; 2.Being treated with agomelatine; 3.Showing abnormally elevated alanine aminotransferase (ALT), a liver function enzyme index; 4.Aged 18–65 years, regardless of gender; 5.Patients who have signed the informed consent form.

Exclusion criteria

Exclusion criteria: 1.Complicated with other chronic liver diseases, including viral hepatitis, metabolic liver disease, alcoholic liver disease, drug-induced liver injury, malignant liver tumor, autoimmune liver disease, etc. 2.Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) > 3 times the upper limit of normal (ULN); Gamma-Glutamyl Transferase (GGT), Alkaline Phosphatase (ALP), or Total Bilirubin (TBiL) > upper limit of normal (ULN). 3.Pregnant or lactating women; women of childbearing age who do not use effective contraceptive methods (e.g., condoms, hormonal contraceptives, intrauterine devices); or male subjects who are unwilling to adopt contraceptive measures. 4.Patients with severe primary cardiovascular, renal, hematological, pulmonary diseases, tumors, acquired immunodeficiency syndrome (AIDS), or other life-threatening severe illnesses. 5.Patients with a suspected or confirmed history of alcohol or drug abuse. 6.Patients with a known allergy to any component of the study drugs. 7.Patients who have participated in other clinical trials within 3 months prior to the current study. 8.Patients who are considered inappropriate to participate in the study by the investigator(s). 9.Patients with severe suicidal ideation. 10.Patients with mental disorders caused by organic diseases, such as depression induced by hypothyroidism.

Design outcomes

Primary

MeasureTime frame
Cumulative incidence of drug-induced liver injury;Liver function;

Secondary

MeasureTime frame
Fibroscan;Ferritin;Inflammatory indicators;

Countries

China

Contacts

Public ContactWang Liqiong

Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

lh2701@shutcm.edu.cn+86 135 8567 4462

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Mar 20, 2026