Alcoholic hepatitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Hospitalised patients with evere alcoholic hepatitis defined by modified Maddrey score over 300, patients over 18 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 150 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - viral hepatitis B or C - significant gastrointestinal bleeding (melaena) in past 4 days - severe untreated bacterial infection - severe renal failure (serum creatinine over 150 umol/l) - patients previously enrolled to this study - any other liver disease significantly affecting the course of alcoholic hepatitis (e.g. autoimmune hepatitis, untreated haemochromatosis) - any malignancy not in remission - patient unable to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the effect of ciprofloxacin therapy in adittion to prednisolone therapy to mortality in severe alcoholic hepatitis;Secondary Objective: Effects of ciiprofloxacin to prognostic scores in severe alocohlic hepatitis;Primary end point(s): Mortality at day 28, at 3 months, 6 months and 12 months;Timepoint(s) of evaluation of this end point: day 28, 3 months, 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Proportion of patients with early change in bilirubin levels (ECBL= S-Bil(Day 0)-S-Bil(Day7 )>0 - Proportion of patients with Lille Score >0.45 day 7 - Recovery of liver function parameters in 1 and 3 months ;Timepoint(s) of evaluation of this end point: day 7 and 28, 3 months | — |
Countries
Finland