Hepatitis, Alcoholic
Conditions
Brief summary
To determine the efficacy and safety S-adenosyl-l-methionine in alcoholic hepatitis with cholestasis.
Detailed description
randomize first time for core treatment stage for 6 weeks, then randomized second time for extend treatment for 42 weeks.
Interventions
ademethionine 1000mg ivgtt qd for 2 weeks, then orally 1000mg bid for 4 weeks.
Polyene Phosphatidyl choline 10ml ivgtt qd for 2 weeks, then Polyene Phosphatidyl choline 456 mg tid orally for 4 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Body Mass Index range 19-30kg/m2 * Alcohol Drinking history more than 5 years, for male ≥ 40g/ day, for female ≥ 20g/ day; * STB from 2 to 10X ULN; * ALP\>1.5X ULN or GGT\>3X ULN
Exclusion criteria
any one of below, * active virus hepatitis, or anti-HIV(+) * exclude other hepatic disease: non-alcoholic fatty liver, drug-induced liver injury, autoimmune hepatitis( AMA/ANA\>1:100), Wilson disease, hemochromatosis or other hepatic disease; obstructive cholestasis * other non-hepatic diseases caused jaundice * primary hepatic carcinoma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| response rate of serum total bilirubin | 6 weeks | response rate means percentage of subjects whose serum total bilirubin values declined from baseline over 30% |
Secondary
| Measure | Time frame |
|---|---|
| level of serum direct bilirubin | 6 weeks and 48 weeks |
| level of serum bile acids | 6 weeks and 48 weeks |
| level of glutamic pyruvic transaminase | 6 weeks and 48 weeks |
| level of alkaline phosphatase | 6 weeks and 48 weeks |
| level of gamma-glutamyl transpeptidase | 6 weeks and 48 weeks |
| level of hyaluronic acid | 6 weeks and 48 weeks |
| level of glutamic oxaloacetic transaminase | 6 weeks and 48 weeks |
Other
| Measure | Time frame | Description |
|---|---|---|
| Liver biopsy | 48 weeks | Liver biopsy is not demanded |
Countries
China