Severe Alcoholic Hepatitis
Conditions
Keywords
Severe alcoholic hepatitis, survival, oxidative stress
Brief summary
The purpose of this study is to determine whether metadoxine is effective for improve survival and reduced oxidative stress in patients with severe alcoholic hepatitis.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with clinical and biochemical criteria for severe alcoholic hepatitis: Total bilirubin greater than 5 mg/dl in absence of biliary tract obstruction evidenced by ultrasound, history of chronic alcohol intake, leukocytosis, neutrophilia, elevation of transaminases with an aspartate aminotransferase / alanine aminotransferase ratio equal or greater than 2, discriminant function greater than 32.
Exclusion criteria
* Diabetes, chronic kidney disease, hepatitis C, hepatitis B and or human immunodeficiency virus infection, asthma or history of atopy or allergic reactions, therapy in the previous two years with steroids, pentoxifylline, metadoxine, S-adenosyl L- methionine, antioxidants or multivitamins.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30 day-survival | 30 days |
| Malondialdehyde serum levels | 14 and 30 days |
Secondary
| Measure | Time frame |
|---|---|
| 3 month-survival | 3 months |
| 6 month-survival | 6 months |
Countries
Mexico