Severe Alcoholic Hepatitis
Conditions
Brief summary
This study aimed to investigate the effect of decontamination by rifaximin in severe alcoholic hepatitis patients. Patients who take corticosteroid or pentoxifylline will be randomly allocated to rifaximin group or control group.
Interventions
400mg three times per day for 28 days
Corticosteroid 40mg/day or pentoxifylline 400mg three times per day for 28 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Heavy alcohol drinking within 3 months (Over 40 g/day) * Maddrey's discriminant function ≥ 32 * AST/ALT ration ≥ 2 * Bilirubin level ≥ 5mg/dL * Any one of the following additional criteria : hepatic encephalopathy, enlarged, tender liver, or peripheral leucocytosis * Age : 19-75 * Jaundice within 3 months
Exclusion criteria
* Other causes of chronic liver disease (HBV, HCV, or autoimmune hepatitis) * Antibiotics or probiotics use within 8 weeks * Drug induced hepatotoxicity * Acute viral hepatitis (HAV or HEV) * Hepatic abscess or cholagitis * Hepatocellular carcinoma of modified UICC stage II, III or IV * Malignant tumor other than HCC * Pregnancy * Severe chronic extrahepatic disease * Type I hepatorenal syndrome * Hepatic encephalopathy grade II or IV * Severe infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mortality | 6-month |