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CompletedNCT02172898Updated Feb 11, 2020

Alcoholic Hepatitis: A Multicenter, Observational Study by the TREAT Consortium

An observational study in Alcoholic Hepatitis, sponsored by Indiana University. Completed at 2 sites in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2020-02-11.

Sponsored by Indiana University · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
454
Ages
21 Years and older
Sex
All
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Study summary

To conduct a prospective, multicenter, observational study of patients with well-characterized alcoholic hepatitis (AH) and frequency matched individuals (by age, gender, and race) with comparable history of alcohol consumption but no clinical evidence of liver disease (controls). At the end of the study, a robust clinical information, central bio-repository will be developed from both cases and controls.

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Conditions studied

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In context

Hepatitis A

2,709 studies on the registry are indexed under Hepatitis A; 142 are open to participants now.

This study's enrollment of 454 is above the median of 250 across 687 observational studies indexed under Hepatitis A.

Browse Hepatitis A studies →

Lead sponsor

Indiana University is the lead sponsor of 958 studies on the registry; 200 are open to participants now.

Of its 142 completed or terminated interventional studies of FDA-regulated products, 112 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Individuals with AH and suitable controls will be enrolled at Indiana University and affiliated hospitals. In addition, the enrollment will be conducted simultaneously at Mayo Clinic and Virginia Commonwealth University with the same target enrollment.

Eligibility criteria

CASES: Heavy drinkers with alcoholic hepatitis

Inclusion criteria

  1. The diagnosis of AH will be established on published criteria this is based on:
  1. Average daily ethanol consumption of > 40 grams/day for women and > 60 grams/day for men for a minimum of 6 months and within the 6 weeks prior to study enrolment. Judgment regarding daily and yearly alcohol use will be made by the site investigator
  2. Clinical evaluation and appropriate laboratory testing as defined by total bilirubin > 2 mg/dL and AST > 50 U/L. When the diagnosis of AH remains in question, a liver biopsy (if clinically feasible and that subject has no contra-indications) will be required.
  3. Subjects with HBV, HCV and/or HIV will be eligible for enrollment

Exclusion criteria

  1. Evidence of other liver diseases such as autoimmune or drug-induced
  2. Significant concomitant medical illnesses such as uncontrolled congestive heart failure or COPD, or multiorgan failure
  3. Abstinence of alcohol use > 6 weeks immediately preceding enrollment
  4. Hemochromatosis
  5. Wilson Disease
  6. Active intravenous drug use

CONTROLS: Heavy drinkers without alcoholic hepatitis

Inclusion criteria

  1. Average daily ethanol consumption of > 40 grams /day for women and > 60 grams/day for males for a minimum of 6 months and within the 6 weeks prior to study enrollment. In addition, heavy drinkers who have just become abstinent within prior 2 weeks are eligible to be enrolled. Judgment regarding daily and yearly alcohol use will be made by the site investigator
  2. AST and ALT ≤ 50 and total bilirubin levels within normal range. If bilirubin is increased due to a suspected Gilbert's Syndrome, patient may be enrolled if the direct bilirubin is within normal limits

Exclusion criteria

  1. Evidence of liver disease
  2. Significant concomitant medical illnesses such as uncontrolled congestive heart failure or COPD, or multiorgan failure
  3. Abstinence of alcohol use > 2 weeks immediately preceding enrollment
  4. Hemochromatosis
  5. Wilson Disease
  6. Active intravenous drug use
  7. Prior history of known alcoholic liver disease
  8. Presence of hepatosplenomegaly from the physical examination/radiographic imaging or stigmata of liver disease
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
454 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Heavily Drinking Controls

    Heavy alcohol drinking will be defined as \> 40 grams per day on average in women and \> 60 grams per day on average in men for a minimum of 6 months and within the 6 weeks prior to study enrollment. Heavy drinkers, who have just become abstinent within prior 2 weeks, including those we convince to seek treatment as part of the recruiting process, are eligible for enrollment. Control subjects must meet the following criteria: (1) AST, ALT, and total bilirubin levels must be within normal range; (2) no prior history of known alcoholic liver disease; and (3) absence of hepatosplenomegaly (from physical examination or radiographic imaging) or stigmata of liver disease.

  • Subjects with AH

    Diagnosis of AH will be established on published criteria based on history of heavy alcohol consumption (defined as \> 40 grams per day on average in women and \> 60 grams per day on average for men for a minimum of 6 months and within the 6 weeks prior to study enrollment), clinical evaluation and appropriate laboratory testing (as defined as total bilirubin \> 2 mg/dL and AST \> 50 U/L). When diagnosis of AH remains in question, a liver biopsy (if clinically feasible and subject has no contraindications) will be required. We plan to enroll patients with AH in special population infected with hepatitis B (HBV), hepatitis C (HCV), or HIV.

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What researchers measure

Primary outcomes

  1. Developing a repository of biological samples from AH patients and heavy drinking controls.

    To conduct a prospective, multicenter, observational study of patients with well-characterized AH and frequency matched individuals (by age, gender, and race) with comparable history of alcohol consumption but no clinical evidence of liver disease (controls). At the end of the study, a robust clinical information, central bio-repository of serum/plasma, peripheral mononuclear cells, genomic DNA, stool samples, urine, and liver tissue (where available) will be developed from both cases and controls.

    Time frame: Up to 1 year

Secondary outcomes

  1. Characterizing AH subjects and controls to serve as the foundation for novel mechanistic and therapeutic studies.

    Time frame: Up to 1 year

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Study locations

2 sites
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
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References and documents

Publications

  • Madathanapalli A, Tang Q, Lammert C, Samala N, Shah VH, Sanyal A, Chalasani N, Desai AP. Health-related quality of life is dynamic in alcoholic hepatitis and responds to improvement in liver disease and reduced alcohol consumption. Alcohol Clin Exp Res. 2022 Feb;46(2):252-261. doi: 10.1111/acer.14756. Epub 2021 Dec 16. PubMed 34862610 ↗
  • Mathur K, Vilar-Gomez E, Connelly MA, He H, Sanyal AJ, Chalasani N, Jiang ZG. Circulating high density lipoprotein distinguishes alcoholic hepatitis from heavy drinkers and predicts 90-day outcome: lipoproteins in alcoholic hepatitis. J Clin Lipidol. 2021 Nov-Dec;15(6):805-813. doi: 10.1016/j.jacl.2021.10.002. Epub 2021 Oct 20. PubMed 34756674 ↗
  • Shamseddeen H, Madathanapalli A, Are VS, Shah VH, Sanyal AJ, Tang Q, Liang T, Gelow K, Zimmers TA, Chalasani N, Desai AP. Changes in Serum Myostatin Levels in Alcoholic Hepatitis Correlate with Improvement in MELD. Dig Dis Sci. 2021 Sep;66(9):3062-3073. doi: 10.1007/s10620-020-06632-5. Epub 2020 Oct 19. PubMed 33074470 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02172898
Lead sponsor
Indiana University
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Responsible party
Naga P. Chalasani (Naga Chalasani, MD, FACG, Indiana University) — Principal investigator
First posted
Jun 24, 2014
Start date
Jun 2013
Primary completion
Jun 29, 2018
Completion
Jul 2019
Last update
Feb 11, 2020

Study contacts

Naga Chalasani, MD
principal investigator · Indiana University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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