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CompletedNCT02944552Updated Apr 28, 2020

The Multi Center, Randomized, Double-blind, Positive Controlled Study of Bicyclol in the Treatment of Acute DILI

A Phase 2 interventional study of bicyclol tablet 25mg and bicyclol tablet 50mg in Drug-Induced Acute Liver Injury, sponsored by Drug Induced Liver Disease Study Group. Completed at 17 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-04-28.

Sponsored by Drug Induced Liver Disease Study Group · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
244
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The study adopted the superiority design of multi center, randomized, double-blind, positive control drug, dose finding, using two simulation skills. The qualified subjects, according to the ratio of 1:1:1, were randomized into low dose group, high dose group and positive drug control group, and received a treatment course of 4-8 weeks, all individuals were followed up for 4 weeks after drug withdrawal.

Read the detailed description

Explore the safety and efficacy of different doses of bicyclol in treatment of acute drug-induced liver injury using polyene phosphatidylcholine capsule as the positive control drug.

The study adopted the design of multi center, randomized, double-blind, dose finding, positive control drug, superiority test, using two simulation skills. The qualified subjects, according to the ratio of 1:1:1, were randomized into low dose group and high dose group and positive drug control group, and received a treatment course of 4-8 weeks, all individuals were followed up for 4 weeks after drug withdrawal.

02

Conditions studied

  • Drug-Induced Acute Liver Injury
03

In context

Chemical and Drug Induced Liver Injury

75 studies on the registry are indexed under Chemical and Drug Induced Liver Injury; 20 are open to participants now.

This study's enrollment of 244 is above the median of 80 across 36 interventional studies indexed under Chemical and Drug Induced Liver Injury.

Browse Chemical and Drug Induced Liver Injury studies →

Lead sponsor

Drug Induced Liver Disease Study Group is the lead sponsor of 6 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. 18-75 years old, male or female;
  2. Meet the standard of clinical diagnosis of acute drug-induced liver injury, the RUCAM causality scale score is more than or equal to 6 points. If the RUCAM causality scale score is 3-5,the subject needs three liver disease experts to confirm whether he is DILI patient, at least two of three liver disease experts should have the same judgment;
  3. The serum ALT is between 3and 20 times ULN, but TBiL is less than or equal to 2 times ULN;
  4. Liver biochemical indexes(ALT,AST,ALP,GGT,TBiL,albumin,prothrombin time) abnormalities lasted less than 90 days;
  5. Patients can understand the nature of the experiment, the nature of the disease, the characteristic of drugs, related treatment methods and the risk they may need to bear if they participate in the test, and sign the informed consent.

Exclusion criteria

Exclusion criteria:

  1. Occurrent liver injury caused by other reasons, such as viral hepatitis, alcoholic liver disease, nonalcoholic fatty liver disease etc;
  2. Acute liver failure or liver function decompensation patient perform, such as hepatic encephalopathy, ascites, albumin is less than or equal to 35g / L, The international standardized ratio (INR) of thrombin is more than 1.5;
  3. Serum creatinine is more than 1.5 times ULN;
  4. Severe or life-threatening heart, lung, brain, kidney, gastrointestinal and systemic diseases;
  5. Taking drugs that may affect observation of curative effect of the experimental drug during the study;
  6. Allergy or intolerance to experimental drugs;
  7. With no ability to express their complaints, such as mental illness and severe neurosis patient;
  8. The patient can not cooperate and poor compliance;
  9. Pregnant and lactating women or women preparing for pregnancy;
  10. The patient participated in other clinical trials in 3 months before entering this study;
  11. Using other liver-protective drugs except ursodeoxycholic acid or ademetionine within three days;
  12. The researchers believe not suitable.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
244 participants (actual)

Study arms

  • Experimental
    low dose group

    Patients in the low dose group administrated bicyclol tablet 25mg orally, three times daily for 4-8 weeks.

    Drug: bicyclol tablet 25mg

  • Experimental
    high dose group

    Patients in the high dose group administrated bicyclol tablet 50mg orally, three times daily for 4-8 weeks.

    Drug: bicyclol tablet 50mg

  • Active comparator
    positive drug control group

    Patients in the positive drug control group administrated polyene phosphatidylcholine capsule 456mg orally, three times daily for 4-8 weeks.

    Drug: polyene phosphatidylcholine capsule 456mg

Interventions

  • Drugbicyclol tablet 25mg

    Patients in the low dose group administrated bicyclol tablet 25mg, one bicyclol blank analog tablet and two polyene phosphatidylcholine blank analog capsules orally, three times daily for 4-8 weeks.

    Also known as: bicyclol blank analog tablet, polyene phosphatidylcholine blank analog capsule

  • Drugbicyclol tablet 50mg

    Patients in the high dose group administrated bicyclol tablet 50mg and two polyene phosphatidylcholine blank analog capsules orally, three times daily for 4-8 weeks.

    Also known as: polyene phosphatidylcholine blank analog capsule

  • Drugpolyene phosphatidylcholine capsule 456mg

    Patients in the positive drug control group administrated polyene phosphatidylcholine capsules 456mg and two bicyclol blank analog tablets orally, three times daily for 4-8 weeks.

    Also known as: bicyclol blank analog tablet

06

What researchers measure

Primary outcomes

  1. The decline range of serum ALT after 4 weeks of treatment

    The decrease value of serum ALT after 4 weeks of treatment compared to the baseline

    Time frame: after 4 weeks of treatment

Secondary outcomes

  1. The decrease value of serum AST compared to the baseline of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks

    The decrease value of serum AST compared to the baseline

    Time frame: after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks

  2. The decrease value of serum ALT compared to the baseline of treatment for 1, 2, 6, 8 weeks and follow-up for 2, 4 weeks

    The decrease value of serum ALT compared to the baseline

    Time frame: after 1, 2, 6, 8 weeks treatment and follow-up for 2, 4 weeks

  3. The decrease rate of serum ALT compared to the baseline of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks

    The decrease rate of serum ALT compared to the baseline

    Time frame: after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks

  4. The time from treatment to ALT normalization

    The time from treatment to ALT normalization

    Time frame: treatment period

  5. The ratio of subjects whose ALT and AST declined more than 50% compared to the base line of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks

    The ratio of subjects whose ALT and AST declined more than 50% compared to the base line

    Time frame: after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks

  6. The serum ALT and AST normalization rate of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks

    The serum ALT and AST normalization rate

    Time frame: after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks

  7. The area under curve of ALT and AST of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks

    The area under curve of ALT and AST

    Time frame: after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks

07

Study locations

17 sites
  • Anhui Provincial Hospital
    Hefei, Anhui, China
  • Beijing Chest Hospital, Capital Medical University
    Beijing, Beijing 101149, China
  • Beijing Ditan Hospital, Capital Medical University
    Beijing, Beijing, China
  • The second affiliated Hospital of Chongqing Medical University
    Chongqing, Chongqing, China
  • Fuzhou General Hospital of Nanjing Military Command
    Fuzhou, Fujian 350025, China
  • The First affiliated Hospital of Xinxiang Medical University
    Weihui, Henan, China
  • Henan Infectious Diseases Hospital
    Zhengzhou, Henan, China
  • Henan Provincial People's Hospital
    Zhengzhou, Henan, China
  • The Second Xiangya Hospital of Central South University
    Changsha, Hunan, China
  • Jiangsu Province Hospital
    Nanjing, Jiangsu, China
  • Renji Hospital ,Shanghai Jiao Tong University School of Medicine
    Shanghai, Shanghai 200127, China
  • No.85 hospital of PLA
    Shanghai, Shanghai, China
  • Ruijin Hospital ,Shanghai Jiao Tong University School of Medicine
    Shanghai, Shanghai, China
  • Shanghai Putuo District Central Hospital
    Shanghai, Shanghai, China
  • Tongji Hospital of Tongji University
    Shanghai, Shanghai, China
  • Tianjin Haihe Hospital
    Tianjin, Tianjin, China
  • Shanghai Lung Hospital
    Shanghai, China
08

References and documents

Publications

  • Tang J, Gu J, Chu N, Chen Y, Wang Y, Xue D, Xie Q, Li L, Mei Z, Wang X, Li J, Chen J, Li Y, Yang C, Wang Y, Shang J, Xie W, Hu P, Li D, Zhao L, Lan P, Wang C, Chen C, Mao Y. Efficacy and safety of bicyclol for treating patients with idiosyncratic acute drug-induced liver injury: A multicenter, randomized, phase II trial. Liver Int. 2022 Aug;42(8):1803-1813. doi: 10.1111/liv.15290. Epub 2022 May 25. PubMed 35567757 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02944552
Lead sponsor
Drug Induced Liver Disease Study Group
Collaborators
Beijing Union Pharmaceutical Factory Ltd
Responsible party
Sponsor
First posted
Oct 26, 2016
Start date
Aug 18, 2017
Primary completion
Jun 10, 2019
Completion
Jul 31, 2019
Last update
Apr 28, 2020

Study contacts

Yimin Mao
study chair · RenJi Hospital
Chengwei Chen
study chair · No.85 hospital of PLA

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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