ClinicalTrials.gg
TerminatedNCT03452540Updated Jul 29, 2022Results posted

Efficacy and Safety of Orally Administered DS102 in Patients With Acute Alcoholic Hepatitis

A Phase 2 interventional study of 1000mg DS102 (BID) in Severe Acute Decompensated Alcoholic Hepatitis, sponsored by Afimmune. Terminated at 8 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-29.

Sponsored by Afimmune · Phase 2, Interventional, and Treatment

Why this study was terminated
Company Decision
Phase
Phase 2
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 38 studies in Hepatitis, Alcoholic with a site in United States — 7 open to participants now, 7 under way, 1 of them phase 3. Hepatitis, Alcoholic · United States.

Enrollment
23rd of 28
9 · median 44
Started
2018
with 1 other
Phase 2
17 of 38
none open now
Registered
22nd of 38
by date
Lead sponsor
1 of 38
Afimmune

Among the 38 studies in Hepatitis, Alcoholic with a site in United States, this one is the 23rd largest by enrollment of the 28 interventional ones that give a count, is one of 2 that started in 2018, is one of 17 in phase 2, and was the 22nd registered.

Hepatitis, Alcoholic

114 studies on the registry are indexed under Hepatitis, Alcoholic; 25 are open to participants now.

Browse Hepatitis, Alcoholic studies →

Open to participants now

7 of the 38 studies in Hepatitis, Alcoholic with a site in United States are open now. Recruiting first, the newest first:

2 more — sign in →

All 7 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 17 Hepatitis, Alcoholic studies recruiting now, 9 (53%) set no upper age limit and 8 (47%) stop at 75 or younger; none take children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this randomised, double-blind, placebo-controlled, phase II study is to assess the efficacy and safety of orally administered DS102 in adult patients with acute decompensated alcoholic hepatitis

03

Conditions studied

  • Severe Acute Decompensated Alcoholic Hepatitis

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female patients aged 18 years and older
  2. Total of ≥ 5 mg/dl (85μmol/l)
  3. Patients with definite or probable AH
  4. MELD ≥18 at baseline visit
  5. MDF ≥32 at baseline visit
  6. ≥50 U/L
  7. AST':ALT ratio > 1.5
  8. Female patients, or female partners of male patients, of child bearing potential must use highly effective methods or have a sterilised partner for the duration of the study. Highly effective birth control methods are defined as methods that can achieve a failure rate of less than 1% per year when used consistently and correctly. Such methods include intrauterine device or sexual abstinence.

    Note: A woman is considered of child bearing potential (), i.e. fertile, following menarche and until becoming unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy Note: Hormonal contraceptives are in patients with severe hepatic diseases and are not acceptable as a birth control method in this study Note: Sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatments. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the subject

  9. Patient and/or legally authorised representative must provide
  10. Able to swallow the provided study medication
  11. Not eligible for liver transplant during this hospitalisation

Exclusion criteria

Exclusion Criteria:

  1. Pregnant or lactating females.
  2. Spontaneous liver function improvement defined by decrease of level and MDF of >10% within 5 days of hospital admission
  3. Grade 4 hepatic encephalopathy (West Haven Criteria)
  4. Type 1 hepatorenal syndrome (HRS) or a serum creatinine >2 x or the requirement for haemodialysis
  5. History of to any substance in DS102 capsules or placebo capsules.
  6. Alcohol abstinence of >6 weeks prior to screening
  7. Duration of clinically apparent jaundice >3 months prior to baseline
  8. Other causes of liver disease including:

    1. Evidence of chronic viral hepatitis ( DNA positive or positive)
    2. Biliary obstruction
    3. Hepatocellular carcinoma
    4. Wilsons disease
    5. Budd Chiari Syndrome
    6. Non-alcoholic fatty liver disease
  9. History of or active non-liver other than curatively treated skin cancer (basal cell or squamous cell carcinomas).
  10. Previous entry into the study
  11. >400 U/L or ALT >270 U/L
  12. Treatment with any experimental drug within 30 days prior to Day 0 visit (Baseline), or 5 half-lives (whichever is longer).
  13. Patients who have used dietary supplements rich in omega-3 or omega-6 fatty acids in the four weeks prior to baseline.
  14. Patients dependent on inotropic support (adrenaline or noradrenaline), including Terlipressin
  15. Active variceal haemorrhage on this admission requiring more than 2 units of blood to maintain level within 48 hours
  16. Presence of ascites
  17. Untreated or unresolved sepsis
  18. Patients with cerebral haemorrhage, extensive retinal haemorrhage, acute myocardial infarction (within last 6 weeks) or severe cardiac arrhythmias (not including atrial fibrillation)
  19. Known infection with at screening.
  20. Significant systemic or major illnesses other than liver disease that, in the opinion of the investigator, would preclude or interfere with treatment with DS102 and/or adequate follow up.
  21. Previous liver transplantation
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    1000mg DS102 (BID)

    Participants assigned to the open label pilot phase received 1000mg DS102 (BID)for 28 days.

    Drug: 1000mg DS102 (BID)

Interventions

  • Drug1000mg DS102 (BID)

    Participants assigned to the open label pilot phase received 1000mg DS102 (BID)for 28 days.

06

What researchers measure

Primary outcomes

  1. Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, and SUSARs.

    To evaluate the safety of orally administered DS102 in the treatment of adult patients with severe acute decompensated AH.

    Time frame: Up to 28 days.

  2. Descriptive Statistics for Plasma Total 15(S)-HEPE and Unesterified 15(S)-HEPE Pharmacokinetic Results for 1000 mg BD DS102 Administered Orally Twice-daily to Patients With Alcoholic Hepatitis

    Descriptive Statistics for Plasma Total 15(S)-HEPE and Unesterified 15(S)-HEPE Pharmacokinetic Results for 1000 mg BD DS102 Administered Orally Twice-daily to Patients with Alcoholic Hepatitis.

    Time frame: Up to 7 days

07

Results

Posted Jul 29, 2022
Limitations and caveats
Early termination - The study was stopped at the end of the pilot phase (n=9) as the sponsor prioritised other therapeutic indications, so no patients were enrolled in the double-blind phase.

Participant flow

This was a multicentre, double blind, placebo controlled, 2-arm parallel group comparison (Phase 2) study, preceded by an open label pilot phase, in which six patients were to receive open label treatment with 2000mg DS102 (1000mg BID) within 30 minutes after a meal for 28 days.

Participant flow — Overall Study
Milestone1000mg DS102 (BID)
Started9
Completed5
Not completed4
Withdrew: Adverse event1
Withdrew: Withdrawal by subject1
Withdrew: Other sae and ae2

Outcome measures

PrimaryTreatment-emergent Adverse Events (TEAEs), Serious TEAEs, and SUSARs.

To evaluate the safety of orally administered DS102 in the treatment of adult patients with severe acute decompensated AH.

Time frame:
Up to 28 days.
Reported as:
Number · Number of Events
Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, and SUSARs.
Number of Events1000mg DS102 (BID)
Total Number of TEAEs7
Total Number of Serious TEAEs4
Total Number of Serious Treatment Related TEAEs1
Total Number of Treatment Related TEAEs1
Total Number of Not Treatment Related TEAEs6
PrimaryDescriptive Statistics for Plasma Total 15(S)-HEPE and Unesterified 15(S)-HEPE Pharmacokinetic Results for 1000 mg BD DS102 Administered Orally Twice-daily to Patients With Alcoholic Hepatitis

Descriptive Statistics for Plasma Total 15(S)-HEPE and Unesterified 15(S)-HEPE Pharmacokinetic Results for 1000 mg BD DS102 Administered Orally Twice-daily to Patients with Alcoholic Hepatitis.

Time frame:
Up to 7 days
Reported as:
Mean · ng/mL
Descriptive Statistics for Plasma Total 15(S)-HEPE and Unesterified 15(S)-HEPE Pharmacokinetic Results for 1000 mg BD DS102 Administered Orally Twice-daily to Patients With Alcoholic Hepatitis
ng/mL1000mg DS102 (BID)
Day 0 Unesterified 15(S)-HEPE542 ± 399.4
Day 7 Unesterified 15(S)-HEPE1060 ± 1073
Day 0 Total 15(S)-HEPE3110 ± 3721
Day 7 Total 15(S)-HEPE4470 ± 3601

Adverse events

Collected over Up to 90 days.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
1000mg DS102 (BID)2/9 (22.2%)4/9 (44.4%)7/9 (77.8%)
Most frequent serious events
Most frequent serious events
Event1000mg DS102 (BID)
Cardiac ArrestCardiac disorders1/9
Septic ShockInfections and infestations1/9
Metabolic encephalopathyNervous system disorders1/9
Multiple organ dysfunction syndromeGeneral disorders1/9
Mental status changePsychiatric disorders1/9
Renal FailureRenal and urinary disorders1/9
Pulmonary OedemaRespiratory, thoracic and mediastinal disorders1/9
Hypovolaemic ShockVascular disorders1/9
Most frequent other events
Showing 10 of 25
Most frequent other events
Event1000mg DS102 (BID)
Abdominal distensionGastrointestinal disorders2/9
Aspartate Aminotransferase increasedInvestigations2/9
FallInjury, poisoning and procedural complications2/9
Abdominal PainGastrointestinal disorders1/9
DiarrhoeaGastrointestinal disorders1/9
FlatulenceGastrointestinal disorders1/9
GlossitisGastrointestinal disorders1/9
VomitingGastrointestinal disorders1/9
AstheniaGeneral disorders1/9
Localised OedemaGeneral disorders1/9

Baseline characteristics

The Full Analysis Set (FAS) included all patients who received at least one dose of investigational product. Patients were analysed according to the treatment they were assigned to, irrespective of what treatment they actually received.

Age, Continuous
Age, Continuous(years)1000mg DS102 (BID)
Mean53.2 ± 12.94
Sex: Female, Male
Sex: Female, Male(Participants)1000mg DS102 (BID)
Female3
Male6
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)1000mg DS102 (BID)
Hispanic or Latino2
Not Hispanic or Latino6
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)1000mg DS102 (BID)
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White8
More than one race0
Unknown or Not Reported0
08

Study locations

8 sites
  • Schiff Center for Liver Diseases (University Hospital Miami)
    Miami, Florida 33136, United States
  • Cleveland Clinic Florida
    Miami, Florida 33331, United States
  • Kansas University Medical Center
    Kansas City, Kansas 66160, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Bon Secours Liver Institute of Richmond and Bon Secours Liver Institute of Hampton Roads
    Newport News, Virginia 23602, United States
  • Batumi Referral Hospital
    Batumi, Georgia
  • Saint Nikolozi Surgery Center
    Kutaisi, Georgia
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2018 to primary completion in Jun 2019, 6 months.

Results were first posted in Jul 2022, 3 years 1 month after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 26, 2018
First posted
Mar 2, 2018
StartActual
Nov 28, 2018
Primary completionActual
Jun 19, 2019
CompletionActual
Mar 31, 2020
Results first posted
Jul 29, 2022
Last update
Jul 29, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 29, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03452540
Lead sponsor
Afimmune
Responsible party
Sponsor
First posted
Mar 2, 2018
Start date
Nov 28, 2018
Primary completion
Jun 19, 2019
Completion
Mar 31, 2020
Results posted
Jul 29, 2022
Last update
Jul 29, 2022

Study contacts

Mark Thursz
principal investigator · Imperial College London

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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