ClinicalTrials.gg
RecruitingNCT06159244HepathAlc-IMUpdated May 25, 2025

Intestinal Microbiota Profiling in Severe Acute Alcoholic Hepatitis Patients

An interventional study of stool withdrawal in Severe Acute Alcoholic Hepatitis, Alcohol and Intestinal Microbiota, sponsored by Centre Hospitalier Universitaire, Amiens. Recruiting at 1 site in France. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-25.

Sponsored by Centre Hospitalier Universitaire, Amiens · Not applicable, Interventional, and Other

From the registry’s dates

  • Started Nov 2023; still recruiting 2 years 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 16 studies in Hepatitis, Alcoholic with a site in France — 5 open to participants now, 5 under way, 1 of them phase 3. Hepatitis, Alcoholic · France.

Planned enrollment
6th of 13
200 · median 174
Started
2023
the only one that year
No phase
5 of 16
1 open now
Registered
13th of 16
by date
Lead sponsor
2 of 16
Centre Hospitalier Universitaire, Amiens

Among the 16 studies in Hepatitis, Alcoholic with a site in France, this one is the 6th largest by planned enrollment of the 13 interventional ones that give a count, is the only one that started in 2023, is one of 5 with no phase, and was the 13th registered.

Hepatitis, Alcoholic

113 studies on the registry are indexed under Hepatitis, Alcoholic; 24 are open to participants now.

This study's planned enrollment of 200 is above the median of 60 across 80 interventional studies indexed under Hepatitis, Alcoholic.

Browse Hepatitis, Alcoholic studies →

Open to participants now

5 of the 16 studies in Hepatitis, Alcoholic with a site in France are open now, in 1 country. Each count lists the studies.

All 5 open studies →

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; 0 take children under 18; 2 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · healthy volunteers too.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies in Hepatitis, Alcoholic with a site in France, or all of them as a file.
02

Study summary

In humans, alcohol-related dysbiosis exists with a decrease in bacteroides. This dysbiosis is responsible for the breakdown of the intestinal barrier by a decrease in the synthesis of protective mucus, and some proteins involved in tight junctions or a decrease in defensin (Reg3b, Reg3g) which promotes bacterial growth and ultimately bacterial translocation. The microbiota of a patient with alcoholic hepatitis is different from that of a patient without alcoholic hepatitis. Acute alcoholic hepatitis has a severe prognosis and corticosteroids are the only first line therapy option, with better survival at 28 days versus placebo. However, mortality remains high at 30% at 3 months, which highlights the importance of seeking intestinal microbiota profile on treatment response.

The determination of one or more intestinal microbiota signatures associated with the treatment response Corticosteroids plus FMT or Corticosteroids plus placebo will allow the clinician to have a simple and rapid test obtained in 16S RNA analysis to predict the therapeutic response and potentially the best treatment to adopt and to address medical and medico-economic stakes.

The investigators will first characterize the alcohol-induced dysbiosis by a whole microbiota sequencing in the different groups. Specific bacterial species identify by DNA sequencing should be confirmed by qPCR of 16S rDNA to determine a fingerprint of sAH microbiota. Metabolic properties of intestinal microbiota, such as production of short chain fatty acids, will be analyzed by using HPLC. In the sAH group, evolution of intestinal microbiota will be observed by shotgun DNA sequencing between the day 0 and the day 7 of corticosteroids treatment.

The analysis of sAH patients' microbiota (day 0) will allow us to obtain a non-responder profile to corticosteroids that can be used as a prognostic marker to use in the clinic. The deliverable is the bacterial fingerprint of the treatment response and its valuation is its use as a predictive tool of the response.

03

Conditions studied

  • Severe Acute Alcoholic Hepatitis
  • Alcohol
  • Intestinal Microbiota
  • Corticosteroids

Browse trials for

Keywords

  • Severe acute alcoholic hepatitis
  • Alcohol
  • Intestinal Microbiota
  • Corticosteroids
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Patients aged from 18 to 75 years, having :
  • Heavy drinker with Maddrey Score ≥ 32 : PT(second)-PT(control)x4.6+Bilirubine (mg/dl)
  • Histological confirmed Alcoholic hepatitis
  • Personal consent signed to the trial
  • No exclusion criteria

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years and/or > 75 years,
  • Pregnancy or lactating females,
  • No personal consent
  • Other causes of liver disease: chronic (antigen HBs positive), (HCV RNA positive), acetaminophen hepatotoxicity, biliary obstruction, hepatitis, primary biliary cholangitis, primary sclerosis cholangitis, alpha 1 antitrypsine deficiency, and Wilson disease.
  • Uncontrolled liver complications:
  • Upper gastrointestinal bleed by portal hypertension (4 days required for stable condition)
  • Active sepsis (4 days required for stable condition)
  • Patient currently treated by antibiotic
  • Concomitant Liver cancer (HCC) or extrahepatic
  • Type 1 hepatorenal syndrome (HRS) or renal failure defined as a serum creatinine >221 μmol/L (>2.5 mg/dL) or the requirement for renal replacement therapy
  • Grade 4 Hepatic Encephalopathy (HE) by West Haven criteria
  • Individuals dependent on inotropic (eg, epinephrine or norepinephrine) or ventilatory support (ie, endotracheal intubation or positive-pressure ventilation)
  • Disseminated intravascular coagulation
  • Intestinal paralysis
  • History of liver transplantation

Other general diseases or severe conditions:

  • disease
  • Intestinal paralysis
  • Intestinal inflammatory disease (Crohn or Ulcerative colitis)
  • Clostridium difficilae infection
  • Clinical suspicion of pneumonia
  • Uncontrolled sepsis
  • Acute Alcoholic pancreatitis
  • Noncontrolled alcohol withdrawal syndrome
  • Cardiac or respiratory bad conditions
Terms in these criteria, in plain language(5)

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

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
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    sAH patients

    the recruitment of patients with sAH will be carried out from the Hepatogastroenterology Service of the University Hospital of Amiens.

    Other: stool withdrawal

  • Experimental
    Alcohol controls without liver complications

    the recruitment of alcohol controls will concern patients followed for alcohol addiction without sAH in the antecedents or evolutionary. It will be carried out by the Hospital of Roye-Montdidier. The total number of controls will be equivalent to the number of sAH patients, matched for age and sex.

    Other: stool withdrawal

  • Active comparator
    Healthy non-alcoholic witnesses

    the general population will be called with a matching on age

    Other: stool withdrawal

Interventions

  • Otherstool withdrawal

    stool withdrawal at day 0 and day 7

06

What researchers measure

Primary outcomes

  1. variation of sample bacterial composition between the three groups

    Time frame: day 7

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2023 (actual). Primary completion is estimated for Nov 2028, 60 months after the start.

Of 16 interventional studies with no phase under Hepatitis, Alcoholic, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 51. This study's planned 60 months is above that.

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

Registered
Nov 21, 2023
First posted
Dec 6, 2023
StartActual
Nov 15, 2023
Primary completionEst.
Nov 2028
CompletionEst.
Nov 2028
Last update
May 25, 2025
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 May 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06159244
Collaborators
CH Montdidier
Responsible party
Sponsor
First posted
Dec 6, 2023
Start date
Nov 15, 2023
Primary completion
Nov 2028 (estimated)
Completion
Nov 2028 (estimated)
Last update
May 25, 2025

Study contacts

Eric Nguyen-Khac, Pr
Contact
nguyen-khac.eric@chu-amiens.fr
0322088851

Oversight

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

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