ClinicalTrials.gg
Not yet recruitingNCT06789315Updated Jan 23, 2025

Randomized Controlled Trial of Mycophenolate Mofetil Versus Steroid Therapy in Alcoholic Hepatitis

An interventional study of Mycophenolate Mofetil and Prednisone in Alcoholic Hepatitis, sponsored by Institute of Liver and Biliary Sciences, India. Not yet recruiting at 1 site in India. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-01-23.

Sponsored by Institute of Liver and Biliary Sciences, India · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2026, 9 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

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

Among 19 studies in Hepatitis, Alcoholic with a site in India — 3 open to participants now, 4 under way, 1 of them phase 3. Hepatitis, Alcoholic · India.

Planned enrollment
10th of 18
60 · median 63
Started
2025
with 1 other
No phase
11 of 19
3 open now
Registered
17th of 19
by date
Lead sponsor
9 of 19
Institute of Liver and Biliary Sciences, India

Among the 19 studies in Hepatitis, Alcoholic with a site in India, this one is the 10th largest by planned enrollment of the 18 interventional ones that give a count, is one of 2 that started in 2025, is one of 11 with no phase, and was the 17th 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 60 is close to the median of 60 across 80 interventional studies indexed under Hepatitis, Alcoholic.

Browse Hepatitis, Alcoholic studies →

Open to participants now

3 of the 19 studies in Hepatitis, Alcoholic with a site in India are open now, in 1 country. Each count lists the studies.

All 3 open studies →

Where they have run

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 70 Years · all sexes · no healthy volunteers.

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 19 studies in Hepatitis, Alcoholic with a site in India, or all of them as a file.
02

Study summary

Patients with acute alcoholic hepatitis will be identified based on national institute on alcohol abuse and alcoholism (NIAAA) will be identified, MELD score will be calculated, patents with MELD score between 20-35 will be randomized to two groups. Group A (intervention arm) will be receiving Mycofenolate mofetil at a dose of 750 mg twice daily and group B will be receiving steroid as per existing guidelines in a dose of 40 mg per day. Both the groups will be followed up for 90 days with assessment done at 4th, 7th and 28th day. Any significant event in addition will also be noted. Patients in group A will be also be monitored for development of complications like cytopenia due to Mycofenolate mofetil and infections will be monitored in both groups. Steroids will be stopped in the non-responders in group B based on Lille score at 4th and 7th day. The outcome variables of interest and to be measured are survival at 28 days and 90 days, clinical outcomes, including hospitalization and liver related outcomes.

Read the detailed description

Study Design: Single-center, randomized control trial of 1 year duration.

Aim and Objective - To compare the efficacy and safety of Mycophenolate Mofetil (MMF) versus steroid therapy for the treatment of alcoholic hepatitis.

Hypothesis -

  • MMF as a first line agent maybe associated with better 28 day and 90-day survival without increasing the risk of infection.

Study population: Patients > 18 years of age.Who are diagnosed as Alcoholic hepatitis based on NIAAA criteria.

  • Study design: Randomized double blinded study.
  • Study period: 1 year.
  • Intervention: Intervention arm in the study will receive MMF at a dose of 750 mg twice daily for a period of 28 days, while the control arm will receive steroid at a dose of 40 mg for 28 days. However, based on Lille's score the decision to continue or discontinue steroid will be taken. In case of discontinuation of the drug in either group, they will be provided best medical care and nutrition as salvage therapy.
  • Monitoring and assessment: History of all patients with special emphasis to alcoholic history will be taken. The diagnosis of alcoholic hepatitis is confirmed by NIAAA criteria. Liver biopsy will be done in clinically indicated cases. Patients will be classified into acute on chronic liver disease (ACLF) based on APASL criteria. Patients who are eligible for steroid therapy will be randomized to receive steroid or MMF based on computer software. Patients who are in MMF group will receive 750 mg twice daily of MMF. Patients who are in steroid group will receive 40 mg Prednisolone. The study is open label randomized control trial. Lilles score is calculated at 5th day to see for response.
03

Conditions studied

  • Alcoholic Hepatitis

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04

Who can participate

Ages eligible
18 Years to 70 Years
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. Adults aged 18-70 years.
  2. Diagnosis of Alcoholic hepatitis based on NIAAA criteria
  3. MELD 20-35
  4. Willing to follow up

Exclusion criteria

Exclusion Criteria:

  1. Patients with hepatic/ extra hepatic
  2. Patients with to
  3. Patients who are critically ill and are admitted to the ICU
  4. Patient who have severe extra hepatic organ failure
  5. Patients who are +, +
  6. If female of : known pregnancy, or unwilling to practice anticontraceptive measures
  7. Patients who are on current treatment with prednisone and/or me.
Terms in these criteria, in plain language(7)

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.

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    mycophenolate mofetil

    Intervention arm in the study will receive MMF at a dose of 750 mg twice daily for a period of 28 days.

    Drug: Mycophenolate Mofetil

  • Active comparator
    Steroid prednisolone

    steroid at a dose of 40 mg for 28 days.

    Drug: Prednisone

Interventions

06

What researchers measure

Primary outcomes

  1. To compare the efficacy of MMF versus steroid therapy in improving short-term (28 day) survival outcomes in patients with alcoholic hepatitis

    Time frame: 28 days

Secondary outcomes

  1. MDF Score in alcoholic hepatitis in both the groups at 28 days and 90 days.

    Time frame: 28 days and 90 days.

  2. Number of patients with adverse events in both the groups.

    Time frame: 28 days and 90 days.

  3. To compare the efficacy of MMF versus steroid therapy in improving long-term (90 day) survival outcomes in patients with alcoholic hepatitis

    Time frame: 28 days and 90 days.

  4. To see molecular biomarkers like Interleukin (IL 6), Interleukin(IL 1) and their response to both the therapies.

    Time frame: 28 days and 90 days.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

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

Start is estimated for Jan 2025; primary completion for Jan 2026, 12 months later.

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 12 months is below that.

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

Registered
Jan 13, 2025
First posted
Jan 23, 2025
StartEst.
Jan 20, 2025
Primary completionEst.
Jan 31, 2026
CompletionEst.
Jan 31, 2026
Last update
Jan 23, 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 Jan 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06789315
Responsible party
Sponsor
First posted
Jan 23, 2025
Start date
Jan 20, 2025 (estimated)
Primary completion
Jan 31, 2026 (estimated)
Completion
Jan 31, 2026 (estimated)
Last update
Jan 23, 2025

Study contacts

Dr Ananthu Narayan, MD
Contact
ananthunarayansj@gmail.com
01146300000
Dr Shasthry SM, DM
Contact
shasthry@gmail.com
01146300000

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Mycophenolic Acid

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