Raw JSON
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'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA Version 20.1'}, {'term': 'Hyponatraemia', 'stats': [{'groupId': 'EG000', 'numAtRisk': 24, 'numAffected': 1}, {'groupId': 'EG001', 'numAtRisk': 21, 'numAffected': 2}], 'organSystem': 'Metabolism and nutrition disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA Version 20.1'}, {'term': 'Acute kidney injury', 'stats': [{'groupId': 'EG000', 'numAtRisk': 24, 'numAffected': 9}, {'groupId': 'EG001', 'numAtRisk': 21, 'numAffected': 2}], 'organSystem': 'Renal and urinary disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA Version 20.1'}, {'term': 'Pneumonia', 'stats': [{'groupId': 'EG000', 'numAtRisk': 24, 'numAffected': 0}, {'groupId': 'EG001', 'numAtRisk': 21, 'numAffected': 1}], 'organSystem': 'Respiratory, thoracic and mediastinal disorders', 'assessmentType': 'SYSTEMATIC_ASSESSMENT', 'sourceVocabulary': 'MedDRA Version 20.1'}, {'term': 'Pneumonia bacterial', 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False}]}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'TRIPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR']}, 'primaryPurpose': 'OTHER', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 45}}, 'statusModule': {'whyStopped': 'Lack of funding', 'overallStatus': 'TERMINATED', 'startDateStruct': {'date': '2013-08-01', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2022-02', 'completionDateStruct': {'date': '2021-08-31', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2022-02-04', 'studyFirstSubmitDate': '2013-08-12', 'resultsFirstSubmitDate': '2022-01-09', 'studyFirstSubmitQcDate': '2013-08-12', 'lastUpdatePostDateStruct': {'date': '2022-03-02', 'type': 'ACTUAL'}, 'resultsFirstSubmitQcDate': '2022-02-04', 'studyFirstPostDateStruct': {'date': '2013-08-14', 'type': 'ESTIMATED'}, 'resultsFirstPostDateStruct': {'date': '2022-03-02', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2018-07-01', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'MELD Score', 'timeFrame': '30 days', 'description': 'Change in MELD scoring system for assessing the severity of chronic liver disease; MELD (Model of End Stage Liver Disease) scoring system for assessing the severity of chronic liver disease; calculated from serum bilirubin, serum creatinine, and the international normalized ratio for prothrombin time (INR) MELD = 3.8\\[Ln serum bilirubin (mg/dL)\\] + 11.2\\[Ln INR\\] + 9.6\\[Ln serum creatinine (mg/dL)\\] + 6.4. MELD score range from 6-40 with higher scores indicating more severe liver disease and a worse outcome.'}], 'secondaryOutcomes': [{'measure': 'MELD Score', 'timeFrame': '180 days', 'description': 'Change in MELD scoring system over 180 day study duration. MELD (Model of End Stage Liver Disease) scoring system for assessing the severity of chronic liver disease; calculated from serum bilirubin, serum creatinine, and the international normalized ratio for prothrombin time (INR) MELD = 3.8\\[Ln serum bilirubin (mg/dL)\\] + 11.2\\[Ln INR\\] + 9.6\\[Ln serum creatinine (mg/dL)\\] + 6.4. MELD score range from 6-40 with higher scores indicating more severe liver disease and a worse outcome.'}, {'measure': 'MELD Score', 'timeFrame': '90 days', 'description': 'Change in MELD scoring system at 90 days study duration. MELD (Model of End Stage Liver Disease) scoring system for assessing the severity of chronic liver disease; calculated from serum bilirubin, serum creatinine, and the international normalized ratio for prothrombin time (INR) MELD = 3.8\\[Ln serum bilirubin (mg/dL)\\] + 11.2\\[Ln INR\\] + 9.6\\[Ln serum creatinine (mg/dL)\\] + 6.4. MELD score range from 6-40 with higher scores indicating more severe liver disease and a worse outcome.'}]}, 'oversightModule': {'oversightHasDmc': True}, 'conditionsModule': {'keywords': ['Alcoholic Hepatitis', 'MELD < 20', 'Probiotic', 'Nutritional Supplement', 'Lactobacillus Rhamnosus GG'], 'conditions': ['Acute Alcoholic Hepatitis']}, 'referencesModule': {'references': [{'pmid': '37040544', 'type': 'DERIVED', 'citation': 'Vatsalya V, Feng W, Kong M, Hu H, Szabo G, McCullough A, Dasarathy S, Nagy LE, Radaeva S, Barton B, Mitchell M, McClain CJ. The Beneficial Effects of Lactobacillus GG Therapy on Liver and Drinking Assessments in Patients with Moderate Alcohol-Associated Hepatitis. Am J Gastroenterol. 2023 Aug 1;118(8):1457-1460. doi: 10.14309/ajg.0000000000002283. Epub 2023 Apr 11.'}, {'pmid': '31811953', 'type': 'DERIVED', 'citation': 'Vatsalya V, Cave MC, Kong M, Gobejishvili L, Falkner KC, Craycroft J, Mitchell M, Szabo G, McCullough A, Dasarathy S, Radaeva S, Barton B, McClain CJ. Keratin 18 Is a Diagnostic and Prognostic Factor for Acute Alcoholic Hepatitis. Clin Gastroenterol Hepatol. 2020 Aug;18(9):2046-2054. doi: 10.1016/j.cgh.2019.11.050. Epub 2019 Dec 4.'}]}, 'descriptionModule': {'briefSummary': 'This study is being done to find out whether a diet supplemented with a probiotic nutrient can improve alcoholic hepatitis and gut complications compared to routine standard care.', 'detailedDescription': 'Aim 1: Evaluate the effects of probiotic supplements on improvement in MELD score and gut mucosal integrity in patients with MELD \\< 21. Patients will be randomized to receive daily probiotics for 6 months and standard of care treatment or placebo with standard care.\n\nAim 2: Document the natural history of moderately severe alcoholic hepatitis. Patients who decline randomization will be offered the option of inclusion in the study prospectively for data collection purposes and research study procedures.\n\nAim 3: Create a data and tissue biorepository. This biorepository will serve as a national resource for studies related to acute alcoholic hepatitis.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '70 Years', 'minimumAge': '21 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n1. Ability to provide informed consent by subject or appropriate family member\n2. Age between 21-70 years\n3. Recent alcohol consumption \\> 50 g/d for \\> 6 months, continuing within two months before enrollment\n4. At least 2 of the following symptoms or signs of acute alcoholic hepatitis: Anorexia, nausea, RUQ pain, jaundice, leukocytosis, hepatomegaly AND\n5. Elevation of AST \\> 80 U/L, but \\< 500 U/L at the time of admission or within 3 days of baseline visit; AST \\> ALT and ALT \\< 200 U/L; total bilirubin \\> 3 mg/dL AND\n6. Liver biopsy showing alcoholic hepatitis (steatohepatitis) OR ultrasound of liver showing increased echogenicity OR CT scan showing decreased attenuation of liver compared to spleen OR MRI showing fatty liver (decreased signaling intensity on T1 weighted images). If the liver biopsy (done within 60 days of inclusion) confirms diagnosis of AAH then inclusion e will be waived.\n7. Model for End-Stage Liver Disease (MELD) \\<20\n8. Willingness to utilize two reliable forms of contraception (both males and females of childbearing potential) from screening through the first six weeks of study.\n\nExclusion Criteria:\n\n1. Hypotension with BP \\< 80/50 after volume repletion\n2. Pregnancy; incarceration; inability to provide consent or lack of appropriate family member\n3. Signs of systemic infection: Fever \\> 38o C and positive blood or ascites cultures on appropriate antibiotic therapy for \\> 3 days within 3 days of inclusion\n4. Acute gastrointestinal bleeding requiring \\> 2 units blood transfusion within the previous 4 days\n5. Undue risk from immunosuppression: Positive HBsAg; a positive skin PPD skin test or history of treatment for tuberculosis; history of any malignancy including hepatocellular carcinoma; known HIV infection\n6. Treatment with corticosteroids or other immunosuppressive medications including specific anti-TNF therapy (not including pentoxifylline), calcineurin inhibitors for \\> 3 days within the previous 3 months.\n7. Evidence of acute pancreatitis: CT evidence and/or amylase or lipase \\> 5 X upper limit of normal\n8. Serious cardiac, respiratory or neurologic disease or evidence of autoimmune hepatitis, primary biliary cirrhosis, primary sclerosing cholangitis, Wilsons disease, hemochromatosis, secondary iron overload due to chronic hemolysis, alpha-1-antitrypsin deficiency\n9. Acute or chronic kidney injury with serum creatinine \\> 3.0 mg/dl'}, 'identificationModule': {'nctId': 'NCT01922895', 'acronym': 'NTAH-Mod', 'briefTitle': 'Novel Therapies in Moderately Severe Acute Alcoholic Hepatitis', 'organization': {'class': 'OTHER', 'fullName': 'University of Texas Southwestern Medical Center'}, 'officialTitle': 'Novel Therapies in Moderately Severe Acute Alcoholic Hepatitis', 'orgStudyIdInfo': {'id': 'STU 092012-012'}, 'secondaryIdInfos': [{'id': 'U01AA021893-01', 'link': 'https://reporter.nih.gov/quickSearch/U01AA021893-01', 'type': 'NIH'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'PLACEBO_COMPARATOR', 'label': 'Placebo for Probiotic', 'description': 'Placebo capsule that matches the probiotic capsule in appearance will be given once daily for 180 days.', 'interventionNames': ['Drug: Placebo for Probiotic']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'Lactobacillus Rhamnosus GG', 'description': 'Dietary supplement capsule (Lactobacillus Rhamnosus GG) will be given once daily for 180 days.', 'interventionNames': ['Dietary Supplement: Lactobacillus Rhamnosus GG']}], 'interventions': [{'name': 'Lactobacillus Rhamnosus GG', 'type': 'DIETARY_SUPPLEMENT', 'otherNames': ['Culturelle'], 'description': 'Probiotic nutritional supplement; Lactobacillus Rhamnosus GG', 'armGroupLabels': ['Lactobacillus Rhamnosus GG']}, {'name': 'Placebo for Probiotic', 'type': 'DRUG', 'otherNames': ['Dummy capsule'], 'description': 'Capsule manufactured without active ingredients.', 'armGroupLabels': ['Placebo for Probiotic']}]}, 'contactsLocationsModule': {'locations': [{'zip': '40202', 'city': 'Louisville', 'state': 'Kentucky', 'country': 'United States', 'facility': 'University of Louisville', 'geoPoint': {'lat': 38.25424, 'lon': -85.75941}}, {'zip': '44195', 'city': 'Cleveland', 'state': 'Ohio', 'country': 'United States', 'facility': 'Cleveland Clinic', 'geoPoint': {'lat': 41.4995, 'lon': -81.69541}}, {'zip': '75390', 'city': 'Dallas', 'state': 'Texas', 'country': 'United States', 'facility': 'U Texas Southwestern Medical Center', 'geoPoint': {'lat': 32.78306, 'lon': -96.80667}}], 'overallOfficials': [{'name': 'Mack C Mitchell, M.D.', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'U Texas Southwestern Medical Center'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'University of Texas Southwestern Medical Center', 'class': 'OTHER'}, 'collaborators': [{'name': 'National Institute on Alcohol Abuse and Alcoholism (NIAAA)', 'class': 'NIH'}, {'name': 'The Cleveland Clinic', 'class': 'OTHER'}, {'name': 'University of Massachusetts, Worcester', 'class': 'OTHER'}, {'name': 'University of Louisville', 'class': 'OTHER'}], 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Professor, Vice-Chair Internal Medicine', 'investigatorFullName': 'Mack Mitchell', 'investigatorAffiliation': 'University of Texas Southwestern Medical Center'}}}}