New drug combo could tame autoimmune hepatitis and cut steroid use
NCT ID NCT06381453
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding belimumab to standard therapy can better control autoimmune hepatitis, a chronic liver disease. About 48 adults with active or stable disease will receive weekly injections for 72 weeks. The goal is to reduce liver inflammation and lower the need for steroids or other immune-suppressing drugs.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 48 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Apr 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Ability to provide written informed consent * Established clinical diagnosis of autoimmune hepatitis for at least 6 months * Participant and clinician consent to follow AIH study therapy guidance for the duration of the open label clinical trial. Group A: * ALT \> 1.5 x ULN in the absence of clinical evidence or concern for alternative etiology, and assessed by the investigator as related to active AIH using standard of care evaluation. * Ongoing therapy with corticosteroids, and/or non-biologic immunosuppressants (AZA, MMF, MP) at a stable dosage for 4 weeks prior to screening Group B: * Patients with normal ALT and normal IgG concentration * Ongoing therapy with single agent immunosuppression or immunosuppression with low dose Prednisone (10mg or less or budesonide 6mg or less)) alongside a second line agent (azathioprine, MMF, MP) * Fibroscan showing liver stiffness of \< 16kPa. Exclusion Criteria: * Primary liver disease other than AIH * High probability of NAFLD as assessed by the investigator. * ALT \>15 x ULN * Patients positive for HBsAg or HBcAb and/or Hepatitis C RNA * Prior use if corticosteroid \>15mg daily * A positive pregnancy test and/or breast feeding * The presence of advanced liver disease as defined by any of: 1. Total Bilirubin \>3 x ULN. 2. Platelet count \<100 x109/L. 3. INR \>1.5 * Live vaccines within 30 days prior to screening or at any time during the study * The use of other biologics including TNF inhibitors, abatacept, or tocilizumab within the washout period
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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G.I Research Institute
RECRUITINGVancouver, British Columbia, Canada
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London Health Sciences Centre
RECRUITINGLondon, Ontario, Canada
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McMaster University
RECRUITINGHamilton, Ontario, Canada
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Toronto General Hospital
RECRUITINGToronto, Ontario, M5G 2C4, Canada
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University of Calgary
RECRUITINGCalgary, Alberta, Canada
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Other studies related to the condition(s) this trial covers.
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- Blood test may tame the tightrope walk of transplant drugs