Early liver transplant offers hope for severe alcoholic hepatitis patients
NCT ID NCT01756794
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at whether early liver transplantation can help people with severe alcoholic hepatitis who did not get better with medical treatment. Researchers compared alcohol relapse rates in 284 patients who received early transplants to those transplanted after a 6-month sobriety period. The goal was to see if early transplantation is a safe and effective option for carefully selected patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- liver transplantation
- What this could lead to
- If successful, this could confirm that early liver transplantation is a viable option for carefully selected patients with severe alcoholic hepatitis, potentially saving lives.
- What could go wrong
- This is a completed study, but results may not apply to all patients. Alcohol relapse remains a risk, and the selection process is very strict, limiting who can benefit.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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284 people
The number who actually took part.
- Started
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Dec 2012
- Finished
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Dec 2019
- 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 years and older
- 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 (Group A): * Age \> 18 years * Maddrey score \> 32 * Liver biopsy confirming the diagnosis of alcoholic hepatitis * Non-response to medical treatment: Lille score ≥ 0.45 at day 7, or early worsening of liver function (MELD score \> 25) despite a low Lille score (\< 0.45) * Hospitalization stay \< 1 month * Algorithm score ≥ 220/250. Inclusion Criteria (Group B): * Age \>18 years * Diagnosis of alcoholic cirrhosis * Alcoholic withdrawal of 6 months minimum before inscription on the transplant list * MELD score ≥ 15 for patients with hepatocellular carcinoma responding to Milan criteria (1 node \< 5 cm or 3 nodes \< 3 cm) * MELD score ≥ 20 preferably for patients not displaying hepatocellular carcinoma and that did not obtain an "expert" component * No recommendation of MELD score for patients having obtained an "expert" component Non-inclusion Criteria (Group A and B): * Bacterial or viral infection uncontrolled by medical treatment * Fungal or aspergillosis uncontrolled infection * Hepatocellular carcinoma or invasive cancer * Positive test for HBsAg, Positive test for HIV,Positive PCR for HCV * Portal thrombosis * Pregnancy or breast-feeding woman
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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.
Contacts and locations
Locations
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Study site
Ghent, Belgium
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Hospital Antoine Béclère (Assistance Publique des Hôpiaux de Paris)
Clamart, 92141, France
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Hospital Sart Tilman
Liège, Belgium
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Hôpital Beaujon (AH-HP)
Clichy, 92118, France
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Hôpital Cochin (AH-HP)
Paris, 75014, France
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Hôpital Henri Mondor (AP-HP)
Créteil, 94000, France
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Hôpital Jean Verdier (AH-HP)
Bondy, 93143, France
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Hôpital Paul Brousse (AH-HP)
Villejuif, 94000, France
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Hôpital Saint Antoine (AP-HP)
Paris, 75012, France
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Hôpital de la Pitié-Salpétrière (AP-HP)
Paris, 75013, France
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ULB, Erasme
Brussels, 1070, Belgium
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UZA
Antwerp, Edegem, B-2650, Belgium
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University Hospital
Montpellier, 34295, France
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University Hospital
Pessac, 33604, France
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University Hospital
Strasbourg, 67100, France
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University hospital
Angers, 49933, France
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University hospital
Besançon, 25030, France
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University hospital
Brest, 29609, France
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University hospital
Caen, 14000, France
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University hospital
Dijon, 21079, France
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University hospital
Grenoble, 38043, France
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University hospital
Lille, 59037, France
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University hospital
Lyon, 69437, France
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University hospital
Nancy, 54500, France
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University hospital
Nantes, 44035, France
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University hospital
Nice, 06202, France
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University hospital
Poitiers, 86021, France
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University hospital
Reims, 51092, France
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University hospital
Rennes, 35033, France
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University hospital
Toulouse, 31059, France
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Univesity hospital
Amiens, 80054, France
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Univesity hospital
Chambray-lès-Tours, 37170, France
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Other studies related to the condition(s) this trial covers.
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- Decade-Long study aims to unlock liver disease risks in HIV-Hepatitis b patients
- Could pomegranate supplements help heal the gut in Alcohol-Related liver disease?
- Can a text-and-therapy program keep liver transplant patients sober?