Massive study tracks hidden liver dangers of common drugs and herbal remedies
NCT ID NCT00345930
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study aims to collect detailed information from 4,000 people who have experienced liver injury possibly caused by prescription drugs or complementary and alternative medicines. Researchers will track participants over time, using blood tests and liver scans to better understand how these injuries happen and how they progress. The goal is to build a database that helps doctors recognize and manage such injuries in the future.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors better identify which drugs or supplements cause liver injury and how to prevent it.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly help participants. It may take years to gather enough data for meaningful conclusions.
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.
- Participants
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About 4,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2004
- Expected to finish
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Jul 2028
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.
Who is studied
Patients who have suffered a drug induced liver injury and meet inclusion and exclusion criteria
- Ages
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2 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: * Age \> 2 years at enrollment into the study. * Evidence of liver injury that is known or suspected to be related to consumption of a drug or CAM product in the 6-month period prior to enrollment. * Written Informed consent from the patient or the patient's legal guardian. * Documented clinically important DILI, defined as any of the following: 1. ALT or AST \>5 x ULN or A P'ase \>2 x ULN confirmed on at least 2 consecutive blood draws in patients with previously normal values. 2. If baseline (BL) ALT, AST or A P'ase are known to be elevated, then ALT or AST \>5 x BL or A P'ase \>2 x BL on at least 2 consecutive blood draws. "Baseline" is defined as the average of at least 2 measurements performed during the 12-month period prior to starting the DILI medication. 3. Any elevation of ALT, A P'ase, or AST, associated with (a) increased total bilirubin \[ ≥ 2.5 mg/dL\], in absence of prior diagnosis of liver disease, Gilbert's syndrome, or evidence of hemolysis or (b) coagulopathy with INR \> 1.5 in absence of coumadin therapy or known vitamin K deficiency. Exclusion Criteria: Patients with any of the following will not be eligible for participation: * Competing cause of acute liver injury such as hepatic ischemia that is felt by the investigator to be the primary reason for observed liver injury and supported by laboratory tests, serologies, liver biopsy, or radiology. * Known, pre-existing autoimmune hepatitis, primary biliary cirrhosis, primary sclerosing cholangitis, or other chronic biliary tract disease which may confound the ability to make a diagnosis of DILI. * Acetaminophen hepatotoxicity. * Liver/bone marrow transplant prior to the development of drug- or CAM-induced liver injury.
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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
6 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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Indiana University
RECRUITINGIndianapolis, Indiana, 46202-5111, United States
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NIH Clinical Site
RECRUITINGBethesda, Maryland, 20892, United States
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Thomas Jefferson
RECRUITINGPhiladelphia, Pennsylvania, 19141, United States
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Univeristy of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27599-7600, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109-0362, United States
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University of Southern California
RECRUITINGLos Angeles, California, 90033, United States
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