Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Prof Rajiv Jalan
+44 (0)2074332795
rajiv.jalan@efclif.com


Dr Cornelius Engelmann
+49 (0)30 450530008
cornelius.engelmann@charite.de


Prof Rajiv Jalan
+44 (0)2074332795
rajiv.jalan@efclif.com


Study Location:

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English | Cymraeg
Be Part of Research - Trial Details - Phase II, double-blind, randomized, placebo-controlled, multicentre study to evaluate the safety, efficacy, and pharmacokinetics of TAK-242 and Granulocyte Colony-Stimulating Factor (G-CSF) (G-TAK) in subjects with severe alcoholic hepatitis (sAH) and acute-on-chronic liver failure (ACLF)

Phase II, double-blind, randomized, placebo-controlled, multicentre study to evaluate the safety, efficacy, and pharmacokinetics of TAK-242 and Granulocyte Colony-Stimulating Factor (G-CSF) (G-TAK) in subjects with severe alcoholic hepatitis (sAH) and acute-on-chronic liver failure (ACLF)

Medical Conditions

Severe alcoholic hepatitis (sAH) and acute-on-chronic liver failure (ACLF)


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


This clinical research study is a medical study that helps answer important questions about how safe the investigational medications are and whether and how well they work. The investigational medication, TAK-242, is aimed at stopping an “over-reaction” of the immune system (the body’s defence system) whilst G-CSF encourages the liver cells to grow. In patients with severe alcoholic hepatitis (sAH) and acute-on-chronic liver failure (ACLF), this over-reaction may cause the liver and other organs in the body to suddenly stop working (organ failure). It is hoped that by blocking this over-reaction and encouraging patients' liver cells to grow their condition may improve. The aim of this study is to learn more about whether the investigational medications, (TAK-242 and G-CSF) work and how safe they are compared with a placebo in people with severe alcohol-related liver disease.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Apr 2023 31 May 2025

The patients who will be enrolled in the study will receive the investigational medication and/or placebo in combination plus the standard of care. The length of participation in the study will depend on the patient's condition. If their condition worsens they may have to leave the study. The maximum duration of study participation is 90 days (about 3 months). There are up to three study visits, including a stay at the study centre for at least 13 days during the screening and treatment periods. Eligible patients who participate in the study will undergo a number of different procedures and assessments including a physical examination, ECG, EEG, blood and urine tests, completion of questionnaires and a liver biopsy.


Patients aged between 18 and 75 years with severe alcoholic hepatitis and acute-on-chronic liver failure

You can take part if:



You may not be able to take part if:


1. Refusal to give informed consent 2. Mechanical ventilation due to respiratory failure and/or need for renal replacement therapy and or requiring inotropes for circulatory support with a noradrenaline requirement of >0.5 ug/kg/min to maintain mean arterial pressure >70 mmHg 3. Subject has received any investigational drug within 30 days of randomization4. Subject has any of the following conditions: 4.1. History of liver transplantation 4.2. Postoperative decompensation after partial hepatectomy 4.3. Liver failure without evidence of underlying chronic liver disease5. Any untreated infections (<48h antibiotic therapy) including gram-positive infections, active tuberculosis or coinfection with HIV6. Chronic or pre-existing kidney failure, survival prognosis of <6 months due to severe co-morbid conditions that might confound study results or compromise subject safety7. Methemoglobinemia, clinically-significant disseminated intravascular coagulation, uncontrolled bleeding, sickle cell anaemia 8. Uncontrolled seizures, Creutzfeldt-Jakob disease, glucose-6-phosphate dehydrogenase deficiency9. Active malignancy, premalignant haematological disorders (e.g. myelodysplastic syndrome, chronic myeloid leukaemia) or multiorgan failure (≥4 organ failures)10. Pregnancy or nursing women


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Nottingham University Hospitals NHS Trust
    Queens Medical Centre Derby Road
    Nottingham
    NG7 2UH
  • The Royal London Hospital
    Whitechapel
    London
    E1 1BB
  • Kings College Hospital
    Denmark Hill
    London
    SE5 9RS
  • Uni Klinikum Leipzig
    Liebigstraße 18
    Leipzig
    04103
  • Charité - Universitätsmedizin Berlin_CKV
    Augustengurger Platz1 (intern Mittelallee 11)
    Berlin
    13353
  • Universitätsklinikum RWTH Aachen
    Medizinische Klinik III Pauwelsstrabe 30
    Aachen
    52074
  • Universitätsklinikum Jena
    Klinik für Innere Medzin IV Am Klinikum 1
    Jena
    07747
  • CHRU de LILLE – Hôpital Huriez
    Service MAD – 1er Etage, Aile Est Rue Michel Polonovski
    Lille
    59037
  • Hôpital Paul Brousse
    Centre Hépato-Biliaire 12 avenue Paul Vaillant Couturier
    Villejuif
    94800
  • CHU Besançon- Hôpital Jean Minjoz
    Service d´Hépatologie 3 Bd Alexandre Fleming
    Besançon
    25000
  • APHP Sorbonne Université- GH Pitié Salpêtrière
    47-83, boulevard de l’hôpital
    Paris
    75013
  • Royal Free Hospital
    Royal Free Hospital Pond Street
    London
    NW3 2QG
  • Hospital Clinic de Barcelona
    C. de Villarroel, 170
    Barcelona
    08036
  • Hospital Vall d’Hebron
    Hepatology Service Passeig Vall d’Hebron 119
    Barcelona
    08035
  • Hospital G. U. Gregorio Marañon
    Dr. Esquerdo 46
    Madrid
    28007
  • Hospital U. Ramón y Cajal
    Ctra. de Colmenar Viejo km. 9,100
    Madrid
    28034
  • Hospital Universitario La Fe
    Avda. Fernando Abril Martorell 106.F5
    Valencia
    46026
  • Hospital de la Santa Creu I Sant Pau
    Carrer de Sant Antoni Maria Claret, 167
    Barcelona
    08025
  • Hospital Clínico Universitario De Valencia
    Av. de Blasco Ibañez, 17
    Valencia
    46010
  • Centro Hospitalar Lisboa Norte
    University of Lisbon Clínica Universitária de Gastrenterologia Avenida Professor Egas Moniz
    Lisboa
    1649-035
  • Centro Hospitalar De Trás-Os-Montes E Alto Douro
    Av.Noruega
    Vila Real
    5000-508
  • Centro Hospitalar do Porto
    R. Prof. Abel Salazar
    Porto
    4099-508

It is possible that the symptoms of their condition will not improve during the study or may even worsen. Treatment with these investigational medications may also involve risks to their future health that are currently not known. Participants may experience some discomfort when blood samples are taken, such as pain at the site where the blood has been drawn, bruising, occasional light-headedness and, rarely, fainting. The ECG may irritate participants' skin and cause itching and redness. The study team might need to shave any chest hair so that the pads can stick to their skin. Removal of the sticky pads might cause their skin to sting for a few seconds. To receive the study medications, a qualified member of the study team will insert an intravenous cannula. Participants may be given a local anaesthetic to numb the skin where the thin tube is inserted into the vein. There is also a risk of infection. Participants may experience discomfort and bruising at the site of the injection. For the liver biopsy, a needle will be used (into the participants' abdomen or through a thin tube in their neck) to take a small piece of their liver tissue. They may experience pain and/or bleeding at the needle/tube insertion site after the liver biopsy. If this happens, the study doctor may prescribe medication for the pain. Although rare, there is a chance of infection or damage to another nearby organ. Only some study centres will be taking liver biopsies.


The study is sponsored by Yaqrit Ltd and funded by Horizon 2020.




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Read full details for Trial ID: ISRCTN36798599
Last updated 05 December 2022

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