Combined liver-protecting and alcohol-use treatments for severe alcohol-associated hepatitis

Integrated Therapies for Alcohol use in Alcohol-associated Liver Disease (ITAALD) - Virginia Commonwealth University

NIH-funded research Virginia Commonwealth University · NIH-11195166

This project sees if giving a new liver-supporting medicine together with FDA-approved alcohol medications and counseling helps people with severe alcohol-associated hepatitis survive and avoid returning to drinking.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionVirginia Commonwealth University NIH-funded
Lab location1 site (Richmond, United States)
Project IDNIH-11195166 on NIH RePORTER

What this research studies

If you join, you would be randomly started on either a novel IL-22 fusion medicine or the standard prednisone for the first 28 days, with an early check at day 7 to stop treatment if needed. People who make it past the first week will be re-randomized to receive acamprosate plus counseling (motivational interviewing and motivational enhancement therapy) or the usual care for alcohol use. The team combines liver disease and addiction experts and aims to reduce stigma and improve follow-up care. Researchers will look at deaths, liver health, and drinking outcomes at six months to see if the combined approach helps.

Who could benefit from this research

Good fit: Adults diagnosed with severe alcohol-associated hepatitis who can receive the study medications and participate in follow-up and counseling would be the ideal candidates.

Not a fit: People with milder forms of alcohol-related liver disease, those who cannot take the study drugs, or those unwilling/unable to engage in counseling may not benefit from this project.

Why it matters

Potential benefit: If successful, this approach could lower short-term deaths, limit liver damage, and help people stop drinking after severe alcohol-associated hepatitis.

How similar studies have performed: Prednisone is a known treatment for severe alcohol-associated hepatitis and acamprosate is effective for alcohol use disorder, but combining an IL-22 fusion protein with alcohol-medication plus counseling for this condition is largely new and untested.

Where this research is happening

Richmond, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Alcoholic Liver Diseases
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.