Treatment of severe alcoholic hepatitis: A systematic review

Curr Opin Pharmacol. 2021 Oct;60:91-101. doi: 10.1016/j.coph.2021.06.011. Epub 2021 Aug 5.


Severe alcoholic hepatitis is the most severe form of alcohol-related liver disease. Corticosteroids remain the first choice of treatment. However, they are only effective in a subset of patients and are associated with an increased infection risk. Furthermore, nonresponders to corticosteroids have a poor prognosis with a mortality of 70% over 6 months. As such, there is a high need for a more personalized use of corticosteroids and the development and identification of alternative therapeutic strategies. In this review, we summarize the recent and ongoing randomized controlled trials concerning the treatment of severe alcoholic hepatitis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Hepatitis, Alcoholic* / diagnosis
  • Hepatitis, Alcoholic* / drug therapy
  • Humans


  • Adrenal Cortex Hormones