MedPath

Complex Imaging Assessment of Steatosis

Phase 4
Conditions
Fatty Liver
Interventions
Dietary Supplement: Combination Silimarin, Phyllanthus niruri and Choline
Registration Number
NCT02669641
Lead Sponsor
University of Medicine and Pharmacy Craiova
Brief Summary

The main objective is the assessment of MRI (Magnetic Resonance Imaging) Spectroscopy in patients diagnosed with hepatic steatosis in treatment with combination Silimarin, Phyllanthus Niruri and Choline.

Detailed Description

In the study will be included patients with alcoholic and non-alcoholic steatohepatitis evaluated in Research Center of Gastroenterology and Hepatology and Gastroenterology Clinic of University of Medicine and Pharmacy of Craiova. All the patients will undergo MRI and MRI Spectroscopy (3 Tesla) using PHILIPS INGENIA 3T System for exact steatosis quantification. The eligible patients will be treated with combination Silimarin, Phyllanthus Niruri and Choline (Stoptoxin Forte) for 6 months (in conformity Product Characteristics). After the treatment a new IRM Spectroscopy examination will be performed. All the acquired data will be analyzed and published.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
50
Inclusion Criteria
  • steatosis described on abdominal ultrasound
Exclusion Criteria
  • chronic viral hepatitis
  • liver cancer
  • abusive alcohol consumption

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SteatosisCombination Silimarin, Phyllanthus niruri and CholinePatients with diagnosed steatosis in treatment with combination Silimarin, Phyllanthus Niruri and Choline
Primary Outcome Measures
NameTimeMethod
Fat-fraction6 months after specific treatment

MRI Spectroscopy is the most direct non-invasive MR-based method to separate the liver signal into its water and fat components and calculate a signal fat-fraction.

To calculate the fat fraction record the area of lipid peak, the area of the water peak and the fat fraction is lipid area/(lipid area+ water area)×100.

The signal fat-fraction with MRI Spectroscopy has a dynamic range of 0-100%. Steatosis grades are categorized into broad brackets of severity: grade 0 (normal) = up to 5% of cells affected, grade 1 (mild) = 5-33% of cells affected, grade 2 (moderate) = 34-66% of cells affected, and grade 3 (severe) ≥67% of cells affected.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Research Center in Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, Romania

🇷🇴

Craiova, Please Select, Romania

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