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临床试验/NCT02366052
NCT02366052已完成2 期

Nutritional Counseling Versus Nutritional Supplements for the Treatment of NASH - a Randomized Prospective, Open Label Pilot Study (Nuces NASH)

Johannes Gutenberg University Mainz4 个研究点 分布在 1 个国家目标入组 42 人开始时间: 2015年2月1日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
42
试验地点
4
主要终点
Reduction of the M30 antigen in the serum

研究概览

简要总结

The main aim of the study is to determine if an oral supplementation of the LCS has a beneficial effect by itself or even enhances the beneficial effects of a moderate life-style intervention on the progression of NAFLD in humans.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • - Elevated M30 antigen levels (cutoff: >200 - 800 U/L) at screening AND hepatic steatosis on ultrasound
  • OR histologically confirmed NASH
  • - Age 18 to 75 years

排除标准

  • Alcohol intake of more than 30 g/d (men) or 20 g/d (women)
  • Treatment with ursodeoxycholic acid (UDCA), Vitamin E or other investigational NASH drugs 3 months prior to randomization
  • Treatment with medications or substances that may induce secondary NASH (e.g., tamoxifen, corticosteroids, amiodarone, methotrexate) or ameliorate NASH (TNF-antagonists)
  • Treatment with phenprocoumon or warfarin
  • Hepatocellular carcinoma or non-hepatic malignancy
  • Decompensated cirrhosis (Child B,C) or a history of decompensation
  • Liver disease unrelated to NASH, including chronic viral hepatitis B/D or C, autoimmune hepatitis, Wilson's disease or clinical manifest iron overload
  • Bariatric surgery within the last 5 years
  • BMI <18,5 kg/m2 or BMI >45 kg/m2
  • Liver transplantation
  • Heart failure (New York Heart Association Class II - IV)
  • Myocardial infarction, instable coronary artery disease , coronary artery intervention or stroke in the previous 6 months
  • Instable chronic obstructive pulmonary disease, chronic inflammatory bowel disease or rheumatoid arthritis.
  • Instable renal insufficiency (changes in serum creatinin > 50% in the last 3 month) or terminal renal insufficiency requiring dialysis
  • Uncontrolled hypertension (blood pressure > 180/90 despite therapy)
  • Uncontrolled diabetes mellitus defined by hemoglobin A1c > 9
  • Food allergies requiring strictly dietary adherence
  • Pregnant or nursing women
  • Chronic pancreatitis or history of recurring acute pancreatitis

结局指标

主要结局

Reduction of the M30 antigen in the serum

时间窗: 12 and 24 weeks

Reduction of the M30 antigen as a validated measure of the degree of hepatocellular inflammation and injury

次要结局

  • Saftey and tolerability(12 and 24 weeks)
  • Change in indicators of hepatocellular injury and fibrosis(12 and 24 weeks)
  • Change in metabolic risk factors(12 and 24 weeks)

研究者

发起方
Johannes Gutenberg University Mainz
申办方类型
Other
责任方
Principal Investigator
主要研究者

Priv.-Doz. Dr. J. Schattenberg

Attending Physician

Johannes Gutenberg University Mainz

研究点 (4)

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