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临床试验/ISRCTN12900952
ISRCTN12900952已完成未知

Changes in liver fibrosis and inflammation estimated non-invasively after treatment with a low-energy total diet replacement programme in people with non-alcoholic steatohepatitis: a single-arm trial

niversity of Oxford0 个研究点目标入组 16 人开始时间: 2020年2月14日最近更新:

试验速览

阶段
未知
状态
已完成
入组人数
16

研究概览

简要总结

2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37368513/ (added 27/07/2023)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • BMI >=30 kg/m² and histological evidence of NASH and fibrosis stage 1a to 3

排除标准

  • 1. ALT 10x upper limit of normal or above
  • 2. Total bilirubin > 25.5 µmol/l
  • 3. Evidence of other known forms of known chronic liver disease such as alcoholic liver disease, hepatitis B, hepatitis C, primary biliary cholangitis, primary sclerosing cholangitis, autoimmune hepatitis, Wilson disease, iron overload, alpha-1-antitrypsin deficiency, drug-induced liver injury, known or suspected hepatocellular carcinoma (HCC)
  • 4. Previous liver transplant or current placement on a liver transplant list
  • 5. High risk of alcohol dependence defined as a score of 8 and above in the alcohol screening tool (AUDIT-C)
  • 6. Consumption of more than 14 units of alcohol over the last week
  • 7. Previous or planned bariatric surgery or ileal resection
  • 8. History of biliary diversion
  • 9. Acute cholecystitis or acute biliary obstruction
  • 10. Contraindication to MRI
  • 11. Currently attending or having attended within 3 months prior to study enrolment a weight management programme including behavioural programmes and weight loss medication
  • 12. Weight loss of 5% or more since biopsy
  • 13. Current insulin use
  • 14. HbA1c > 9% (>75mmol/mol)
  • 15. Diagnosed with type 2 diabetes with substantial changes in medication within the past 3 months
  • 16. If taking GLP-1 agonists or SGLT2 inhibitors, changes in dosage during the past 6 months
  • 17. Taking medication known to have potential activity against NASH (pioglitazone, Vitamin E)
  • 18. Documented arrhythmia, except atrial fibrillation, or prolonged QT syndrome
  • 19. Taking warfarin
  • 20. Chronic renal failure of stage 4 or 5
  • 21. Scheduled for surgery within 6 months
  • 22. People having active treatment for cancer other than skin cancer treated with curative intent by local treatment only or people taking hormonal or other long-term secondary prevention treatment after initial cancer treatment
  • 23. Currently taking part in other clinical trials
  • 24. Pregnant, breastfeeding, or planning to become pregnant during the course of the study
  • 25. Those that the clinician judges not able to meet the demands of either treatment programme or measurement schedule. This may include severe medical problems not listed above or severe psychiatric problems including substance misuse that make following the treatment programme or adhering to the protocol unlikely

研究者

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