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Clinical Trials/ACTRN12619000701123
ACTRN12619000701123
Recruiting
Phase 3

A randomised controlled trial of Testosterone Undecanoate therapy for the treatment of non-alcoholic fatty liver disease (TNT)

Austin Health0 sites120 target enrollmentMay 9, 2019

Overview

Phase
Phase 3
Intervention
Not specified
Conditions
Not specified
Sponsor
Austin Health
Enrollment
120
Status
Recruiting
Last Updated
3 years ago

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
May 9, 2019
End Date
TBD
Last Updated
3 years ago
Study Type
Interventional
Sex
Male

Investigators

Eligibility Criteria

Inclusion Criteria

  • 1\) Men with estimated hepatic steatosis greater than or equal to 30% by meeting 1 of the following criteria:
  • a. Diffuse increased echogenicity of the liver parenchyma on ultrasound as compared to echogenicity of renal cortex or spleen
  • b. Reduced attenuation on CT scan (less than or equal to 40 Houndsfield units)
  • c. Controlled attenuation parameter on fibroscan above 270dB/m
  • 2\) Age 18 to 75 years of age.
  • 3\) Plasma total testosterone less than or equal to 12nmol/L or free testosterone less than or equal to 230pmol/L on two occasions.
  • 4\) Fibroscan greater than or equal to 7\.0kPa OR ALT greater than or equal to 30u/L, to identify men at risk of progression of liver disease.

Exclusion Criteria

  • 1\) Alcohol consumption \>21 units per week \>2 weeks in the last year or \>3 months of the past 5 years to exclude inadvertent inclusion of patients with alcoholic liver disease
  • 2\) Other significant cause for liver disease, including autoimmune liver disease, metabolic liver disease such as Wilson’s disease or hereditary haemachromatosis, or viral hepatitis (excluding Hepatitis C virus treated \>12 months ago)
  • 3\) Prostate cancer, elevated PSA or abnormal prostate on digital rectal exam
  • 4\) Hepatocellular or other active cancer
  • 5\) Current or previous (within 12 months) testosterone or androgen deprivation therapy
  • 6\) Severe renal impairment (eGFR \<30ml/min)
  • 7\) Symptomatic ischaemic heart disease or significant heart failure symptoms (New York Heart Association class III or IV)
  • 8\) Uncontrolled hypertension \>160/100mHg
  • 9\) Uncontrolled obstructive sleep apnoea
  • 10\) Decompensated cirrhosis, as evidence by Child Pugh Score B or C, given risk of death or transplantation within the study period

Outcomes

Primary Outcomes

Not specified

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