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The Impact of Ibutamoren on Nonalcoholic Fatty Liver Disease

Phase 2
Completed
Conditions
NAFLD
Nonalcoholic Fatty Liver
NASH - Nonalcoholic Steatohepatitis
Interventions
Registration Number
NCT05364684
Lead Sponsor
Massachusetts General Hospital
Brief Summary

Nonalcoholic fatty liver disease (NAFLD), fatty infiltration of the liver in the absence of alcohol use, is an increasingly recognized complication of obesity, with prevalence estimates of about 30% of individuals in the United States. A subset of these will develop progressive disease in the form of nonalcoholic steatohepatitis (NASH), which can progress to cirrhosis and liver failure. The investigators hypothesize that LUM-201 (Ibutamoren mesylate) will decrease intrahepatic lipid accumulation as quantified by proton magnetic resonance spectroscopy (1H-MRS).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
13
Inclusion Criteria
  1. Age 21-60yo and generally healthy
  2. BMI ≥ 25 kg/m2
  3. Radiographic or histologic diagnosis of NAFLD / NASH
  4. Insulin-like growth factor-1 (IGF-1) level <3rd quartile of normal for age
Exclusion Criteria
  1. Contraindications to MRI imaging
  2. Diabetes mellitus or use of diabetes medications
  3. History of cancer, significant renal disease, decompensated or unstable cardiovascular disease
  4. Cirrhosis or known liver disease other than NAFLD
  5. Pregnancy or breastfeeding
  6. Known pituitary or hypothalamic disease affecting the growth hormone axis
  7. Chronic use of drugs causing hepatic steatosis in the past 12 months (chronic oral steroids, methotrexate, tamoxifen)
  8. Treatment with medications that may interact with LUM-201 (ibutamoren mesylate)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Open-label TreatmentLUM-201Open-label study of oral LUM-201 (ibutamoren mesylate) 25mg daily in otherwise healthy adults with BMI ≥25 kg/m2 and histologic or radiologic diagnosis of NAFLD.
Primary Outcome Measures
NameTimeMethod
Intrahepatic lipid content (IHL, %)6 Months

Change in intrahepatic lipid content (IHL, %) as measured by proton magnetic resonance spectroscopy (1H-MRS).

Secondary Outcome Measures
NameTimeMethod
Alanine aminotransferase (ALT)6 Months

Change in ALT

Hepatic inflammation and fibrosis by LiverMultiScan corrected T1 (cT1) score6 Months

Change in hepatic inflammation and fibrosis by LiverMultiScan cT1. Higher values indicate more severe combined inflammation and fibrosis (normal range 633-794 ms)

Trial Locations

Locations (1)

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Massachusetts General Hospital
🇺🇸Boston, Massachusetts, United States

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