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临床试验/JPRN-jRCT2031210380
JPRN-jRCT2031210380已完成2 期

Phase II physician-initiated clinical trial investigating the efficacy and safety of guanabenz acetate for non-alcoholic fatty liver disease associated with hypertension (G-Flash study)

Kobayashi Takashi0 个研究点目标入组 28 人开始时间: 2021年10月20日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
入组人数
28

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 20age old 至 <= 75age old(—)
性别
All

入选标准

  • 1.Patients who have received a full explanation about this study and who have provided written consent.
  • 2.Patients >= 20 years of age =< 75 years of age at the time consent was provided.
  • 3.Patients diagnosed with essential hypertension and whose systolic blood pressure at the time of screening is >= 130 mmHg and/or diastolic blood pressure is >= 85 mmHg (according to the diagnostic criteria for metabolic syndrome)
  • 4.Patients diagnosed with NAFLD/NASH who meet the following criteria (1) or (2)
  • (1) Patients diagnosed with NAFLD
  • (2) Patients with a definitive diagnosis of NASH by biopsy within 32 weeks before screening
  • 5.Patients with magnetic resonance imaging (MRI)-proton density fat fraction (PDFF) liver fat mass >= 8% at screening.
  • 6.Patients with magnetic resonance elastography (MRE)value =< 3.6 kPa at screening.
  • 7.Patients with a body mass index (BMI) >= 25 kg/m2 at the time of screening.
  • 8.Patients receiving diet or exercise therapy 12 weeks before screening, with no improvement.
  • 9.Patients who are willing to maintain a stable diet and physical activity during the clinical trial.

排除标准

  • 1.Pregnant, lactating, potentially pregnant women, or patients who do not agree to contraception during the trial period.
  • 2.Patients who have taken guanabenz acetate within 16 weeks prior to screening or who have participated in other clinical studies (observational studies are excluded).
  • 3.Patients with drug allergies to guanabenz acetate.
  • 4.Patients with liver failure or cirrhosis.
  • 5.Patients with the following laboratory test values:
  • (1)Alanine aminotransferase (ALT) > 430 IU/L (males) or > 240 IU/L (female), or aspartate aminotransferase (AST) > 300 IU/L (males and females)
  • (2)Prothrombin time-international normalized ratio (PT-INR) >= 1.5 (excluding anticoagulant therapy)
  • (3)Total bilirubin value > 2.0 mg/dL (excluding definitive diagnosis of Gilbert syndrome)
  • (4)Platelet count < 80,000/uL
  • (5)Estimated glomerular filtration ratio (eGFR) < 45 (calculated by body surface area correction: standardized eGFR)
  • 6.Patients with a history of acute or chronic liver disease other than NAFLD/NASH and complications:
  • (1)Patients suffering from hepatitis B (defined by hepatitis B surface (HBs) antigen positive at the time of screening) or hepatitis C (defined by hepatitis C virus (HCV) antibody positive at the time of screening). However, anti-HCV antibody positive patients who are judged to be negative for hepatitis C virus ribonucleic acid (HCV-RNA) can be registered if they can be confirmed to be negative for at least one year before screening.
  • (2)Patients with autoimmune hepatitis.
  • (3)Patients with primary biliary cholangitis, primary sclerosing cholangitis, Wilsons disease, alpha1-antitrypsin deficiency, hemochromatosis or iron overload, drug-induced or alcoholic liver disease, or a history of known biliary atresia.
  • (4)Patients with suspicion or definitive diagnosis of hepatocellular carcinoma.
  • 7.Patients with a history of human immunodeficiency virus (HIV) infection.
  • 8.Patients with findings of portal hypertension (complications: ascites, hepatic encephalopathy, varicose veins, splenomegaly).
  • 9.Patients with a history of NAFLD-related drugs (amiodarone, methotrexate, systemic glucocorticoids, tetracycline, tamoxifen, higher doses of estrogen, anabolic steroids or valproic acid than used for hormone replacement) or other hepatotoxins for at least 4 weeks prior to screening.
  • 10.Patients who have used the following drugs
  • (1)Patients who used insulin, glucagon-like peptide-1 (GLP-1) receptor agonists, SGLT2 inhibitors, or thiazolidine 12 weeks before screening,
  • (2)Patients who used ursodeoxycholic acid or vitamin E 12 weeks before screening,
  • (3)Patients whose doses of dyslipidemia drugs or antihypertensive drugs were changed 12 weeks before screening,
  • (4)Patients whose dose of oral diabetes treatment drug (dipeptidyl peptidase 4 (DPP-4) inhibitor, sulfonylurea (SU) preparation, alpha-glucosidase inhibitor, metformin) was changed 12 weeks before screening,
  • (5)Patients who used drugs known to have a significant effect on body weight (including over-the-counter drugs for weight loss) 12 weeks before screening,
  • (6)Patients using central nervous system depressants (barbital, sodium thiopental, morphine hydrochloride hydrate, brotizolam, diazepam, etc.).
  • 11.Patients with 10% weight change 24 weeks before screening.
  • 12.Patients scheduled to undergo surgery after obesity surgery (such as gastroplasty and Roux-en-Y gastric bypass surgery) or during the trial period.
  • 13.Patients with a history of type 1 diabetes.
  • 14.Patients with hemoglobin A1c (HbA1c)

研究者

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