2024-518334-88-00招募中4 期
Reducing Non-Alcoholic Steatohepatitis
Ustredni Vojenska Nemocnice Vojenska Fakultni Nemocnice Praha1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2024年10月8日最近更新:
试验速览
- 阶段
- 4 期
- 状态
- 招募中
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Decrease of a histological score of NASH
研究概览
简要总结
Evaluation of histological grade and NASH stage in patients with verified NASH during 48-week long empagliflozin therapy.
入排标准
- 年龄范围
- 18 years 至 65+ years(65+ Years, 18-64 Years)
- 接受健康志愿者
- 否
入选标准
- •The ability and eligibility to sign informed consent. • The age between 18 and 75 years of age at the beginning of the study. • Verified/excluded diagnosis of DM2T according to the cohort. (OGTT HbA1c). Verified diagnosis of NASH determined by histology no older than 6 months before the administration of medication. The activity of the process must be determined by NAFLD Activity Score – NAS. • Value of HbA1c ≤ 80 mmol/mol. • In women of child bearing age a willingness to use at least 2 contraceptive methods
排除标准
- •Contraindication of liver biopsy • A documented episode of ketoacidosis • Contraindication or hypersensitivity to empagliflozin • A presence of an acute or chronic disease that could endanger the safety or health of the patient by discretion of the examiner • Value of HbA1c > 80 mmol/mol. • The inability to exclude thiazolidinedione (pioglitazone) from chronic medication. • Liver affection of different etiology, including hepatitis B a C , autoimmune hepatitis, alpha-1 antitrypsin insufficiency, hemochromatosis, Wilson disease, primary sclerosing cholangitis, primary biliary cirrhosis or liver cirrhosis (Child-Pugh A, B, C) of any etiology • The use of drugs or medicine inducing steatosis or liver fibrosis. • Verified use of ethanol: men >30 g/day, woman > 20 g/day • History of acute o chronic pancreatitis. • Known abuse of and or an addiction to illegal substances • A verified fluctuation of body weight +/- 10 % in the last 3 months. • A diagnosis of a malignant disease (with the exclusion of threated dermal malignancies) in the last 5 years. • Cerebral stroke or cardiac infarction in the last 6 months. • Clinically significant shortness of breath defined as NYHA III or more. • Verified heart failure with associated decrease of ejection fraction of the left ventricle less than 40 %. • Values of eGFR lower than 30 ml/min/1,73 m2 or if CrCl is lower than 30 ml/min. • Syndrome of the diabetic foot with the need for amputation or an active ulcer • Planed pregnancy, active lactation or pregnancy, positivity in a pregnancy test, absence of at least 2 adequate contraceptive methods in women of fertile age. • Participation in a different study in the last 3 months before the start of the study. • Incapacity or diminished capacity to perform legal acts. • Pending execution of a sentence.
结局指标
主要结局
Decrease of a histological score of NASH
Decrease of a histological score of NASH
次要结局
- Decrease of fibrosis stage assessed by non-invasive liver elastography. Improvement of laboratory results and anthropometric data
研究者
Investigator
Scientific
Ustredni Vojenska Nemocnice Vojenska Fakultni Nemocnice Praha
研究点 (1)
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