Hepatitis C Clinical Trial
Official title:
Hepatitis C Infection With Liver Steatosis Compared to Hepatitis C Infection Without Liver Steatosis: Is There a Difference in Lipid Peroxidation and Indicators of Inflammation?
Verified date | January 2014 |
Source | University Health Network, Toronto |
Contact | n/a |
Is FDA regulated | No |
Health authority | Canada: Ethics Review Committee |
Study type | Observational |
Hepatitis C virus infection (HCV) is a major health concern in Canada and worldwide. Chronic
HCV can cause progressive liver damage leading to inflammation, scarring and, in some cases,
cirrhosis or liver cancer. It has been shown that fat accumulation in the liver can
accelerate the disease progression and is therefore a risk factor in HCV patients.
However, the exact mechanism(s) by which fat accumulation in the liver is involved in
disease progression are not clear yet. It is possible that the presence of fat provides a
liver susceptible to a second injurious process which leads to scarring. Candidates for this
second "hit" may include insulin resistance, leading to accumulation of fat within the liver
cells and secondly oxidation of these lipids. In turn, lipid peroxidation can lead to
production of reactive oxygen species (unstable molecules that can damage cells) and
cytokines (signal molecules that promote inflammation) resulting in more oxidative stress
and liver damage.
Aim of the study is to find out, whether patients with HCV and fatty liver have increased
oxidative stress and inflammation than patients with HCV without fatty liver, and whether
this is associated with a different nutritional status.
Status | Completed |
Enrollment | 105 |
Est. completion date | July 2010 |
Est. primary completion date | July 2008 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Male and female patients, age >18 y - Established hepatitis C infection as confirmed by positive serology and positive hepatitis C RNA in serum - Convincing evidence of negligible alcohol consumption (<20g of ethanol per day) obtained from a detailed history, confirmed by at least one close relative - Absence of any other possible cause for liver dysfunction. - Undergoing routing liver biopsy (usually pre-treatment) Exclusion Criteria: - Findings highly suggestive of liver disease of other etiology (e.g. other viral hepatitis, auto-immune chronic hepatitis, primary biliary cirrhosis and genetic liver diseases such as hemochromatosis, alpha-1 antitrypsin deficiency, Wilsons disease and biliary obstruction) - Anticipated need for liver transplantation in one year or complications of liver disease such as recurrent variceal bleeding, spontaneous porto- systemic encephalopathy, resistant ascites or bacterial peritonitis - Concurrent medical illnesses contraindicating a liver biopsy (history of unexplained bleeding, hemophilia or abnormal coagulation results as per routine laboratory work-up or other reasons judged by the hepatologist to contraindicate a percutaneous liver biopsy) - Medications known to precipitate steatohepatitis (corticosteroids, high dose estrogens, methotrexate, amiodarone, calcium channel blockers, sulfasalazine or cloxacillin) in the 6 months prior to entry - Antioxidant vitamin or n-3 supplementation, ursodeoxycholic acid or any other experimental drug in the 6 months prior to study entry - Pregnant or lactating |
Observational Model: Case-Only, Time Perspective: Cross-Sectional
Country | Name | City | State |
---|---|---|---|
Canada | University Health Network (Toronto General Hospital & Toronto Western Hospital) | Toronto | Ontario |
Lead Sponsor | Collaborator |
---|---|
Johane Allard | Canadian Association of Gastroenterology |
Canada,
Arendt BM, Mohammed SS, Aghdassi E, Prayitno NR, Ma DW, Nguyen A, Guindi M, Sherman M, Heathcote EJ, Allard JP. Hepatic fatty acid composition differs between chronic hepatitis C patients with and without steatosis. J Nutr. 2009 Apr;139(4):691-5. doi: 10. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Insulin resistance | Homeostasis model assessment of insulin resistance | Single time point | No |
Other | Dietary intake | Macro- and micronutrient intake by 3-day food protocols | single time point | No |
Primary | Lipid peroxidation (LPO) in the liver | LPO by commercially available kit | Single time point | No |
Secondary | Hepatic fatty acid composition | Fatty acid and lipid composition measured by gas chromatography and mass spectrometry | Single time point | No |
Secondary | Antioxidant power in the liver | Antioxidant power (AOP) measured by test kit | Single time point | No |
Secondary | Plasma vitamin C | Plasma vitamin C by colorimetric assay | Single time point | No |
Secondary | Tocopherols in plasma | alpha- and gamma-tocopherol in plasma by gas chromatography | Single time point | No |
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