Nonalcoholic Steatohepatitis Clinical Trial
Official title:
Effect of 12-week Intermittent Calorie Restriction on Liver Fat Content in Comparison With Standard-of-care in Patients With Nonalcoholic Fatty Liver Disease: a Randomized Controlled Trial
NCT number | NCT05309642 |
Other study ID # | FLICR |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | March 7, 2022 |
Est. completion date | December 6, 2023 |
Verified date | February 2024 |
Source | Ewha Womans University Mokdong Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Several diets have been proposed to reduce liver steatosis in patients with nonalcoholic fatty liver disease (NAFLD), and various effects on liver steatosis have been observed. The objective of this trial is to compare the effects of intermittent calorie restriction (ICR) (5:2 diet) and standard-of-care (SoC) on reduction of hepatic steatosis.
Status | Completed |
Enrollment | 72 |
Est. completion date | December 6, 2023 |
Est. primary completion date | December 6, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 19 Years to 75 Years |
Eligibility | Inclusion Criteria: 1. NAFLD diagnosed by (1) Histologic assessment with a fat accumulation of more than 5% of the liver's weight in a biopsy, or (2) Radiologic assessment with a MRI-PDFF =8%. 2. Age between 19 and 75 years 3. Capability to understand the study and the individual consequences of participation 4. Signed and dated declaration of agreement in the forefront of the study Exclusion Criteria: 1. Daily alcohol consumption >30 g in men and >20 g in women 2. Other causes of chronic liver disease (HBV, HCV, HDV, HEV, HIV), autoimmune diseases or chronic cholestatic liver disease, drug induced liver injury, hereditary haemochromatosis, Wilson disease, a-1-Antitrypsin deficiency 3. Liver cirrhosis 4. Hepatocellular carcinoma 5. Medications which cause liver disease or secondary NAFLD (e.g. Tamoxifen, systemic Corticosteroids, Methotrexate, Tetracycline, Estrogens, Valproic acid) 6. Changes in body weight > 5% in the last 3 months 7. Intake of medical treatment for NAFLD/NASH in the last 6 months (except for vitamin E) 8. Diabetes 9. Pregnancy 10. Patients after organ transplantations 11. Missing or lacking consent capability |
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | Ewha Womans University College of Medicine | Seoul | Yangcheon-gu |
Lead Sponsor | Collaborator |
---|---|
Ewha Womans University Mokdong Hospital |
Korea, Republic of,
Cai H, Qin YL, Shi ZY, Chen JH, Zeng MJ, Zhou W, Chen RQ, Chen ZY. Effects of alternate-day fasting on body weight and dyslipidaemia in patients with non-alcoholic fatty liver disease: a randomised controlled trial. BMC Gastroenterol. 2019 Dec 18;19(1):219. doi: 10.1186/s12876-019-1132-8. — View Citation
Carter S, Clifton PM, Keogh JB. Effect of Intermittent Compared With Continuous Energy Restricted Diet on Glycemic Control in Patients With Type 2 Diabetes: A Randomized Noninferiority Trial. JAMA Netw Open. 2018 Jul 6;1(3):e180756. doi: 10.1001/jamanetworkopen.2018.0756. — View Citation
Holmer M, Lindqvist C, Petersson S, Moshtaghi-Svensson J, Tillander V, Brismar TB, Hagstrom H, Stal P. Treatment of NAFLD with intermittent calorie restriction or low-carb high-fat diet - a randomised controlled trial. JHEP Rep. 2021 Feb 17;3(3):100256. doi: 10.1016/j.jhepr.2021.100256. eCollection 2021 Jun. — View Citation
Klempel MC, Kroeger CM, Bhutani S, Trepanowski JF, Varady KA. Intermittent fasting combined with calorie restriction is effective for weight loss and cardio-protection in obese women. Nutr J. 2012 Nov 21;11:98. doi: 10.1186/1475-2891-11-98. — View Citation
Retterstol K, Svendsen M, Narverud I, Holven KB. Effect of low carbohydrate high fat diet on LDL cholesterol and gene expression in normal-weight, young adults: A randomized controlled study. Atherosclerosis. 2018 Dec;279:52-61. doi: 10.1016/j.atherosclerosis.2018.10.013. Epub 2018 Oct 17. — View Citation
Schubel R, Nattenmuller J, Sookthai D, Nonnenmacher T, Graf ME, Riedl L, Schlett CL, von Stackelberg O, Johnson T, Nabers D, Kirsten R, Kratz M, Kauczor HU, Ulrich CM, Kaaks R, Kuhn T. Effects of intermittent and continuous calorie restriction on body weight and metabolism over 50 wk: a randomized controlled trial. Am J Clin Nutr. 2018 Nov 1;108(5):933-945. doi: 10.1093/ajcn/nqy196. — View Citation
Wong VW, Wong GL, Chan RS, Shu SS, Cheung BH, Li LS, Chim AM, Chan CK, Leung JK, Chu WC, Woo J, Chan HL. Beneficial effects of lifestyle intervention in non-obese patients with non-alcoholic fatty liver disease. J Hepatol. 2018 Dec;69(6):1349-1356. doi: 10.1016/j.jhep.2018.08.011. Epub 2018 Aug 22. — View Citation
Younossi ZM, Corey KE, Lim JK. AGA Clinical Practice Update on Lifestyle Modification Using Diet and Exercise to Achieve Weight Loss in the Management of Nonalcoholic Fatty Liver Disease: Expert Review. Gastroenterology. 2021 Feb;160(3):912-918. doi: 10.1053/j.gastro.2020.11.051. Epub 2020 Dec 9. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Impact of ICR on liver steatosis by MRI-PDFF | The primary outcome of interest is a change in MRI-PDFF value of a least 30% with ICR | Baseline, 12 weeks | |
Secondary | Changes in liver fibrosis by MR-Elastography | Measure the change of liver fibrosis with MR-Elastography | Baseline, 12 weeks | |
Secondary | Changes in anthropometrics | BMI (kg/m2) | Baseline, 12, and 24 weeks | |
Secondary | Changes in body composition analysis (BCA) | Measure the change of BCA with Inbody | Baseline, 12, and 24 weeks | |
Secondary | Changes in visceral adipose tissue (VAT) | Measure the change of VAT with fat CT | Baseline, 12, and 24 weeks | |
Secondary | Changes in quality of life score | Measure the change of Quality of Life score with Chronic Liver Disease-NAFLD questionnaire (CLDQ). The CLDQ uses 29 items in four domains, each scored on a Likert scale from 1 (all of the time) to 7 (none of the time) representing the frequency of clinical symptoms and emotional problems in the last two weeks. Results are reported in the six subscale scores (abdominal symptoms, fatigue, systemic symptoms, activity, emotional functioning, worry) and a CLDQ overall score. | Baseline, 12, and 24 weeks | |
Secondary | Genetic analysis | Polymorphism of PNPLA3, TM6SF2, TM4SF5, SREBF2, MBOAT7-TMC4, HSD17B13 and adenine insertion (A-INS) will be analyzed by NGS (Next Generation Sequencing) | Baseline | |
Secondary | Changes in hormone | Measure the change of leptin, adiponectin, ghrelin, GLP-1, apelin, and osteopontin | Baseline, 12 weeks | |
Secondary | Changes in liver metabolite | Measure the change of diglycerides (DG), FA, phosphatidylethanolamines (PE), phosphatidylcholines (PC), methionine, SAMe, and methylthioadenosine | Baseline, 12 weeks | |
Secondary | Changes in gut microbiota | Evaluation of 16S rRNA gene sequencing | Baseline, 12 weeks |
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