Nonalcoholic Fatty Liver Disease (NAFLD) Clinical Trial
— NAFLDOfficial title:
Growth Hormone and Intrahepatic Lipid Content in Patients With Nonalcoholic Fatty Liver Disease
Verified date | October 2022 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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. NAFLD is expected to be the most common indication for liver transplantation by the year 2020. We hypothesize that growth hormone (GH) replacement will decrease intrahepatic lipid accumulation as quantified by 1H magnetic resonance spectroscopy (1H-MRS).
Status | Completed |
Enrollment | 131 |
Est. completion date | September 13, 2021 |
Est. primary completion date | August 10, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: 1. Ages 18 - 65 yr 2. NAFLD defined as demonstration of hepatic steatosis by imaging or biopsy in absence of significant alcohol consumption and other causes of hepatic steatosis. If liver imaging or biopsy has not been performed clinically, liver ultrasound will be performed as part of the screening visit. Exclusion Criteria: 1. Serum creatinine > 2 times the upper limit of normal 2. History of cancer, except for non-melanoma skin cancers 3. Active carpel tunnel syndrome 4. Diabetes mellitus, defined as a hemoglobin A1C >6.5 or use of any medications prescribed to treat hyperglycemia. The exception is that the use of metformin is acceptable in patients whose HbA1c has been =<6.0 on two visits and whose weight has remained stable for six months. 5. Contraindications to magnetic resonance imaging (MRI). 6. Pregnancy or desire to become pregnant. Participants of reproductive age must agree to use contraception. 7. Breastfeeding 8. Aspartate and aminotransferase levels >10x upper limit of normal |
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Intrahepatic Lipid Content Between Baseline and 6 Months as Measured by 1H-magnetic Resonance Spectroscopy (1H-MRS). Endpoints Were Assessed at Baseline and 6 Months. | Change in Intrahepatic lipid content by 1H-MRS over 6 months in the GH vs placebo group | 6 months | |
Secondary | Change in Serum High Sensitivity C-reactive Protein (hsCRP) Between Baseline and 6 Months. | Change in serum high sensitivity C-reactive protein (hsCRP) (mg/L) between baseline and 6 months. | 6 months |
Status | Clinical Trial | Phase | |
---|---|---|---|
Terminated |
NCT02244944 -
Ezetimibe-Ursodiol Combination Therapy on Biomarkers of Liver Function and Sterol Balance in Subjects With NAFLD
|
Phase 2 | |
Recruiting |
NCT01544751 -
Nonalcoholic Fatty Liver Disease (NAFLD) Pharmacological Treatment: Metformin Versus Atorvastatin
|
N/A | |
Recruiting |
NCT03572465 -
Quantitative Ultrasound Techniques for Diagnosis of Nonalcoholic Steatohepatitis
|
||
Enrolling by invitation |
NCT04059029 -
Nonalcoholic Fatty Liver Disease in Morbidly Obese Patients
|
||
Terminated |
NCT01930123 -
Impact of Fructose on Metabolism, Energy Homeostasis and Magnetic Resonance Biomarkers in Nonalcoholic Fatty Liver Disease
|
Phase 2 | |
Recruiting |
NCT01705522 -
Multimodal Approach in IBD Patients
|
||
Recruiting |
NCT03525769 -
Screening With FibroTouch for Advanced Liver Fibrosis in NAFLD Patients With Underlying Type 2 Diabetes
|
||
Completed |
NCT01265498 -
The Farnesoid X Receptor (FXR) Ligand Obeticholic Acid in NASH Treatment Trial(FLINT)
|
Phase 2 | |
Completed |
NCT01529268 -
Cysteamine Bitartrate Delayed-Release for the Treatment of NAFLD in Children
|
Phase 2/Phase 3 | |
Completed |
NCT03486899 -
A Study of Experimental Medication BMS-986036 in Adults With Nonalcoholic Steatohepatitis (NASH) and Stage 3 Liver Fibrosis
|
Phase 2 | |
Completed |
NCT02781584 -
Safety, Tolerability, and Efficacy of Selonsertib, Firsocostat, and Cilofexor in Adults With Nonalcoholic Steatohepatitis (NASH)
|
Phase 2 | |
Completed |
NCT03486912 -
A Study of Experimental Medication BMS-986036 in Adults With Nonalcoholic Steatohepatitis (NASH) and Liver Cirrhosis
|
Phase 2 | |
Completed |
NCT02196831 -
Tesamorelin Effects on Liver Fat and Histology in HIV
|
N/A | |
Withdrawn |
NCT03451279 -
A Nonabsorbable Ileal Apical Sodium-Dependent Bile Acid Transporter Inhibitor for Nonalcoholic Steatohepatitis
|
Phase 2 | |
Completed |
NCT02044523 -
Noninvasive Staging of Liver Fibrosis: MR vs Ultrasound
|
||
Completed |
NCT03836443 -
Postprandial Lipotoxicity and Nonalcoholic Fatty Liver Disease
|
N/A | |
Completed |
NCT03042767 -
Anti-LPS Antibody Treatment for Pediatric NAFLD
|
Phase 2 | |
Recruiting |
NCT02213224 -
Perindopril and Telmisartan for the Treatment of Nonalcoholic Fatty Liver Disease
|
Phase 4 | |
Completed |
NCT03459079 -
Lanifibranor in Patients With Type 2 Diabetes & Nonalcoholic Fatty Liver Disease
|
Phase 2 | |
Not yet recruiting |
NCT06024408 -
A Trial to Learn if Receiving ALN-PNP siRNA is Safe and Well Tolerated, and How it Works in Adult Participants With Nonalcoholic Fatty Liver Disease (NAFLD) and a Genetic Risk Factor
|
Phase 1 |