Non-Alcoholic Fatty Liver Disease Clinical Trial
Official title:
A Randomized Controlled Trial on the Effectiveness and Adherence of Modified Alternate-day Calorie Restriction (MACR) in Improving Activity of Non-Alcoholic Fatty Liver Disease
Verified date | December 2018 |
Source | University of Science Malaysia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
There is no effective therapy for non-alcoholic fatty liver disease (NAFLD), although intensive calorie restriction is typically recommended but dietary adherence is an issue. Currently, there are no studies had been focusing the effect of Modified Alternate Day Calorie Restriction in NAFLD patient focusing on changes in liver steatosis and fibrosis.
Status | Completed |
Enrollment | 43 |
Est. completion date | October 1, 2017 |
Est. primary completion date | July 31, 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 70 Years |
Eligibility |
Inclusion Criteria: - Have elevated ALT or AST level (ALT >41 or AST>34 IU/L) - No evidence of other forms of liver diseases - For those with diabetes mellitus and dyslipidaemia, they must be on a stable therapy for at least 6 months prior to study enrolment Exclusion Criteria: - Significant alcohol consumption (> 1 standard drink per day) - Pregnancy - Involvement in an active weight loss program or taking weight loss medications - Substance abuse and significant psychiatric problems. |
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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University of Science Malaysia |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change from baseline shear wave elastography (SWE) at 8 weeks | Through the intercostal approach, SWE measurements were performed in the right liver lobe, at the supine position with the right arm in maximal abduction. The sonographer, assisted by an ultrasonic time-motion image, located a liver portion of at least 6 cm thick, free of large vascular structures. Once the measurement area had been located, the sonographer pressed the probe button to start an acquisition. Patients were asked to hold their breath for about five seconds, while the stiffness of the region of interest was measured and 10 measurements were made for each patient and the median average value of those measurements was recorded in kilopascals (kPa: metric). | Change from baseline at 8-week | |
Primary | Change from baseline liver steatosis at 8 weeks | Ultra-sonographic measurements including liver steatosis and shear wave elastography (SWE) were performed with the SuperSonic Imagine's Aixplorer® Ultrasound machine (Super Sonic Image, Aix-en Provence, France). All measurements were performed by a single sonographer where the inter-observer agreement level with another experienced sonographer was 85%. | Change from baseline at 8-week | |
Primary | Concentration of high-density lipoprotein (HDL) | Blood samples (8-10 hours of fasting blood samples) were collected from participants at 8-10 am at baseline and 8-week post intervention for biochemical analysis. It was measured in mmol/L. | Change from baseline at 8-week | |
Primary | Concentration of low-density lipoprotein (LDL) | Blood samples (8-10 hours of fasting blood samples) were collected at 8-10 am at baseline and 8-week post intervention for biochemical analysis. It was measured in mmol/L. | Change from baseline at 8-week | |
Primary | Concentration of triglycerides (TG) | Blood samples (8-10 hours of fasting blood samples) were collected at 8-10 am at baseline and 8-week post intervention for biochemical analysis. It was measured in mmol/L. | Change from baseline at 8-week | |
Primary | Concentration of total cholesterol (TC) | Blood samples (8-10 hours of fasting blood samples) were collected at 8-10 am at baseline and 8-week post intervention for biochemical analysis. It was measured in mmol/L. | Change from baseline at 8-week | |
Primary | Concentration of fasting blood sugar (FBS) | Blood samples (8-10 hours of fasting blood samples) were collected at 8-10 am at baseline and 8-week post intervention for biochemical analysis. It was measured in mmol/L. | Change from baseline at 8-week | |
Primary | Concentration of alanine aminotransferase (ALT) | Blood samples (8-10 hours of fasting blood samples) were collected at 8-10 am at baseline and 8-week post intervention for biochemical analysis. It was measured in U/L. | Change from baseline at 8-week | |
Primary | Concentration of aspartate aminotransferase (AST) | Blood samples (8-10 hours of fasting blood samples) were collected at 8-10 am at baseline and 8-week post intervention for biochemical analysis. It was measured in U/L. | Change from baseline at 8-week | |
Secondary | Dietary plan adherence | Adherence data were assessed each week as percentage of adherence | At 8-week |
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