Treatment of Nonalcoholic Fatty Liver Disease in Children (TONIC)

NCT ID: NCT00063635

Last Updated: 2012-09-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

173 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2010-02-28

Brief Summary

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The purpose of this study is to determine if therapeutic modification of insulin resistance or oxidative stress leads to improvement in serum or histologic indicators of liver injury or quality of life.

Detailed Description

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Conditions

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Fatty Liver

Keywords

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Non alcoholic fatty liver disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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1

Metformin, 500 mg, twice daily

Group Type ACTIVE_COMPARATOR

Metformin

Intervention Type DRUG

500 mg, twice daily

2

Vitamin E, 400 IU, twice daily

Group Type ACTIVE_COMPARATOR

Vitamin E

Intervention Type DIETARY_SUPPLEMENT

400 IU, twice daily

3

Matching placebo

Group Type PLACEBO_COMPARATOR

Matching placebo

Intervention Type DRUG

Twice daily

Interventions

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Metformin

500 mg, twice daily

Intervention Type DRUG

Vitamin E

400 IU, twice daily

Intervention Type DIETARY_SUPPLEMENT

Matching placebo

Twice daily

Intervention Type DRUG

Other Intervention Names

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Nature Made

Eligibility Criteria

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Inclusion Criteria

* Age 8-17 years at first screening visit
* Histologic evidence of Nonalcoholic Fatty Liver Disease (NAFLD) - biopsy cannot be older than 6 months as of randomization
* ALT level \>60 U/L at time of screening and on one previous occasion determined at least one month but no greater than 6 months prior to screening ALT
* Consent
Minimum Eligible Age

8 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of California, San Diego

San Diego, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

Children's National Medical Center

Washington D.C., District of Columbia, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

St. Louis University

St Louis, Missouri, United States

Site Status

Case Western Reserve University

Cleveland, Ohio, United States

Site Status

Texas Children's Hospital

Houston, Texas, United States

Site Status

Virginia Commonwealth University

Richmond, Virginia, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Corey KE, Vuppalanchi R, Vos M, Kohli R, Molleston JP, Wilson L, Unalp-Arida A, Cummings OW, Lavine JE, Chalasani N; Nonalcoholic Steatohepatitis Clinical Research Network. Improvement in liver histology is associated with reduction in dyslipidemia in children with nonalcoholic fatty liver disease. J Pediatr Gastroenterol Nutr. 2015 Mar;60(3):360-7. doi: 10.1097/MPG.0000000000000584.

Reference Type DERIVED
PMID: 25714579 (View on PubMed)

Guerrerio AL, Colvin RM, Schwartz AK, Molleston JP, Murray KF, Diehl A, Mohan P, Schwimmer JB, Lavine JE, Torbenson MS, Scheimann AO. Choline intake in a large cohort of patients with nonalcoholic fatty liver disease. Am J Clin Nutr. 2012 Apr;95(4):892-900. doi: 10.3945/ajcn.111.020156. Epub 2012 Feb 15.

Reference Type DERIVED
PMID: 22338037 (View on PubMed)

Lavine JE, Schwimmer JB, Van Natta ML, Molleston JP, Murray KF, Rosenthal P, Abrams SH, Scheimann AO, Sanyal AJ, Chalasani N, Tonascia J, Unalp A, Clark JM, Brunt EM, Kleiner DE, Hoofnagle JH, Robuck PR; Nonalcoholic Steatohepatitis Clinical Research Network. Effect of vitamin E or metformin for treatment of nonalcoholic fatty liver disease in children and adolescents: the TONIC randomized controlled trial. JAMA. 2011 Apr 27;305(16):1659-68. doi: 10.1001/jama.2011.520.

Reference Type DERIVED
PMID: 21521847 (View on PubMed)

Lavine JE, Schwimmer JB, Molleston JP, Scheimann AO, Murray KF, Abrams SH, Rosenthal P, Sanyal AJ, Robuck PR, Brunt EM, Unalp A, Tonascia J; Nonalcoholic Steatohepatitis Clinical Research Network Research Group. Treatment of nonalcoholic fatty liver disease in children: TONIC trial design. Contemp Clin Trials. 2010 Jan;31(1):62-70. doi: 10.1016/j.cct.2009.09.001. Epub 2009 Sep 15.

Reference Type DERIVED
PMID: 19761871 (View on PubMed)

Related Links

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http://www.niddk.nih.gov/

National Institute of Diabetes and Digestive and Kidney Diseases

Other Identifiers

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NASH - PEDIATRICS (IND)

Identifier Type: -

Identifier Source: org_study_id