A Study of Siliphos in Adults With Non-alcoholic Steatohepatitis (NASH)

NCT ID: NCT00443079

Last Updated: 2021-03-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Study Completion Date

2009-12-31

Brief Summary

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The purpose of this study is to evaluate the dietary supplement Siliphos, which comes from milk thistle, to determine whether it is safe and well-tolerated in adults who have non-alcoholic steatohepatitis (NASH). An additional aim of this study is to determine whether Siliphos may be beneficial in treatment of NASH as indicated by improvement in liver enzymes (ALT and AST). The study hypothesis is that Siliphos will be safe and well-tolerated in people with NASH and will result in a decrease in the liver enzymes ALT and AST.

Detailed Description

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Non-alcoholic fatty liver disease (NAFLD) encompasses a spectrum of liver conditions characterized by fat accumulation in the liver. Non-alcoholic steatohepatitis (NASH) is one form of NAFLD that may progress to cirrhosis in some people. Currently, there are no medications that are approved for the treatment of NASH. Milk thistle is sold over-the-counter as a dietary supplement. Milk thistle has been used for hundreds of years as a supplement to support liver function, and is commonly taken by people with a variety of liver conditions. Milk thistle may help to reduce inflammation and fibrosis (scar tissue) in the liver, so it may be beneficial in the treatment of NASH. As NAFLD is very common in the population, there are probably many people with NAFLD taking milk thistle supplements. However, there are no published studies of milk thistle in NAFLD. Therefore, this study is designed to provide preliminary evidence of the safety, tolerability, and efficacy of milk thistle in people with NASH.

Comparison: The milk thistle supplement (called Siliphos) will be compared to a placebo (sugar pill) in this study.

Conditions

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Fatty Liver

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Siliphos/Placebo

Received study medication first followed by placebo

Group Type EXPERIMENTAL

IdB 1016 (Siliphos)

Intervention Type DRUG

1 pill 3 times daily x 6 weeks

Matched placebo

Intervention Type DRUG

1 pill 3 times daily x 6 weeks

Placebo/Siliphos

Received placebo first followed by study medicaiton

Group Type EXPERIMENTAL

IdB 1016 (Siliphos)

Intervention Type DRUG

1 pill 3 times daily x 6 weeks

Matched placebo

Intervention Type DRUG

1 pill 3 times daily x 6 weeks

Interventions

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IdB 1016 (Siliphos)

1 pill 3 times daily x 6 weeks

Intervention Type DRUG

Matched placebo

1 pill 3 times daily x 6 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Liver biopsy within 12 months demonstrating NASH
* Abnormal ALT

Exclusion Criteria

* Uncontrolled diabetes
* Hepatitis B, hepatitis C, or other chronic liver conditions
* Abnormal kidney function
* Excess alcohol consumption
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American College of Gastroenterology

OTHER

Sponsor Role collaborator

Heather Patton

OTHER

Sponsor Role lead

Responsible Party

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Heather Patton

Professory

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Heather M Patton, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Diego

Locations

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University of California, San Diego Medical Center

San Diego, California, United States

Site Status

Countries

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United States

References

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Kidd P, Head K. A review of the bioavailability and clinical efficacy of milk thistle phytosome: a silybin-phosphatidylcholine complex (Siliphos). Altern Med Rev. 2005 Sep;10(3):193-203.

Reference Type BACKGROUND
PMID: 16164374 (View on PubMed)

Other Identifiers

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051117

Identifier Type: -

Identifier Source: org_study_id

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