The Effect of n-3 Polyunsaturated Fatty Acid Supplements in Patients With Non-alcoholic Fatty Liver Disease

NCT ID: NCT00819338

Last Updated: 2012-07-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2010-03-31

Brief Summary

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The principal purpose of this study is to determine whether increased intakes of n-3 polyunsaturated (omega-3) fatty acids will reduce the amount of fat stored in the liver in patients with non-alcoholic fatty liver disease.

Detailed Description

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Non-alcoholic fatty liver disease (NAFLD) is present in 10-24% of the general adult population. The first step of NAFLD involves the accumulation of fat within the liver (steatosis). Steatosis occurs either due to defective generation, metabolism or excretion of fatty acids by the liver. The next step in NAFLD progression is inflammation, which commonly occurs due to pro-inflammatory stimuli. Persistent inflammation results in end-stage liver disease. NAFLD is associated with the metabolic syndrome, which is characterised by central obesity, insulin resistance, raised triglycerides and hypertension. With the current obesity epidemic, there is predicted to be greater numbers of patients with NAFLD in the future.

Polyunsaturated fatty acids (PUFAs) are essential components of our diet, though standard Western intakes are lower than the recommended amounts. Supplementing the long chain n-3 PUFAs (commonly termed omega-3), EPA and DHA, improves many of the metabolic syndrome features. They lower plasma triglycerides, and may improve insulin resistance.

The diet of NAFLD patients tends to be deficient in n-3 PUFAs and have an excessive intake of the harmful n-6 PUFAs. This pattern is mirrored in their liver lipid content as assessed at biopsy.

Currently there is no proven treatment for NAFLD. Animal studies and limited studies in patients have been supportive of a benefit with n-3 polyunsaturated fatty acids. This needs to be further assessed.

Conditions

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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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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polyunsaturated

5g per day of polyunsaturated fatty acids (3.5g EPA and DHA).

Group Type ACTIVE_COMPARATOR

Efamax

Intervention Type DIETARY_SUPPLEMENT

5g daily as capsules for 3 months

monounsaturated

5g a day of oleic enriched sunflower oil

Group Type PLACEBO_COMPARATOR

Efamax

Intervention Type DIETARY_SUPPLEMENT

5g daily as capsules for 3 months

Interventions

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Efamax

5g daily as capsules for 3 months

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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oleic enriched sunflower oil

Eligibility Criteria

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Inclusion Criteria

1. Age greater than 18 years
2. Liver biopsy diagnosis of NAFLD

Exclusion Criteria

1. Excessive alcohol intake - \> 21 units per week in men and \> 14 in women
2. A further liver disease diagnosis
3. Poorly controlled diabetes - HbA1c \> 8.0%, or use of insulin sensitisers
4. Pregnancy
5. Cirrhosis
6. Contraindications to MR scanning - pacemaker or metallic foreign body etc.
7. Changes in the dose or initiation of lipid altering medication within the preceding three months, such as statins, fibrates or systemic steroids
8. Use of n-3 PUFA supplements within the prior 4 months, an adequate washout period
9. Significant co-morbid inflammatory illnesses as determined by research team
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Nottingham

OTHER

Sponsor Role lead

Responsible Party

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Richard Johnston

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ian A Macdonald, PhD

Role: STUDY_CHAIR

Biomedical Sciences, University Hospital, Nottingham

Locations

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Wolfson Digestive Diseases Centre, University Hospital

Nottingham, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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REC 08/H0403/14

Identifier Type: -

Identifier Source: secondary_id

R&D 08GA001

Identifier Type: -

Identifier Source: secondary_id

NottinghamNHST1

Identifier Type: -

Identifier Source: org_study_id

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