Effects of Dietary Fructose Reduction in Children With Hepatic Steatosis

NCT ID: NCT01188083

Last Updated: 2013-11-21

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

NA

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2012-11-30

Brief Summary

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Primary Objectives:

1. To determine whether a 4 week reduction in dietary fructose intake improves hepatic steatosis in overweight children who have a baseline high fructose consumption and hepatic steatosis.
2. To determine if a 4 week reduction of dietary fructose improves fasting plasma triglycerides, free fatty acids, very low-density lipoprotein, insulin and glucose as well as post-prandial levels in response to a high fructose meal.
3. To determine if a 4 week reduction of dietary fructose improves markers of oxidative stress.

Study Design: A blinded randomized study comparing glucose beverages to isocaloric fructose beverages administered over 4 weeks.

Detailed Description

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Planned Sample Size: Phase 1) 96 subjects Phase 2) 40 subjects

Patient Population: Overweight Hispanic children with non-alcoholic fatty-liver disease age 11 to 18 years who are stable and not taking any chronic medication with no recent acute illnesses.

Definitions:

* BMI \>95th %tile for age and gender
* Self-identified as Hispanic/Latino
* Baseline hepatic fat fraction \> 10% (Have nonalcoholic fatty liver disease)
* Sweetened beverage intake of at least 24 ounces/day

Conditions

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Non-alcoholic Fatty-liver Disease

Keywords

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NASH non-alcoholic fatty-liver disease Hispanic overweight

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Fructose Drink

Subject will drink 3-8oz drinks per day for 4 weeks

Group Type EXPERIMENTAL

Fructose Drink

Intervention Type DIETARY_SUPPLEMENT

Fructose Based beverage 8 oz

Glucose Drink

Subject will drink 3-8oz drinks per day for 4 weeks

Group Type EXPERIMENTAL

Glucose Drink

Intervention Type DIETARY_SUPPLEMENT

Glucose Based beverage 8 oz per drink x 3 per day x 4 weeks

Interventions

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Fructose Drink

Fructose Based beverage 8 oz

Intervention Type DIETARY_SUPPLEMENT

Glucose Drink

Glucose Based beverage 8 oz per drink x 3 per day x 4 weeks

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* BMI \> 85th %tile
* Self identified as Hispanic
* Age 11-18 years
* Baseline hepatic fat fraction \>8%
* Self reported sugar beverage intake of at least 24 oz (equivalent to 3 sugar sweetened drinks per day).

Exclusion Criteria

* Currently attempting weight gain or weight loss
* Cirrhosis visible on baseline MRI
* Renal insufficiency found on screening labs (creatinine \> 2)
* Recent acute illness within past 4 weeks (defined by fever \> 100.4ºF)
* Pregnancy
* Chronic illness requiring medication including diabetes
* Fasting glucose \>120 on screening labs
Minimum Eligible Age

11 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Emory University

OTHER

Sponsor Role lead

Responsible Party

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Miriam Vos, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Miriam Vos, Md

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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Emory Children's Center

Atlanta, Georgia, United States

Site Status

Countries

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United States

References

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Holzberg JR, Jin R, Le NA, Ziegler TR, Brunt EM, McClain CJ, Konomi JV, Arteel GE, Vos MB. Plasminogen Activator Inhibitor-1 Predicts Quantity of Hepatic Steatosis Independent of Insulin Resistance and Body Weight. J Pediatr Gastroenterol Nutr. 2016 Jun;62(6):819-23. doi: 10.1097/MPG.0000000000001096.

Reference Type DERIVED
PMID: 26704864 (View on PubMed)

Other Identifiers

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Emory-Vos-SweetBev

Identifier Type: OTHER

Identifier Source: secondary_id

IRB00007471

Identifier Type: -

Identifier Source: org_study_id