ER Stress in NAFLD

NCT ID: NCT01807910

Last Updated: 2013-10-23

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

WITHDRAWN

Clinical Phase

EARLY_PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2018-04-30

Brief Summary

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The investigators overall hypothesis is that exacerbation of endoplasmic reticulum (ER) stress in the liver is associated with significant alterations in phosphatidylcholines that drive the NASH phenotype in obese humans. The investigators plan to examine this hypothesis in a well-characterized cohort of obese subjects that are scheduled for bariatric surgery. Methyl-D9-choline chloride will be infused before and after a 2-week high fructose or glucose feeding to determine the biosynthesis and kinetics of secretory lipoprotein phospholipids. It is proposed that phospholipid metabolism play an important role in the pathogenesis or etiology of fatty liver in non-alcoholic conditions through mechanisms that invoke ER and oxidative stress responses.

Detailed Description

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Conditions

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Obesity NAFLD

Keywords

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Obesity NAFLD NASH Steatosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

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Fructose

Participants will receive fructose (3g/kg/day) for 2 weeks.

Group Type EXPERIMENTAL

methyl-D9-choline

Intervention Type DRUG

Subjects in both arms will be infused with methyl-D9-choline in order to assess the biosynthesis and kinetics of secretory lipoprotein phospholipids.

Glucose

Participants will receive glucose (3g/kg/day) for 2 weeks.

Group Type ACTIVE_COMPARATOR

methyl-D9-choline

Intervention Type DRUG

Subjects in both arms will be infused with methyl-D9-choline in order to assess the biosynthesis and kinetics of secretory lipoprotein phospholipids.

Interventions

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methyl-D9-choline

Subjects in both arms will be infused with methyl-D9-choline in order to assess the biosynthesis and kinetics of secretory lipoprotein phospholipids.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ambulatory females age 30-60 years old
* Women of all ethnic groups
* BMI≥35 kg/m2
* Approval for Roux-en-Y gastric bypass or sleeve gastrectomy.

Exclusion Criteria

* Smoking \>7 cigarettes per day
* Previous malabsorptive or restrictive intestinal surgery
* Pregnant or breastfeeding
* Recent history of neoplasia (\<5 years ago)
* Malabsorptive syndromes
* Inflammatory intestinal disease
* Patients with established organ dysfunction
* Diagnosis of type 1 or type 2 diabetes mellitus or current use of anti-diabetic medication (last 30 days; last 60days for thiazolidinediones)
* Diagnosed hyperbetalipoproteinemia or hypobetalipoproteinemia
* Patients on cholesterol lowering medicines
* Vegan diet
* Hepatic fat content \<10% by MRI
* Inability to comply with study protocol such as unable to make study visits or be available daily for phone contact
* Any condition which would interfere with MRI or PET studies, e.g. claustrophobia, cochlear implant, chronic back pain limiting ability to lay flat, metal fragments in eyes, cardiac pacemaker, neural stimulator, tattoos with iron pigment and metallic body inclusions or other metal implanted in the body which may interfere with MRI scanning.
Minimum Eligible Age

30 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Vanderbilt University

OTHER

Sponsor Role lead

Responsible Party

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Charles R. Flynn

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Charles R Flynn, PhD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Naji N Abumrad, MD

Role: STUDY_CHAIR

Vanderbilt University Medical Center

Locations

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Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Countries

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United States

Other Identifiers

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ER stress

Identifier Type: -

Identifier Source: org_study_id