Prebiotics in Patients With Non-alcoholic Liver Disease

NCT ID: NCT02642172

Last Updated: 2023-11-29

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

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2023-03-20

Brief Summary

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The purpose of this present study is to evaluating whether prebiotics - ITF (Inulin/OFS 75/25) is effective in treating patients with non-alcoholic liver disease.

Detailed Description

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The study will include 60 patients with Non-alcoholic fatty liver disease (NAFLD) which will randomize to two groups, receiving either ITF (Inulin/oligofructose-OFS 75/25) or maltodextrin (placebo).

The trial will last for 26 weeks: Stage 1-Run-in period: Subjects will be followed to ascertain weight maintenance. Stage 2- Randomized intervention period: Subjects will be assigned to receive 16 gram/day of ITF or maltodextrin. Both ITF and placebo will be provided in identical opaque packages and both subjects and researchers will be blinded to the content.

After signing informed (-2 week) consent, the following data will be collected: demographics, lifestyle habits including dietary questionnaires, and medical history. At week 0, week 12 and week 24 all the following tests will be performed: Vital Signs: blood pressure, anthropometric measurements, body composition determined by bioelectrical impedance analysis (BIA). Biochemical blood tests: liver function tests fasting glucose insulin \& lipid profile, CRP (an inflammation marker), SCFA, BCAA, and LBP and FGF 19. Fecal samples: fecal samples will be used for microbiota composition analysis, and BA analysis. Assessment of liver status At week 0 and 24 by using magnetic resonance spectroscopy (1H-MRS), SteatoTest and NashTest (FibroMax™) and by liver enzymes for evaluating steohepatitis.

Conditions

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Non-alcoholic Fatty Liver Disease Metabolic Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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ITF (Inulin/OFS 75/25)

16 gram/day of ITF (Inulin/OFS 75/25)

Group Type EXPERIMENTAL

ITF (Inulin/OFS 75/25)

Intervention Type DIETARY_SUPPLEMENT

Participants will consume 16 g/day ITF

placebo

16 gram/day of maltodextrin (placebo)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Participants will consume 16 g/day maltodextrin

Interventions

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ITF (Inulin/OFS 75/25)

Participants will consume 16 g/day ITF

Intervention Type DIETARY_SUPPLEMENT

Placebo

Participants will consume 16 g/day maltodextrin

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Prebiotics- Inulin, OFS - oligofructose maltodextrin

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of NAFLD based on fatty infiltration detection by ultrasonography and alanine aminotransferase levels of (ALT) ≥ 30 U/L male ≥ 19 U/L females.
* Over-weight (BMI ≥ 27 kg/m2) who fulfill the criteria of the National Cholesterol Education Program (NCEP) metabolic syndrome
* Willing to sign informed consent to participate in the study
* Patients without diabetes or with well-controlled diabetes (HbA1C \< 7.5%) who are treated by diet ± metformin

Exclusion Criteria

* Pregnancy
* Uncontrolled diabetes
* Diabetic treatment other than metformin, unusual diets (vegetarian, vegan), usage of antibiotics, probiotics or prebiotics up to 6 months prior to study, alcohol abuse, presence of gastrointestinal or mental disorders, weight-loss treatment, bariatric surgery
* Serious medical conditions
* Evidence of another etiology for chronic liver disease such as: hepatitis B, hepatitis C, HIV, autoimmune diseases and metabolic diseases, medications with known hepatotoxicity.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kaplan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Yaakov Maor

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yaakov Maor, Dr

Role: PRINCIPAL_INVESTIGATOR

Kaplan Medical Center

Locations

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Kaplan Medical Center

Rehovot, , Israel

Site Status

Countries

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Israel

References

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Dewulf EM, Cani PD, Claus SP, Fuentes S, Puylaert PG, Neyrinck AM, Bindels LB, de Vos WM, Gibson GR, Thissen JP, Delzenne NM. Insight into the prebiotic concept: lessons from an exploratory, double blind intervention study with inulin-type fructans in obese women. Gut. 2013 Aug;62(8):1112-21. doi: 10.1136/gutjnl-2012-303304. Epub 2012 Nov 7.

Reference Type BACKGROUND
PMID: 23135760 (View on PubMed)

Other Identifiers

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PN-837-CTIL

Identifier Type: -

Identifier Source: org_study_id