Trial Outcomes & Findings for Biomarkers of Liver Pathology in Patients With Presumed Non-Alcoholic Steatohepatitis Following Bariatric Surgery (NCT NCT03294850)

NCT ID: NCT03294850

Last Updated: 2021-07-16

Results Overview

Assessed by magnetic resonance imaging proton density fat fraction (MRI PDFF)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

14 participants

Primary outcome timeframe

12 weeks

Results posted on

2021-07-16

Participant Flow

Recruitment began 7/18/2018 and concluded 12/3/2019. Participants were recruited from a local bariatric surgery medical practice.

Participant milestones

Participant milestones
Measure
NASH Group
These are individuals that have been identified as having NASH by MRE. Confirmation with liver biopsy required for continuation in the longitudinal study. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Non-NASH (NAFLD or Normal) Group
These are individuals that do not have NASH. They either have normal liver physiology or only have evidence of hepatic steatosis. This group will be studied up until the day of their bariatric surgery and will serve as a comparator population with respect to baseline measurements. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Overall Study
STARTED
4
10
Overall Study
COMPLETED
4
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Biomarkers of Liver Pathology in Patients With Presumed Non-Alcoholic Steatohepatitis Following Bariatric Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NASH Group
n=4 Participants
These are individuals that have been identified as having NASH by MRE. Confirmation with liver biopsy required for continuation in the longitudinal study. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Non-NASH (NAFLD or Normal) Group
n=10 Participants
These are individuals that do not have NASH. They either have normal liver physiology or only have evidence of hepatic steatosis. This group will be studied up until the day of their bariatric surgery and will serve as a comparator population with respect to baseline measurements. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Total
n=14 Participants
Total of all reporting groups
Age, Continuous
40.750 years
STANDARD_DEVIATION 6.551 • n=5 Participants
38.600 years
STANDARD_DEVIATION 9.119 • n=7 Participants
39.21 years
STANDARD_DEVIATION 8.276 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
8 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
4 participants
n=5 Participants
10 participants
n=7 Participants
14 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: Only the NASH group had longitudinal evaluation

Assessed by magnetic resonance imaging proton density fat fraction (MRI PDFF)

Outcome measures

Outcome measures
Measure
NASH Group
n=4 Participants
These are individuals that have been identified as having NASH by MRE. Confirmation with liver biopsy required for continuation in the longitudinal study. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Non-NASH (NAFLD or Normal) Group
These are individuals that do not have NASH. They either have normal liver physiology or only have evidence of hepatic steatosis. This group will be studied up until the day of their bariatric surgery and will serve as a comparator population with respect to baseline measurements. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Percent Change in Liver Fat Between Baseline and 12 Weeks Post-surgery
-16.4 percent change
Standard Deviation 52.9

PRIMARY outcome

Timeframe: 12 weeks

Population: Only NASH group had longitudinal evaluation

We will evaluate change in liver stiffness, a surrogate for fibrosis, as assessed by magnetic resonance elastography (MRE)

Outcome measures

Outcome measures
Measure
NASH Group
n=4 Participants
These are individuals that have been identified as having NASH by MRE. Confirmation with liver biopsy required for continuation in the longitudinal study. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Non-NASH (NAFLD or Normal) Group
These are individuals that do not have NASH. They either have normal liver physiology or only have evidence of hepatic steatosis. This group will be studied up until the day of their bariatric surgery and will serve as a comparator population with respect to baseline measurements. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Percent Change in Liver Stiffness Between Baseline and12 Weeks Post-surgery
1.9 percent change
Standard Deviation 10.4

Adverse Events

NASH Group

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Non-NASH (NAFLD or Normal) Group

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
NASH Group
n=4 participants at risk
These are individuals that have been identified as having NASH by MRE. Confirmation with liver biopsy required for continuation in the longitudinal study. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Non-NASH (NAFLD or Normal) Group
n=10 participants at risk
These are individuals that do not have NASH. They either have normal liver physiology or only have evidence of hepatic steatosis. This group will be studied up until the day of their bariatric surgery and will serve as a comparator population with respect to baseline measurements. Bariatric surgery: Subjects enrolling in the study who are undergoing bariatric surgery as part of their medical care will be studied HepQuant SHUNT Dual Cholate Liver Diagnostic Kit: For the experimental group, the device will be used to monitor the effect of bariatric surgery on liver function. For the active comparator group, the device will be used for the assessment of baseline liver function.
Musculoskeletal and connective tissue disorders
Bruising, tenderness
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cyst in pituitaty
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Ear and labyrinth disorders
Ear Infection
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Gastrointestinal disorders
Gas Pain
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Gastrointestinal disorders
H. Pylori Infection
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
General disorders
Headache
25.0%
1/4 • Number of events 1 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Gastrointestinal disorders
Inactive mild gastritis
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Musculoskeletal and connective tissue disorders
Lower Leg Pain
25.0%
1/4 • Number of events 1 • 2.22 years
0.00%
0/10 • 2.22 years
General disorders
Migraine
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Musculoskeletal and connective tissue disorders
Right Arm Tenderness
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Infections and infestations
Shingles
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Respiratory, thoracic and mediastinal disorders
Sinus Infection
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Nervous system disorders
Syncope
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Cardiac disorders
Tachycardia
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Infections and infestations
Urinary Tract Infections
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Metabolism and nutrition disorders
Vitamin D Defficiency
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years
Cardiac disorders
Worsening Hypertension
25.0%
1/4 • Number of events 1 • 2.22 years
0.00%
0/10 • 2.22 years
Gastrointestinal disorders
Abdominal Pain
0.00%
0/4 • 2.22 years
10.0%
1/10 • Number of events 1 • 2.22 years

Additional Information

Dr. Karen Corbin

AdventHealth Translational Research Institute

Phone: (407) 303-7100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place