Role of a Wheat Containing Diet on Non-alcoholic Steatohepatitis

NCT ID: NCT04066400

Last Updated: 2023-12-28

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-01

Study Completion Date

2023-12-27

Brief Summary

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Effects of Wheat-based diet vs. ATI-free diet on NASH

Detailed Description

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40 patients with the diagnosis of a non-alcoholic- steatohepatitis (NASH) will be recruited at the University Hospitals of Mainz and Frankfurt. Patients are assessed with regards to their diet using standardized questionnaire and nutritionists.

Patients will be randomized into two parallel groups. The first group will continue a wheat-based Nutrition, while the second Group will receive dietary counselling to achieve an ATI-free nutrition, trying to reduce the daily ATI consumption.

The clinical trial will run over 16 weeks including 4 visits at the study center. Study visits include physical examinations, blood-based parameters, cytokines and urine samples, as well for the analysis of the intestinal microbiome by using stool samples. In addition the patients have to complete dietary and health-related quality of life (HRQL) questionnaires. Visits are planned at baseline, W4, W8 and W16.

Conditions

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NASH - Nonalcoholic Steatohepatitis Diabetes Mellitus, Type 2 Hyperlipidemias

Keywords

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hepatic inflammation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

prospective, randomized, controlled, bicentric pilot study
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
randomization

Study Groups

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wheat-based diet

The patients continue a wheat-based diet aiming at a reduction in bodyweight.

Group Type PLACEBO_COMPARATOR

Nutritional Intervention

Intervention Type OTHER

Dietary Counselling

ATI reduced diet

Patients are counselled to reduce dietary gluten uptake.

Group Type EXPERIMENTAL

Nutritional Intervention

Intervention Type OTHER

Dietary Counselling

Interventions

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Nutritional Intervention

Dietary Counselling

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* histologically proven NASH in the past 36 months with increased ALT: males: \>60, females: \>42 U/ml
* no body weight modification about \>10% in the past 24 weeks
* no new drugs treating parts of the metabolic syndrome in the past 12 weeks
* for patients with Diabetes: HbA1c value \<8,6%
* the ability to understand the aim and the possible individual consequences of this Trial
* signed and dated consent before the Trial starts

Exclusion Criteria

* unstable coronary heart disease, stroke in the past 6 months
* different liver diseases
* proceeded fibrosis (Fibroscan \>9,6 kPA) or histological cirrhosis
* hepatocellular carcinoma or not curative treated carcinomas
* alcohol consumption \>10g/day (females), \>20g/day (males)
* gravidity
* drugs causing secondary NASH (e.g. Tamoxifen, corticosteroids)
* immunological or inflammatory diseases (e.g. systemic Lupus erythematodes)
* warfarin therapy
* implementation of another Special diet
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Goethe University

OTHER

Sponsor Role collaborator

Johannes Gutenberg University Mainz

OTHER

Sponsor Role lead

Responsible Party

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Jörn M. Schattenberg

Director Metabolic Liver Disease Program

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Universität Frankfurt

Frankfurt, , Germany

Site Status

University Medical Center Mainz

Mainz, , Germany

Site Status

Countries

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Germany

References

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Armandi A, Bespaljko H, Mang A, Huber Y, Michel M, Labenz C, Galle PR, Neerukonda M, Bugianesi E, Schuppan D, Schattenberg JM. Short-term reduction of dietary gluten improves metabolic-dysfunction associated steatotic liver disease: A randomised, controlled proof-of-concept study. Aliment Pharmacol Ther. 2024 May;59(10):1212-1222. doi: 10.1111/apt.17941. Epub 2024 Mar 11.

Reference Type DERIVED
PMID: 38462919 (View on PubMed)

Other Identifiers

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2018-13078

Identifier Type: -

Identifier Source: org_study_id