Follow-up of NAFLD Patients With MRI-PDFF

NCT ID: NCT04910178

Last Updated: 2022-12-20

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

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-01

Study Completion Date

2021-12-30

Brief Summary

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The liver is a key organ in metabolism and contributes to T2DM development and insulin resistance via unclear mechanisms that may involve liver fat accumulation, inflammatory signals, and immune cells are proposed to play an important role in the pathogenesis of both NAFLD and T2DM.

Detailed Description

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This study aims to define

* The effects of PTX, Empagliflozin as an example of SGLT-2 inhibitors and UDCA on liver biomarkers and liver steatosis in type 2 diabetic patients.
* Studying PTX, Empagliflozin as an example of SGLT-2 inhibitors and UDCA efficacy and safety as add-on therapy in type 2 diabetic patients.

Conditions

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Diabetes Type 2 NAFLD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Empa group

patients will be given Empagliflozin 25 mg once daily

Group Type EXPERIMENTAL

Empagliflozin 25 MG

Intervention Type DRUG

tablets to be taken orally once a day

PTX group

patients will be given PTX 400 mg twice daily or 3 times daily

Group Type EXPERIMENTAL

Pentoxifylline 400 MG

Intervention Type DRUG

tablets to be taken orally twice a day

UDCA group

patients will be given UDCA 500 mg twice daily

Group Type EXPERIMENTAL

Ursodeoxycholic acid

Intervention Type DRUG

tablets to be taken orally twice a day

Placebo

patients will be given a placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type OTHER

just starch tablets without any active agents

Interventions

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Empagliflozin 25 MG

tablets to be taken orally once a day

Intervention Type DRUG

Ursodeoxycholic acid

tablets to be taken orally twice a day

Intervention Type DRUG

Pentoxifylline 400 MG

tablets to be taken orally twice a day

Intervention Type DRUG

placebo

just starch tablets without any active agents

Intervention Type OTHER

Other Intervention Names

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Jardiance 25mg tablets Ursofalk tablets Trental tablets

Eligibility Criteria

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Inclusion Criteria

* Patients who are willing to participate in this study
* Adults aged ≥ 18 years old presented at the clinic with a confirmed diagnosis of T2DM who are on sulfonylurea for the last 6 months at least and diagnosed with NAFLD.

Exclusion Criteria

* • Patients who refused to participate in this trial

* Patients diagnosed with Type 1 diabetes
* Previous history of alcohol intake
* history of recurrent attacks of ketoacidosis in a diabetic patient
* Type 2 diabetic patient with kidney dysfunction (estimated eGFR below 60ml/min/1.73m2 or CrCl below 60ml/min) or on dialysis
* Previous history of taking medication that may alter either drug efficacy (eg, corticosteroids, oral contraceptives, and thiazide diuretics)
* Evidence of another liver disease (viral hepatitis, drug-induced liver disease, autoimmune hepatitis)
* Lactating/pregnant female or children ≤ 18
* Any contraindication for Empagliflozin including:

1. History of recurrent attacks of UTI or Genital infection in females
2. History of recurrent foot injuries or infections
3. Type 2 diabetic patient with CV disease especially NYHA classes III/ IV
4. Immunocompromised patients or with a history of inflammatory, immunological, or malignant diseases.
* Any contraindication for PTX including:

1. Hypersensitivity to PTX
2. Patients with peptic ulcer disease or tendency for bleeding
* Any contraindication for UDCA including:

1. Hypersensitivity to UDCA
2. Patients with biliary disease or hepatobiliary disease (ascites, jaundice)
3. Patients with hepatic encephalopathy or gallstone pancreatitis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asmaa Abdelfattah Elsayed

OTHER

Sponsor Role lead

Responsible Party

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Asmaa Abdelfattah Elsayed

PHD candidate in clinical pharmacy department and PI

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Asmaa A Elsayed, PhD

Role: PRINCIPAL_INVESTIGATOR

BUC

Locations

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Minya University Hospital

Minya, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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BeniSuef

Identifier Type: -

Identifier Source: org_study_id