Trial Outcomes & Findings for A Trial to Improve Quality of Life in People With Cirrhosis (NCT NCT05061992)

NCT ID: NCT05061992

Last Updated: 2023-11-21

Results Overview

The SF-8 is an abbreviated version of an original 36-item health survey (SF-36). It is a generic, multipurpose, quality of life instrument, containing psychometrically based physical and mental health summary measures. The eight domains are general health, physical functioning, role physical, bodily pain, vitality, social functioning, mental health, and role emotional. Scores from the domains are combined and range from 0 (lowest quality of living) to 100 (highest quality of living).

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

56 participants

Primary outcome timeframe

28 days

Results posted on

2023-11-21

Participant Flow

Participant milestones

Participant milestones
Measure
Lactulose
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Overall Study
STARTED
28
28
Overall Study
COMPLETED
25
27
Overall Study
NOT COMPLETED
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Lactulose
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Overall Study
Excess bowel movements
1
0
Overall Study
Complications of Medical Care
1
0
Overall Study
Diarrhea Prior to Starting Therapy
1
0
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

A Trial to Improve Quality of Life in People With Cirrhosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lactulose
n=28 Participants
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
n=28 Participants
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Total
n=56 Participants
Total of all reporting groups
Race (NIH/OMB)
White
27 Participants
n=5 Participants
26 Participants
n=7 Participants
53 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
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
58.1 years
STANDARD_DEVIATION 11.9 • n=5 Participants
61.8 years
STANDARD_DEVIATION 11.3 • n=7 Participants
60.0 years
STANDARD_DEVIATION 11.5 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
13 Participants
n=7 Participants
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
28 Participants
n=5 Participants
28 Participants
n=7 Participants
56 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
1 Participants
n=7 Participants
1 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
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
28 Participants
n=5 Participants
28 Participants
n=7 Participants
56 Participants
n=5 Participants
Short Form-8 Health Survey (SF-8)
57.2 score on a scale
STANDARD_DEVIATION 18.3 • n=5 Participants
61.1 score on a scale
STANDARD_DEVIATION 17.0 • n=7 Participants
59.2 score on a scale
STANDARD_DEVIATION 17.7 • n=5 Participants
Animal Naming Test
17.9 Count of Animals Named
STANDARD_DEVIATION 5.3 • n=5 Participants
18.3 Count of Animals Named
STANDARD_DEVIATION 6.5 • n=7 Participants
18.1 Count of Animals Named
STANDARD_DEVIATION 5.8 • n=5 Participants
Sleep Quality
2.5 Score on a Scale
STANDARD_DEVIATION 0.8 • n=5 Participants
2.5 Score on a Scale
STANDARD_DEVIATION 0.8 • n=7 Participants
2.5 Score on a Scale
STANDARD_DEVIATION 0.8 • n=5 Participants
Activity Impairment
5.4 Score on a Scale
STANDARD_DEVIATION 1.9 • n=5 Participants
5.7 Score on a Scale
STANDARD_DEVIATION 2.1 • n=7 Participants
5.6 Score on a Scale
STANDARD_DEVIATION 2.1 • n=5 Participants
Participants Who Fell in Past 90 Days
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 28 days

The SF-8 is an abbreviated version of an original 36-item health survey (SF-36). It is a generic, multipurpose, quality of life instrument, containing psychometrically based physical and mental health summary measures. The eight domains are general health, physical functioning, role physical, bodily pain, vitality, social functioning, mental health, and role emotional. Scores from the domains are combined and range from 0 (lowest quality of living) to 100 (highest quality of living).

Outcome measures

Outcome measures
Measure
Lactulose
n=25 Participants
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
n=27 Participants
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Short Form-8 Health Survey (SF-8) at 28 Days
Change in SF-8 from Baseline
8.1 score on a scale
Interval 3.7 to 12.4
6.55 score on a scale
Interval 2.3 to 10.8
Short Form-8 Health Survey (SF-8) at 28 Days
End of Trial SF-8
70.9 score on a scale
Interval 63.9 to 77.9
63.84 score on a scale
Interval 57.1 to 70.6

SECONDARY outcome

Timeframe: 28 days

Number of unique animals named within 1 minute by the participant. Values below show the change from baseline and the results from the test taken 28 days later.

Outcome measures

Outcome measures
Measure
Lactulose
n=25 Participants
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
n=27 Participants
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Animal Naming Test (ANT)
Change in ANT
3.7 Count of Animals Named
Interval 2.1 to 5.4
-0.15 Count of Animals Named
Interval -1.7 to 1.4
Animal Naming Test (ANT)
End of trial ANT
21.2 Count of Animals Named
Interval 18.9 to 23.6
18.52 Count of Animals Named
Interval 16.3 to 20.8

SECONDARY outcome

Timeframe: Change between baseline (day 0) and 28 days

Overall sleep quality was measured on a 5-point Likert scale, with a range of 1 (very bad sleep quality) to 5 (very good sleep quality).

Outcome measures

Outcome measures
Measure
Lactulose
n=25 Participants
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
n=27 Participants
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Change in Overall Sleep Quality
0.4 score on a scale
Interval 0.1 to 0.7
0.0 score on a scale
Interval -0.3 to 0.3

SECONDARY outcome

Timeframe: 28 days

Single-question survey given to participants at baseline and again 28 days later. Participants ranked their daily activity impairment on a Likert scale of 0 (no impairment) to 10 (complete impairment)

Outcome measures

Outcome measures
Measure
Lactulose
n=25 Participants
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
n=27 Participants
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Regular Daily Activity Impairment
3.0 score on a scale
Interval 1.9 to 4.0
4.8 score on a scale
Interval 3.8 to 5.8

SECONDARY outcome

Timeframe: 28 days

Yes or no question on whether participant had experienced at least 1 fall in the past 28 days.

Outcome measures

Outcome measures
Measure
Lactulose
n=25 Participants
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
n=27 Participants
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Participants Who Fell
1 Participants
3 Participants

SECONDARY outcome

Timeframe: 28 days

Results show the percentage of days in a 28-day span in which participants experienced more than 5 daily bowel movements. All participants analyzed in each arm were included in calculating the results using the following formula: (days with \>5 bowel movements) / (patient-days in study) The results are presented as a single number because they are a point estimate of a population level proportion

Outcome measures

Outcome measures
Measure
Lactulose
n=25 Participants
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
n=27 Participants
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Daily Bowel Movements
5 % of participant-days with >5 bowels
2 % of participant-days with >5 bowels

Adverse Events

Lactulose

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

No Treatment

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Lactulose
n=28 participants at risk
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
n=28 participants at risk
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Hepatobiliary disorders
Complications from Liver Disease
3.6%
1/28 • 28 days
3.6%
1/28 • 28 days

Other adverse events

Other adverse events
Measure
Lactulose
n=28 participants at risk
Lactulose: Participants will take 20 grams (dissolved in 4ounces of water/beverage) doses of lactulose twice daily (upon awakening and then 4 hours later) for 28 days. In addition, outcome measurements will be completed at baseline and day 28.
No Treatment
n=28 participants at risk
Subjects will complete baseline and outcome assessments at 28 days and no intervention or placebo will be prescribed.
Musculoskeletal and connective tissue disorders
Fall
3.6%
1/28 • 28 days
10.7%
3/28 • 28 days

Additional Information

Dr. Elliot Tapper

University of Michigan

Phone: 734-647-9252

Results disclosure agreements

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