Pentoxifylline in Treatment of Patients With Nonalcoholic Steatohepatitis

NCT ID: NCT05284448

Last Updated: 2024-06-21

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

PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-01

Study Completion Date

2022-10-01

Brief Summary

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The aim of the present study is to evaluate the efficacy and safety of pentoxifylline in the treatment of non-alcoholic steatohepatitis patients.

Detailed Description

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Nonalcoholic steatohepatitis(NASH) is the progressive form of Non-alcoholic fatty liver disease (NAFLD), is characterized by hepatocellular damage, inflammation, and liver fibrosis that can progress to cirrhosis, in 25% of patients, NAFLD progresses to NASH, which increases the risk for the development of cirrhosis, liver failure, and hepatocellular carcinoma. In patients with NASH, liver fibrosis is the main determinant of mortality.

Pentoxifylline (PTX) is a xanthine derivative drug with a wide range of actions at the cellular and molecular level. PTX possess anti-inflammatory, antioxidant activities. PTX have potential role in improvement of NASH . Also, PTX inhibits a number of pro-inflammatory cytokines including interleukin-1, interleukin-6 and tumor necrosis factor (TNF-α ) which play an important role in the pathogenesis and progression of NASH.

Conditions

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NASH - Nonalcoholic Steatohepatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Clinical trial, parallel, randomized, prospective, controlled study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pentoxifylline Group

25 patients will receive pentoxifylline (Trental SR®) 400 mg three times daily with their standard therapy for 6 months.

Group Type EXPERIMENTAL

pentoxifylline (Trental SR®)

Intervention Type DRUG

400 mg three times daily

Control Group

25 patients will receive their standard therapy only

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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pentoxifylline (Trental SR®)

400 mg three times daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Aged between 18- 60 years old.
2. Both sexes
3. Patients who have nonalcoholic steatohepatitis (NASH) will be diagnosed by

1. clinical examination (obese, high body mass index).
2. radiological criteria of fatty liver (abdominal ultrasonography).
3. laboratory investigation (elevated liver enzymes aspartate transaminase (AST), alanine transaminase (ALT).
4. The ability to give informed consent
5. Appropriate exclusion of other liver diseases

Exclusion Criteria

1- Patients with other diagnosed chronic liver diseases as viral hepatitis, metabolic and genetic disorders as Hemochromatosis, Wilson disease, autoimmune hepatitis and drug induced liver disease as well as patients with recent infection and those who refused to be entitled in the study.

2\. Patients will be excluded if they had a history of past excessive alcohol drinking for a period longer than 2 years at any time in the past 10 years.

3\. Patients also will be excluded if they take medications known to cause steatosis or taking medications that have shown benefits in previous NASH pilot studies, including vitamin E, , thiazolidinedione, and alpha-glucosidase inhibitors.

4\. Patients with a history of hypersensitivity to PTX or the methylxanthines (caffeine, theophylline, and theobromine) will be excluded, as well as those with a history of cerebral
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Al-Azhar University

OTHER

Sponsor Role lead

Responsible Party

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ahmed salah saad abomandour

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zeinab Zalat, PhD

Role: STUDY_CHAIR

Professor and Head of Clinical Pharmacy Department, Faculty of Pharmacy, Al-Azhar University(Girls, Cairo)

Adel Gaber Bakr, PhD

Role: STUDY_DIRECTOR

Assistant Professor of Pharmacology and Toxicology, Al-Azhar University (Boys, Assiut)

Ahmed ElGhandour, MD

Role: STUDY_DIRECTOR

Assistant Professor of Internal Medicine and Gastroenterology, Faculty of Medicine, Ain-Shams University

ahmed abomandour, Demonstrator

Role: PRINCIPAL_INVESTIGATOR

Demonstrator of Clinical Pharmacy Department, Faculty of Pharmacy, Al-Azhar University (Boys, Assiut)

Locations

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Internal medicine and hepatology outpatient clinic at Ain Shams University Hospital.

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Leoncini L, Vindigni C, Megha T, Funto I, Pacenti L, Musaro M, Renieri A, Seri M, Anagnostopoulos J, Tosi P. Epstein-Barr virus and gastric cancer: data and unanswered questions. Int J Cancer. 1993 Apr 1;53(6):898-901. doi: 10.1002/ijc.2910530605.

Reference Type BACKGROUND
PMID: 7682538 (View on PubMed)

Girolami A. Tentative and updated classification of factor X variants. Acta Haematol. 1986;75(1):58-9. doi: 10.1159/000206084. No abstract available.

Reference Type BACKGROUND
PMID: 3088890 (View on PubMed)

Other Identifiers

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312

Identifier Type: -

Identifier Source: org_study_id

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