Efficacy of Lactoferrin as an Adjunct Therapy in Patients With Hepatic Encephalopathy

NCT ID: NCT06072521

Last Updated: 2023-10-17

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-31

Study Completion Date

2024-10-31

Brief Summary

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The aim of this study is to evaluate the efficacy of lactoferrin as an adjunct therapy in improving clinical symptoms and laboratory indices in individuals with hepatic encephalopathy.

Detailed Description

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Nonabsorbable disaccharides, such as lactulose or lactitol, decrease the absorption of ammonia and are considered a first-line treatment for hepatic encephalopathy. Antimicrobial therapy also is a part of treatment regimen to alter the gut microbiota to create a more favorable microbiome that results in lower endogenous bacterial production of ammonia and Rifaximin is now the preferred antimicrobial agent for the treatment of hepatic encephalopathy. Many researchers have focused on identifying promising therapeutics and prebiotics in the hope of improving the treatment of hepatic encephalopathy, therefore there is a need to add an adjuvant therapy to decrease oxidative stress and pro-inflammatory cytokines.

Conditions

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Hepatic Encephalopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

It is a randomized controlled clinical trial (Pilot study) that will be conducted on hepatic encephalopathy patients who will attend to National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt to receive the treatment regimen in concurrence with the Egyptian guidelines of treatment. Eligible patients will randomly assigned in a 1:1:1 ratio to receive lactoferrin (Pravotin@ sachets) as followings:

Group I: Patients receive standard care alone (control group) Group II: Patients receive 100mg lactoferrin orally (one sachet (100 mg), one time a day) plus standard care.

Group III: Patients receive 200 mg lactoferrin orally (one sachet (100mg), two times a day) plus standard care. Lactoferrin will be administrated in groups II and III for 15 days. The blood samples of all eligible participants and reported signs and symptoms will be collected after 15 days.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Lactoferrin bovine once a day

15 patients will be subjected to take 100mg of lactoferrin bovine in the form of sachets twice per day for 15 days.

Group Type ACTIVE_COMPARATOR

Lactoferrin Bovine

Intervention Type DRUG

Lactoferrin bovine with concentration 100 mg will be given to the patients in test groups in the form of sachets.

Lactoferrin bovine twice a day

15 patients will be subjected to take 100mg of lactoferrin bovine in the form of sachets once per day for 15 days.

Group Type ACTIVE_COMPARATOR

Lactoferrin Bovine

Intervention Type DRUG

Lactoferrin bovine with concentration 100 mg will be given to the patients in test groups in the form of sachets.

Control group

15 patients will be subjected to take only the standard treatment regimen that is applied at the National hepatology and tropical medicine research institute in Egypt.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Lactoferrin Bovine

Lactoferrin bovine with concentration 100 mg will be given to the patients in test groups in the form of sachets.

Intervention Type DRUG

Other Intervention Names

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Pravotin sachets 100 mg

Eligibility Criteria

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Inclusion Criteria

* 18 years and older.
* Grade I and II hepatic encephalopathy.

Exclusion Criteria

* Pregnant and breastfeeding women.
* Grade III and IV hepatic encephalopathy.
* Individuals confirmed to be allergic to milk protein
Minimum Eligible Age

18 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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Kholoud El-Sayed Ibrahim

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amin M. Abdel Baki, Doctoral

Role: STUDY_CHAIR

National hepatology and tropical medicine research institute

Nayira A. Abdel Baky, Doctoral

Role: STUDY_DIRECTOR

Al-Azhar University

Locations

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National hepatology and tropical medicine research institute

Cairo, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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Kholoud E. Ibrahim, Bachelor

Role: CONTACT

+20 01066645179

Gellan A. Mohamed, Doctoral

Role: CONTACT

+20 01062602678

Facility Contacts

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Amin M. Abdel Baki, Physician

Role: primary

+02 01014502029

References

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Bajaj JS. Hepatic encephalopathy: classification and treatment. J Hepatol. 2018 Apr;68(4):838-839. doi: 10.1016/j.jhep.2017.11.005. No abstract available.

Reference Type BACKGROUND
PMID: 29756596 (View on PubMed)

Patidar KR, Bajaj JS. Covert and Overt Hepatic Encephalopathy: Diagnosis and Management. Clin Gastroenterol Hepatol. 2015 Nov;13(12):2048-61. doi: 10.1016/j.cgh.2015.06.039. Epub 2015 Jul 9.

Reference Type BACKGROUND
PMID: 26164219 (View on PubMed)

Elsaid MI, Rustgi VK. Epidemiology of Hepatic Encephalopathy. Clin Liver Dis. 2020 May;24(2):157-174. doi: 10.1016/j.cld.2020.01.001. Epub 2020 Mar 2.

Reference Type BACKGROUND
PMID: 32245524 (View on PubMed)

Other Identifiers

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Lactoferrin in HE

Identifier Type: -

Identifier Source: org_study_id

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