Evaluation of a High Protein Plant Dominant Diet (HiProPlaDo) in Liver Cirrhosis

NCT ID: NCT07028580

Last Updated: 2025-06-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-15

Study Completion Date

2025-12-29

Brief Summary

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The aim of the study is to compare the implementation of a high-protein diet based on plant-based foods (Group A) with the usual guidelines for liver patients, in which protein needs are met by low-fat animal foods (Group B). The parameters that will be studied concern:

1. Liver function
2. Nutritional status and the risk of malnutrition
3. Body composition, with emphasis on muscle mass

3\. Muscular system functionality and sarcopenia 4. The intestinal microbiome 5. The quality of life of the patients

This is a randomized, double-blind intervention study lasting 6 months, during which volunteers will be asked to answer, with the help of the researchers, questionnaires assessing nutritional risk, assessing physical activity and quality of life, and assessing nutritional intake (24-hour food recall and Food Frequency Questionnaire). At the same time, a blood sample will be collected for analysis of inflammatory factors and indicators related to nutritional status (albumin, prealbumin, cholesterol, total iron binding capacity). Body composition will be assessed using the method of anthropometry and dual-energy X-ray absorptiometry (DEXA), and hand dynamometry to assess functionality. The assessment of the microbiome will be performed by saliva collection and/or stool collection. The impact on liver function will be assessed by recording every 3 months a) natriuresis/microalbuminuria (in 24-hour urine collection or urine sample) and the severity of ascites (grade I, II, III), b)ammonia levels and episodes of encephalopathy, c) complications of cirrhosis, such as variceal hemorrhage, encephalopathy, spontaneous bacterial peritonitis and renal dysfunction, d) liver disease severity assessment scores, such as MELD and Child-Pugh scores.

The aim of the study is to see if there is a difference in sarcopenia and the values of various biochemical indicators between patients who received plant-based proteins compared to patients who received animal-based proteins.

Detailed Description

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Conditions

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Liver Diseases Cirrhosis, Liver Sarcopenia Malnutrition; Cachexia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Double Blind randomized clinical trial
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Group A (diet with animal protein).

In group Α, a diet was designed based on the needs of each individual, based on proteins of animal origin.

Group Type EXPERIMENTAL

Diet based on animal proteins

Intervention Type OTHER

Ιntervention with a diet based on animal proteins.

Group B (diet with plant based protein).

In group B, a diet was designed based on the needs of each individual, based on proteins of plant origin.

Group Type EXPERIMENTAL

Diet based on plant proteins.

Intervention Type OTHER

Ιntervention with a diet based on animal proteins.

Group C (control)

Control group who were given general instructions for patients with liver disease.

Group Type OTHER

General instructions for patients with liver disease.

Intervention Type OTHER

Α brochure with general instructions was designed for patients with liver disease.

Interventions

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Diet based on animal proteins

Ιntervention with a diet based on animal proteins.

Intervention Type OTHER

Diet based on plant proteins.

Ιntervention with a diet based on animal proteins.

Intervention Type OTHER

General instructions for patients with liver disease.

Α brochure with general instructions was designed for patients with liver disease.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult patients with decompensated cirrhosis awaiting kidney transplantation who have not previously received dietary advice.

Exclusion Criteria

* Psychopathological illness
* Adoption of a vegetarian diet prior to study entry
* Hepatonephrotic syndrome requiring protein restriction
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National and Kapodistrian University of Athens

OTHER

Sponsor Role collaborator

Aristotle University Of Thessaloniki

OTHER

Sponsor Role collaborator

Agricultural University of Athens

OTHER

Sponsor Role lead

Responsible Party

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Kalliopi Anna Poulia

Assistant Professor in Clinical Dietetics

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Laikon General Hospital of Athens

Athens, Attica, Greece

Site Status RECRUITING

Agricultural University of Athens

Athens, Attica, Greece

Site Status RECRUITING

Countries

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Greece

Facility Contacts

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Evangelos Chologitas, Professor

Role: primary

+30213 206 1643

Kalliopi Anna Poulia, Assistant Professor

Role: primary

+30 210 5294668

Other Identifiers

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227 15/4/2022

Identifier Type: -

Identifier Source: org_study_id

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