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NAFLDNCT04081571

Prevalence of NAFLD and Correlation With Its Main Risk Factors Among Egyptian

An observational study of NAFLD and Insulin Resistance, run by Cairo University at 1 site in Egypt.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Getting a rough indicator about the prevalence of different grade of severity of NAFLD (NASH \& liver fibrosis), and Correlate the severity of fatty liver with different serological risk factors of metabolic syndrome and diseases progression as well as the prevalence of hepatocellular carcinoma related to NAFLD with… Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
NAFLD, Insulin Resistance, Hepatic Steatosis
How many people
1,080 participants
Where
1 siteEgypt
Study dates
1 Apr 2019to Oct 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Study population: This study is a prospective cross-sectional Multicenter National study, including 1080 participants with BMI ≥ 24kg/m diagnosed with a high probability of NAFLD using ultrasound with or without elevated liver enzymes

Who may be able to join

  • Participants with following criteria: age: 18-60 years and both sexes
  • Any participant with BMI more than or equal to 24kg/m2 (overweight and obese according to Chinese cut off values)

Who cannot join

  • Any hepatic diseases including e.g. Hepatitis C, Hepatitis B, autoimmune hepatitis
  • Pregnant females
  • Alcohol intake
  • Antibiotic use within the previous 3 months
  • Patients had acute or chronic health diseases.

Trial locations and contacts

1 site in 1 country.

Mona A Hegazy, MD contact

0201001421551

monahegazy@cu.edu.eg

Ahmed M Abdul Ghani, MD contact

0201005150375

Abdelgany@staff.cu.edu.eg

Egypt1 site, 1 recruiting
  • Faculty of Medicine Cairo University

    Cairo

    Mona A Hegazy, MD, 0201001421551, monahegazy@cu.edu.eg

    Ahmed M Abdul Ghani, MD, 0201005150375, Abdelgany@staff.cu.edu.eg

    Recruiting

Other trials in Egypt

About this study

Official title: Prevalence of NAFLD and Correlation With Its Main Risk Factors Among Egyptian Multicenter National Study

Getting a rough indicator about the prevalence of different grade of severity of NAFLD (NASH \& liver fibrosis), and Correlate the severity of fatty liver with different serological risk factors of metabolic syndrome and diseases progression as well as the prevalence of hepatocellular carcinoma related to NAFLD with the use of ; nutritional assessment designed and conducted by the investigators in this research, simple blood test (lipid profile and blood sugar), and easy cheap non-invasive radiological tool as screening to predict NASH.

Read the detailed description

This study is a prospective cross-sectional Multicenter National study, will include 1080 participants with BMI ≥ 24kg/m 2 with or without elevated liver enzymes. All will be subjected to; dietary history by already prepared food quality and quantity questionnaire, anthropometric data (BMI \& waist circumference), Clinical examination, Laboratory work include: total lipid profile (LDL-C, HDL-C, VLDL (very low-density lipoprotein)\& TGs (Triglyceride)), fasting blood glucose and insulin (HOMA-IR (Insulin Resistance) will be calculated), HbA1c%, liver biochemistry tests (ALT, GGT (Gammaglutamyl transpeptidase), AST (aspartate aminotransferase), and bilirubin), Liver function testes (INR \& albumin), HCV (Hepatitis C virus) antibody, HBV (Hepatitis B virus) surface antigen, TSH (thyroid-stimulating hormone) , Free T3 \& T4 will be done for all participants. Imaging; Liver ultrasound including measurement of the subcutaneous fat in front of the left lobe of liver as well as at the umbilical region and assessment of liver stiffness by Fibroscan.

The novelty of this study is that, if it showed a successful outcome, the investigators will get a rough indicator about the prevalence of different grade of severity of NAFLD, and Correlate the severity of fatty liver with different risk factors of metabolic syndrome and life style modifications among Egyptians, and trying to confirm the great variability between different races regarding BMI classes and overweight \& obesity cut-off values, confirming the high level of insulin resistance in non-diabetic participants with NAFLD compared to other races, identify types of food that are at risk for development and progression of NAFLD thus getting a healthy food recommendations for Egyptians and get a recommendation for another studies for metabolic syndrome redefinition with NAFLD part of it (not just considering as known in the present time), and working on the Triglycerides, LDL, and HDL cut off values. investigators also hope through this research to modify dietary habits in the Egyptian society encouraging healthy nutrition through dietary assessment (already prepared food quality and quantity questionnaire), that can lead to not only NAFLD but also progress to NASH, so participants can promote healthy dietary habits and proper life style among different health care providers thus decreasing incidence of obesity, one of main risk factors of fatty liver diseases and its consequences especially Hepatocellular Cancer.

Investigators also hope through this research to modify dietary habits in the Egyptian society encouraging healthy nutrition through promoting professional nutritional assessment and questionnaire among different health care providers thus decreasing incidence of obesity, one of main risk factors of fatty liver diseases and its consequences especially Hepatocellular Cancer.

Keywords
NAFLD, Insulin Resistance, Hepatic Steatosis, EGYPTIAN
Medical subject headings
Non-alcoholic Fatty Liver Disease, Insulin Resistance, Fatty Liver

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prevalence of different grads of severity of NAFLD and Correlation with Its main risk Factors among Egyptians

    In the Middle East, till the present time, no data about the incidence, prevalence of NAFLD early identification of patients with NASH prior to the onset of advanced fibrosis would be helpful in guiding aggressive interaction.

    Measured: April 2019 to March 2021

  2. Dietary history

    Food Frequency Checklist will be done. Mean daily consumption of selected food items will be calculated

    Optimal level of intake and optimal range of intake :

    1. Fruits: 250 g (200-300) per day
    2. Vegetables:360 g (290-430) per day
    3. Grains:125 g (100-150) per day
    4. Legumes : 60 g (50-70) per day
    5. Milk \& milk products: 435 g (350-520) per day
    6. Sodium: 3 g (1-5) per day
    7. Sugar \& sweetened products:3 g (0-5) per day
    8. Meats : 23 g (18-27) per day)
    9. Processed meat:2 g (0-4) per day
    10. Sea foods \& omega 3 fatty acids : 250 mg (200-300) per day
    11. Nuts \&seeds :21 g (16-25) per day
    12. Polyunsaturated oils :11% (9-13) of total daily energy
    13. Trans fat-margarine :0·5% (0·0-1·0) of total daily energy
    14. Dietary fibers :24 g (19-28) per day
    15. Calcium :1,25 g(1,00-1.5g) per day

    Measured: April 2019 to March 2021

  3. Risk factors of NAFLD

    The prevalence of NAFLD has risen rapidly in parallel with the dramatic rise in population levels of obesity and diabetes and the entire world follow the European BMI classification and the parameters for metabolic syndrome diagnosis, except for the modification done by china.

    Measured: April 2019 to March 2021

Secondary outcomes (4)
  1. Prevalence of NAFLD among different ethnic groups

    Trying to confirm the great variability between different races regarding BMI classes and overweight \& obesity cut-off values

    Measured: April 2019 to March 2020

  2. Prevalence of Insulin resistance

    Confirming the high level of insulin resistance in non-diabetic compared to other races

    Measured: April 2019 to March 2020

  3. Prevalence of Metabolic syndrome

    if all the patients diagnosed as have metabolic syndrome according to international criteria, have NAFLD. Also the results of the present study will cover the cut of value of waist circumference in criteria of metabolic syndrome and the present study will show that those cut-of applied on Egyptians or not. So a recommendation for another studies for metabolic syndrome redefinition with NAFLD part of it (not just considering as known in the present time), and working on the Triglycerides, HDL cut off values \& changing blood sugar with the HOMA-IR (Homeostatic model assessment-insulin resistance) in Egyptians will be one of the present study expected outcomes recommendation

    Measured: April 2019 to March 2020

  4. NASH staging

    Trying to get a cut-off value for LSFT (subcutaneous fat in front of left lobe of liver) and USFT (subcutaneous fat at umbilical region) as the investigators previous published work concluded that: LSFT, and USFT had high sensitivity and specificity as simple non-invasive screening method to identify the presence of NASH as prediction of NAFLD progression, so working on a large scale study as a novel method for easy identification and staging of NAFLD.

    Measured: April 2019 to March 2020

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Sep 2019
  2. Study start1 Apr 2019
  3. Primary completionOct 2023 (estimated)
  4. Study completionOct 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,080 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04081571
Sponsor's protocol ID
1001
Other IDs
N-41-2019
Status last verified
Mar 2022
First submitted
30 Jul 2019
Last updated
10 Mar 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Vuppalanchi R, Chalasani N. Nonalcoholic fatty liver disease and nonalcoholic steatohepatitis: Selected practical issues in their evaluation and management. Hepatology. 2009 Jan;49(1):306-17. doi: 10.1002/hep.22603.

    PubMed 19065650
  • de Alwis NM, Day CP. Non-alcoholic fatty liver disease: the mist gradually clears. J Hepatol. 2008;48 Suppl 1:S104-12. doi: 10.1016/j.jhep.2008.01.009. Epub 2008 Feb 4.

    PubMed 18304679
  • Marchesini G, Moscatiello S, Agostini F, Villanova N, Festi D. Treatment of non-alcoholic fatty liver disease with focus on emerging drugs. Expert Opin Emerg Drugs. 2011 Mar;16(1):121-36. doi: 10.1517/14728214.2011.531700.

    PubMed 21352073
  • Loomba R, Sanyal AJ. The global NAFLD epidemic. Nat Rev Gastroenterol Hepatol. 2013 Nov;10(11):686-90. doi: 10.1038/nrgastro.2013.171. Epub 2013 Sep 17.

    PubMed 24042449
  • Smith BW, Adams LA. Non-alcoholic fatty liver disease. Crit Rev Clin Lab Sci. 2011 May-Jun;48(3):97-113. doi: 10.3109/10408363.2011.596521.

    PubMed 21875310
  • Zhan Y, Zhao F, Xie P, Zhong L, Li D, Gai Q, Li L, Wei H, Zhang L, An W. Mechanism of the effect of glycosyltransferase GLT8D2 on fatty liver. Lipids Health Dis. 2015 May 8;14:43. doi: 10.1186/s12944-015-0040-3.

    PubMed 25952508
  • White DL, Kanwal F, El-Serag HB. Association between nonalcoholic fatty liver disease and risk for hepatocellular cancer, based on systematic review. Clin Gastroenterol Hepatol. 2012 Dec;10(12):1342-1359.e2. doi: 10.1016/j.cgh.2012.10.001. Epub 2012 Oct 4.

    PubMed 23041539
  • Lazo M, Clark JM. The epidemiology of nonalcoholic fatty liver disease: a global perspective. Semin Liver Dis. 2008 Nov;28(4):339-50. doi: 10.1055/s-0028-1091978. Epub 2008 Oct 27.

    PubMed 18956290
  • Zhou B; Coorperative Meta-Analysis Group Of Working Group On Obesity In China. [Prospective study for cut-off points of body mass index in Chinese adults]. Zhonghua Liu Xing Bing Xue Za Zhi. 2002 Dec;23(6):431-4. Chinese.

    PubMed 12667353
  • Omagari K, Kadokawa Y, Masuda J, Egawa I, Sawa T, Hazama H, Ohba K, Isomoto H, Mizuta Y, Hayashida K, Murase K, Kadota T, Murata I, Kohno S. Fatty liver in non-alcoholic non-overweight Japanese adults: incidence and clinical characteristics. J Gastroenterol Hepatol. 2002 Oct;17(10):1098-105. doi: 10.1046/j.1440-1746.2002.02846.x.

    PubMed 12201871
  • Fan JG, Farrell GC. Epidemiology of non-alcoholic fatty liver disease in China. J Hepatol. 2009 Jan;50(1):204-10. doi: 10.1016/j.jhep.2008.10.010. Epub 2008 Nov 6.

    PubMed 19014878
  • Lee JY, Kim KM, Lee SG, Yu E, Lim YS, Lee HC, Chung YH, Lee YS, Suh DJ. Prevalence and risk factors of non-alcoholic fatty liver disease in potential living liver donors in Korea: a review of 589 consecutive liver biopsies in a single center. J Hepatol. 2007 Aug;47(2):239-44. doi: 10.1016/j.jhep.2007.02.007. Epub 2007 Mar 6.

    PubMed 17400323
  • Heron M. Deaths: Leading Causes for 2014. Natl Vital Stat Rep. 2016 Jun;65(5):1-96.

    PubMed 27376998
  • Guerrero R, Vega GL, Grundy SM, Browning JD. Ethnic differences in hepatic steatosis: an insulin resistance paradox? Hepatology. 2009 Mar;49(3):791-801. doi: 10.1002/hep.22726.

    PubMed 19105205
  • Pan JJ, Fallon MB. Gender and racial differences in nonalcoholic fatty liver disease. World J Hepatol. 2014 May 27;6(5):274-83. doi: 10.4254/wjh.v6.i5.274.

    PubMed 24868321

Questions about this trial

What is this clinical trial studying?

An observational study of NAFLD and Insulin Resistance, run by Cairo University at 1 site in Egypt.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 10 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Mona A Hegazy, MD (0201001421551, monahegazy@cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prevalence of different grads of severity of NAFLD and Correlation with Its main risk Factors among Egyptians (time frame: April 2019 to March 2021). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04081571, which also lists 20 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2022.

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