Fatty Liver DiseaseNCT05076058
Effects of Tablets of Silybum Marianum, Pueraria Lobate and Salvia Miltiorrhiza on Fatty Liver
A study testing Tablet of silybum marianum, Pueraria lobate and salvia miltiorrhiza in people with Fatty Liver Disease, run by Sun Yat-sen University at 1 site in China.
Trial summary
Objectives: To examine the effects of tablets of silybum marianum, Pueraria lobate and salvia miltiorrhiza on the progression of fatty liver in patients with fatty liver. Design: a double-blinded randomized placebo-controlled clinical trial. Setting: community residents, Guangzhou city, South China. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Fatty Liver Disease
- What is being tested?
- Tablet of silybum marianum, Pueraria lobate and salvia miltiorrhiza
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 118 participants
- Where
- 1 siteChina
- Study dates
- 1 Mar 2021to 30 Jun 2022
- Phase
- Interventional
- 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age: 18-65 years
- BMI: 24-30 kg/m2
- Fatty liver, assessed by ultrasound or MR
- Had normal diet and normal daily life.
Who cannot join
- Hospital confirmed diseases of heart, liver (viral hepatitis, drug-induced liver injury, cirrhosis), kidney, brain, hematopoietic system,diabetes, immune system, and cancer;
- Taking medicine or supplements known to affect fatty liver, body fat;
- Body weight had changed more than 10% within the past 3 months;
- Physical or mental disabled to participate the trial;
- Compliance of tablet consumption is/was less than 80% in run-in period;
- Pregnant or lactating women, or intended pregnancy during the trial period;
Show all 9Show fewer
- Be allergic to the proposed supplements;
- Attended or plan to attend other trial(s);
- Be unwell to sign the informed consent form, or have other conditions that be not suitable to attend the trial considered by the investigators.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Tablets of Silybum Marianum, Pueraria Lobate and Salvia Miltiorrhiza on the Progression of Fatty Liver in Adults: a Double-blinded Randomized Placebo-controlled Clinical Trial
Objectives: To examine the effects of tablets of silybum marianum, Pueraria lobate and salvia miltiorrhiza on the progression of fatty liver in patients with fatty liver.
Design: a double-blinded randomized placebo-controlled clinical trial.
Read more
Setting: community residents, Guangzhou city, South China.
Participants: a total 118 men and women (18-65 years), with BMI range of 24-30 kg/m2, and with fatty liver screened by ultrasound or MR at baseline.
Arms and Interventions: 118 participants were randomly allocated into two arms using a block randomization method. Experimental Arm: tablet of silybum marianum, Pueraria lobate and salvia miltiorrhiza, 3 tablets (1g each) twice a day for 6 months; Placebo Arm: placebo tablets, 3 tablets (1g each) twice a day for 6 months.
Outcome Measures: determined at baseline and at 6 months post treatment
- Primary Outcome Measures: 1) proton density fat fraction of liver assessed by MR; 2) serum liver fibrosis biomarkers: type procollagen III N terminal peptide, hyaluronic acid, laminin, collagen type IV, and glycocholic acid; 3) NAFLD fibrosis score.
- Secondary Outcome Measures: 1) serum liver function biomarkers: AST, ALT, GGT, ALP, total protein, and bile acids; 2) fasting blood lipids: total triglycerides, total cholesterol, HDL cholesterol and LDL cholesterol; 3) fasting serum glucose and insulin; 4) serum inflammatory factors (hsCRP and IL-6); 5) oxidative stress: SOD and MDA; and 6) body measurements and body fat mass.
Data Analyses: Mean changes in the above outcome measures from baseline to 6 months will be compared between the two arms.
- Conditions
- Fatty Liver Disease
- Being tested
- Tablet of silybum marianum, Pueraria lobate and salvia miltiorrhiza, Placebo tablet
- Keywords
- fatty liver, silybum marianum, Pueraria lobate, salvia miltiorrhiza
- Medical subject headings
- Non-alcoholic Fatty Liver Disease, Fatty Liver
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Tablet of silybum marianum, Pueraria lobate and salvia miltiorrhizaDietary supplement
Brand names: BY-HEALTH;
Main contents (per 100g): silibinin 2g, salvianolic acid B 0.72g,Puerarin 0.68g
Placebo tabletOther
Brand names: BY-HEALTH;
Main contents : starch
| Study group | Role | What they receive |
|---|---|---|
| Treatment group | Experimental | Tablet name: tablet of silybum marianum, Pueraria lobate and salvia miltiorrhiza;
Dosage: 1g/tablet, 3 tablets/time;
Frequency: 2 times/day;
Duration: 6 months Receives: Dietary Supplement: Tablet of silybum marianum, Pueraria lobate and salvia miltiorrhiza |
| Control group | Placebo comparator | Tablet name: Placebo;
Dosage: 1g/tablet, 3 tablets/time;
Frequency: 2 times/day;
Duration: 6 months Receives: Other: Placebo tablet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline proton density fat fraction of liver at 6 months
Proton density fat fraction of liver: measured using magnetic resonance (MR)
Measured: 0 and 6 months
Change from baseline liver fibrosis biomarker (Type pro-collagen III N terminal peptide) at 6 months
Liver fibrosis biomarker 1: Type pro-collagen III N terminal peptide
Measured: 0 and 6 months
Change from baseline liver fibrosis biomarker (hyaluronic acid) at 6 months
Liver fibrosis biomarker 2: hyaluronic acid
Measured: 0 and 6 months
Change from baseline liver fibrosis biomarker (laminin) at 6 months
Liver fibrosis biomarker 3: laminin
Measured: 0 and 6 months
Change from baseline liver fibrosis biomarker (collagen type IV) at 6 months
Liver fibrosis biomarker 4: Collagen type IV
Measured: 0 and 6 months
Change from baseline liver fibrosis biomarker (glycocholic acid) at 6 months
Liver fibrosis biomarker 5: Glycocholic acid
Measured: 0 and 6 months
Change from baseline NAFLD fibrosis score at 6 months
NAFLD fibrosis score: = -1.675 + 0.037 Age (yrs) + 0.094 BMI (kg/m2) + 1.13 impaired fasting glucose (IFG)/diabetes (yes = 1, no = 0) + 0.99 AST/ALT ratio - 0.013Platelet (*10E9/L) - 0.66 Albumin (g/dl)
Measured: 0 and 6 months
Secondary outcomes (20)
Change from baseline liver function biomarker (AST) at 6 months
Liver function biomarkers 1: AST
Measured: 0 and 6 months
Change from baseline liver function biomarker (ALT) at 6 months
Liver function biomarkers 2: serum ALT
Measured: 0 and 6 months
Change from baseline liver function biomarker (GGT) at 6 months
Liver function biomarkers 3: serum gamma-glutamyl transpeptidase (GGT)
Measured: 0 and 6 months
Change from baseline liver function biomarker (total protein) at 6 months
Liver function biomarkers 4: serum total protein
Measured: 0 and 6 months
Change from baseline liver function biomarker (ALP) at 6 months
Liver function biomarkers 5: serum alkaline phosphatase (ALP)
Measured: 0 and 6 months
Change from baseline liver function biomarker (bile acids) at 6 months
Liver function biomarkers 6: serum bile acids
Measured: 0 and 6 months
Change from baseline fasting blood lipid (TG) at 6 months
Fasting blood lipid 1: serum triglycerides
Measured: 0 and 6 months
Change from baseline fasting blood lipid (TC) at 6 months
Fasting blood lipid 2: serum total cholesterol
Measured: 0 and 6 months
Change from baseline fasting blood lipid (HDL-C) at 6 months
Fasting blood lipid 3: serum high-density lipoprotein cholesterol (HDL-C)
Measured: 0 and 6 months
Change from baseline fasting blood lipid (LDL-C) at 6 months
Fasting blood lipid 4: serum low-density lipoprotein cholesterol (LDL-C)
Measured: 0 and 6 months
Change from baseline fasting blood glucose at 6 months
Fasting blood glucose: serum glucose
Measured: 0 and 6 months
Change from baseline fasting blood insulin at 6 months
Fasting blood insulin: serum insulin
Measured: 0 and 6 months
Change from baseline systolic blood pressure at 6 months
Blood pressure: systolic blood pressure
Measured: 0 and 6 months
Change from baseline diastolic blood pressure at 6 months
Blood pressure: diastolic blood pressure
Measured: 0 and 6 months
Change from baseline Inflammatory factor (hsCRP ) at 6 months
Inflammatory factor 1: serum high sensitivity C reactive protein (hsCRP)
Measured: 0 and 6 months
Change from baseline Inflammatory factor (IL-6) at 6 months
Inflammatory factor 2: serum IL-6
Measured: 0 and 6 months
Change from baseline oxidative stress (SOD) at 6 months
Oxidative stress biomarker 1: serum SOD
Measured: 0 and 6 months
Change from baseline oxidative stress (MDA) at 6 months
Oxidative stress biomarker 2: serum malondialdehyde (MDA)
Measured: 0 and 6 months
Change from baseline fat mass at 6 months
Fat mass (FM): FM (kg) at total body and sub-regions determined by a dual energy x-ray absorptiometry (DXA)
Measured: 0 and 6 months
Change from baseline percentage fat mass at 6 months
Percentage Fat mass (%FM): %FM (%) at total body and sub-regions determined by DXA
Measured: 0 and 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Oct 2021
- Study start1 Mar 2021
- Primary completion30 Dec 2021 (estimated)
- Study completion30 Jun 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Fatty Liver DiseaseStudies of the same condition, open and under way.
- More trials run by Sun Yat-sen UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 118 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sun Yat-sen University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yu-ming Chen, Sun Yat-sen University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05076058
- Sponsor's protocol ID
- K19-51000-043
- Status last verified
- Sep 2021
- First submitted
- 10 Sep 2021
- Last updated
- 13 Oct 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Li BY, Xi Y, Liu YP, Wang D, Wang C, Chen CG, Fang XH, Li ZX, Chen YM. Effects of Silybum marianum, Pueraria lobate, combined with Salvia miltiorrhiza tablets on non-alcoholic fatty liver disease in adults: A triple-blind, randomized, placebo-controlled clinical trial. Clin Nutr ESPEN. 2024 Oct;63:2-12. doi: 10.1016/j.clnesp.2024.06.003. Epub 2024 Jun 10.
PubMed 38879879
Study at a glance
From the registry record, last updated by the sponsor on 13 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Tablets of Silybum Marianum, Pueraria Lobate and Salvia Miltiorrhiza on the Progression of Fatty Liver in Adults: a Double-blinded Randomized Placebo-controlled Clinical Trial
- ClinicalTrials.gov ID
- NCT05076058
- Acronym / sponsor ID
- K19-51000-043
- Conditions
- Fatty Liver Disease
- Keywords
- fatty liver, silybum marianum, Pueraria lobate, salvia miltiorrhiza
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 118 participants (actual)
- Lead sponsor
- Sun Yat-sen UniversityUniversity, hospital or other
- Study start
- 1 Mar 2021 (actual)
- Primary completion
- 30 Dec 2021 (estimated)
- Study completion
- 30 Jun 2022 (estimated)
- First posted
- 13 Oct 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Objectives: To examine the effects of tablets of silybum marianum, Pueraria lobate and salvia miltiorrhiza on the progression of fatty liver in patients with fatty liver.
Design: a double-blinded randomized placebo-controlled clinical trial.
Setting: community residents, Guangzhou city, South China.
Participants: a total 118 men and women (18-65 years), with BMI range of 24-30 kg/m2, and with fatty liver screened by ultrasound or MR at baseline.
Arms and Interventions: 118 participants were randomly allocated into two arms using a block randomization method. Experimental Arm: tablet of silybum marianum, Pueraria lobate and salvia miltiorrhiza, 3 tablets (1g each) twice a day for 6 months; Placebo Arm: placebo tablets, 3 tablets (1g each) twice a day for 6 months.
Outcome Measures: determined at baseline and at 6 months post treatment
- Primary Outcome Measures: 1) proton density fat fraction of liver assessed by MR; 2) serum liver fibrosis biomarkers: type procollagen III N terminal peptide, hyaluronic acid, laminin, collagen type IV, and glycocholic acid; 3) NAFLD fibrosis score.
- Secondary Outcome Measures: 1) serum liver function biomarkers: AST, ALT, GGT, ALP, total protein, and bile acids; 2) fasting blood lipids: total triglycerides, total cholesterol, HDL cholesterol and LDL cholesterol; 3) fasting serum glucose and insulin; 4) serum inflammatory factors (hsCRP and IL-6); 5) oxidative stress: SOD and MDA; and 6) body measurements and body fat mass.
Data Analyses: Mean changes in the above outcome measures from baseline to 6 months will be compared between the two arms.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Treatment group | Experimental | Dietary Supplement: Tablet of silybum marianum, Pueraria lobate and salvia miltiorrhizaTablet name: tablet of silybum marianum, Pueraria lobate and salvia miltiorrhiza; Dosage: 1g/tablet, 3 tablets/time; Frequency: 2 times/day; Duration: 6 months |
| Control group | Placebo comparator | Other: Placebo tabletTablet name: Placebo; Dosage: 1g/tablet, 3 tablets/time; Frequency: 2 times/day; Duration: 6 months |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Age: 18-65 years
- BMI: 24-30 kg/m2
- Fatty liver, assessed by ultrasound or MR
- Had normal diet and normal daily life.
Key exclusion criteria (9 listed)
- Hospital confirmed diseases of heart, liver (viral hepatitis, drug-induced liver injury, cirrhosis), kidney, brain, hematopoietic system,diabetes, immune system, and cancer;
- Taking medicine or supplements known to affect fatty liver, body fat;
- Body weight had changed more than 10% within the past 3 months;
- Physical or mental disabled to participate the trial;
- Compliance of tablet consumption is/was less than 80% in run-in period;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Tablet of silybum marianum, Pueraria lobate and salvia miltiorrhizaBrand names: BY-HEALTH; Main contents (per 100g): silibinin 2g, salvianolic acid B 0.72g,Puerarin 0.68g | Dietary supplement | Treatment group |
| Placebo tabletBrand names: BY-HEALTH; Main contents : starch | Other | Control group |
Primary outcome
Change from baseline proton density fat fraction of liver at 6 months
Time frame: 0 and 6 months
Proton density fat fraction of liver: measured using magnetic resonance (MR)
Change from baseline liver fibrosis biomarker (Type pro-collagen III N terminal peptide) at 6 months
Time frame: 0 and 6 months
Liver fibrosis biomarker 1: Type pro-collagen III N terminal peptide
Change from baseline liver fibrosis biomarker (hyaluronic acid) at 6 months
Time frame: 0 and 6 months
Liver fibrosis biomarker 2: hyaluronic acid
Change from baseline liver fibrosis biomarker (laminin) at 6 months
Time frame: 0 and 6 months
Liver fibrosis biomarker 3: laminin
Change from baseline liver fibrosis biomarker (collagen type IV) at 6 months
Time frame: 0 and 6 months
Liver fibrosis biomarker 4: Collagen type IV
Change from baseline liver fibrosis biomarker (glycocholic acid) at 6 months
Time frame: 0 and 6 months
Liver fibrosis biomarker 5: Glycocholic acid
Change from baseline NAFLD fibrosis score at 6 months
Time frame: 0 and 6 months
NAFLD fibrosis score: = -1.675 + 0.037 Age (yrs) + 0.094 BMI (kg/m2) + 1.13 impaired fasting glucose (IFG)/diabetes (yes = 1, no = 0) + 0.99 AST/ALT ratio - 0.013Platelet (*10E9/L) - 0.66 Albumin (g/dl)
20 secondary outcomes
Change from baseline liver function biomarker (AST) at 6 months
Time frame: 0 and 6 months
Change from baseline liver function biomarker (ALT) at 6 months
Time frame: 0 and 6 months
Change from baseline liver function biomarker (GGT) at 6 months
Time frame: 0 and 6 months
Change from baseline liver function biomarker (total protein) at 6 months
Time frame: 0 and 6 months
Change from baseline liver function biomarker (ALP) at 6 months
Time frame: 0 and 6 months
Change from baseline liver function biomarker (bile acids) at 6 months
Time frame: 0 and 6 months
Change from baseline fasting blood lipid (TG) at 6 months
Time frame: 0 and 6 months
Change from baseline fasting blood lipid (TC) at 6 months
Time frame: 0 and 6 months
Change from baseline fasting blood lipid (HDL-C) at 6 months
Time frame: 0 and 6 months
Change from baseline fasting blood lipid (LDL-C) at 6 months
Time frame: 0 and 6 months
Change from baseline fasting blood glucose at 6 months
Time frame: 0 and 6 months
Change from baseline fasting blood insulin at 6 months
Time frame: 0 and 6 months
Change from baseline systolic blood pressure at 6 months
Time frame: 0 and 6 months
Change from baseline diastolic blood pressure at 6 months
Time frame: 0 and 6 months
Change from baseline Inflammatory factor (hsCRP ) at 6 months
Time frame: 0 and 6 months
Change from baseline Inflammatory factor (IL-6) at 6 months
Time frame: 0 and 6 months
Change from baseline oxidative stress (SOD) at 6 months
Time frame: 0 and 6 months
Change from baseline oxidative stress (MDA) at 6 months
Time frame: 0 and 6 months
Change from baseline fat mass at 6 months
Time frame: 0 and 6 months
Change from baseline percentage fat mass at 6 months
Time frame: 0 and 6 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Oct 2021.
- Derived from this study: PubMed 38879879Li BY, Xi Y, Liu YP, Wang D, Wang C, Chen CG, Fang XH, Li ZX, Chen YM. Effects of Silybum marianum, Pueraria lobate, combined with Salvia miltiorrhiza tablets on non-alcoholic fatty liver disease in adults: A triple-blind, randomized, placebo-controlled clinical trial. Clin Nutr ESPEN. 2024 Oct;63:2-12. doi: 10.1016/j.clnesp.2024.06.003. Epub 2024 Jun 10.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Tablet of silybum marianum, Pueraria lobate and salvia miltiorrhiza in people with Fatty Liver Disease, run by Sun Yat-sen University at 1 site in China.
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 4 inclusion and 9 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 13 Oct 2021. 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 China. 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. Some participants in this study may receive a placebo. 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?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline proton density fat fraction of liver at 6 months (time frame: 0 and 6 months). The study lists 7 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 NCT05076058, which also lists 1 linked publication.
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 13 Oct 2021.