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Non-Alcoholic Fatty Liver DiseaseNCT05402449

To Evaluate the Beneficial Effect of Probiotics on NAFLD Patients and the Role of Gut Microbiota Modulation

A study testing Probiotics in people with Non-Alcoholic Fatty Liver Disease, run by GenMont Biotech Incorporation at 1 site in Taiwan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In this study, the improvement of the clinical status of early-stage non-alcoholic fatty liver disease (NAFLD) patients after the probiotic intervention will be assessed. And the mechanism of probiotics to prevent the progression of illness would be investigated. Read more about this study

Who is it for?
Ages 20 to 80 years
Conditions the study is for
Non-Alcoholic Fatty Liver Disease
What is being tested?
Probiotics
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
70 participants
Where
1 siteTaiwan
Study dates
14 Jul 2022to 31 May 2024
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 20 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of Nonalcoholic fatty liver disease (NALFD) by ultrasound.
  • The range of Alanine aminotransferase (ALT) blood test is 60-300 U/L

Who cannot join

  • Alcoholic consumption (Female ≥ 10g/day or Male ≥ 20g/per)
  • Patients with liver diseases, HBV(hepatitis B virus), HCV(hepatitis C virus), Primary Biliary Cholangitis.
  • Autoimmune system disease
  • Wilson's disease
  • Hereditary hemochromatosis
  • Patients with uncontrolled malignancy
Show all 10Show fewer
  • The subject had previously received weight reduction surgery
  • Taking Antibiotics, probiotics, or any other drugs that affect NAFLD or glucose and lipid metabolism in past 2 months
  • Pregnant or lactating female patients
  • Patient who have severe allergy to soybeans or peanuts

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • Fu Jen Catholic University Hospital

    New Taipei City

Other trials in Taiwan

About this study

Official title: To Evaluate the Clinical Efficacy of Probiotic in Patients With NAFLD

In this study, the improvement of the clinical status of early-stage non-alcoholic fatty liver disease (NAFLD) patients after the probiotic intervention will be assessed. And the mechanism of probiotics to prevent the progression of illness would be investigated. The chronic inflammation status, systemic oxidative stress, metabolism of carbohydrates and lipid, and gut microbiota of NAFLD patients will also be analyzed.

Read the detailed description

Uncontrolled NAFLD evolves in Non-Alcoholic SteatoHepatitis (NASH), cirrhosis and liver cancer. Early intervention to prevent the progression of illness of NAFLD is very important. From 2005 to 2018, 15 clinical trials concluded that multiple-strain probiotics significantly reduced the liver inflammation index and blood lipids in NAFLD patients. Many reports indicated that NAFLD-associated risk factors, such as chronic inflammation, oxidative stress, insulin resistance, dyslipidemia, and obesity are closely correlated with gut microbiota. Some substances (such as endotoxin and alcohol) produced by harmful gut bacteria caused the progression of the illness of NAFLD.

Three strains are Genmont® Normal Lactobacillus (GMNL) which were divided from natural environments, included Lactobacillus reuteri GMNL-263 (heat-killed) and GMNL-89 (alive) and Lactobacillus rhamnosus GMNL-74 ( alive). They are all isolated from the gastrointestinal tract of healthy Taiwanese and were known as common food material worldwide. The previous clinical research on probiotic consumption in type 2 Diabetes mellitus patients under normal drug treatment was conducted in Changhua Christian Hospital. Results showed that L. reuteri GMNL-263 was able to stabilize the weight and blood pressure of patients. L. reuteri GMNL-89 had a stable effect on glycated hemoglobin. There was no adverse reaction when probiotics combining with type 2 diabetes drugs. Meanwhile, L. rhamnosus GMNL-74 was observed to reduce weight gain in obese mice. In this clinical study, The anti-liver inflammation effect of consumption of Lactobacillus sachet in NAFLD patients will be demonstrated at baseline, 3 months and 6 months. In this clinical study, the anti-liver inflammation effect of consumption of Lactobacillus sachet in NAFLD patients will be demonstrated at baseline, 3 months and 6 months to understand the impact of the probiotics on NAFLD. Since the treatment of fatty liver should focus on controlling weight, blood sugar, and blood fat, the relevant clinical indexes will also be investigated.

Being tested
Placebo, Probiotics
Keywords
Probiotic, Non-Alcoholic Fatty Liver Disease, gut microbiota
Medical subject headings
Non-alcoholic Fatty Liver Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboOther

    Also called Control group

    Same Additives to Probiotic group but replace probiotics with Corn starch and Maltodextrin.

  • ProbioticsDietary supplement

    Also called Test group

    Multi-strain probiotic supplement includes Lactobacillus reuteri GMNL-263 (heat-killed) and GMNL-89 (alive) and Lactobacillus rhamnosus GMNL-74 ( alive).

Study groups in NCT05402449
Study groupRoleWhat they receive
Placebo groupPlacebo comparatorSubjects received two placebo sachets per day
Receives: Other: Placebo
Probiotic groupExperimentalSubjects received two probiotic sachets per day
Receives: Dietary Supplement: Probiotics

What is being measured

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

  1. Serum ALT (Alanine Aminotransferase) level at baseline

    The number of patients will be enrolled with the concentration of ALT (Alanine Aminotransferase) ranging from 60 to 300 U/mL in serum.

    Measured: baseline

  2. Change from baseline in Serum ALT (Alanine Aminotransferase) level at 3-months

    Fasting blood samples will be collected to examine the variation of ALT (Alanine Aminotransferase).

    Measured: 3-months

  3. Change from baseline in Serum ALT (Alanine Aminotransferase) level at 6-months

    Fasting blood samples will be collected to examine the variation of ALT (Alanine Aminotransferase).

    Measured: 6-months

Secondary outcomes (51)
  1. Change from baseline in BMI (Body Mass index) at 3-months

    BMI will be calculated with weight and height combined in kg/m^2, the weight will be measured in kilograms and the height will be recorded in centimeters.

    Measured: 3-months

  2. Change from baseline in BMI (Body Mass index) at 6-months

    BMI will be calculated with weight and height combined in kg/m^2, the weight will be measured in kilograms and the height will be recorded in centimeters.

    Measured: 6-months

  3. Change from baseline in Waist and hip circumference at 3-months

    Waist and hip circumference will take down in centimeters.

    Measured: 3-months

  4. Change from baseline in Waist and hip circumference at 6-months

    Waist and hip circumference will take down in centimeters.

    Measured: 6-months

  5. Change from baseline in blood pressure at 3-months

    The unit of measurement of blood pressure is mmHg. Both systolic and diastolic blood pressure will be measured.

    Measured: 3-months

  6. Change from baseline in blood pressure at 6-months

    The unit of measurement of blood pressure is mmHg. Both systolic and diastolic blood pressure will be measured.

    Measured: 6-months

  7. Change from baseline in the progress of the non-alcoholic fatty liver disease at 3-months

    Utilizing abdominal ultrasound to detect the progress of Non-alcoholic fatty liver disease (NAFLD).

    Measured: 3-months

  8. Change from baseline in the progress of the non-alcoholic fatty liver disease at 6-months

    Utilizing abdominal ultrasound to detect the progress of Non-alcoholic fatty liver disease (NAFLD).

    Measured: 6-months

  9. Change from baseline in levels of AST(Aspartate Aminotransferase) at 3-months

    Fasting blood samples will be collected to examine changes from baseline in AST(Aspartate Aminotransferase) in IU/L at 3-months.

    Measured: 3-months

  10. Change from baseline in levels of AST(Aspartate Aminotransferase) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in AST(Aspartate Aminotransferase) in IU/L at 6-months.

    Measured: 6-months

  11. Change from baseline in the level of γ-GT (γ-Glutamyl Transpeptidase) at 3-months

    Fasting blood samples will be collected to examine changes from baseline in γ-GT (γ-Glutamyl Transpeptidase) in IU/L at 3-months.

    Measured: 3-months

  12. Change from baseline in the level of γ-GT (γ-Glutamyl Transpeptidase) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in γ-GT (γ-Glutamyl Transpeptidase) in IU/L at 6-months.

    Measured: 6-months

  13. Change from baseline in the level of BUN (Blood Urea Nitrogen) at 3-months

    Fasting blood samples will be collected to examine changes in BUN(Blood Urea Nitrogen) from baseline in mg/dL at 3-months.

    Measured: 3-months

  14. Change from baseline in the level of BUN (Blood Urea Nitrogen) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in BUN(Blood Urea Nitrogen) in mg/dL at 6-months.

    Measured: 6-months

  15. Change from baseline in the level of CRE (Creatinine) at 3-months

    Fasting blood samples will be collected to examine changes from baseline in CRE(Creatinine) in mg/dL at 3-months.

    Measured: 3-months

  16. Change from baseline in the level of CRE (Creatinine) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in CRE(Creatinine) in mg/dL at 6-months.

    Measured: 6-months

  17. Change from baseline in levels of FBS (Fasting Blood Sugar) at 3-months

    Fasting blood samples will be collected to examine changes from baseline in FBS(Fasting Blood Sugar) in mg/dL at 6-months.

    Measured: 3-months

  18. Change from baseline in the level of FBS (Fasting Blood Sugar) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in FBS(Fasting Blood Sugar) in mg/dL at 6-months.

    Measured: 6-months

  19. Change from baseline in levels of HbA1c (Hemoglobin A1C) at 3-months

    Fasting blood samples will be collected to investigate the levels of HbA1c(Hemoglobin A1C) in % from baseline at 3-months.

    Measured: 3-months

  20. Change from baseline in levels of HbA1c (Hemoglobin A1C) at 6-months

    Fasting blood samples will be collected to investigate the levels of HbA1c(Hemoglobin A1C) in % from baseline at 6-months.

    Measured: 6-months

  21. Change from baseline in levels of serum insulin at baseline

    Fasting blood samples will be collected to examine variation in serum insulin in uIU/mL from baseline at 3-months.

    Measured: 3-months

  22. Change from 3-months in levels of serum insulin at baseline

    Fasting blood samples will be collected to examine variation in serum insulin in uIU/mL from baseline at 6-months.

    Measured: 6-months

  23. Change from Baseline in levels of HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) at 3-months

    HOMA-IR(Homeostatic Model Assessment for Insulin Resistance) will be calculated with insulin and glucose. (HOMA-IR=(insulin (mIU/L) and glucose (mg/dl))/405)

    Measured: 3-months

  24. Change from baseline in levels of HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) at 6-months

    HOMA-IR(Homeostatic Model Assessment for Insulin Resistance) will be calculated with insulin and glucose. (HOMA-IR=(insulin (mIU/L) and glucose (mg/dl))/405)

    Measured: 6-months

  25. Change from baseline in levels of TC (Total Cholesterol) at 3-months

    Fasting blood samples will be collected to examine variation from baseline in (Total Cholesterol) in mg/dL at 3-months.

    Measured: 3-months

  26. Change from baseline in levels of TC (Total Cholesterol) at 6-months

    Fasting blood samples will be collected to examine variation from baseline in (Total Cholesterol) in mg/dL from baseline at 6-months.

    Measured: 6-months

  27. Change from baseline in level of HDL (High density lipoprotein) at 3-months

    Fasting blood samples will be collected to examine variation from baseline in HDL(High density lipoprotein) in mg/dL at 3-months.

    Measured: 3-months

  28. Change from baseline in level of HDL (High density lipoprotein) at 6-months

    Fasting blood samples will be collected to examine variation from baseline in HDL(High density lipoprotein) in mg/dL at 6-months.

    Measured: 6-months

  29. Change from baseline in level of LDL (Low density lipoprotein) at 3-months

    Fasting blood samples will be collected to examine variation from baseline in LDL(Low density lipoprotein) in mg/dL at 3-months.

    Measured: 3-months

  30. Change from baseline in level of LDL (Low density lipoprotein) at 6-months

    Fasting blood samples will be collected to examine variation from baseline in LDL(Low density lipoprotein) in mg/dL at 6-months.

    Measured: 6-months

  31. Change from baseline in level of TG (Triglyceride) at 3-months

    Fasting blood samples will be collected to examine variation from baseline in TG(Triglyceride) in mg/dL to 3-months.

    Measured: 3-months

  32. Change from baseline in level of TG (Triglyceride) at 6-months

    Fasting blood samples will be collected to examine variation from baseline in TG(Triglyceride) in mg/dL to 6-months.

    Measured: 6-months

  33. Change from baseline in level of hs-CRP (high-sensitivity C-reactive protein) at 3-months

    Blood samples will be collected to examine variation from baseline in hs-CRP(high-sensitivity C-reactive protein) in mg/dL at 3-months.

    Measured: 3-months

  34. Change from baseline in level of hs-CRP (high-sensitivity C-reactive protein) at 6-months

    Blood samples will be collected to examine variation from baseline in hs-CRP(high-sensitivity C-reactive protein) in mg/dL at 6-months.

    Measured: 6-months

  35. Change from baseline in level of TNF-α (Tumor necrosis factor-α) at 3-months

    Blood samples will be collected to examine variation from baseline in TNF-α (Tumor necrosis factor-α) in pg/mL at 3-months.

    Measured: 3-months

  36. Change from baseline in level of TNF-α (Tumor necrosis factor-α) at 6-months

    Blood samples will be collected to examine variation from baseline in TNF-α (Tumor necrosis factor-α) in pg/mL at 6-months.

    Measured: 6-months

  37. Change from baseline in level of IL-1β (Interleukin-1 β) at 3-months

    Blood samples will be collected to examine variation from baseline in IL-1β(Interleukin-1 β) in pg/mL at 3-months.

    Measured: 3-months

  38. Change from baseline in level of IL-1β (Interleukin-1 β) at 6-months

    Blood samples will be collected to examine variation from baseline in IL-1β(Interleukin-1 β) in pg/mL at 6-months.

    Measured: 6-months

  39. Change from baseline in level of IL-6 (Interleukin-6) at 3-months

    Blood samples will be collected to examine variation from baseline in IL-6(Interleukin-6) in pg/mL at 3-months.

    Measured: 3-months

  40. Change from baseline in level of IL-6 (Interleukin-6) at 6-months

    Blood samples will be collected to examine variation from baseline in IL-6(Interleukin-6) in pg/mL at 6-months.

    Measured: 6-months

  41. Change from baseline in level of LPS (Lipopolysaccharides) at 3-months

    Blood samples will be collected to examine variation from baseline in LPS(Lipopolysaccharides) in mg/dL at 3-months.

    Measured: 3-months

  42. Change from baseline in level of LPS (Lipopolysaccharides) at 6-months

    Blood samples will be collected to examine variation from baseline in LPS(Lipopolysaccharides) in mg/dL at 6-months.

    Measured: 6-months

  43. Change from baseline in level of Leptin at 3-months

    Blood samples will be collected to examine variation from baseline in Leptin in pg/mL at 3-months.

    Measured: 3-months

  44. Change from baseline in level of Leptin at 6-months

    Blood samples will be collected to examine variation from baseline in Leptin in pg/mL at 6-months.

    Measured: 6-months

  45. Change from baseline in level of Adiponectin at 3-months

    Blood samples will be collected to examine variation from baseline in Adiponectin in pg/mL at 3-months.

    Measured: 3-months

  46. Change from baseline in level of Adiponectin at 6-months

    Blood samples will be collected to examine variation from baseline in Adiponectin in pg/mL at 6-months.

    Measured: 6-months

  47. Change from baseline in the level of SCFA (Short Chain Fatty Acids) at 6-months

    Blood samples will be collected to examine variation from baseline in SCFA (Short Chain Fatty Acids) in ug/mL at 6-months.

    Measured: 6-months

  48. Change from baseline in the level of TMAO (Trimethylamine N-oxide) at 6-months

    Blood samples will be collected to examine variation from baseline in TMAO (Trimethylamine N-oxide) in μmol/L at 6-months.

    Measured: 6-months

  49. Change from baseline in Self-questionnaire of Diet and lifestyle assessments at 6-months

    The questionnaire will record dietary/drink preferences and other habits by the subject himself /herself, the content of the questionnaire includes vegetarian or not, the frequency if intake of tea, dairy, coffee or yakult intake, smoking habits, betel nuts intake and alcohol consumption.

    Measured: 6-months

  50. Change from baseline in self-record of the International physical activity questionary (IPAQ) in physical assessment at 6-months

    The questionnaire will be finished to record the laborious activity by the subject himself /herself before and after the treatment.

    Measured: 6-months

  51. Change from baseline in gut microbiota at 6-months

    The analysis of Gut microbiota will utilize DNA sequencing to investigate the intestinal microbiota through stool samples in subjects with NAFLD at 6-months.

    Measured: 6-months

Timeline

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

  1. First posted2 Jun 2022
  2. Study start14 Jul 2022
  3. Primary completion31 May 2024
  4. Study completion31 May 2024

Resources

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized Controlled Trail
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05402449
Sponsor's protocol ID
NAFLD2022
Status last verified
Sep 2023
First submitted
5 May 2022
Last updated
5 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Probiotics in people with Non-Alcoholic Fatty Liver Disease, run by GenMont Biotech Incorporation at 1 site in Taiwan.

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 10 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: finished, as of the sponsor's last update on 5 Jul 2024. 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 Taiwan. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Serum ALT (Alanine Aminotransferase) level at baseline (time frame: baseline). 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?
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 5 Jul 2024.

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