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Non Alcoholic SteatohepatitisNCT06676813

Effect of Alternate Day Fasting Over Standard Medical Management Alone to Reverse Non-alcoholic Steatohepatitis.

A study testing Alternate day fasting in people with Non Alcoholic Steatohepatitis, run by Institute of Liver and Biliary Sciences, India at 1 site in India.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

The aims of this study are as follows: To compare the role of alternate-day fasting over standard medical management alone to reverse NASH. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Non Alcoholic Steatohepatitis
What is being tested?
Alternate day fasting
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 siteIndia
Study dates
1 Jul 2024to 30 Jun 2025
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 25-40kg/m3, and CAP more than 290
  • Stable weight in the last 3 months prior to enrolling in the study(<5kg weight variation)
  • Imaging showed steatotic liver disease, liver stiffness <14kPa measured by fibroscan
  • Histologically proven NASH/MASH, fibrosis up to F3
  • Subjects willing to participate in the study

Who cannot join

  • Liver stiffness >14kPa measured by fibroscan or Fibrosis >F3
  • Diabetes with HbA1c>8.5%
  • Patients with another co-existing active liver disease e.g. hepatitis B or C, alcoholic liver disease
  • Patients with cirrhosis, hepatocellular carcinoma(HCC), or other malignancy
  • Chronic kidney disease, cardiovascular disorders, uncontrolled hypertension
  • Chronic infections, chronic inflammatory diseases
  • Patients on weight loss medications e.g semaglutide
  • Pregnant or lactating women and those planning a pregnancy A patient who is not willing to participate in the study or failed to provide the consent

Trial locations and contacts

1 site in 1 country.

Babu Lal Meena, DM Hepatology contact

+91-9781100898

drbabupgi@gmail.com

India1 site, 1 recruiting
  • Institute of Liver and Biliary Sciences

    Delhi, 110070

    Dr Babu Lal Meena, DM Hepatology, +91-9781100898, drbabupgi@gmail.com

    Babu Lal Meena, DM Hepatology

    Recruiting

Other trials in India

About this study

Official title: Effect of Alternate Day Fasting Over Standard Medical Management Alone to Reverse Non-alcoholic Steatohepatitis(NASH), A Randomized Controlled Trial. FAST Trial"

The aims of this study are as follows: To compare the role of alternate-day fasting over standard medical management alone to reverse NASH.

Read the detailed description

Emerging evidence suggests the role of alternate-day fasting (ADF) in patients with obesity and fatty liver. It helps to lose weight and improvement in liver fat content. ADF regimen protocol includes fast day(restricted calorie intake and time-specific feeding) and feast day(ad libitum feed over 24 hours). Lowering the weight and improvement of the fatty liver. NASH is a prevalent cause of liver disease. Literature is evident that ADF improves fatty liver and metabolic components, and NASH improves with weight loss. Still, data about the role of ADF in the management of NASH is lacking. Hence, this study focuses on the role of ADF in NASH.

Being tested
Alternate day fasting
Keywords
Alternate day fasting., NASH, MASH, Steatotic liver disease, Cirrhosis
Medical subject headings
Non-alcoholic Fatty Liver Disease, Fibrosis

What participants receive

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

  • Alternate day fastingBehavioural

    Alternate day fasting

Study groups in NCT06676813
Study groupRoleWhat they receive
ADFExperimentalExperimental: Alternate day fasting, along with standard medical management.
Receives: Behavioral: Alternate day fasting
Control armNo interventionStandard medical management.

What is being measured

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

  1. Change of NASH over a 24-week duration.

    Histologically confirmed NASH, biochemical resolution.

    Measured: 24 weeks

Secondary outcomes (9)
  1. Change in the quality of life index

    The investigators will assess the CLDQ-NASH score (Chronic Liver Disease Questionnaire for Nonalcoholic Steatohepatitis), which comprises 29 items rated on a scale from 1 to 7. Each item score reflects the patient's experience, with 1 indicating the worst and 7 indicating the best quality of life.

    The average score across all 29 items provides an overall quality of life result:

    • 1 to 3: Indicates a poor quality of life, with significant symptom burden and substantial impact on daily activities.
    • 4 to 5: Suggests a moderate quality of life, where symptoms are present but manageable, with some limitations in daily activities.
    • 6 to 7: Reflects a high quality of life, with minimal symptoms and few or no limitations on daily life.

    Measured: Change from baseline to 24 weeks

  2. Change in stage of fibrosis

    Measured by fibroscan(LSM)

    Measured: Change from baseline to 24 weeks

  3. Weight

    Change in weight at 1, 3, and 6 month of follow up.

    Measured: Change from baseline to 24 weeks

  4. Change in glycaemic status

    Change in HbA1c level at baseline, 3 and 6 months.

    Measured: Change from baseline to 24 weeks

  5. Change in liver fat content

    Measured by fibroscan(CAP)

    Measured: Change from baseline to 24 weeks

  6. Change in bone mineral density

    As measured by dual-energy X ray absorptiometry (DEXA) scan

    Measured: Change from baseline to 24 weeks

  7. Change in faecal microbiota.

    Stool analysis

    Measured: Change from baseline to 24 weeks

  8. Body mass index

    Change in body mass index at 1, 3, and 6 month of follow up.

    Measured: 24 weeks

  9. Waist to hip ratio

    Change in Waist to hip ratio at 1, 3, and 6 month of follow up.

    Measured: 24 weeks

Timeline

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

  1. First posted6 Nov 2024
  2. Study start1 Jul 2024
  3. Primary completion30 Jun 2025 (estimated)
  4. Study completion30 Jun 2025 (estimated)

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomised controlled trial.
Masking
None (open label)
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06676813
Sponsor's protocol ID
12/8/2023-ACAD/E-12745/680
Status last verified
Jun 2024
First submitted
22 Jun 2024
Last updated
7 Nov 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Investigators currently do not plan to share individual participant data (IPD) from this study. The decision is based on considerations of patient privacy, confidentiality concerns, and the lack of a data-sharing infrastructure. While the aggregated study results will be published and made publicly available, sharing individual-level data could pose risks related to identifying participants. Therefore, IPD will not be shared beyond what is required for regulatory purposes.

Publications

  • Teng ML, Ng CH, Huang DQ, Chan KE, Tan DJ, Lim WH, Yang JD, Tan E, Muthiah MD. Global incidence and prevalence of nonalcoholic fatty liver disease. Clin Mol Hepatol. 2023 Feb;29(Suppl):S32-S42. doi: 10.3350/cmh.2022.0365. Epub 2022 Dec 14.

    PubMed 36517002
  • Carr RM, Oranu A, Khungar V. Nonalcoholic Fatty Liver Disease: Pathophysiology and Management. Gastroenterol Clin North Am. 2016 Dec;45(4):639-652. doi: 10.1016/j.gtc.2016.07.003. Epub 2016 Oct 13.

    PubMed 27837778
  • Chalasani N, Younossi Z, Lavine JE, Diehl AM, Brunt EM, Cusi K, Charlton M, Sanyal AJ. The diagnosis and management of non-alcoholic fatty liver disease: practice Guideline by the American Association for the Study of Liver Diseases, American College of Gastroenterology, and the American Gastroenterological Association. Hepatology. 2012 Jun;55(6):2005-23. doi: 10.1002/hep.25762. No abstract available.

    PubMed 22488764
  • Rinella ME, Lazarus JV, Ratziu V, Francque SM, Sanyal AJ, Kanwal F, Romero D, Abdelmalek MF, Anstee QM, Arab JP, Arrese M, Bataller R, Beuers U, Boursier J, Bugianesi E, Byrne CD, Castro Narro GE, Chowdhury A, Cortez-Pinto H, Cryer DR, Cusi K, El-Kassas M, Klein S, Eskridge W, Fan J, Gawrieh S, Guy CD, Harrison SA, Kim SU, Koot BG, Korenjak M, Kowdley KV, Lacaille F, Loomba R, Mitchell-Thain R, Morgan TR, Powell EE, Roden M, Romero-Gomez M, Silva M, Singh SP, Sookoian SC, Spearman CW, Tiniakos D, Valenti L, Vos MB, Wong VW, Xanthakos S, Yilmaz Y, Younossi Z, Hobbs A, Villota-Rivas M, Newsome PN; NAFLD Nomenclature consensus group. A multisociety Delphi consensus statement on new fatty liver disease nomenclature. Hepatology. 2023 Dec 1;78(6):1966-1986. doi: 10.1097/HEP.0000000000000520. Epub 2023 Jun 24.

    PubMed 37363821
  • Loomba R, Wong R, Fraysse J, Shreay S, Li S, Harrison S, Gordon SC. Nonalcoholic fatty liver disease progression rates to cirrhosis and progression of cirrhosis to decompensation and mortality: a real world analysis of Medicare data. Aliment Pharmacol Ther. 2020 Jun;51(11):1149-1159. doi: 10.1111/apt.15679. Epub 2020 May 5.

    PubMed 32372515
  • Rinella ME, Neuschwander-Tetri BA, Siddiqui MS, Abdelmalek MF, Caldwell S, Barb D, Kleiner DE, Loomba R. AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease. Hepatology. 2023 May 1;77(5):1797-1835. doi: 10.1097/HEP.0000000000000323. Epub 2023 Mar 17. No abstract available.

    PubMed 36727674
  • Sanyal AJ, Chalasani N, Kowdley KV, McCullough A, Diehl AM, Bass NM, Neuschwander-Tetri BA, Lavine JE, Tonascia J, Unalp A, Van Natta M, Clark J, Brunt EM, Kleiner DE, Hoofnagle JH, Robuck PR; NASH CRN. Pioglitazone, vitamin E, or placebo for nonalcoholic steatohepatitis. N Engl J Med. 2010 May 6;362(18):1675-85. doi: 10.1056/NEJMoa0907929. Epub 2010 Apr 28.

    PubMed 20427778
  • Promrat K, Kleiner DE, Niemeier HM, Jackvony E, Kearns M, Wands JR, Fava JL, Wing RR. Randomized controlled trial testing the effects of weight loss on nonalcoholic steatohepatitis. Hepatology. 2010 Jan;51(1):121-9. doi: 10.1002/hep.23276.

    PubMed 19827166
  • van den Hoek AM, de Jong JCBC, Worms N, van Nieuwkoop A, Voskuilen M, Menke AL, Lek S, Caspers MPM, Verschuren L, Kleemann R. Diet and exercise reduce pre-existing NASH and fibrosis and have additional beneficial effects on the vasculature, adipose tissue and skeletal muscle via organ-crosstalk. Metabolism. 2021 Nov;124:154873. doi: 10.1016/j.metabol.2021.154873. Epub 2021 Sep 1.

    PubMed 34478753
  • Sullivan S, Kirk EP, Mittendorfer B, Patterson BW, Klein S. Randomized trial of exercise effect on intrahepatic triglyceride content and lipid kinetics in nonalcoholic fatty liver disease. Hepatology. 2012 Jun;55(6):1738-45. doi: 10.1002/hep.25548. Epub 2012 Apr 25.

    PubMed 22213436
  • Yang W, Cao M, Mao X, Wei X, Li X, Chen G, Zhang J, Wang Z, Shi J, Huang H, Yao X, Liu C. Alternate-day fasting protects the livers of mice against high-fat diet-induced inflammation associated with the suppression of Toll-like receptor 4/nuclear factor kappaB signaling. Nutr Res. 2016 Jun;36(6):586-93. doi: 10.1016/j.nutres.2016.02.001. Epub 2016 Feb 16.

    PubMed 27188904
  • Wei X, Lin B, Huang Y, Yang S, Huang C, Shi L, Liu D, Zhang P, Lin J, Xu B, Guo D, Li C, He H, Liu S, Xue Y, Xu Y, Zhang H. Effects of Time-Restricted Eating on Nonalcoholic Fatty Liver Disease: The TREATY-FLD Randomized Clinical Trial. JAMA Netw Open. 2023 Mar 1;6(3):e233513. doi: 10.1001/jamanetworkopen.2023.3513.

    PubMed 36930148
  • Cai H, Qin YL, Shi ZY, Chen JH, Zeng MJ, Zhou W, Chen RQ, Chen ZY. Effects of alternate-day fasting on body weight and dyslipidaemia in patients with non-alcoholic fatty liver disease: a randomised controlled trial. BMC Gastroenterol. 2019 Dec 18;19(1):219. doi: 10.1186/s12876-019-1132-8.

    PubMed 31852444
  • Hatori M, Vollmers C, Zarrinpar A, DiTacchio L, Bushong EA, Gill S, Leblanc M, Chaix A, Joens M, Fitzpatrick JA, Ellisman MH, Panda S. Time-restricted feeding without reducing caloric intake prevents metabolic diseases in mice fed a high-fat diet. Cell Metab. 2012 Jun 6;15(6):848-60. doi: 10.1016/j.cmet.2012.04.019. Epub 2012 May 17.

    PubMed 22608008

Questions about this trial

What is this clinical trial studying?

A study testing Alternate day fasting in people with Non Alcoholic Steatohepatitis, run by Institute of Liver and Biliary Sciences, India at 1 site in India.

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 5 inclusion and 8 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 7 Nov 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 India. 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 Babu Lal Meena, DM Hepatology (+91-9781100898, drbabupgi@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change of NASH over a 24-week duration. (time frame: 24 weeks). 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 NCT06676813, which also lists 14 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 7 Nov 2024.

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