Non-Alcoholic Fatty Liver DiseaseCARDIO-LIVERNCT06704321
Effects of TOTUM-448 on Liver Fat Content, Cardiometabolic Risk Factors and Gut Microbiota Among Participants with MASLD
A study testing TOTUM-448 in people with Non-Alcoholic Fatty Liver Disease, run by Valbiotis at 1 site in Canada.
Trial summary
This clinical trial aims to investigate the effects of TOTUM-448, a mix of 5 plant extracts and choline, consumed at the daily regimen of two times per day, on liver fat content, cardiometabolic risk factors and gut microbiota among both men and women with MASLD. Read more about this study
- Who is it for?
- Ages 18 to 75 yearsHealthy volunteers can take part
- Conditions the study is for
- Non-Alcoholic Fatty Liver Disease
- What is being tested?
- TOTUM-448
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 70 participants
- Where
- 1 siteCanada
- Study dates
- 31 Jan 2024to Dec 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 75 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Main Inclusion Criteria:
- Men and women aged between 18 and 75 years (including ranges);
- CAP Score ≥288dB/m with liver stiffness results <8kPa (corresponding to F0 to F1 fibrosis score) assessed by Fibroscan®;
- BMI ≥25 and <40 kg/m2 and WC thresholds according to the NAFLD Nomenclature consensus group (Rinella. 2023. Hepatology);
- Weight stable within ± 5% in the last three months.
Main Exclusion Criteria:
- Contraindications to MRI, Fibroscan® and DEXA;
- Suffering from a metabolic disorder susceptible to significantly affect glucose metabolism or plasma lipid levels or that might affect the study outcomes according to the investigator;
- Suffering from an uncontrolled arterial hypertension (systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 100 mmHg);
- With a history of atherosclerotic cardiovascular disease (ASCVD);
- Taking medication which may affect the study outcomes;
- Alcohol consumption over ≥10 drinks/week for women and ≥15 drinks/week for men (women consuming more than 3 drinks/day and men consuming more than 4 drinks/day will also be excluded) or not agreeing to keep their alcohol consumption habits unchanged throughout the study.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Canada1 site, 1 recruiting
- Recruiting
Institut sur la nutrition et les aliments fonctionnels (INAF)
Québec, Quebec, G1V 0A6
Julie Marois, MSc, +1 (418) 656-2131 ext. 405764, julie.marois@fsaa.ulaval.ca
Patrick Couture, MD FRCP PhD
About this study
Official title: A Parallel, Randomized, Placebo-Controlled, Double-Blinded Clinical Trial of the Effects of TOTUM-448 on Liver Fat Content, Cardiometabolic Risk Factors and Gut Microbiota Among Both Men and Women with MASLD
This clinical trial aims to investigate the effects of TOTUM-448, a mix of 5 plant extracts and choline, consumed at the daily regimen of two times per day, on liver fat content, cardiometabolic risk factors and gut microbiota among both men and women with MASLD.
- Conditions
- Non-Alcoholic Fatty Liver Disease
- Being tested
- TOTUM-448, Placebo
- Keywords
- MASLD, Cardiometabolic risk factors, Dietary supplement, Plant extracts, Polyphenols, Liver fat content, Magnetic Resonance Imaging, Overweight, Obesity, Glucose metabolism, Oral glucose tolerance test, Insulin sensitivity, Insulin secretion, Fibroscan, Health-related quality of Life, Body composition, Liver function
- Medical subject headings
- Non-alcoholic Fatty Liver Disease, Overweight, Obesity, Insulin Resistance
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TOTUM-448Dietary supplement
16 weeks of TOTUM-448 supplementation (4.284g/day corresponding to 8 capsules per day)
PlaceboDietary supplement
16 weeks of placebo supplementation (8 capsules per day)
| Study group | Role | What they receive |
|---|---|---|
| TOTUM-448 | Experimental | The experimental active arm will be supplemented with TOTUM-448 twice per day. Receives: Dietary Supplement: TOTUM-448 |
| Placebo | Placebo comparator | The placebo comparator arm will be supplemented with a placebo twice per day. Receives: Dietary Supplement: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Evolution of liver fat content
Liver fat content measured by MRI
Measured: Baseline (V1) and End of supplementation after 16 weeks of supplementation (V3)
Secondary outcomes (13)
Evolution of lipid profile
Measurement of standard lipid profile
Measured: Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of glucose homeostasis
Measurement of glucose homeostasis
Measured: Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of liver health
Cap score assessed by Fibroscan
Measured: Screening (V0), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of inflammation
Measurement of hs-CRP in mg /L Measurement of IL-6, MCP-1, RANTES in pg/ml
Measured: Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of anthropometric variables
Measurement of BMI in kg/m²
Measured: Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of body composition
Evolution of body composition (i.e. total and trunk fat mass, total and trunk lean body mass) measured by Dual Energy X-ray Absorptiometry (DEXA)
Measured: Baseline (V1) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of health-related quality of life
Health-related quality of life (HRQoF) assessed by Medical Outcome Study Short Form - 36 (MOS SF-36), a generic tool to measure and compare the HRQoL on study population.
Measured: Baseline (V1) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of hepatic function
Measurement of liver assessment
Measured: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of kidney function
Measurement of kidney assessment
Measured: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of hemodynamic measurements
Measurement of systolic and diastolic blood pressure in mmHg
Measured: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of complete blood count
Measurement of white blood cells, red blood cells, number of platelets, amount of hemoglobin in the blood, hematocrit, mean red blood volume, mean hemoglobin amount per red blood cell, mean amount of hemoglobin relative to the size of the cell per red blood cell
Measured: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of thyroid stimulating hormone
Measurement of thyroid stimulating hormone
Measured: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of adverse events (TEAE, STEAE, TEAE leading to investigational product discontinuation, TEAR)
Treatment-Emergent Adverse Events (TEAE), Serious-TEAE (STEAE), TEAE leading to investigational product discontinuation, Treatment-Emergent Adverse Reaction (TEAR)
Measured: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Nov 2024
- Study start31 Jan 2024
- Primary completionDec 2025 (estimated)
- Study completionDec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-Alcoholic Fatty Liver DiseaseStudies of the same condition, open and under way.
- 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomized, double-blinded, parallel, placebo-controlled study.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 70 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Valbiotis
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- CHU de Quebec-Universite Laval, Institut universitaire de cardiologie et de pneumologie de Québec, University Laval, Laval University, Valbiotis Canada inc.
- Responsible party
- Sponsor
- Investigators
- André Marette, PhD, Principal investigator, Laval University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06704321
- Sponsor's protocol ID
- 2022-497
- Acronym
- CARDIO-LIVER
- Status last verified
- Nov 2024
- First submitted
- 12 Nov 2024
- Last updated
- 26 Nov 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Parallel, Randomized, Placebo-Controlled, Double-Blinded Clinical Trial of the Effects of TOTUM-448 on Liver Fat Content, Cardiometabolic Risk Factors and Gut Microbiota Among Both Men and Women with MASLD
- ClinicalTrials.gov ID
- NCT06704321
- Acronym / sponsor ID
- CARDIO-LIVER / 2022-497
- Conditions
- Non-Alcoholic Fatty Liver Disease
- Keywords
- MASLD, Cardiometabolic risk factors, Dietary supplement, Plant extracts, Polyphenols, Liver fat content, Magnetic Resonance Imaging, Overweight
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 70 participants (estimated)
- Lead sponsor
- ValbiotisIndustry (pharma, biotech, devices)
- Collaborators
- CHU de Quebec-Universite Laval, Institut universitaire de cardiologie et de pneumologie de Québec, University Laval, Laval University, Valbiotis Canada inc.
- Study start
- 31 Jan 2024 (actual)
- Primary completion
- Dec 2025 (estimated)
- Study completion
- Dec 2025 (estimated)
- First posted
- 26 Nov 2024 (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.
This clinical trial aims to investigate the effects of TOTUM-448, a mix of 5 plant extracts and choline, consumed at the daily regimen of two times per day, on liver fat content, cardiometabolic risk factors and gut microbiota among both men and women with MASLD.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Randomized, double-blinded, parallel, placebo-controlled study.
| Arm | Type | Receives |
|---|---|---|
| TOTUM-448 | Experimental | Dietary Supplement: TOTUM-448The experimental active arm will be supplemented with TOTUM-448 twice per day. |
| Placebo | Placebo comparator | Dietary Supplement: PlaceboThe placebo comparator arm will be supplemented with a placebo twice per day. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| TOTUM-44816 weeks of TOTUM-448 supplementation (4.284g/day corresponding to 8 capsules per day) | Dietary supplement | TOTUM-448 |
| Placebo16 weeks of placebo supplementation (8 capsules per day) | Dietary supplement | Placebo |
Primary outcome
Evolution of liver fat content
Time frame: Baseline (V1) and End of supplementation after 16 weeks of supplementation (V3)
Liver fat content measured by MRI
13 secondary outcomes
Evolution of lipid profile
Time frame: Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of glucose homeostasis
Time frame: Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of liver health
Time frame: Screening (V0), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of inflammation
Time frame: Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of anthropometric variables
Time frame: Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of body composition
Time frame: Baseline (V1) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of health-related quality of life
Time frame: Baseline (V1) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of hepatic function
Time frame: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of kidney function
Time frame: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of hemodynamic measurements
Time frame: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of complete blood count
Time frame: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of thyroid stimulating hormone
Time frame: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Evolution of adverse events (TEAE, STEAE, TEAE leading to investigational product discontinuation, TEAR)
Time frame: Screening (V0), Baseline (V1), Following 8 weeks of supplementation (V2) and End of supplementation after 16 weeks of supplementation (V3)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Nov 2024.
- Individual participant dataSharing planned: No
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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.
André Marette, PhD principal investigator
Laval University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing TOTUM-448 in people with Non-Alcoholic Fatty Liver Disease, run by Valbiotis at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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: looking for participants now, as of the sponsor's last update on 26 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 Canada. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Véronique Sapone, MSc (+33 (0)6 75 32 66 59, veronique.sapone@valbiotis.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Evolution of liver fat content (time frame: Baseline (V1) and End of supplementation after 16 weeks of supplementation (V3)). 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 26 Nov 2024.