AzTrials
AzTrials

Liver ElastographyNCT07400367

Impact of a Probiotic Supplementation With Lifestyle Modification on Liver Steatosis, Fibrosis, and Metabolic Health in Patients With Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)

A study testing Probiotic product and Life style modification in people with Liver Elastography and Liver Steatosis, run by Fu Jen Catholic University Hospital at 2 sites in Taiwan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is the new clinical term introduced in 2023 to redefine what was formerly known as Non-Alcoholic Fatty Liver Disease (NAFLD). Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Probiotic product and Life style modification
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
2 sitesTaiwan
Study dates
1 Apr 2026to Aug 2027
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • ALT ≥ 60 U/L
  • Liver steatosis identified by ultrasound
  • Meet at least one cardiometabolic criteria:
  • BMI ≥ 25 kg/m2 (Asian ≥23)
  • Waist circumference: > 94cm (M) 80cm(F)
  • Fasting blood glucose ≥ 100 mg/dL
Show all 13Show fewer
  • HbA1c ≥ 5.7
  • Receiving treatment of diabetes
  • Receiving treatment of Hypertension
  • Average home blood pressure: ≥ 130/85 mmHg
  • TG ≥ 150 mg/dL
  • HDL ≤ 40 mg/dL
  • Receiving treatment of dyslipidemia

Who cannot join

  • HBsAg(+)
  • Anti-HCV (+)
  • Cirrhosis
  • Excessive alcohol intake ( Male over 210g/wk; Female over 140mg/wk)
  • Could not rule out Autoimmune hepatitis (ANA, or AMA or ASMA (+))
  • Could not rule out drug related hepatitis
Show all 21Show fewer
  • Receiving drug that might induce liver steatosis:
  • Glucocorticoids
  • Amiodarone
  • Tamoxifen
  • Methotrexate
  • Valproate
  • Tetracycline
  • Chemotherapeutic agents
  • Receiving immune modulators or biologics
  • Receiving antibiotics within 1 month
  • Receiving any cancer treatment
  • Have diagnosis of "Catastrophic Illness" defined by Health Administration of Taiwan
  • eGFR<60
  • Pregnancy
  • Currently enrolled in other dietary or pharmacology clinical trial

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Taiwan2 sites, 2 recruiting
  • Fu Jen Catholic University Hospital

    New Taipei City

    Kuan Wei Wu, +886-922-710-756, david800413@gmail.com

    Not yet recruiting
  • Fu Jen Catholic University Hospital

    New Taipei City

    Kuwn Wei Wu, +886922710756, david800413@gmail.com

    Recruiting

Other trials in Taiwan

About this study

Official title: Impact of a Multi-strain Probiotic Supplementation With Lifestyle Modification on Liver Steatosis, Fibrosis, and Metabolic Health in Patients With Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)

Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is the new clinical term introduced in 2023 to redefine what was formerly known as Non-Alcoholic Fatty Liver Disease (NAFLD). It is defined as fatty liver confirmed by imaging or biopsy, accompanied by at least one cardiometabolic risk factor (e.g., hyperglycemia, dyslipidemia, hypertension, or obesity). Its pathological progression ranges from simple steatosis to steatohepatitis, primarily driven by excessive energy intake, hepatic lipid accumulation, and insulin resistance.

MASLD is currently the most prevalent chronic liver disease globally, with a prevalence rate of approximately 30-40%. However, there is no satisfactory pharmacological treatment, leaving lifestyle modification as the primary therapeutic approach. Many patients struggle to effectively adjust their habits, leading to persistent hepatic inflammation and damage, which may eventually progress to end-stage diseases such as cirrhosis and hepatocellular carcinoma. In many developed countries, MASLD has become the leading indication for liver transplantation, imposing a heavy burden on healthcare systems.

Read more

Gut dysbiosis is closely linked to MASLD. An imbalance in the gut microbiota disrupts the gut-liver axis, leading to impaired intestinal mucosal barrier function. This allows bacterial components to enter the circulation, further triggering hepatic inflammation and abnormal lipid metabolism. Consequently, modulating the gut microbiota is considered a potential therapeutic strategy.

Over the past decade, probiotics, prebiotics, and synbiotics have been extensively studied as non-pharmacological treatments for NAFLD. Multiple studies indicate that these products can reduce liver enzymes (AST, ALT), insulin resistance (HOMA-IR), and inflammatory markers (hs-CRP, TNF-α). The most effective combinations typically involve Lactobacillus, Bifidobacterium, and Streptococcus, with a recommended duration of approximately 12 weeks. However, the impact of these products on liver fibrosis, hepatic fat accumulation, and cardiometabolic risk factors remains inconclusive.

The probiotic product to be tested consists of Lactobacillus salivarius AP-32, Lactobacillus rhamnosus bv-77, Bifidobacterium animalis CP-9, and Lactobacillus reuteri GL-104. This formulation complies with food safety regulations. In clinical studies, it had been proven as an effective adjuvant method that increased beneficial gut bacteria such as Akkermansia muciniphila and improved the control of blood glucose, lipids, and inflammatory markers.

Study Objectives

This study aims to investigate the efficacy of this probiotic product as an adjuvant therapy alongside lifestyle modifications in adult patients with MASLD. We will evaluate its impact on:

  1. The degree of liver fibrosis and steatosis
  2. Cardiometabolic risk factors (BMI, waist circumference, blood lipids, and blood glucose).
  3. Inflammatory markers.
  4. Gut microbiota composition.
Being tested
Probiotic product, Life style modification, placebo
Keywords
MASLD, Probiotics, Liver fibrosis, Liver steatosis
Medical subject headings
Fatty Liver, Insulin Resistance, Liver Cirrhosis

What participants receive

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

  • Probiotic productDietary supplement

    The probiotic product contains Lactobacillus salivarius AP-32, Lactobacillus rhamnosus bv-77, Bifidobacterium animalis CP-9 and Lactobacillus reuteri GL-104

  • Life style modificationBehavioural

    Life style modification of MASLD provided by an gastroenterologist in an outpatient s

  • placeboDietary supplement

    placebo sachet looked and taste very similar to the probiotic product being tested

Study groups in NCT07400367
Study groupRoleWhat they receive
InterventionExperimentalReceive the probiotic product one sachet per day and standard lifestyle modification education for MASLD by a gastroenterologist.
Receives: Dietary Supplement: Probiotic product; Behavioral: Life style modification
PlaceboActive comparatorReceive the placebo one sachet per day and standard lifestyle modification education for MASLD by a gastroenterologist.
Receives: Behavioral: Life style modification; Dietary Supplement: placebo

What is being measured

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

  1. Change in shear wave elastography (m/s) at 12 weeks

    Change in liver fibrosis at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

Secondary outcomes (28)
  1. Change in ultrasound attenuation coefficient (dB/cm/MHz) at 12 weeks

    Change in liver steatosis at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  2. Change in blood LDL level (mg/dL) at 12 weeks

    Change in blood LDL level (mg/dL) at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  3. Change in blood HDL level (mg/dL) at 12 weeks

    Change in blood HDL level (mg/dL) at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  4. Change in blood total cholesterol level (mg/dL) at 12 weeks

    Change in blood total cholesterol level (mg/dL) at 12 weeks

    Measured: Time Frame: From enrollment to the end of treatment at 12 weeks

  5. Change in blood triglycerides level (mg/dL) at 12 weeks

    Change in blood triglycerides level (mg/dL) at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  6. Change in HOMA-IR at 12 weeks

    Change in insulin resistance at 12 week

    Measured: From enrollment to the end of treatment at 12 weeks

  7. Change in blood fasting insulin level (μU/mL) at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  8. Change in blood fasting glucose level (mg/dL) at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  9. Change in blood AST level (U/L) at 12 weeks

    Change in liver function test

    Measured: From enrollment to the end of treatment at 12 weeks

  10. Change in blood ALT level (U/L) at 12 weeks

    Change in liver function test

    Measured: From enrollment to the end of treatment at 12 weeks

  11. Change in blood gamma-GT level (U/L) at 12 weeks

    Change in liver function tests

    Measured: From enrollment to the end of treatment at 12 weeks

  12. Change in blood alkaline phosphatase level (IU/L) at 12 weeks

    Change in liver function tests

    Measured: From enrollment to the end of treatment at 12 weeks

  13. Change in blood BUN level (mg/dL) at 12 weeks

    Change in renal function

    Measured: From enrollment to the end of treatment at 12 weeks

  14. Change in blood Creatinine level (mg/dL) at 12 weeks

    Change in renal functions

    Measured: From enrollment to the end of treatment at 12 weeks

  15. Change in eGFR level (mL/min/1.73m^2) at 12 weeks

    Change in renal function

    Measured: From enrollment to the end of treatment at 12 weeks

  16. Change in blood albumin level (g/dL) at 12 weeks

    Change in liver functions at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  17. Change in platelet level (*10^3/uL) at 12 weeks

    For the calculation of the chane of Fib-4 score at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  18. Change in HbA1c level (%) at 12 weeks

    Change in blood sugar control at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  19. Change in blood hs-CRP level (mg/L) at 12 weeks

    Change in systemic inflammation at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  20. Change in blood IL-6 level (pg/mL) at 12 weeks

    Change in systemic inflammation at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  21. Change in blood TNF-alpha level (pg/mL) at 12 weeks

    Change in systemic inflammation at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  22. Change in Fib-4 score at 12 weeks

    Change in liver fibrosis score at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  23. Change in ARPI score at 12 weeks

    Change in liver fibrosis score at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  24. Change in NAFLD Fibrosis Score at 12 weeks

    Change in liver fibrosis score at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  25. Change in blood pressures (mmHg) at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  26. Change in body weight (kg) at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  27. Change in BMI (kg/m^2) at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

  28. Change in waist circumference (cm) at 12 weeks

    Measured: From enrollment to the end of treatment at 12 weeks

Timeline

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

  1. First posted10 Feb 2026
  2. Study start1 Apr 2026
  3. Primary completionMay 2027 (estimated)
  4. Study completionAug 2027 (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
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07400367
Sponsor's protocol ID
FJUH114502
Status last verified
Jan 2026
First submitted
20 Jan 2026
Last updated
6 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: de-identification data

Publications

  • Abhari K, Saadati S, Yari Z, Hosseini H, Hedayati M, Abhari S, Alavian SM, Hekmatdoost A. The effects of Bacillus coagulans supplementation in patients with non-alcoholic fatty liver disease: A randomized, placebo-controlled, clinical trial. Clin Nutr ESPEN. 2020 Oct;39:53-60. doi: 10.1016/j.clnesp.2020.06.020. Epub 2020 Jul 24.

    PubMed 32859329
  • Inoue K, Tsukuda S, Kayano H, Tanaka J, Heshiki A. A case of hypervascular renal capsule leiomyoma. Radiat Med. 2000 Sep-Oct;18(5):323-6.

    PubMed 11128405
  • Kumada T, Toyoda H, Ogawa S, Gotoh T, Yoshida Y, Yamahira M, Hirooka M, Koizumi Y, Hiasa Y, Tamai T, Kuromatsu R, Matsuzaki T, Suehiro T, Kamada Y, Sumida Y, Tanaka J, Shimizu M. Diagnostic performance of shear wave measurement in the detection of hepatic fibrosis: A multicenter prospective study. Hepatol Res. 2024 Sep;54(9):851-858. doi: 10.1111/hepr.14026. Epub 2024 Feb 13.

    PubMed 38349813
  • Farrow A, Farrow SC, Little R, Golding J. The repeatability of self-reported exposure after miscarriage. ALSPAC Study Team. Avon Longitudinal Study of Pregnancy and Childhood. Int J Epidemiol. 1996 Aug;25(4):797-806. doi: 10.1093/ije/25.4.797.

    PubMed 8921459
  • Jansson JH, Boman K, Brannstrom M, Nilsson TK. High concentration of thrombomodulin in plasma is associated with hemorrhage: a prospective study in patients receiving long-term anticoagulant treatment. Circulation. 1997 Nov 4;96(9):2938-43. doi: 10.1161/01.cir.96.9.2938.

    PubMed 9386160
  • Yang Y, Yang L, Wu J, Hu J, Wan M, Bie J, Li J, Pan D, Sun G, Yang C. Optimal probiotic combinations for treating nonalcoholic fatty liver disease: A systematic review and network meta-analysis. Clin Nutr. 2024 Jun;43(6):1224-1239. doi: 10.1016/j.clnu.2024.04.004. Epub 2024 Apr 13.

    PubMed 38643738
  • Wu J, Chen X, Qian J, Li G. Clinical improvement effect of regulating gut microbiota on metabolic dysfunction-associated steatotic liver disease: Systematic review and meta-analysis of randomized controlled trials. Clin Res Hepatol Gastroenterol. 2024 Aug;48(7):102397. doi: 10.1016/j.clinre.2024.102397. Epub 2024 Jun 13.

    PubMed 38879003
  • Sharma S, Tiwari N, Tanwar SS. The current findings on the gut-liver axis and the molecular basis of NAFLD/NASH associated with gut microbiome dysbiosis. Naunyn Schmiedebergs Arch Pharmacol. 2025 Sep;398(9):11541-11579. doi: 10.1007/s00210-025-04069-z. Epub 2025 Apr 9.

    PubMed 40202676
  • Ledru E, Diagbouga S, Tranchot-Diallo J, Cauchoix B, Yameogo M, Chami D, Soula G, Chiron JP. Eosinophils: a putative marker of immunodepression in HIV-infected African patients with tuberculosis? Trans R Soc Trop Med Hyg. 1994 Jan-Feb;88(1):117-8. doi: 10.1016/0035-9203(94)90531-2. No abstract available.

    PubMed 7908766
  • Su X, Chen S, Liu J, Feng Y, Han E, Hao X, Liao M, Cai J, Zhang S, Niu J, He S, Huang S, Lo K, Zeng F. Composition of gut microbiota and non-alcoholic fatty liver disease: A systematic review and meta-analysis. Obes Rev. 2024 Jan;25(1):e13646. doi: 10.1111/obr.13646. Epub 2023 Oct 9.

    PubMed 37813400

Questions about this trial

What is this clinical trial studying?

A study testing Probiotic product and Life style modification in people with Liver Elastography and Liver Steatosis, run by Fu Jen Catholic University Hospital at 2 sites 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 13 inclusion and 21 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: looking for participants now, as of the sponsor's last update on 6 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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. 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 Kuan Wei Wu (+886-922-710-756, david800413@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in shear wave elastography (m/s) at 12 weeks (time frame: From enrollment to the end of treatment at 12 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 NCT07400367, which also lists 10 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 6 Apr 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in