Status:

COMPLETED

The BRAINFOOD Trial to Prevent Recurrent Hepatic Encephalopathy.

Lead Sponsor:

University of Michigan

Collaborating Sponsors:

National Institute on Aging (NIA)

Conditions:

Cirrhosis

Ascites

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This study is being completed for patients with cirrhosis, including patients with a prior history of hepatic encephalopathy (HE) to evaluate the feasibility and benefits of medically-tailored meals a...

Eligibility Criteria

Inclusion

  • Diagnosis of cirrhosis will be based upon:
  • liver biopsy, OR
  • history of cirrhosis complication: ascites, variceal bleeding, hepatic encephalopathy, OR
  • 2 of the following 4 criteria:
  • Ultrasound, Computed tomography (CT), or Magnetic resonance imaging (MRI) findings of cirrhosis (cirrhotic appearing liver, splenomegaly, varices, ascites)
  • Fibroscan liver stiffness score \>13 kilopascals (kPa)
  • Laboratory testing: aspartate aminotransferase/platelet ratio index (APRI) \>2.0
  • CT, MRI or esophagogastroduodenoscopy (EGD) showing presence of esophageal varices
  • Patients with history of \> grade 2 HE within 180 days of enrollment based on review of clinical documentation verifying the event. If a description of HE symptoms is provided in clinical documentation, but it is unclear if it meets Grade 2 criteria, the principal investigator will assess the clinical documentation and provide an HE grade.

Exclusion

  • Non-English speaking
  • Model for End-Stage Liver Disease (MELD) Score \> 20
  • Pregnancy (self-reported)
  • Unable or unwilling to provide consent
  • History of liver transplant
  • Current or planned admission to a nursing facility
  • Serum creatinine \> 2.0 milligrams per deciliter (mg/dL) (with the exception that we will include patients with a serum creatinine \> 2.0 mg/dL if they are receiving hemodialysis)
  • Disorientation at the time of enrollment
  • Barcelona-Clinic Liver Cancer (BCLC) Stage D Hepatocellular Carcinoma with Child-Turcotte-Pugh (CTP) Class C
  • History of eating disorder

Key Trial Info

Start Date :

January 21 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 5 2023

Estimated Enrollment :

17 Patients enrolled

Trial Details

Trial ID

NCT04675775

Start Date

January 21 2021

End Date

March 5 2023

Last Update

March 6 2024

Active Locations (1)

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1

University of Michigan

Ann Arbor, Michigan, United States, 48109