Status:

RECRUITING

Monitoring Changes in Hepatic Steatosis Using Continuous Controlled Attenuation Parameter

Lead Sponsor:

Chinese University of Hong Kong

Conditions:

Fatty Liver

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

Background: Non-alcoholic fatty liver disease (NAFLD) affects 30% of the Asian adult population and is emerging as one of the important leading causes of liver cancer and cirrhosis. Although a number ...

Detailed Description

STUDY DESIGN OVERVIEW In order to evaluate the use of continuous CAP to monitor changes in liver fat over time, we need a cohort of patients with varying degree of liver fat reduction. Therefore, we w...

Eligibility Criteria

Inclusion

  • Intrahepatic triglyceride content by MRI-PDFF ≥5%
  • At least one metabolic risk factor out of (1) body-mass index ≥23 kg/m2, (2) waist circumference ≥90 cm in men and ≥80 cm in women, (3) fasting plasma glucose ≥5.6 mmol/L, 2-hour post-load glucose ≥7.8 mmol/L, haemoglobin A1c (HbA1c) ≥5.7%, known diabetes or on treatment for type 2 diabetes, (4) blood pressure ≥130/85 mmHg or on treatment for hypertension, (5) plasma triglycerides ≥1.7 mmol/L or on treatment for dyslipidaemia, and (6) plasma high-density lipoprotein-cholesterol ≤1.0 mmol/L in men and ≤1.3 mmol/L in women or on treatment for dyslipidaemia
  • Provide informed written consent

Exclusion

  • Positive hepatitis B surface antigen or anti-hepatitis C virus antibody, or history or evidence of other liver diseases
  • Alcohol consumption \>30 g per day in men or \>20 g per day in women
  • Liver decompensation, as evidenced by total bilirubin \>50 µmol/L (except in patients with documented Gilbert's syndrome), platelet count \<100 x 109/L, prothrombin time \>1.3 times the upper limit of normal, albumin \<35 g/L, or history or presence of ascites, varices or hepatic encephalopathy
  • Contraindications to MRI examination such as claustrophobia or the presence of metallic implants
  • History or presence of hepatocellular carcinoma
  • History of other malignancies, unless in complete remission for more than 5 years
  • History of liver transplantation or liver resection
  • Significant co-morbidities that will likely limit a patient's participation in lifestyle intervention or attendance of study follow-ups

Key Trial Info

Start Date :

February 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 30 2027

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT06203548

Start Date

February 1 2024

End Date

April 30 2027

Last Update

August 9 2024

Active Locations (1)

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1

Prince of Wales Hospital

Hong Kong, Hong Kong, 0000