| CTRI Number |
CTRI/2024/11/076500 [Registered on: 08/11/2024] Trial Registered Prospectively |
| Last Modified On: |
28/10/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Nutraceutical |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
A clinical study of nutraceuticals in participants with non-alcoholic fatty liver disease |
|
Scientific Title of Study
|
A randomized, double blind, placebo-controlled clinical study evaluating the effects of nutraceuticals in participants with non-alcoholic fatty liver disease (NAFLD). |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| MHC/CT/24-25/038 Version: 1.00 Dated: 14/10/2024 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Ramshyam Agarwal |
| Designation |
Principal Investigator |
| Affiliation |
Lokmanya Medical Research Centre and Hospital |
| Address |
Fourth floor OPD 401 314 B Telco Road Chinchwad
Pune MAHARASHTRA 411033 India |
| Phone |
8087282022 |
| Fax |
- |
| Email |
ramshyam.research@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Vaishnavi Patil |
| Designation |
Project Coordinator |
| Affiliation |
Life Synergy |
| Address |
Office no 503, Orbisoul 46 Downtown, Pashan-Sus road, Mohan
nagar, Baner
Pune MAHARASHTRA 411045 India |
| Phone |
9834585994 |
| Fax |
- |
| Email |
vaishnavilifesynergy@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Vaishnavi Patil |
| Designation |
Project Coordinator |
| Affiliation |
Life Synergy |
| Address |
Office no 503, Orbisoul 46 Downtown, Pashan-Sus road, Mohan
nagar, Baner
MAHARASHTRA 411045 India |
| Phone |
9834585994 |
| Fax |
- |
| Email |
vaishnavilifesynergy@gmail.com |
|
|
Source of Monetary or Material Support
|
| Life Synergy office no 503, Orbisoul 46 Downtown, Pashan-Sus road, Mohan nagar, Baner,
Pune 411045, Maharashtra. |
|
|
Primary Sponsor
|
| Name |
Life Synergy |
| Address |
office no 503, Orbisoul 46 Downtown, Pashan-Sus road, Mohan nagar, Baner, Pune 411045, Maharashtra |
| Type of Sponsor |
Other [Nutraceutical product promoter] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Ramshyam Agarwal |
Lokmanya Medical Research Centre and Hospital |
Fourth floor OPD 401 314 B Telco Road Chinchwad Pune MAHARASHTRA |
8087282022 - ramshyam.research@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee of Lokmanya Medical Research Centre |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: K769||Liver disease, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Group A – LS/24-25/Liv001 |
1 tablet twice a day for 90 days. |
| Intervention |
Group B - LS/24-25/Liv002 |
1 tablet twice a day for 90 days. |
| Comparator Agent |
Group C-Placebo |
1 tablet twice a day for 90 days. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
1. Adults aged 18 to 60 years (both inclusive), with a Body Mass Index (BMI) ranging from greater than or equal to 25.00 to less than or equal to 32.00 kg per meter square. 2. Confirmed Diagnosis of NAFLD established by imaging (ultrasound, CT scan or MRI), within 3 months of the screening phase for this study. The diagnosis of NAFLD is made according to the American Association for the Study of Liver Diseases (AASLD) criteria (Chalasaniet al.2017) defined as complying following a) There is hepatic steatosis by imaging or histology b) There is no significant alcohol consumption c) There are no competing etiologies for hepatic steatosis d) There are no co-existing causes for chronic liver disease e) With or without deranged liver function tests, defined as serum Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT) levels more than 1.5 times the upper limit of normal values. 3. Participant’s demonstration of understanding of study requirements and treatment procedures, and willingness to comply with all protocol required evaluations. |
|
| ExclusionCriteria |
| Details |
1. Presence of alternative causes of fatty liver including heavy consumption of alcohol
2. Weight loss greater than 10 percent in the 6 months before the screening visit
3. HbA1c greater than 6.5 percent and fasting blood glucose greater than 125 mg per dL
4. Use of drugs associated with ALD or NAFLD for more than 12 consecutive weeks in the 1 year before the start of the study, including amiodarone, tamoxifen, methotrexate, systemic glucocorticoids, anabolic steroids, tetracycline, estrogens in doses higher than used in oral contraceptives, valproate, chloroquine, or antiretroviral drugs
5. History of bowel surgery, gastrointestinal (bariatric) surgery or undergoing evaluation for bariatric surgery for obesity, extensive small-bowel resection, or orthotopic liver transplants (OLT) or listed for OLT
6. History of other chronic liver diseases (Viral hepatitis B or C, autoimmune hepatitis, cholestatic and metabolic liver diseases) and hemochromatosis
7. Participant has known cirrhosis (compensated or decompensated) either based on clinical criteria or liver histology or Imaging techniques
8. Participants with unstable cardiovascular disease including, unstable angina, (that is new or worsening symptoms of coronary heart disease within the past 3 months), acute coronary syndrome within the past 6 months, acute myocardial infarction in the past 3 months or heart failure of New York Heart Association class (III IV) or worsening congestive heart failure, or coronary artery intervention, within the past 6 months, uncontrolled hypertension (systolic BP greater than 180 mmHg and or diastolic BP greater than 110 mmHg on two consecutive occasions), stroke or transient ischemic attack within the prior 6 months.
9. History of myopathies or evidence of active muscle disease.
10. History of malignancy in the past 5 years and or active neoplasm.
11. Participation in any other therapeutic clinical study in the past 3 months, including participation in any other ALD or NAFLD clinical trials.
12. History of bladder disease and or hematuria or has current hematuria except due to a urinary tract infection.
13. Illicit substance abuse within the past 12 months.
14. Pregnant or lactating female (including positive pregnancy test at the Screening Visit)
15. History or other evidence of severe illness or any other conditions that would make the participant, in the investigators opinion, unsuitable for the study (such as poorly controlled psychiatric disease, HIV, coronary artery disease or active gastrointestinal conditions that might interfere with drug absorption). |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Case Record Numbers |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
1. Liver Steatosis Grade I, II, and III by USG abdomen pelvis
2. Severity grading of symptoms such as abdominal pain, abdominal tenderness, nausea, loss of appetite, bloating, fatigue, itchy skin, and jaundice on the 4 point Linkert scale (None, mild, moderate and severe)
3. Parameters of liver function test (LFT) like AST, ALT, ALP, bilirubin total, direct and indirect, albumin and globulin
4. Serum levels of fasting insulin, fasting plasma blood sugar, and calculated HOMA IR score (insulin resistance)
5. Anthropometric parameters like body weight, BMI, and waist circumference
6. Parameters in lipid profile like total cholesterol, HDL, LDL, and triglyceride
7. Fibrosis Index or score by calculation |
1. At screening and end of the study.
2. On screening, baseline, and every follow up visit (day 30, day 60, and day 90).
3. At screening and end of the study.
4. At screening and end of the study
5. At screening and end of the study.
6. At screening and end of the study.
7. At baseline and end of the study.
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. Assessment of adverse events
2. Assessment of tolerability of investigational products.
|
1. From baseline to end of the study.
2. From baseline to end of the study. |
|
|
Target Sample Size
|
Total Sample Size="90" Sample Size from India="90"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 2 |
|
Date of First Enrollment (India)
|
12/11/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0" Months="5" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Nutraceuticals, bioactive compounds derived from food sources, have shown promise in managing non-alcoholic fatty liver disease (NAFLD), a condition characterized by excessive fat accumulation in the liver not linked to alcohol consumption. Numerous studies suggest that nutraceuticals may offer therapeutic benefits due to their antioxidant, anti-inflammatory, and lipid-lowering properties. Moreover, nutraceuticals appear to exert beneficial effects on insulin resistance, lipid metabolism, and oxidative stress, all of which play a role in NAFLD progression. Nutraceuticals represent a complementary approach to standard interventions like diet, exercise, and pharmacotherapy for managing NAFLD. |