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NCT Number: NCT06364462

Precise Evaluation Criteria for Histological Regression of NASH Fibrosis

It is an observational study of NASH patients with a calculated sample size of 220. Liver biopsy-proven NASH fibrosis with stage F2-F4 will be recruited in this study. A second biopsy will be performed after clinical trials or 1-3 years of lifestyle intervention. Patients will be followed up at baseline and every six months with h-CRP, liver function tests, fasting blood glucose, fasting insulin, ferritin, liver ultrasonography, and liver stiffness measurements.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18-70 years of age.
  • Liver biopsy-proven NASH fibrosis with stage F2-4.
  • Signature of written informed consent.

Exclusion criteria

  • Patients with other liver diseases, including viral hepatitis, alcoholic liver diseases, autoimmune liver diseases, genetic metabolic liver disease, drug-induced liver diseases, and infected with HIV.
  • Pregnant women.
  • Patients have the following conditions before liver biopsy:

Hepatocellular carcinoma or suspected liver cancer; Decompensated cirrhosis: including ascites, hepatic encephalopathy, esophageal variceal bleeding, hepatorenal syndrome; Other malignancy; Undergone liver transplantation surgery;

  • Patients with any other reasons not suitable for the study.

Treatment and study plan

lifestyle intervention

Other

Dietary recommendations should consider energy restriction and exclusion of MAFLD-mediating components (processed food, food and beverages high in added fructose). A Mediterranean type diet is advisable. Both aerobic exercise and resistance training effectively reduce liver fat and should be tailored based on patient preferences to ensure long-term adherence.

Primary outcomes

  1. Regression of NASH fibrosis

    Time frame: 1-3 years

    Regression of NASH fibrosis based on liver biopsy

Secondary outcomes

  1. Dynamic changes of liver stiffness measurements (LSM)

    Time frame: 3 years

    Dynamic changes of liver stiffness measurements (LSM)

  2. Dynamic changes of Controlled Attenuation Parameter (CAP)

    Time frame: 3 years

    Dynamic changes of CAP, higher scores mean a worse outcome.

  3. Dynamic changes of Magnetic Resonance Elastography (MRE)

    Time frame: 3 years

    Dynamic changes of MRE, higher scores mean a worse outcome.

  4. Dynamic changes of Magnetic Resonance Imaging Proton Density Fat Fraction (MRI-PDFF)

    Time frame: 3 years

    Dynamic changes of MRI-PDFF, higher scores mean a worse outcome.

  5. Dynamic changes of non-invasive liver fibrosis models

    Time frame: 3 years

    Dynamic changes of Aspartate Aminotransferase to Platelet Ratio Index (APRI), , higher scores mean a worse outcome.

  6. Dynamic changes of non-invasive liver fibrosis models

    Time frame: 3 years

    Dynamic changes of Fibrosis-4 Index (FIB-4), higher scores mean a worse outcome.

  7. Dynamic changes of non-invasive liver fibrosis models

    Time frame: 3 years

    Dynamic changes of BARD (BMI, AST/ALT Ratio, Diabetes), higher scores mean a worse outcome.

  8. Dynamic changes of non-invasive liver fibrosis models

    Time frame: 3 years

    Dynamic changes of NAFLD Fibrosis Score (NFS), higher scores mean a worse outcome.

  9. Dynamic changes of non-invasive liver fibrosis models

    Time frame: 3 years

    Dynamic changes of FibroScan-aspartate aminotransferase score (FAST), higher scores mean a worse outcome.

  10. Dynamic changes of metabolic markers

    Time frame: 3 years

    Dynamic changes of Body Mass Index (BMI), higher scores mean a worse outcome.

  11. Dynamic changes of metabolic markers

    Time frame: 3 years

    Dynamic changes of fasting glucose

  12. Dynamic changes of metabolic markers

    Time frame: 3 years

    Dynamic changes of serum lipid level

  13. Incidence of liver-related events

    Time frame: 3 years

    Incidence of ascites, hepatic encephalopathy, esophageal variceal bleeding, hepatocellular carcinoma, liver-related death/liver transplantation

  14. Incidence of extrahepatic related events

    Time frame: 3 years

    Incidence of cardiovascular and cerebrovascular events, extrahepatic malignancies, metabolic diseases

Study contacts

Contact information is provided by the study sponsor or research team.

Yameng Sun, M.D.

CONTACT

[email protected]

86-010-63138656

Sponsors and collaborators

Lead sponsor

Beijing Friendship Hospital

Other

Registry information

Official study title

Establishment of Precise Evaluation Criteria for Histological Regression of NASH-related Liver Fibrosis

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Apr 15, 2024
Registry last updated
May 29, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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