Nonalcoholic Steatohepatitis
Conditions
Keywords
Nonalcoholic steatohepatitis, Nonalcoholic Fatty Liver, Nutritional supplement, Diet, Exercise
Brief summary
The purpose of the study is to evaluate whether Viusid, a nutritional supplement, in combination with diet and exercise improve the histological results (steatosis, necro-inflammatory activity and fibrosis) in comparison with diet and exercise, during 24 weeks of treatment.
Interventions
Viusid, a nutritional supplement. Three oral sachets Daily 24 weeks
Modified ADA diet in combination with controlled exercise daily 24 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Histological diagnosis of steatohepatitis (minimal histological criteria for steatohepatitis include steatosis involving at least 5% of hepatocytes, lobular inflammation, and/or fibrosis) * Age between 18 and 70 years * Ability to provide informed consent * Absence of significant alcohol ingestion (weekly ethanol consumption of less than 40 g)
Exclusion criteria
* Presence of other form of liver diseases (viral or autoimmune hepatitis, drug-induced liver disease, metabolic and hereditary liver disease and α-1 antitrypsin deficiency) * Pregnancy or lactation * Decompensated cirrhosis * Presence of secondary cause of NAFL such as medications that induce steatosis (corticosteroids, estrogens, methotrexate, amiodarone, tamoxifen and calcium channel blockers) and gastrointestinal bypass surgery * Pharmacological treatment with some potential benefit on NAFL including ursodeoxycholic acid, vitamin E, betaine, pioglitazone, rosiglitazone, metformin, pentoxifylline or gemfibrozil * Fasting glucose levels greater than 250 mg per deciliter (13.3 mmol per liter) * Contraindication to liver biopsy * Refusal to participate in the study * Concomitant disease with reduced life expectancy * Severe psychiatric conditions * Drug dependence
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The histological improvement (steatosis, necro-inflammatory activity and fibrosis) at 24 weeks (end of the treatment). | 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Alanine aminotransferase levels (end of the treatment), δ-glutamyltransferase levels (end of the treatment), Body weight, Body Mass Index, Waist circumference (end of the treatment) Insulin resistance (HOMA) (end of the treatment) | 24 weeks |
Countries
Cuba