Metabolic Associated Fatty Liver Disease
Conditions
Keywords
trimetazidine in MASLD
Brief summary
Objective of this study is to determine the clinical benefits of trimetazidine in improvement of MASLD
Detailed description
the study will evaluate the possible benefits of trimetazidine when added to pateints with metabolic associated fatty liver disease
Interventions
trimetazidine at dose 20 mg three times daily to be taken by intervention group
conventional therapy
placebo tablet (inert substance has the same shape and color of intervention) to be taken by control group only
Sponsors
Study design
Eligibility
Inclusion criteria
participants were included if they met MASLD diagnostic criteria, which required imaging-confirmed hepatic steatosis (via abdominal ultrasound and CAP), along with metabolic factors (BMI ≥25 kg/m², diabetes/dysglycemia, blood pressure ≥130/85 mmHg, triglycerides ≥150 mg/dL, or reduced HDL-cholesterol)
Exclusion criteria
The study excluded those with * alternative steatosis causes (alcohol intake \>50 g/day women or \>60 g/day men * drug-induced injury, hepatitis C, Wilson disease). * Additional
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| FAST Score | at baseline and at six months | Fibro Scan-AST score; anon-invasive score to assess the risk of progressive MASH (Metabolic dysfunction-associated steatohepatitis). lower scores indicate improvement Unit of measure: Unitless index (range 0-1) |
| Highly sensitive CRP | measured at baseline and at six months | Highly sensitive CRP in mg\\dl by chemiillusence. |
| liver Fibrosis and steatosis in db./m | measured at baseline and at six months | liver Fibrosis and steatosis in db./m fibro scan and fibro cap apparatus |
| ALT and AST | measured at baseline and at six months | ALT, AST in IU/L by blood test. |
| Controlled attenuation parameter (CAP) | measured at baseline and at six months | A measure of hepatic fat accumulation using transient elastography (Fibro Scan); values typically range from 100 to 400 dB/m, lower values indicate improvement Unit of measure: dB/m. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Triglyceride and total cholesterol | measured at baseline and at six months | Triglyceride and total cholesterol in mg\\dl |
| HOMA-IR | measured at baseline and at six months | HOMA-IR |
| IL6 and TNF alpha | measured at baseline and at six months | IL6 and TNF alpha in pg./ml by Eliza |
| LDL cholesterol | measured at baseline and at six months | Decrease in LDL in mg\\dl, |
Countries
Egypt