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Metabolic effects of ketohexokinase inhibition in individuals with non-alcoholic fatty liver disease

Metabolic effects of ketohexokinase inhibition in individuals with non-alcoholic fatty liver disease - KHKi in NAFLD

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON51756
Enrollment
17
Registered
2022-04-19
Start date
2022-10-04
Completion date
Unknown
Last updated
2024-04-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

fatty liver non-alcoholic fatty liver disease

Interventions

During the first intervention period, participants will take once daily for 6 weeks a 300 mg tablet PF-06835919 or a an indistinguishable placebo. During the second intervention period, the particip

Sponsors

Universiteit Maastricht
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: -Men and (postmenopausal) woman -Age: >= 40 and = 5.56%) -Stable dietary habits (no weight loss or gain >3 kg in the 3 months prior to inclusion) -Participants are able to provide signed and dated written informed consent prior to any study specific procedures

Exclusion criteria

Exclusion criteria: -Type 2 diabetes -Any contra-indication for MRI scanning -Patients with congestive heart failure and and/or severe renal and/or liver insufficiency -Uncontrolled hypertension -Alcohol consumption of >3 servings per day for man and >2 servings per day for woman -Smoking -Unstable body weight (weight loss or gain >3 kg in the 3 months prior to inclusion) -Engagement in structured exercise activities > 2 hours a week -Previous enrolment in a clinical study with an investigational product during the last 3 months or as judged by the Investigator which would possibly hamper our study results -Use of drugs that inhibit organic anion transporting polypeptide (OATP) transporters (e.g. rifampicin, gemfibrozil, cyclosporine, erythromcyin and clarithromycin) -Subjects who do not want to be informed about unexpected medical findings

Design outcomes

Primary

MeasureTime frame
The primary outcome is hepatic insulin sensitivity, measured during the hyperinsulinemic euglycemic clamp as insulin-mediated suppression of endogenous glucose production, after 6 weeks of taking PF-06835919 compared to placebo.

Secondary

MeasureTime frame
The secondary outcomes are: -Intrahepatic lipid content measured during H-MRS -Liver lipid composition measured during H-MRS' -Amount of subcutaneous and visceral fat measured during MRI -Insulin-mediated suppression of free fatty acids measured in blood plasma taken during the hyperinsulinemic euglycemic clamp -Inflammatory markers measured in blood serum taken during the hyperinsulinemic euglycemic clamp -Resting energy expenditure measured by indirect calorimetry during the hyperinsulinemic euglycemic clamp -Sleep metabolic rate measure during the overnight stay in the respiration chamber -Body composition measured by the Bod Pod -Liver phosphomonoester levels as indication for ketohexokinase activity in the liver measured during P-MRS -Peripheral insulin sensitivity measured during the hyperinsulinemic euglycemic clamp -Metabolic flexibility measured during the hyperinsulinemic euglycemic clamp -Intramyocellular lipid content measured in the muscle biopsy -Short-chain fatty acids measured in fecal samples

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)