Nonalcoholic steatohepatitis (NASH)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Ultrasonographic evidence of fatty liver 2. NAFLD activity score (NAS) greater than or equal to 5 on liver biopsy.
Exclusion criteria
Exclusion criteria: 1. Significant alcohol intake (more than 20 gm/day). 2. History of taking drugs that may cause fatty liver (i.e. tamoxifen, valproic acid, amiodarone, methotrexate) 3. History of taking drugs that have shown benefit in previous NASH pilot studies (i.e. metformin, thiazolidinediones, fibrates). 4. Chronic liver disease due to any cause (HBV, HCV, Wilson’s disease, drug induced liver injury etc.). 5. Pregnancy. 6. Co-morbid conditions such as (COPD, CKD, CCF etc.) 7. History of recent MI (within 3 months). 8. Liver failure 9. Hypothyroidism. 10. Patient who fails to give consent for paired liver biopsy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Histological activity and fibrosis of the liver on liver biopsy [At baseline and the end of 12 months from initiation of the intervention] | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Blood pressure (BP) 2. Body mass index (BMI) 3. Complete blood count 4. Erythrocyte sedimentation rate (ESR) 5. Fasting blood glucose (FBG) 6. Hepatic arterial blood flow 7. Prothrombin time with INR 8. Lipid profile (TC, TG,HDL,LDL) 9. Insulin resistance (HOMA-IR) 10. Serum aspartate transaminase (AST) and alanine transaminase (ALT) 11. Gamma-glutamyl transferase (GGT) [Outcomes 1 and 2 will be assessed at baseline, monthly for 3 months and then every 3 months for a total of 12 months. Outcomes 3-9 will be assessed at baseline and at the end of 12 moths. Outcomes 10 and 11 will be assessed at baseline and then every 3 months for a total of 12 months. ] | — |
Countries
Bangladesh
Contacts
Resident Phase B, MD (Hepatology) course