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Pilot study to investigate the effect of choline chloride in cystic fibrosis patients with liver steatosis by comparing their status before and after the intervention
Within this single arm pilot study patients with cystic fibrosis and liver steatosis receive choline chloride (2x0.5 gram three times a day) as a food supply for 88 days. D9-choline metabolism is measured before and after the intervention phase. Hypothesis of the study is, that supplying choline augments the secretion of phosphatidyl choline and lipoprotein (VLDL) from the liver and therefore results in a measurable reduction of the triglyceride storage of the liver.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Choline Chloride | Other | Patients receive choline chloride (1g Choline) three times a day for 12.6 weeks as a food supply |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Choline Chloride | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of D9-Methyl-Choline Kinetic | The substitution of choline as a food supplement will augment the phosphatidylcholine and lipoprotein (VLDL) secretion of the liver into the blood and will therefore result in a reduction of the triglyceride retention in the liver | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Lipid storage of the liver | Comparison of steatosis of the liver (measured by magnetic resonance spectroscopy or sonography) before to after the choline substitution | 3 months |
| Augmentation of creatinine concentration within the calf muscle |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joachim Riethmüller, PD | Klinik für Kinder- und Jugendmedizin Tübingen | Principal Investigator |
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| ID | Term |
|---|---|
| D002794 | Choline |
| ID | Term |
|---|---|
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
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Pilot study to evolve the effect ot the treatment by comparing data before and after the treatment within the same patients
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Augmentation of creatine concentration within the calf muscle due to the choline substitution measured by magnetic resonance spectroscopy
| 3 months |
| FVC | Comparison of FVC before to after the choline substitution | 3 months |
| FEV1 | Comparison of FEV1 before to after the choline substitution | 3 months |
| MEF25 | Comparison of MEF25 before to after the choline substitution | 3 months |
| MMEF | Comparison of MMEF before to after the choline substitution | 3 months |
| D000588 |
| Amines |
| D050337 | Trimethyl Ammonium Compounds |
| D000644 | Quaternary Ammonium Compounds |
| D009861 | Onium Compounds |