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This randomized, controlled, double-blind study evaluates the utility of alpha-lipoic acid and silybum marianum , versus placebo, in the treatment of metabolic associated fatty liver disease.
Between 80-90% of people with associated metabolic fatty liver disease present with obesity and diabetes mellitus.
Alpha-lipoic acid is a cofactor of mitochondrial enzymes that has been considered an antioxidant since its reduced form, dihydrolipoate, reacts with reactive oxygen species and thus protects the cell membrane. Alpha-lipoic acid administration has been shown to have beneficial effects on adipokine levels and metabolic disorders such as diabetes and obesity, both of which are present in patients with MAFLD. It has been shown that the administration of 1200 mg of alpha-lipoic acid in patients with fatty liver decreases insulin resistance, serum leptin, increases the concentration of adiponectin.
Given the metabolic effects of alpha-lipoic acid, it is hypothesized that administration of this formulation may be beneficial for people with metabolic associated fatty liver disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Alpha-lipoic acid and y silybum marianum | Experimental | LUDLEV®300 mg/46.2 mg once day |
|
| Placebo | Placebo Comparator | Placebo treatment (maltodextrin), once daily (u.i.d) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LUDLEV®300 mg/46.2 mg | Dietary Supplement | LUDLEV®300 mg/46.2 mg once day |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Transitional elastography with Fibroscan | 30 minutes (performed after a 4-hour fast) |
| Measure | Description | Time Frame |
|---|---|---|
| controlled attenuation parameter (CAP) | Hepatic steatosis by controlled attenuation parameter | 30 minutes (performed after a 4-hour fast) |
| kilopascals (kpa) | Hepatic stiffness by Transitional elastography with Fibroscan |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ANA D CONTRERAS, MD | Contact | 2881011174 | anacano_143@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ana Delfina Cano Contreras | Recruiting | Mexico | Veracruz | 917000 | Mexico |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 8, 2023 | Jun 12, 2023 | Prot_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Feb 8, 2023 | Jun 4, 2023 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D065626 | Non-alcoholic Fatty Liver Disease |
| ID | Term |
|---|---|
| D005234 | Fatty Liver |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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Allocation is 1:1 to probiotic and placebo arms
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| Placebo |
| Other |
Placebo treatment (maltodextrin), once daily (u.i.d) |
|
| 30 minutes (performed after a 4-hour fast) |