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| Name | Class |
|---|---|
| Celltrion Pharm, Inc. | INDUSTRY |
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the purpose of this clinical trial is to assess the efficacy and safety of Orotic Acid Carnitine Complex Capsules (Godex®) in comparison to a placebo control group in patients with Non-Alcoholic Fatty Liver Disease (NAFLD).
the purpose of this clinical trial is to assess the efficacy and safety of Orotic Acid Carnitine Complex Capsules (Godex®) in comparison to a placebo control group in patients with Non-Alcoholic Fatty Liver Disease (NAFLD).
Godex® is being investigated for its potential to contribute to a reduction in liver fat content and improvement in liver fibrosis when administered over an extended period in patients with NAFLD. Additionally, this study aims to confirm the normalization of HbA1c and ALT, as observed in previous research, and to verify the reduction in intrahepatic fat content through MRI-PDFF analysis and improvement in liver fibrosis via MRE assessment. This investigation is motivated by the insufficient preliminary research on the long-term prescription of Godex® for NAFLD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test Group | Experimental | Oral administration of 2 capsules of Godex® three times a day (tid) for 96 weeks |
|
| Control Group | Placebo Comparator | Oral administration of 2 placebo capsules three times a day (tid) for 96 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GODEX | Drug | The amount of active ingredient per dose (1 capsule)
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| Measure | Description | Time Frame |
|---|---|---|
| Change in intrahepatic fat content measured by MRI-PDFF | For each group, the mean and standard deviation [if necessary, median and interquartile range (IQR)] along with a 95% confidence interval are provided for the liver fat content measured by MRI-PDFF at baseline and the change from baseline to the 48-week time point. The difference in liver fat content at baseline and the change in liver fat content at the 48-week time point between the two groups are tested using the two-sample t-test or Wilcoxon's rank sum test, depending on the normality of the data. | 48-week time point compared to baseline. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in hepatic fibrosis measured by MRE at 96 weeks compared to baseline. | Present the mean and standard deviation [or median and IQR (Inter Quartile Range), if necessary] along with a 95% confidence interval for the intrahepatic fat measured by MRI-PDFF at baseline and the change from baseline to week 48 for each group. The comparison of intrahepatic fat at baseline and the change in intrahepatic fat at week 48 between the two groups will be assessed using two sample t-test or Wilcoxon's rank sum test, depending on the normality of the data. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | - The summary and analysis of adverse events are conducted for treatment-emergent adverse events (TEAEs) occurring after the administration of investigational medicinal products in the clinical trial. The frequency and percentage of adverse events, adverse drug reactions (ADRs), and serious adverse events (SAEs) occurring after the administration of investigational medicinal products are presented by treatment group. These occurrences are compared using Pearson's chi-square test or Fisher's exact test |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| YoonJun Kim, MD.PhD | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | 03080 | South Korea |
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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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Double-Blindle
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This clinical trial will be conducted as a double-blind study. The double-blind condition ensures that the investigational drug and the placebo are manufactured to be indistinguishable in terms of appearance, with identical formulations and characteristics, and are supplied in identical packaging. All investigational drugs for the clinical trial will be managed using unique code numbers.
| Placebo | Drug |
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| 96-week time point compared to baseline. |
| Changes in hepatic fat content measured by MRI-PDFF at 96 weeks compared to baseline. | Present the mean and standard deviation (or median and IQR, if necessary) along with a 95% confidence interval for the intrahepatic fat measured by MRI-PDFF at baseline and at week 96, as well as the change from baseline to week 96 for each group. The comparison of intrahepatic fat at baseline and the change in intrahepatic fat at week 96 between the two groups will be assessed using two-sample t-test or Wilcoxon's rank-sum test, depending on the normality of the data. | 96-week time point compared to baseline. |
| Proportion of subjects with a reduction in hepatic fat content measured by MRI-PDFF at 48 and 96 weeks of 20% or more compared to baseline. |
| 96-week time point compared to baseline. |
| Proportion of subjects with an improvement in hepatic fibrosis measured by MRE at 96 weeks of 20% or more compared to baseline. |
| 48-week and 96-week time points compared to baseline. |
| Changes in CAP measured by Fibroscan at 48 and 96 weeks compared to baseline. | The mean and 95% confidence intervals for the changes in CAP (Controlled Attenuation Parameter) measured by Fibroscan at baseline compared to week 48 and week 96 are presented. Data normality will be assessed, and either a two-sample t-test or Wilcoxon's rank-sum test will be employed to perform a comparative analysis of the changes in CAP measured by Fibroscan at baseline compared to week 48 and week 96 between the test group and the control group. | 96-week time point compared to baseline. |
| Changes in LSM measured by Fibroscan at 48 and 96 weeks compared to baseline. | The mean and 95% confidence intervals for the changes in LSM (Liver Stiffness Measurement) measured by Fibroscan at baseline compared to week 48 and week 96 are presented. Data normality will be assessed, and either a two-sample t-test or Wilcoxon's rank-sum test will be employed to perform a comparative analysis of the changes in LSM measured by Fibroscan at baseline compared to week 48 and week 96 between the test group and the control group. | 96-week time point compared to baseline. |
| Changes in body weight at 48 and 96 weeks compared to baseline. | Mean and 95% confidence intervals for changes in body weight at baseline compared to weeks 48 and 96 are provided. Data normality will be assessed, and either a two-sample t-test or Wilcoxon's rank-sum test will be used to perform a comparative analysis of changes in body weight at baseline compared to weeks 48 and 96 between the test group and the control group. | 48-week and 96-week time points compared to baseline. |
| Changes in waist circumference at 48 and 96 weeks compared to baseline. | Mean and 95% confidence intervals for changes in body waist circumference at baseline compared to weeks 48 and 96 are provided. Data normality will be assessed, and either a two-sample t-test or Wilcoxon's rank-sum test will be used to perform a comparative analysis of changes in waist circumference at baseline compared to weeks 48 and 96 between the test group and the control group. | 48-week and 96-week time points compared to baseline. |
| Changes in AST, ALT, r-GTP, and normalization rates at 48 and 96 weeks compared to baseline. |
| 48-week and 96-week time points compared to baseline. |
| Changes in HOMA-IR ≥2.0 at 48 and 96 weeks compared to baseline | - Mean and 95% confidence intervals for changes in insulin resistance (insulin resistance HOMA-IR ≥2.0) at baseline compared to weeks 48 and 96 are provided. Data normality will be assessed, and either a two-sample t-test or Wilcoxon's rank-sum test will be used to perform a comparative analysis of changes in insulin resistance (insulin resistance HOMA-IR ≥2.0) at baseline compared to weeks 48 and 96 between the test group and the control group. | 48-week and 96-week time points compared to baseline. |
| Changes in glycated hemoglobin (HbA1c) at 48 and 96 weeks compared to baseline | - Mean and 95% confidence intervals for changes in glycated hemoglobin (HbA1c) at baseline compared to weeks 48 and 96 are provided. Data normality will be assessed, and either a two-sample t-test or Wilcoxon's rank-sum test will be used to perform a comparative analysis of changes in glycated hemoglobin, at baseline compared to weeks 48 and 96 between the test group and the control group. | 48-week and 96-week time points compared to baseline. |
| Changes in fasting blood glucose at 48 and 96 weeks compared to baseline | - Mean and 95% confidence intervals for changes in fasting blood glucose at baseline compared to weeks 48 and 96 are provided. Data normality will be assessed, and either a two-sample t-test or Wilcoxon's rank-sum test will be used to perform a comparative analysis of changes in fasting blood glucose at baseline compared to weeks 48 and 96 between the test group and the control group. | 48-week and 96-week time points compared to baseline. |
| Changes in lipid profiles (total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides) at 48 and 96 weeks compared to baseline. | - Mean and 95% confidence intervals for changes in lipid profiles at baseline compared to weeks 48 and 96 are provided. Data normality will be assessed, and either a two-sample t-test or Wilcoxon's rank-sum test will be used to perform a comparative analysis of changes in lipid profiles at baseline compared to weeks 48 and 96 between the test group and the control group. | 48-week and 96-week time points compared to baseline. |
| Incidence of NAFLD risk factor diseases (hypertension, diabetes, dyslipidemia, etc.) at 48 and 96 weeks compared to baseline. | - Frequencies and incidence rates of NAFLD risk factor-related diseases in the test group and control group at baseline compared to weeks 48 and 96 are calculated, and 95% confidence intervals are provided. Pearson's chi-square test or Fisher's exact test will be used to analyze the difference in the incidence rates of NAFLD risk factor-related diseases at weeks 48 and 96 between the test group and the control group. | 48-week and 96-week time points compared to baseline. |
| Rate of medication discontinuation due to adverse events. | - The frequency and proportion of subjects who discontinued medication due to adverse events are presented according to adverse cases. The difference in medication discontinuation rates due to adverse events between the two groups will be compared using Pearson's chi-square test or Fisher's exact test. | during the intervention |
| immediately after the intervention |
| Proportion of subjects with abnormal Laboratory Tests | - Within-group and between-group comparisons are conducted. For within-group comparisons between the test group and the control group, continuous variables are analyzed using paired t-tests or Wilcoxon's signed-rank test depending on whether the normality assumption is satisfied, and categorical variables are analyzed using McNemar's test. For between-group comparisons between the test group and the control group, continuous variables are analyzed based on the normality assumption by confirming the normality of the data and using either the two-sample t-test or Wilcoxon's rank sum test, while categorical variables are analyzed using Pearson's chi-square test or Fisher's exact test. | immediately after the intervention |
| Proportion of subjects with abnormal vital signs | - Within-group and between-group comparisons are conducted. For within-group comparisons between the test group and the control group, continuous variables are analyzed using paired t-tests or Wilcoxon's signed-rank test depending on whether the normality assumption is satisfied, and categorical variables are analyzed using McNemar's test. For between-group comparisons between the test group and the control group, continuous variables are analyzed based on the normality assumption by confirming the normality of the data and using either the two-sample t-test or Wilcoxon's rank sum test, while categorical variables are analyzed using Pearson's chi-square test or Fisher's exact test. | immediately after the intervention |