Intragastric Balloon in Compensated NASH(Non Alcoholic Steato Hepatitis) Cirrhotics

Intragastric Balloon in Compensated NASH(Non Alcoholic Steato Hepatitis) Cirrhotics-An Observational Study

The study will be conducted in department of Hepatology at ILBS, the patients will be recruited from the OPD or IPD . The obese cirrhotic patients with NASH will be observed for standard of care and also patients who undergo IGB placement as part of weight reduction policy in these group of patients and will undergo an UGI endoscopy followed by placement of intragastric balloon. Then the patients will be admitted for 2-3 days and followed up till 6 months.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

56

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Delhi
      • New Delhi, Delhi, India, 110070
        • Institute of Liver & Biliary Sciences

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

NASH (Non Alcoholic SteatoHepatitis) cirrhosis.

Description

Inclusion Criteria:

  • Adult patients between 18 and 65 years
  • NASH (Non Alcoholic SteatoHepatitis) cirrhosis
  • BMI > 30 and failure to control weight despite full dietary and life style modifications.
  • Compensated : CTP 6 & 7 without any evidence of decompensation in form of Hepatic encephalopathy, ascites, GI bleed or prolonged jaundice.
  • Small varices: Grade I varices

Exclusion Criteria:

  • Alcoholic liver disease
  • Advanced liver disease with ascites, hepatic encephalopathy
  • Other liver diseases such as chronic hepatitis B, chronic hepatitis C, Wilsons' disease, Hemochromatosis, glycogen storage diseases etc.
  • Pregnancy
  • Unwilling patients
  • Large varices
  • Past h/o GI bleed
  • Hiatus hernia
  • Gastric ulcer
  • Severe esophagitis (Grade B and above)
  • Severe PHG or gastric erythema

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Intragastric Balloon
Intragastric Balloon will be placed for 6 months
Intragstric Ballooning will be put.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change in weight from baseline
Time Frame: 3 months
3 months
Change in weight reduction from baseline
Time Frame: 6 Months
6 Months

Secondary Outcome Measures

Outcome Measure
Time Frame
Change in development of liver related complications
Time Frame: 3 Months
3 Months
Change in development of liver related complications
Time Frame: 6 Months
6 Months
Improvement of insulin resistance in both groups.
Time Frame: 3 Months
3 Months
Improvement of insulin resistance in both groups.
Time Frame: 6 Months
6 Months
Decreased usage of medications for diabetes mellitus in both groups.
Time Frame: 3 Months
3 Months
Decreased usage of medications for diabetes mellitus in both groups.
Time Frame: 6 Months
6 Months
Decreased usage of medications for HOMA-IR (Homeostatic Model Assessment-Insulin Resistance) in both groups.
Time Frame: 3 Months
3 Months
Decreased usage of medications for HOMA-IR (Homeostatic Model Assessment-Insulin Resistance) in both groups.
Time Frame: 6 Months
6 Months
Improvement of insulin resistance and decreased usage of medications for TNF-α (Tumor Necrosis Factor-Alpha).
Time Frame: 3 Months
3 Months
Improvement of insulin resistance and decreased usage of medications for TNF-α (Tumor Necrosis Factor-Alpha).
Time Frame: 6 Months
6 Months
Improvement in liver parameters such as serum albumin in both groups.
Time Frame: 3 Months
3 Months
Improvement in liver parameters such as serum albumin in both groups.
Time Frame: 6 Months
6 Months
Improvement liver parameters such as INR in both groups
Time Frame: 3 Months
3 Months
Improvement in liver parameters such as INR in both groups.
Time Frame: 6 Months
6 Months
Improvement in liver parameters such as bilirubin in both groups
Time Frame: 3 Months
3 Months
Improvement in liver parameters such as bilirubin in both groups.
Time Frame: 6 Months
6 Months
Disappearance of esophageal varices in both groups.
Time Frame: 3 Months
3 Months
Disappearance of esophageal varices in both groups.
Time Frame: 6 Months
6 Months
Improvement in LSM (liver stiffness on fibroscan) in both groups
Time Frame: 3 Months
3 Months
Improvement in LSM (liver stiffness on fibroscan) in both groups.
Time Frame: 6 Months
6 Months
Improvement in CAP (Controlled Attenuation Index) in both groups.
Time Frame: 3 Months
3 Months
Improvement in CAP (Controlled Attenuation Index) in both groups.
Time Frame: 6 Months
6 Months
Improvement in HVPG (Hepatic venous Pressure Gradient) in both groups.
Time Frame: 3 Months
3 Months
Improvement in HVPG (Hepatic venous Pressure Gradient) in both groups.
Time Frame: 6 Months
6 Months
Improvement in liver histology post completion of study in both groups.
Time Frame: 6 Months
6 Months
Change in hormonal levels such as Adiponectin level in both groups..
Time Frame: 3 Months
3 Months
Change in hormonal levels such as Adiponectin level in both groups.
Time Frame: 6 months
6 months
Change in hormonal levels such as leptin level in both groups.
Time Frame: 3 Months
3 Months
Change in hormonal levels such as Ghrelin level in both groups..
Time Frame: 3 Months
3 Months
Change in hormonal levels such as Ghrelin level in both groups..
Time Frame: 6 Months
6 Months
Change in hormonal levels such as Endothelin level in both groups..
Time Frame: 3 Month
3 Month
Change in hormonal levels such as Endothelin level in both groups..
Time Frame: 6 Month
6 Month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Shiv Kumar Sarin, DM, Institute of Liver & Biliary Sciences

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 2, 2016

Primary Completion (Actual)

May 31, 2020

Study Completion (Actual)

May 31, 2020

Study Registration Dates

First Submitted

October 17, 2018

First Submitted That Met QC Criteria

November 21, 2018

First Posted (Actual)

November 27, 2018

Study Record Updates

Last Update Posted (Actual)

June 23, 2021

Last Update Submitted That Met QC Criteria

June 17, 2021

Last Verified

June 1, 2021

More Information

Terms related to this study

Other Study ID Numbers

  • ILBS-NASH-04

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Liver Cirrhosis

Clinical Trials on Intragstric Ballooning

Search Similar Trials