Assessment of Tolerability of Specialized Food Products Made Out of Vegetable Protein and Their Influence on Lipid Profile in Patients With Non-alcoholic Fatty Liver Disease
Assessment of Tolerability of Specialized Foods of Vegetable Proteins and Their Influence on Lipid Profile in Patients With Non-alcoholic Fatty Liver Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Sergey Morozov, MD, PhD, DrSci
- Phone Number: +79104681801
- Email: morosoffsv@mail.ru
Study Contact Backup
- Name: Vladimir Pilipenko, MD, PhD
- Phone Number: +74996131091
- Email: pilipenkowork@rambler.ru
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Willingness to participate;
- Confirmed diagnosis of non-alcoholic fatty liver disease based on EASL guidelines.
Exclusion Criteria:
- Pregnancy and breastfeeding;
- excessive alcohol intake (>20 g/day women and >30 g/day men)
- Liver cirrhosis based on liver histology, or liver stiffness measurement (LSM > or =14 kPa by Fibroscan), or APRI > or= 1; or BARD score > or = 2.
- Chronic heart failure (I-IV class by NYHA).
- Past bariatric surgery.
- Clinically relevant acute cardiovascular event within 6 months prior to screening.
- Uncontrolled arterial hypertension despite optimal anti-hypertensive therapy.
- Diabetes mellitus type 1.
- Serum glycated hemoglobin [HbA1c] concentrations >9.0%.
- Hypersensitivity to the studied product or any of its components.
- The intake of any medications that may affect the absorption, distribution, metabolism or excretion of investigational products or may lead to the induction or inhibition of microsomal enzymes (for example, indomethacin) - from the moment of randomization to the end of treatment.
- Any medical conditions that may significantly affect life expectancy, including known cancers;
- Any clinically significant immunological, endocrine, haematological, gastrointestinal, neurological or psychiatric diseases;
- Mental instability or incapacity, which may impact the ability to give informed consent, take part in the study, or affect the ability to comply with study protocol requirements.
- Positive test for to human immunodeficiency virus antibodies .
- Aspartate aminotransferase (AST) and/or ALT >10 x upper normal limits.
- conjugated bilirubin > 26 mcmol/l (patients with Gilbert's disease are allowed to the study).
- International normalized ratio >1.40.
- Platelet count <100 x10^9/L due related to portal hypertension.
- Clinically relevant renal dysfunction, including nephrotic syndrome, chronic kidney disease (determined based on the estimated glomerular filtration rate [eGFR] less than 60 ml/min/1.73 m^2).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: plant-based meat analog
Patients with non-alcoholic fatty liver disease will receive iso-caloric diet with modified fat and protein content: 18.8 g/day animal proteins a day will be substituted by 13.0 g/day vegetable protein; 6.0 g/day animal fat will be substituted by 19.1 g/day vegetable fat.
This modification undermines substitution of a portion of meat product made of standard (animal) meat (cutlet or schnitzel) by plant-based analog, based on soy-bean source.
The taste will be masked by natural food flavoring (taste of chicken).
|
Experimental group receives specialized food made of plant-based (soy) meat analog.
A portion of standard (animal) meat in a daily ration of the enrolled subjects is substituted by plant-based analog.
|
|
Placebo Comparator: Control - standard iso-calorie diet
Iso-calorie diet (based on resting energy expenditures measurements) is provided to subjects with non-alcoholic fatty liver disease
|
Isocalorie (based on resting energy expenditures measurements) diet is provided to subjects of the control group with no modification of the protein and fat content
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
cholesterol
Time Frame: baseline and day 14
|
serum cholesterol change
|
baseline and day 14
|
|
Low-density lipoproteins
Time Frame: baseline and day 14
|
Serum concentrations of low-density lipoproteins change
|
baseline and day 14
|
|
High-density lipoproteins
Time Frame: baseline and day 14
|
Serum concentration of HDLP change
|
baseline and day 14
|
|
triglycerides
Time Frame: baseline and day 14
|
Serum concentration of triglycerides change
|
baseline and day 14
|
|
C-reactive protein
Time Frame: baseline and day 14
|
Serum concentration of C-reactive protein change
|
baseline and day 14
|
|
urea
Time Frame: baseline and day 14
|
serum concentration of urea change
|
baseline and day 14
|
|
stool form
Time Frame: baseline and day 14
|
Stool form change assessed with standard Bristol stool scale.
Type 1 is characterized by separate hard lumps, hard to pass; this often observed in constipation; Type 4 - looks like a sausage or snake, smooth and soft (normal); Type 7 - watery, entirely liquid stool, observed in diarrhea; Mean values of stool forms by previous 7 days at baseline and on day 14 will be assessed to reflect a "change".
|
baseline and day 14
|
|
Organoleptic qualities of the developed products
Time Frame: baseline and day 14
|
Organoleptic assessment with the use of visual analogue scales (taste, colour, scent, texture) is to be used.
|
baseline and day 14
|
|
stool frequency
Time Frame: baseline and day 14
|
Mean stool frequency a day will be assessed at baseline and at the end of the study period to detect possible "change" in bowel habits related to product use
|
baseline and day 14
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Vasily Isakov, MD, PhD, Professor, Federal Research Center of Nutrition&Biotechnology
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- OGIG-19-76-30014/2024-2MB
- 19-76-30014-P (Other Grant/Funding Number: Russian Science Foundation)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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