Insulin Resistance Study (IR)

October 25, 2012 updated by: Prashant Pandya, Midwest Biomedical Research Foundation

The Prevalence of Insulin Resistance and the Potential Modulation of Insulin Resistance by N-acetylcysteine (NAC) in Patients Chronically Infected by the Hepatitis C Virus

The purpose of this study is to evaluate how often patients with hepatitis C infection have abnormalities of sugar and fat utilization. Additionally we would like to find out if these abnormalities of sugar and fat utilization are common in other liver diseases, or related to being overweight.

Study Overview

Status

Suspended

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

121

Phase

  • Not Applicable

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

  • United States
    • Missouri
      • Kansas City, Missouri, United States, 64128
        • Kansas City VA Medical Center

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 and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Ability to give written consent
  • HCV RNA PCR positive for 6 months
  • Normal Hgb, WBC,Neutrophils
  • Platelets of >/= 65,000
  • Direct Bili, within 20% ULN
  • Albumin >3
  • Serum Creatinine <20% ULN
  • TSH WNL
  • AFP </= 100

Exclusion Criteria:

  • Women who are pregnant or breast-feeding
  • No Thiazolidinedione, Metformin,unless required for the treatment of type II DM
  • Hepatitis C of non-genotype 1,2,3
  • Any other cause for liver disease other than chronic hepatitis C
  • Hemoglobinopathies
  • Evidence of advanced liver disease
  • Previous organ transplant
  • Severe psychiatric disorder
  • Significant cardiovascular dysfunction within the past 12 months
  • Poorly controlled diabetes mellitus
  • Immunologically mediated disease
  • Any medical condition requiring chronic systemic administration of steroids
  • Evidence of an active or suspected cancer
  • Substance abuse at the time of the study
  • Known HIV
  • Irritability or unwillingness to provide informed consent

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

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: 2
One half of the patients will take not medication for 30 days and then have labs redrawn
Experimental: 1
one half of the patients with insulin resistance will take 4ml of 20% N-acetylcysteine BID for 30 days
Drug: N-acetylcysteine 20% 4ml
N-acetylcysteine 20% 4ml
Drug: N-acetylcysteine 20% in 4 ml
N-acetylcysteine 20% in 4 ml

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Those patients who are identified to have insulin resistance will be asked to participate in the treatment phase of the study
Time Frame: 2 years
2 years

Secondary Outcome Measures

Outcome Measure
Time Frame
One half of patients with insulin resistance will undergo 30 day treatment with N-acetylcysteine to see if we can measure an improvement in fasting insulin and glucose levels
Time Frame: 2 years
2 years

Collaborators and Investigators

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

Sponsor

Midwest Biomedical Research Foundation

Investigators

  • Principal Investigator: Prashant K Pandya, DO, Kansas City VA Medical Center

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

May 1, 2005

Primary Completion (Anticipated)

December 1, 2013

Study Completion (Anticipated)

December 1, 2013

Study Registration Dates

First Submitted

January 31, 2008

First Submitted That Met QC Criteria

January 31, 2008

First Posted (Estimate)

February 13, 2008

Study Record Updates

Last Update Posted (Estimate)

October 26, 2012

Last Update Submitted That Met QC Criteria

October 25, 2012

Last Verified

October 1, 2012

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • PKP0003
  • 00173

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.

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