- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03749070
Efficacy of Silymarin in Patients With Non-alcoholic Fatty Liver Disease - The SILIVER Trial
August 1, 2022 updated by: Camila Ribeiro de Avelar
Efficacy of Silymarin in Patients With Non-alcoholic Fatty Liver Disease - The SILIVER Trial: Randomized Clinical Trial
Non-Alcoholic Fatty Liver Disease (NAFLD) is one of the most prevalent chronic liver diseases in Brazil and its treatment is still limited.
Thus, this project aims to conduct a double-blind, controlled, randomized clinical trial to evaluate the effect of silymarin on laboratory markers and clinical evolution of adult patients with NAFLD treated at Edgard Santos Hospital, as well as identify the dietary pattern of these individuals.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Non-Alcoholic Fatty Liver Disease (NAFLD) is one of the most prevalent chronic liver diseases in Brazil.
It has a significantly increasing incidence today and is considered an important global health problem.
It affects approximately 20 to 30% of the adult population and increases according to the severity of the risk factors.
The diagnosis of this disease usually occurs in 10 to 20% of the non-obese individuals, 50% in the overweight and 80 to 90% in the obese, being twice as present in individuals with Metabolic Syndrome.
Pharmacological treatment options for NAFLD are still limited and Silybum marianum, one of the most sought-after herbal remedies in patients with liver disease, is commonly used by patients because of the claim of the hepatoprotective effect of silymarin.
Studies have demonstrated the therapeutic potential of silymarin in patients with NAFLD, but clinical trials with more judicious methodological designs is still needed to prove these effects.
Thus, this project aims to evaluate the efficacy of silymarin in adult patients with NAFLD seen at the Clinic of Nutrition and Hepatology of Edgard Santos Hospital.
A randomized, double-blind, controlled clinical trial lasting 12 weeks will be performed.
Study Type
Interventional
Enrollment (Anticipated)
132
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 Contact
- Name: Camila Avelar
- Phone Number: +55 +55 (71)991540434
- Email: contato@camilaavelar.com.br
Study Locations
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Bahia
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Salvador, Bahia, Brazil, 40.110.060
- Recruiting
- Camila Ribeiro de Avelar
-
Contact:
- Camila Avelar
- Phone Number: +55(71)991540434
- Email: contato@camilaavelar.com.br
-
-
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
20 years to 60 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Adults between 20 and 60 years of age, both men and women,
- Clinical diagnosis of NAFLD, confirmed by imaging exams,
Exclusion Criteria:
- Women in the menacing period, with the exception of those who have performed definitive sterilization, such as hysterectomy or tubal ligation.
- Patients with established prior diagnosis of chronic noncommunicable disease (congestive heart failure, decompensated or severe lung disease, neoplasms, renal disease, advanced liver disease - Child Pugh C classification)
- Patients with schistosomiasis;
- Hemochromatosis
- Wilson's disease
- Viral or autoimmune hepatitis
- HIV virus carriers
- Woman who is breastfeeding
- Users of illicit drugs
- Patients with an intake of more than 20 g / day of alcohol and / or past alcoholism with abstention less than 6 months;
- Patients with ingestion of medications such as steroids, estrogens, amiodarone, warfarin, anti-convulsants, antipsychotics, tamoxifen or other chemotherapeutic agents in the last 6 months
- Patients with clinically manifest infections or inflammation, surgery, trauma or hospitalization in the last 30 days
- Chronic non-hepatic degenerative diseases (sclerosis, Parkinson's disease or Alzheimer's disease)
- Patients who do not participate in all stages of the research.
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: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Silymarin
Patients will receive 2 capsules containing a total of 700mg of silymarin, 8mg of vitamin E and 50mg of phosphatidylcholine, in addition to the excipient, which should be ingested daily for 12 weeks.
|
It is a randomized, double-blind, controlled clinical trial to be performed at outpatient level.
The intervention will last 12 weeks and the invited participants will be patients attended at the outpatient clinic of the Edgard Santos Hospital, which will be randomized into two groups: control and intervention.
Data on laboratory and clinical markers, imaging, nutritional and dietary assessment will be collected at the beginning and end of the trial for comparison purposes.
|
Placebo Comparator: Placebo
Patients will also receive similarly 2 capsules per day, but without the bioactive principle tested (silymarin).
Therefore, the capsules in the control group will contain only 700 mg of maltodextrin, a neutral food component derived from starch, in addition to the excipient and the same amount of vitamin E and phosphatidylcholine to balance the two groups.
|
It is a randomized, double-blind, controlled clinical trial to be performed at outpatient level.
The intervention will last 12 weeks and the invited participants will be patients attended at the outpatient clinic of the Edgard Santos Hospital, which will be randomized into two groups: control and intervention.
Data on laboratory and clinical markers, imaging, nutritional and dietary assessment will be collected at the beginning and end of the trial for comparison purposes.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Absence or change in NAFLD degree
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
|
Absence or change in NAFLD degree, assessed by the value of the difference in the attenuation coefficient between liver and spleen obtained by computed tomography of the upper abdomen performed at the beginning and at the end of the study.
|
They will be dosed at baseline and after 12 weeks of intervention.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Lipid profile
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
|
Total cholesterol (mg/dL), LDL-cholesterol (mg/dL), HDL-cholesterol (mg/dL), VLDL-cholesterol (mg/dL) and triglycerides (mg/dL) will be measured before and after the intervention.
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They will be dosed at baseline and after 12 weeks of intervention.
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Fasting blood glucose
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
|
Fasting blood glucose (mg/dL) will be measured before and after the intervention.
|
They will be dosed at baseline and after 12 weeks of intervention.
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Glycated haemoglobin
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
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Hb A1c (%) will be measured before and after the intervention.
|
They will be dosed at baseline and after 12 weeks of intervention.
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Insulin
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
|
Insulin (µU/mL) will be measured before and after the intervention.
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They will be dosed at baseline and after 12 weeks of intervention.
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Serum Iron
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
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Serum iron (mcg/dL) will be measured before and after intervention.
|
They will be dosed at baseline and after 12 weeks of intervention.
|
Transferrin saturation
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
|
Transferrin saturation (%) will be measured before and after intervention.
|
They will be dosed at baseline and after 12 weeks of intervention.
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Serum ferritin
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
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Serum ferritin will be evaluated in µg/L before and after intervention.
|
They will be dosed at baseline and after 12 weeks of intervention.
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Hepatic transaminases
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
|
Alanine aminotransferase (ALT) and Aspartate Aminotransferase (AST) will be evaluated in U/L before and after intervention.
|
They will be dosed at baseline and after 12 weeks of intervention.
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gamma glutamyl transferase
Time Frame: They will be dosed at baseline and after 12 weeks of intervention.
|
Gamma glutamyl transferase will be evaluated in U/L before and after intervention.
|
They will be dosed at baseline and after 12 weeks of intervention.
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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)
February 15, 2019
Primary Completion (Anticipated)
August 31, 2022
Study Completion (Anticipated)
August 31, 2022
Study Registration Dates
First Submitted
October 28, 2018
First Submitted That Met QC Criteria
November 19, 2018
First Posted (Actual)
November 21, 2018
Study Record Updates
Last Update Posted (Actual)
August 2, 2022
Last Update Submitted That Met QC Criteria
August 1, 2022
Last Verified
August 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2.635.954
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
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.
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