- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05554224
Integrated Multi-omics Data for Personalized Treatment of Obesity-associated Fatty Liver Disease
Integrated Multi-omics and Machine Learning-driven Personalized Treatment of Obesity-associated Fatty Liver Disease
Study Overview
Status
Intervention / Treatment
Detailed Description
The investigators study the most prevalent liver disease in the history of humankind, which is the leading cause of liver transplantation in its severe forms. It results from two silent pandemics with enormous health impacts: obesity and diabetes. Together or separately, they affect more than 30% of the world's population. The current term for the disease is MAFLD (metabolic (dysfunction)-associated fatty liver disease). This designation indicates that metabolic disorders related to obesity, diabetes, dyslipidemia, and hypertension are its primary cause. These disorders are related and lead to fat accumulation in the liver, the first step in a broad spectrum of chronic liver diseases. These diseases respond clinically in a very variable way and remain undiagnosed and untreated for a long time. There is no accepted pharmacological treatment, and lifestyle changes, although possibly effective, usually fail because they require particularly favorable conditions. Therefore, the identified problems that should be solve are:
(1) The diagnosis of MAFLD requires a liver biopsy, a costly and aggressive procedure. (2) Without examining the liver, clinicians can know little about the progression of the disease and the underlying causes. (3) The results in experimental models can be informative but difficult to translate to the clinic. Recent reports suggest the essential role of phospholipid biosynthesis and transport between the endoplasmic reticulum and mitochondria. (4) All of the above makes it difficult to obtain the necessary information to propose changes in clinical guidelines.
Considering these aspects, patients with morbid obesity can be an informative human model. Among other advantages, patients have surgical options that allow us to obtain portions of affected organs that facilitate specific diagnosis and that, because they require constant care, can be studied on an ongoing basis. The presented approach can improve patient care and essentially consists of identifying the most significant number of variables that can help. In particular, here are proposed the inclusion of variables that can already be obtained from recent advances in the laboratory, encompassed within the omics sciences (genomics, transcriptomics, proteomics, metabolomics, lipidomics, microbiomics). Each of these has its advantages and limitations. Predictive models can integrate these variables into clinical data to explore organ crosstalk.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Jorge Joven, Professor
- Phone Number: 55409 +34977310300
- Email: jorge.joven@urv.cat
Study Contact Backup
- Name: Helena Castañé, MSc
- Phone Number: 55409 +34977310300
- Email: helena.castane@iispv.cat
Study Locations
-
-
Tarragona
-
Reus, Tarragona, Spain, 43204
- Recruiting
- Hospital Universitari Sant Joan
-
Contact:
- Jorge Joven, Professor
- Phone Number: 55409 +34977310300
- Email: jorge.joven@urv.cat
-
Principal Investigator:
- Jorge Joven, Professor
-
Principal Investigator:
- Daniel del Castillo, Professor
-
Sub-Investigator:
- Jordi Camps, PhD
-
Sub-Investigator:
- Isabel Fort-Gallifa, PhD
-
Sub-Investigator:
- Anna Hernández-Aguilera, PhD
-
Sub-Investigator:
- Marta Paris, PhD
-
Sub-Investigator:
- Gerard Baiges-Gaya, MSc
-
Sub-Investigator:
- Elisabet Rodríguez-Tomàs, MSc
-
Sub-Investigator:
- Jordi Riu, PhD
-
Sub-Investigator:
- Adria Cereto-Massague, PhD
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Sub-Investigator:
- Helena Castañé, MSc
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Sub-Investigator:
- Andrea Jiménez-Franco, MSc
-
Sub-Investigator:
- Alina-Iuliana Onoiu, MSc
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Body mass index greater or equal to 40 kg/m^2.
- Body mass index between 35 and 40 kg/m^2 with high-risk comorbidities (diagnosis or treatment for hypertension, dyslipidemia, or type 2 diabetes mellitus).
- Positive psychiatric evaluation.
- Age greater or equal to 18 years old.
Exclusion Criteria:
- Legal or illegal drug consumption, including alcohol.
- Diagnosis of Hepatitis.
- Current cancer diagnosis or treatment.
- Clinical or analytical evidence of severe illness.
- Clinical or analytical evidence of chronic or acute inflammation.
- Clinical or analytical evidence of infectious diseases.
- Clinical or analytical evidence of terminal illness.
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Control
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Severe obesity without liver disease
Patients with severe obesity who did not meet the criteria described in Kleiner et al. (2005) for nonalcoholic steatohepatitis diagnosis (score 0-2).
|
Observational although patients are candidates for metabolic surgery.
Other Names:
|
Severe obesity with liver disease without criteria for steatohepatitis
Patients with severe obesity who did not meet the criteria described in Kleiner et al. (2005) for nonalcoholic steatohepatitis diagnosis, but their biopsies presented some liver severity (scores 3 and 4).
|
Observational although patients are candidates for metabolic surgery.
Other Names:
|
Severe obesity with well-defined steatohepatitis and/or cirrhosis
Patients with severe obesity who met the criteria described in Kleiner et al. (2005) for nonalcoholic steatohepatitis diagnosis (score 5-8).
|
Observational although patients are candidates for metabolic surgery.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Weight change
Time Frame: 1 to 10 years
|
The effect of bariatric surgery on adiposity outcomes.
|
1 to 10 years
|
Type 2 diabetes mellitus incidence
Time Frame: 1 to 10 years
|
The effect of bariatric surgery on metabolic outcomes.
|
1 to 10 years
|
Hypertension incidence
Time Frame: 1 to 10 years
|
The effect of bariatric surgery on metabolic outcomes.
|
1 to 10 years
|
Chronic liver diseases incidence
Time Frame: 1 to 10 years
|
The usefulness of imaging techniques on metabolic outcomes.
|
1 to 10 years
|
Dyslipidemia incidence
Time Frame: 1 to 10 years
|
The effect of bariatric surgery on metabolic outcomes.
|
1 to 10 years
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Jorge Joven, Professor, Institut Investigacio Sanitaria Pere Virgili
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- EOM study
- EPIMET (Other Identifier: Hospital Universitari Sant Joan)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
The Data Management Plan makes data fully findable, accessible, interoperable, and reusable, following the indication of the Horizon 2020 initiative of the European Union. The clinical team identified sensitive data, including epidemiological, anthropometric, and medical information. It is the only responsibility of the principal investigator to ensure that sensitive data are de-identified, implementing technical safeguards to guarantee anonymity.
Most data will be experimental and obtained from the analysis of column value and data format description (.txt or .csv) and syntax scripts (.R).
The external collaborators, especially those involved in validation cohorts, may have access to data upon request.
With the acceptance of the principal investigator, Rovira i Virgili University's institutional service will guarantee digital access to repositories with raw data generated in research analyses.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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