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Combination of CXD and Restrictive Ketogenic Diet Against MASLD

Clinical Trial Study on the Combination of CXD and Restrictive Ketogenic Diet in Treating MASLD

This study employed a single-center, randomized, investigator-blind, three-group parallel, stepwise controlled clinical trial. A total of 135 subjects were randomly assigned to receive either a low-carbohydrate diet intervention, a restrictive ketogenic diet intervention, or a decoction preparation of the Tucha Lipid-Reducing Formula combined with a restrictive ketogenic diet. The trial duration consisted of 8 weeks of treatment followed by 8 weeks of follow-up. During the trial, participants adhered to dietary calorie control and moderate exercise as instructed in health education, self-reported their height, weight, waist-to-hip ratio, and other general parameters, and had weekly blood ketone level monitoring. Liver ultrasound, fasting blood glucose, lipid profiles, blood ketones, liver function tests, serum creatinine, urea nitrogen levels, and scores on the Traditional Chinese Medicine Syndrome Scale were measured before treatment initiation and at the end of the 8-week treatment period.

Aperçu de l'étude

Type d'étude

Interventionnel

Inscription (Estimé)

135

Phase

  • Phase 2

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte

Accepte les volontaires sains

Non

La description

Inclusion Criteria:

  • Age 18-50 years, regardless of gender
  • Meet the diagnostic criteria for MASLD
  • Meet the diagnostic criteria for dampness-heat accumulation syndrome in Traditional Chinese Medicine
  • Liver controlled attenuation parameter (CAP) ≥238 dB/m
  • Body mass index (BMI) ≥23 kg/m²
  • Possess adequate cognitive and comprehension abilities to understand the study content, its potential risks, and benefits;
  • Voluntarily participate in this study and personally sign the informed consent form

Exclusion Criteria:

  • Concurrent presence of other liver diseases that may lead to hepatic steatosis, specifically including drug-induced liver injury, alcoholic liver disease, autoimmune liver disease, viral hepatitis, and Wilson's disease
  • Concurrent severe dysfunction of major organs such as the heart, kidneys, or lungs, e.g., severe cardiac insufficiency (NYHA class III or higher), renal failure (estimated glomerular filtration rate <30 mL/min/1.73 m²), or acute exacerbation of chronic obstructive pulmonary disease
  • Subjects currently receiving treatment for MASLD
  • Concurrent presence of other severe systemic diseases, such as malignant tumors or active systemic lupus erythematosus
  • Known hypersensitivity or intolerance to any component of the study drug
  • Pregnant women, lactating women, or women of childbearing age who refuse effective contraceptive measures during the trial
  • Participation in other clinical trials within the past 3 months
  • Other circumstances deemed by the investigator unsuitable for participation in this study, such as severe mental disorders affecting compliance with the study

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Comparateur placebo: Low-carbon control group
The control group received a standardized low-carbohydrate diet (carbohydrates accounted for 25%-30% of total caloric intake).
Expérimental: KD group
Daily carbohydrate intake should not exceed 5%, with three consecutive ketogenic days per week implemented (selected according to the subject's preference).
Expérimental: CXD and KD group
In addition to a restrictive ketogenic diet intervention, the patients were administered a traditional Chinese medicine compound formula named Chazhu Xiaoli Formula for lipid reduction. Below is the composition of Chazhu Xiaozhi decoction: Camellia Sinensis Radix 15g, Atractylodis Rhizoma 15g, Herba Gynostemmatis Pentaphylli 15g, Ilicis Cornutae Folium 15g, Alismatis Rhizoma 9g, Nelumbinis Folium 6g, Crataegi Fructus 6g, Polygoni Orientalis Fructus 3g.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Controlled Attenuation Parameter (CAP) value
Délai: From enrollment to the end of treatment at 8 weeks
Use an elastography ultrasound device to measure liver fat content
From enrollment to the end of treatment at 8 weeks

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
BMI
Délai: From baseline to the end of the 8-week follow-up period
From baseline to the end of the 8-week follow-up period
Triglyceride(TG)
Délai: From enrollment to the end of treatment at 8 weeks
Use a fully automated biochemical analyzer to measure TG
From enrollment to the end of treatment at 8 weeks
Total blood cholesterol(TC)
Délai: From enrollment to the end of treatment at 8 weeks
Use a fully automated biochemical analyzer to measure TC
From enrollment to the end of treatment at 8 weeks
High-Density Lipoprotein(HDL)
Délai: From enrollment to the end of treatment at 8 weeks
Use a fully automated biochemical analyzer to measure HDL
From enrollment to the end of treatment at 8 weeks
Alanine Aminotransferase (ALT)
Délai: From enrollment to the end of treatment at 8 weeks
Use a fully automated biochemical analyzer to measure liver function
From enrollment to the end of treatment at 8 weeks
Aspartate Aminotransferase(AST)
Délai: From enrollment to the end of treatment at 8 weeks
Use a fully automated biochemical analyzer to measure liver function
From enrollment to the end of treatment at 8 weeks
Gamma-Glutamyl Transferase(GGT)
Délai: From enrollment to the end of treatment at 8 weeks
Use a fully automated biochemical analyzer to measure liver function
From enrollment to the end of treatment at 8 weeks
Blood glucose metabolism indicators
Délai: From enrollment to the end of treatment at 8 weeks
Use a fully automated biochemical analyzer to measure blood glucose
From enrollment to the end of treatment at 8 weeks
Traditional Chinese Medicine Syndrome Scoring System
Délai: From enrollment to the end of treatment at 8 weeks
The title is Traditional Chinese Medicine Syndrome Scale. The minimum score is 0 and the maximum is 6. Lower scores indicate better results.
From enrollment to the end of treatment at 8 weeks
Blood ketones
Délai: From baseline to the end of the 8-week follow-up period
Use a fully automated biochemical analyzer to measure blood ketones to indicate clinical safety
From baseline to the end of the 8-week follow-up period
Creatinine
Délai: From enrollment to the end of treatment at 8 weeks
Use a fully automated biochemical analyzer to measure creatinine to indicate clinical safety
From enrollment to the end of treatment at 8 weeks
Blood Urea Nitrogen
Délai: From enrollment to the end of treatment at 8 weeks
Use a fully automated biochemical analyzer to measure blood urea nitrogen to indicate clinical safety
From enrollment to the end of treatment at 8 weeks

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Estimé)

1 juillet 2026

Achèvement primaire (Estimé)

28 décembre 2026

Achèvement de l'étude (Estimé)

1 février 2027

Dates d'inscription aux études

Première soumission

27 mai 2026

Première soumission répondant aux critères de contrôle qualité

6 juin 2026

Première publication (Réel)

10 juin 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

14 juillet 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

10 juillet 2026

Dernière vérification

1 juin 2026

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • KD20260527

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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