Hepar-P Study to Evaluate the Safety and Efficacy of a Standardised Extract of Phyllanthus Niruri for the Treatment of Non-alcoholic Fatty Liver Disease (Hepar-P)
Primary Purpose
Non-alcoholic Fatty Liver Disease
Status
Unknown status
Phase
Phase 2
Locations
Malaysia
Study Type
Interventional
Intervention
Hepar-P
Placebo for Hepar-P
Sponsored by
About this trial
This is an interventional treatment trial for Non-alcoholic Fatty Liver Disease
Eligibility Criteria
Inclusion Criteria:
- Male or non-pregnant females age 18 years or older
- Written informed consent obtained from patient or parents/ guardian
- Elevated serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels but less than 2.5times the upper limit of the normal range
- Patients with liver biopsy confirmed possible or definite steatohepatitis within the past 12 months prior to enrolment into the trial
- Possible steatohepatitis with activity score ≥3 OR definite steatohepatitis with activity score ≥5
- A score of at least 1 for hepatocellular ballooning
Exclusion Criteria:
- Pregnant or nursing woman or women of childbearing potential except if post-menopausal, surgically sterile or using accepted method(s) of birth control or having negative pregnancy test
- Participation in any trial in which the patient received an investigational product within 30 days preceding the screening phase of this study
- Those persons directly involved in the conduct of the study
- Alcohol consumption of more than 20g per day for women or more than 30g per day for men for at least 3 consecutive months during the previous 5 years, as assessed with the use of the Lifetime Drinking History questionnaire and the interview version of the Alcohol Use and Disorders Identification Test (AUDIT)
- History of cirrhosis, hepatitis C or other liver diseases
- History of heart failure (New York Association Class II to IV)
- History of taking medications known to cause steatohepatitis
- Any serious medical conditions or disability, which in the opinion of the investigator, would interfere with treatment or assessment or preclude completion of this study
Sites / Locations
- Sultamah Bahiyah HospitalRecruiting
- Kuala Lumpur HospitalRecruiting
- Tengku Ampuan Afzan HospitalRecruiting
- Queen Elizaberth HospitalRecruiting
- Ampang HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Hepar-P
Placebo for Hepar-P
Arm Description
Hepar-P: Two capsules (250mg x 2), three times daily, orally
Placebo: Two capsules, three times daily, orally
Outcomes
Primary Outcome Measures
Improvement in serum aspartate aminotransferase and alanine aminotransferase levels
Secondary Outcome Measures
Histologic findings including degree of steatosis, lobular inflammation, hepatocellular ballooning and fibrosis and overall disease activity score
Full Information
NCT ID
NCT01680003
First Posted
September 3, 2012
Last Updated
April 10, 2013
Sponsor
Nova Laboratories Sdn Bhd
1. Study Identification
Unique Protocol Identification Number
NCT01680003
Brief Title
Hepar-P Study to Evaluate the Safety and Efficacy of a Standardised Extract of Phyllanthus Niruri for the Treatment of Non-alcoholic Fatty Liver Disease
Acronym
Hepar-P
Official Title
A Multi-Centre, Randomised, Double-Blind, Placebo-Controlled Trial to Determine the Efficacy and Safety of HEPAR-P Capsule for the Treatment of Non-alcoholic Fatty Liver Disease (NAFLD)
Study Type
Interventional
2. Study Status
Record Verification Date
April 2013
Overall Recruitment Status
Unknown status
Study Start Date
September 2012 (undefined)
Primary Completion Date
October 2013 (Anticipated)
Study Completion Date
December 2013 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nova Laboratories Sdn Bhd
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a multi-center, double blind, parallel group placebo controlled randomised trial designed to determine the safety and efficacy of a Standardised Extract of Phyllanthus Niruri (EPN 797) HEPAR-P capsule for the treatment of Non-alcoholic Fatty Liver Disease for a treatment period of 48 weeks
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-alcoholic Fatty Liver Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Hepar-P
Arm Type
Experimental
Arm Description
Hepar-P: Two capsules (250mg x 2), three times daily, orally
Arm Title
Placebo for Hepar-P
Arm Type
Placebo Comparator
Arm Description
Placebo: Two capsules, three times daily, orally
Intervention Type
Drug
Intervention Name(s)
Hepar-P
Intervention Type
Drug
Intervention Name(s)
Placebo for Hepar-P
Primary Outcome Measure Information:
Title
Improvement in serum aspartate aminotransferase and alanine aminotransferase levels
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Histologic findings including degree of steatosis, lobular inflammation, hepatocellular ballooning and fibrosis and overall disease activity score
Time Frame
48 weeks
Other Pre-specified Outcome Measures:
Title
Adverse events reporting, physical examinations and laboratory tests
Time Frame
48 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or non-pregnant females age 18 years or older
Written informed consent obtained from patient or parents/ guardian
Elevated serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels but less than 2.5times the upper limit of the normal range
Patients with liver biopsy confirmed possible or definite steatohepatitis within the past 12 months prior to enrolment into the trial
Possible steatohepatitis with activity score ≥3 OR definite steatohepatitis with activity score ≥5
A score of at least 1 for hepatocellular ballooning
Exclusion Criteria:
Pregnant or nursing woman or women of childbearing potential except if post-menopausal, surgically sterile or using accepted method(s) of birth control or having negative pregnancy test
Participation in any trial in which the patient received an investigational product within 30 days preceding the screening phase of this study
Those persons directly involved in the conduct of the study
Alcohol consumption of more than 20g per day for women or more than 30g per day for men for at least 3 consecutive months during the previous 5 years, as assessed with the use of the Lifetime Drinking History questionnaire and the interview version of the Alcohol Use and Disorders Identification Test (AUDIT)
History of cirrhosis, hepatitis C or other liver diseases
History of heart failure (New York Association Class II to IV)
History of taking medications known to cause steatohepatitis
Any serious medical conditions or disability, which in the opinion of the investigator, would interfere with treatment or assessment or preclude completion of this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Muhammad Radzi Abu Hassan, Dr
Organizational Affiliation
Sultanah Bahiyah Hospital, Alor Star
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tan Soek Siam, Dr
Organizational Affiliation
Selayang Hospital, Selangor
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Tee Hoi Poh, Dr
Organizational Affiliation
Tengku Ampuau Afzan Hospital, Kuantan
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Rosaida Mohd Said, Dr
Organizational Affiliation
Ampang Hospital, Selangor
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Shashi Kumar Bhaskaran, Dr
Organizational Affiliation
Kuala Lumpur Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jayaram Menon, Dr
Organizational Affiliation
Queen Elizaberth Hospital, Sabah
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sultamah Bahiyah Hospital
City
Alor Setar
State/Province
Kedah
ZIP/Postal Code
05460
Country
Malaysia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Muhammad Radzi Abu Hassan, Dr
Phone
+604-7407814
Email
drradzi91@yahoo.co.uk
First Name & Middle Initial & Last Name & Degree
Muhammad Radzi Abu Hassan, Dr
Facility Name
Kuala Lumpur Hospital
City
Wilayah Persekutuan
State/Province
Kuala Lumpur
ZIP/Postal Code
50586
Country
Malaysia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shashi Kumar Kumar Bhaskaran, Dr
Phone
03-26155555
Ext
5691
Email
dr_shashi@hotmail.com
First Name & Middle Initial & Last Name & Degree
Shashi Kumar Menon Bhaskaran, Dr
Facility Name
Tengku Ampuan Afzan Hospital
City
Kuantan
State/Province
Pahang
ZIP/Postal Code
25100
Country
Malaysia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tee Hoi Poh, Dr
Phone
09-5133334
Email
hptee@hotmail.com
First Name & Middle Initial & Last Name & Degree
Tee Hoi Poh, Dr
Facility Name
Queen Elizaberth Hospital
City
Kota Kinabalu
State/Province
Sabah
ZIP/Postal Code
88586
Country
Malaysia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jayaram Menon, Dr
Phone
+(6)088-517555
Ext
7117
Email
drmjayaram@gmail.com
First Name & Middle Initial & Last Name & Degree
Jayaram Menon, Dr
Facility Name
Ampang Hospital
City
Selangor
ZIP/Postal Code
68000
Country
Malaysia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rosaida Mohd Said, Dr
Phone
03-42896155
Email
drrosaida@moh.gov.my
First Name & Middle Initial & Last Name & Degree
Rosaida Mohd Said, Dr
12. IPD Sharing Statement
Learn more about this trial
Hepar-P Study to Evaluate the Safety and Efficacy of a Standardised Extract of Phyllanthus Niruri for the Treatment of Non-alcoholic Fatty Liver Disease
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