Oltipraz for Liver Fat Reduction in Patients With Non-alcoholic Fatty Liver Disease Except for Liver Cirrhosis
Non-Alcoholic Fatty Liver Disease
About this trial
This is an interventional treatment trial for Non-Alcoholic Fatty Liver Disease
Eligibility Criteria
Inclusion Criteria:
- A person the ages of 19 and 75 years old
Patients with non-alcoholic fatty liver disease other than cirrhosis that meets all of the following criteria:
- Abdominal ultrasonography of Screening indicates that the liver is brighter than the spleen or kidneys, causing suspected fatty liver
- Persons with liver fat content is 20% or more on the MRS
- Those who do not have significant alcohol intake within two years before screening (men: no more than 210 g per week; women: no more than 140 g per week)
- Those who with an alcohol use disorder identification test (AUDIT) result point is no more than 7, during screening.
- Persons with body mass index (BMI) more than 23 kg/m2 during screening
A person who satisfies the following laboratory test results when screening
- Platelet ≥ 130,000/㎣
- White blood cell (WBC) ≥ 3,000/㎣
- Absolute neutrophil count (ANC) ≥ 1,500/㎣
- Albumin ≥ 3.5 g/dL
- Serum creatinine ≤ 1.5 X upper limit of normal (ULN)
- ULN < Alanine transaminase (ALT) or aspartate transaminase (AST) ≤ 250 IU/L
- A person who is willing to maintain the same lifestyle (exercise, alcohol intake, diet, etc.) maintained for at least four weeks before screening during the clinical trial period.
- A person who voluntarily agrees to participate in this clinical trial
Exclusion Criteria:
A person who has history of following disease or surgery
- Malignant tumour with liver cancer
Malignant tumor excluding liver cancer, However, registration is possible in the following cases
- If the investigator determines that the patient has been completely cured after maintaining the condition for at least five years
- In case of basal cell or squamous cell carcinoma of the skin, the patient is able to maintain a complete condition for more than three years in the case of cainoma in the cervix (CIN) and carcinema in situ (CIS), and other areas.
- autoimmune disease (e.g., inflammatory bowel disease, autoimmune hemolytic disease, idiopathic thrombocytopenic purpura, systemic lupus erythematosus, rheumatoid arthritis, severe psoriasis, etc.)
- Bariatric surgery within 24 weeks before screening
A Person who has comorbidity of the following diseases at the time of screening
- Liver cirrhosis identified by an epidemiological or histological examination
- Cumulative disease (e.g., alcohol liver disease, toxic hepatitis, autoimmune liver disease, metabolic liver disease, biliary closure, etc.) that may indicates liver abnormalities other than non-alcoholic fatty liver disease
- A Person who has been infected or has Hepatitis B Virus (HBV) or Hepatitis C Virus (HCV).
- Type 1 diabetes or type 2 diabetes (hemoglobin A1c (HbA1c) > 9%)
- A person who has positive result of Human immunodeficiency virus antibody (HIV Ab).
- A persons with conditions that may affect the effectiveness and safety by investigator
- A person with AST/ALT ratio of more than 2 at screening
The person who has the following medication history
- Persons administered vitamin E (≥ 800 IU/day) or thiazolidatedione drugs or glucagon-like peptide-1 (GLP-1) agonist drugs within 12 weeks prior to screening
- Persons who were given antiobestic drug within 12 weeks of screening For example; antiobestic drug with Central nervous system action: Amfepramone, bupropion and naltrexone, cathine, clobenzorex, dexfenfluramine, ephedrine combinations, etilamfetamine, fenfluramine, lorcaserin, mazindol, mefenorex, phentermine, sibutramine, Peripheral neurotic Obesity drugs: Orlistat, Rimonabant, etc
- A person who received medications that could cause fatty liver disease within 8 weeks prior to screening For example; Administration of systemic glucocorticoids for more than two weeks Anabolic steroid-based drug, Estrogen-based drug, Azole-based antimicrobial agent, Nucleoside, Nucleotide reverse transcriptase inhibitor-based drug, Tetracycline-based drug, Amiodarone, tamoxifen, methotrexate, valproic acid, etc
A person who administered drugs that may affect the progress of non-alcoholic fatty liver disease within 4 weeks prior to screening or who require administration during clinical trials For example; Silymarin, biphenyl dimethyl dicarboxylate (DDB), ursodeoxycholic acid (UDCA), S-adenosyl-L-methionine (SAMe), betaine, pentoxyfylline, sodium-glucose cotransporter-2 (SGLT-2) inhibitor, omega 3 fatty acid, etc.
- However, the following drugs can be registered if they are under stable dosage for at least 12 weeks and are expected to remain unchanged during clinical trials; Sulfonylurea-based drug, metformin, insulin, dipeptidyl peptidase-4 inhibitor (DPP-4 inhibitor), a-glucosidase inhibitor (a-GI), meglitinide-based drug, statin-based drug, fibrate-based drug, nicotinic acid, ezetimibe, beta-blockers based drug, thiazide based drug
- A person who receive non-drug treatment that may affect the liver within 4 weeks prior to screening.
- A person who administered/treated with other clinical trials/medical devices within 4 weeks prior to screening
- Those who are not able to MRS(I)
- A female who is pregnant, may be pregnant, or is lactating
- A person who is not willing to use appropriate contraceptives during this clinical trial.
- A person who is hypersensitive to the Investigational Product
- A person who is deemed ineligible for clinical trials by the investigator
Sites / Locations
- Inje University Ilsan Paik Hospital
- The Catholic University of Korea, Uijeongbu ST. Mary's Hospital
- Inha University Hospital
- Catholic University Bucheon ST. Mary's Hospital
- Soonchunhyang University Bucheon Hospital
- Dong-A University Hospital
- Keimyung University Dongsan Medical Center
- Gangneung Asan Medical Center
- NHUS Ilsan Hospital
- Seoul National University Hospital
- Boramae Hospital
- Chung-Ang University Hosptial
- Hallym University Gangnam Sungsim Hospital
- Hanyang University Hospital
- Korea University Guro Hospital
- National Medical Center
- Severance Hospital
- Soonchunhyang University Seoul Hospital
- Yonsei University Gangnam Severance Hospital
- Ajou University School of Medicine
- Wonju Severance Christian Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Placebo Comparator
Oltipraz
Placebo
Oltipraz 30mg
Placebo 30mg