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Intermittent Fasting in Nonalcoholic Fatty Liver Disease

Primary Purpose

Intermittent Fasting, Non-Alcoholic Fatty Liver Disease, Insulin Resistance

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Calorie restriction
Sponsored by
Shaoguan University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Intermittent Fasting

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The diagnosed criteria of fatty liver by ultrasound were presence of two of the three following criteria: increased hepatic echogenicity compared with cortical of the right kidney, blurring of liver vasculature, and deep attenuation of the ultrasonographic signal.

Exclusion Criteria:

  • Excessive alcohol consumption (ethanol > 140 g/wk for men and > 70 g/wk for women), cirrhosis, viral hepatitis, cardiovascular disease, cancer, any consumption of nonsteroidal anti-inflammatory drugs, corticosteroids or prescriptive medicine that affect liver function, lipid and glucose metabolism.

Sites / Locations

  • Guangdong Medical UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

No Intervention

Arm Label

Intermittent fasting mimic-diet (IFD)

Continuous calorie restriction (CCR)

Control

Arm Description

Restrict 75% energy on two non-consecutive days each week.

A daily 25% energy-restricted Mediterranean-type diet

No advice to restrict energy

Outcomes

Primary Outcome Measures

Body weight
Change of body weight

Secondary Outcome Measures

Lipid profile
Plasma lipids levels
Insulin resistance
Plasma glucose and insulin levels
Gut microbiota
Changes of blood metabolites and the gut microbiome

Full Information

First Posted
April 16, 2020
Last Updated
April 19, 2020
Sponsor
Shaoguan University
Collaborators
Guangdong Medical University, Sun Yat-sen University
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1. Study Identification

Unique Protocol Identification Number
NCT04355910
Brief Title
Intermittent Fasting in Nonalcoholic Fatty Liver Disease
Official Title
Effects of Intermittent and Continuous Calorie Restriction on Body Weight and Metabolism in Adults With Nonalcoholic Fatty Liver Disease
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Unknown status
Study Start Date
January 1, 2018 (Actual)
Primary Completion Date
April 30, 2020 (Anticipated)
Study Completion Date
August 31, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shaoguan University
Collaborators
Guangdong Medical University, Sun Yat-sen University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Although preliminary evidence suggests that intermittent fasting mimic-diet (IFD) exerts stronger effects on body weight and metabolic parameters, which may link obesity, non-alcoholic fatty liver disease (NAFLD) and major chronic diseases, compared with continuous calorie restriction (CCR), there is a lack of well-powered intervention studies. This randomized controlled trial will test whether IFD, operationalized as the "5:2 diet," has stronger effects on anthropometric and body composition characteristics, and circulating metabolic biomarkers than CCR and a control regimen in adults with NAFLD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intermittent Fasting, Non-Alcoholic Fatty Liver Disease, Insulin Resistance, Obesity, Gut Microbiota

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Masking Description
The patient is represented in code
Allocation
Randomized
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Intermittent fasting mimic-diet (IFD)
Arm Type
Experimental
Arm Description
Restrict 75% energy on two non-consecutive days each week.
Arm Title
Continuous calorie restriction (CCR)
Arm Type
Active Comparator
Arm Description
A daily 25% energy-restricted Mediterranean-type diet
Arm Title
Control
Arm Type
No Intervention
Arm Description
No advice to restrict energy
Intervention Type
Behavioral
Intervention Name(s)
Calorie restriction
Intervention Description
Participants randomized to IFD were asked to restrict energy and carbohydrate on two non-consecutive days each week (75% energy restriction) and to consume a plant foods-based diet that met their estimated energy requirements for the remaining 5 d of the week. The CCR group was prescribed a daily plant foods-based diet that was relatively low in fat with moderate energy-restriction (25% energy restriction). The plant foods-based diet included adequate fruit and vegetable, nuts and seeds, whole-grain cereals, olive oil, fish and seafood, a moderate consumption of dairy products, poultry, eggs, and lean red meat.
Primary Outcome Measure Information:
Title
Body weight
Description
Change of body weight
Time Frame
Change from baseline body weight at week 8
Secondary Outcome Measure Information:
Title
Lipid profile
Description
Plasma lipids levels
Time Frame
Change from baseline plasma TG, TC and LDL at week 8
Title
Insulin resistance
Description
Plasma glucose and insulin levels
Time Frame
Change from baseline plasma glucose and insulin at week 8
Title
Gut microbiota
Description
Changes of blood metabolites and the gut microbiome
Time Frame
Change from baseline plasma bile acids and the gut microbiome at week 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The diagnosed criteria of fatty liver by ultrasound were presence of two of the three following criteria: increased hepatic echogenicity compared with cortical of the right kidney, blurring of liver vasculature, and deep attenuation of the ultrasonographic signal. Exclusion Criteria: Excessive alcohol consumption (ethanol > 140 g/wk for men and > 70 g/wk for women), cirrhosis, viral hepatitis, cardiovascular disease, cancer, any consumption of nonsteroidal anti-inflammatory drugs, corticosteroids or prescriptive medicine that affect liver function, lipid and glucose metabolism.
Facility Information:
Facility Name
Guangdong Medical University
City
Dongguan
State/Province
Guangdong
ZIP/Postal Code
523808
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Peiwen Zhang, M. D.
Phone
86-769-22896572
Email
313743920@qq.com
First Name & Middle Initial & Last Name & Degree
Xuebin Gao, M. D.
Phone
86-18819747104
Email
401779114@qq.com
First Name & Middle Initial & Last Name & Degree
Peiwen Zhang, M. D.
First Name & Middle Initial & Last Name & Degree
Honghui Guo, Ph. D.

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Intermittent Fasting in Nonalcoholic Fatty Liver Disease

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