Effect of High-protein High-fiber Diet in Patients With Autoimmune Hepatitis
Effect of a High-protein High-fiber Diet and Nutritional Status, Serum Ammonia Concentration and Plasma Cytokines in Patients With Autoimmune Hepatitis
1 other identifier
interventional
40
1 country
1
Brief Summary
Autoimmune hepatitis is a chronic disease of the liver caused by an alteration of the immune response that attacks the body's own hepatocytes, progressively, leading to cirrhosis and liver failure. There are few studies on dietary management in hepatitis and most of theme have focused on micronutrients specifically vitamin D to prevent osteoporosis, and decreased symptoms of other diseases associated, but few recommendations have been made regarding a complete dietary approach. Fiber has been proven to increase the excretion of nitrogen products and consequently reduce its blood levels and an adequate protein intake (1.2g/kg) has shown to decrease endogenous catabolism in cirrhotics patients. The implementation of a high protein high fiber nutrition plan and improves nutritional status of patients with autoimmune cirrhosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2012
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2012
CompletedFirst Submitted
Initial submission to the registry
July 12, 2012
CompletedFirst Posted
Study publicly available on registry
August 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2014
CompletedAugust 20, 2014
August 1, 2014
2.5 years
July 12, 2012
August 18, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Nutritional Status
Measured with the following parameters:body weight and height (to calculate BMI), triceps skinfold and mid-arm circumference (to calculated mid-arm muscle circumference, fat mass, fat free mass total, intracellular and extracellular body water obtained by bioelectrical impedance analysis and individual vectors obtained by bioelectrical impedance vector analysis.
Participants will be assessed for six months
Secondary Outcomes (2)
Minimal hepatic encephalopathy
Participants will be assessed for six months
Quality of life
Participants will be assessed for six months
Study Arms (2)
Autoimmune hepatitis (Non-cirrhotic)
EXPERIMENTALA personalized high protein high fiber dietary plan will be provided to each participant from both groups. Each participant will receive nutritional counseling once a month during six months.
Autoimmune hepatitis (Cirrhotic)
EXPERIMENTALA personalized high protein high fiber dietary plan will be provided to each participant from both groups. Each participant will receive nutritional counseling once a month during six months.
Interventions
A personalized high protein high fiber dietary plan will be provided to each participant from both groups. Each participant will receive nutritional counseling once a month during six months. Each participant will receive nutritional counseling once month during six months.
Eligibility Criteria
You may qualify if:
- Autoimmune hepatitis (Non cirrhotic)
- Diagnose of Autoimmune hepatitis
- Presence of antinuclear antibody (ANA, SMA)
- Biochemical evidence, based on elevation of transaminases
- Biopsy compatible with Autoimmune hepatitis
- Ambulatory patients
- Autoimmune hepatitis (Cirrhotic)
- Presence of antinuclear antibody (ANA, SMA)
- Biochemical evidence, based on elevation of transaminases
- Biopsy compatible with autoimmune cirrhosis
- Hepatic cirrhosis by USD
- Ambulatory patients
- Diagnose of Autoimmune cirrhosis by two or more of the following criteria:
- Albumin \<3.4g/dl
- INR\>1.2
- +2 more criteria
You may not qualify if:
- Hospitalized patients
- Overlapping syndrome with predominant primary biliary cirrhosis
- Chronic renal failure
- Hepatocellular carcinoma
- Neuropsychiatric disorders
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Mexico City, D.f., 14000, Mexico
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Aldo Torre Delgadillo, M.D. M.Sc
INCMNSZ
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
July 12, 2012
First Posted
August 1, 2012
Study Start
January 1, 2012
Primary Completion
July 1, 2014
Study Completion
July 1, 2014
Last Updated
August 20, 2014
Record last verified: 2014-08