Efficacy and Safety of Oltipraz for Liver Fat Reduction in Patients With Non-Alcoholic Fatty Liver Disease Except for Liver Cirrhosis
A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel Phase 3 Clinical Trial to Evaluate the Efficacy and Safety of Oltipraz for Liver Fat Reduction in Patients With Non-Alcoholic Fatty Liver Disease Except for Liver Cirrhosis
1 other identifier
interventional
283
1 country
5
Brief Summary
Dithiolethiones, a novel class of adenosine monophosphate-activated protein kinase (AMPK) activators, prevent insulin resistance through AMPK-dependent p70 ribosomal S6 kinase-1 (S6K1) inhibition. And it is well known that the modulation of S6K1 by oltipraz inhibited the development of insulin resistance and hyperglycemia through the AMPK-S6K1 pathway.Also some research reported that LXRg (a member of the nuclear hormone receptor)-mediated increases in SREBP-1c (the sterol regulatory element-binding protein-1c gene) promote the expression of lipogenic genes and enhance fatty acid synthesis and oltipraz inhibits LXRg and SREBP-c. Therefore, Oltipraz inhibits fatty acid synthesis through AMPK-S6K1 pathway and LXRg-SREBP-1c pathway in liver.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Feb 2014
5 active sites
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
February 1, 2014
CompletedFirst Submitted
Initial submission to the registry
February 19, 2014
CompletedFirst Posted
Study publicly available on registry
February 21, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2016
CompletedMarch 30, 2016
March 1, 2016
2 years
February 19, 2014
March 29, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
MRS(magnetic resonance spectroscopy)
To evaluate the efficacy of the Oltipraz on change in quantity of liver fat (% change) assessed by MRS from baseline to 24 weeks in patients.
24 weeks
Secondary Outcomes (7)
change in liver fat concentration
24 weeks
change in BMI
8, 16, 24 weeks
change in NAFLD Fibrosis score (NFS)
24 weeks
change in ALT, AST, γ-GT
8, 16, 24 weeks
change in Cholesterol (total, LDL, HDL, VLDL), Triglyceride (TG)
8, 16, 24 weeks
- +2 more secondary outcomes
Other Outcomes (1)
change in Adipokine, CK-18
8, 16, 24 weeks
Study Arms (3)
Placebo
PLACEBO COMPARATORPlacebo Comparator / Tid (total 0mg)
Oltipraz 1
EXPERIMENTALTotal 90mg, by mouth, tid
Oltipraz 2
EXPERIMENTALTotal 120mg, by mouth, tid
Interventions
Eligibility Criteria
You may qualify if:
- Patients over 19 under 75 years of age
- Patients with non-alcoholic fatty liver disease except for cirrhosis
- Patients who have abnormal ALT, AST
- Patients who are satisfied with laboratory test
- Patients who agree to contraception
- Patients who can keet the diet
You may not qualify if:
- Over 2 ratio of AST to ALT
- Type 1 diabetes mellitus (insulin-dependent diabetes mellitus) or Type 2 diabetes mellitus(not controlled)
- Disorder in liver function with an exception of non-alcoholic fatty liver
- Patients with malignant tumors
- Patients who have been taken drugs induced fatty liver within 8 weeks of participation in this study
- Patients who has been taken any medications that could affect the treatment for NAFLD within 4 weeks
- Patients who have been taken Vitamin E (≥ 800 IU/day), thiazolidinediones, orlistat within 12 weeks
- Patients who had a Bariatric surgery less than 6 month prior to the participation in the study
- Patients who are judged by investigator that participation of the study is difficult due to disease as follow;
- Any history of immune disorder
- Patients who have received treatment that may affect liver function within 1 month prior to the participation in the study
- Patient who has been administered other investigational product within 1 month prior to the participation in the study
- Patient who is not allowed to get MRS test: pacemaker, shunt and etc
- Pregnant or nursing women
- anti-HIV antibody (+)
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- PharmaKinglead
Study Sites (5)
NHUS Ilsan Hospital
Ilsan-ro Ilsan-donggu, Goyang-si, 410-719, South Korea
Inje University Ilsan Paik Hospital
Dahwa-dong, Ilsanseo-gu, Goyang-si, Gyeonggi-do, 411-706, South Korea
Seoul National University Hospital
Daehak-ro Jongno-gu, Seoul, 110-744, South Korea
Korea University Guro hospital
Gurodong-ro, Seoul, 152-703, South Korea
Boramae Hospital
Sindaebang-dong Dongjak-gu, Seoul, 156-707, South Korea
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 19, 2014
First Posted
February 21, 2014
Study Start
February 1, 2014
Primary Completion
February 1, 2016
Study Completion
March 1, 2016
Last Updated
March 30, 2016
Record last verified: 2016-03