NCT02364661

Brief Summary

Hepatitis B virus is a small DNA virus that affects 400 million people worldwide. The virus infects the liver and previous studies, done in tissue culture and in animals, have shown that viral replication is affected by metabolic changes occurring in the liver. Specifically, starvation induces HBV gene expression and replication, in parallel to the activation of the gluconeogenesis response, and feeding attenuates viral activity. In this study we are going to recruit HBV patients with detectable viremia and analyze their viral load after an over night starvation versus after a morning meal. Our hypothesis is that following an over-night starvation viral load will be higher than that in the fed state.

Trial Health

50
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Status
unknown

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

First Submitted

Initial submission to the registry

February 5, 2015

Completed
13 days until next milestone

First Posted

Study publicly available on registry

February 18, 2015

Completed
11 days until next milestone

Study Start

First participant enrolled

March 1, 2015

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2016

Completed
Last Updated

February 18, 2015

Status Verified

February 1, 2015

Enrollment Period

1 year

First QC Date

February 5, 2015

Last Update Submit

February 10, 2015

Conditions

Keywords

Hepatitis B virusMetabolovirus

Outcome Measures

Primary Outcomes (1)

  • A change in the levels of hepatitis B viremia (HBV viral load) between starvation and fed states

    Following an over-night (8-12hours) starvation versus following a morning meal. 6 visits overall, one visit every 2 weeks (12 weeks over all).

Study Arms (1)

Hepatitis B virus infected patients

EXPERIMENTAL

HBV patients with detectable viremia will be analyzed for their level of viremia following an over-night starvation (fasting) versus fed state

Behavioral: Over night starvation (fasting)

Interventions

HBV viral load will be analyzed after over-night starvation versus following a morning meal

Hepatitis B virus infected patients

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Hepatitis B virus patients with detectable viremia
  • \>18 years old
  • signed a consent form

You may not qualify if:

  • patients with malignancy
  • Patients with diabetes mellitus
  • Alcohol consumption of more than 140grams a week
  • Advanced liver disease
  • HCV or HIV infection
  • Pregnancy
  • Mental retardation or unable to understand basic explanation about the study -

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (2)

  • Shlomai A, Paran N, Shaul Y. PGC-1alpha controls hepatitis B virus through nutritional signals. Proc Natl Acad Sci U S A. 2006 Oct 24;103(43):16003-8. doi: 10.1073/pnas.0607837103. Epub 2006 Oct 16.

    PMID: 17043229BACKGROUND
  • Shlomai A, Shaul Y. The "metabolovirus" model of hepatitis B virus suggests nutritional therapy as an effective anti-viral weapon. Med Hypotheses. 2008;71(1):53-7. doi: 10.1016/j.mehy.2007.08.032. Epub 2008 Mar 10.

    PMID: 18334285BACKGROUND

MeSH Terms

Conditions

StarvationInfectionsHepatitis B

Condition Hierarchy (Ancestors)

MalnutritionNutrition DisordersNutritional and Metabolic DiseasesBlood-Borne InfectionsCommunicable DiseasesHepadnaviridae InfectionsDNA Virus InfectionsVirus DiseasesHepatitis, Viral, HumanHepatitisLiver DiseasesDigestive System Diseases

Study Officials

  • Amir Shlomai, MD/PhD

    Rabin Medical Center, Beilinson hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Amir Shlomai, MD/PhD

CONTACT

Shulamit Greenstein, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr

Study Record Dates

First Submitted

February 5, 2015

First Posted

February 18, 2015

Study Start

March 1, 2015

Primary Completion

March 1, 2016

Last Updated

February 18, 2015

Record last verified: 2015-02