Fecal Microbiota Therapy Versus Standard Therapy in NASH Related Cirrhosis.
1 other identifier
interventional
112
1 country
1
Brief Summary
Patients of NASH (Non Alcoholic Steatohepatitis) cirrhosis with current or prior histological evidence of steatosis or steatohepatitis admitted under the Department of Hepatology at Institute of Liver and Biliary Sciences, who meet the inclusion criteria and who provide informed consent will be included in the study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2016
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
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 1, 2016
CompletedStudy Start
First participant enrolled
March 1, 2016
CompletedFirst Posted
Study publicly available on registry
March 29, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2018
CompletedFebruary 15, 2018
February 1, 2018
2.3 years
March 1, 2016
February 13, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Reduction in Hepatic Venous Pressure Gradient in the two groups from baseline.
1 year
Secondary Outcomes (11)
Improvement in liver function test as compared to baseline.
1 year
Improvement in Liver Stiffness Measurement as compared to baseline.
1 year
Assess improvement in insulin resistance (Fasting plasma and insulin levels, HOMA-IR)
1 year
Incidence of new onset upper gastrointestinal bleed in both groups
1 year
development of new onset of ascites in both groups.
1 year
- +6 more secondary outcomes
Study Arms (2)
Fecal Microbiota Transplantation (FMT)
EXPERIMENTALThe recipient will receive healthy donor, prepared fecal installations through a Naso-gastric tube, 100 ml once a month for 5 month.
Standard Treatment Care
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Age more then 18 years.
- All patients with cirrhosis with current or previous histological evidence of steatosis or steatohepatitis.
- Histologic evidence of definite or probable NASH based upon a liver biopsy prior to enrollment and a NAFLD activity score (NAS) ≥5 with ≥1 in each component of the NAS score (steatosis, scored 0-3, ballooning degeneration, 0-2, and lobular inflammation, 0-3).
- No past history of upper GI bleeding, ascites, hepatic encephalopathy
You may not qualify if:
- Diagnosis of liver disease other than NASH cirrhosis
- History of gastrointestinal bleeding, ascites, hepatic encephalopathy
- Ongoing bacterial infection requiring antibiotic treatment.
- Current or history of significant alcohol consumption for a period of more than 3 consecutive months within 1 year prior to screening
- Treatment with antibiotics or probiotics in the preceding 3 months.
- Inability to safely obtain a liver biopsy or perform an upper GI endoscopy
- Psychiatric disorder
- HIV
- Pregnant women
- Patients on SBP (Spontaneous Bacterial Peritonitis) prophylaxis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Institute of Liver & Biliary Sciences
New Delhi, National Capital Territory of Delhi, 110070, India
Related Publications (1)
Aghara H, Patel M, Chadha P, Parwani K, Chaturvedi R, Mandal P. Unraveling the Gut-Liver-Brain Axis: Microbiome, Inflammation, and Emerging Therapeutic Approaches. Mediators Inflamm. 2025 Jun 18;2025:6733477. doi: 10.1155/mi/6733477. eCollection 2025.
PMID: 40568349DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dr Abhinav Verma, MD
Institute of Liver and Biliary Sciences
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 1, 2016
First Posted
March 29, 2016
Study Start
March 1, 2016
Primary Completion
June 30, 2018
Study Completion
June 30, 2018
Last Updated
February 15, 2018
Record last verified: 2018-02