NCT03985020

Brief Summary

In order to determine whether rebaudioside consumption can be used as a treatment for adolescents with Non-alcoholic Fatty Liver Disease (NAFLD) by demonstrating a decrease in alanine aminotransferase (ALT) levels participants will be randomized to receive one of three 8-week liquid diet interventions:

  1. 1.Standard of care
  2. 2.Water delivery
  3. 3.Water with Rebaudioside (stevia natural sweetener)

Trial Health

87
On Track

Trial Health Score

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

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jul 2019

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

June 6, 2019

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 13, 2019

Completed
1 month until next milestone

Study Start

First participant enrolled

July 26, 2019

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2024

Completed
Last Updated

September 5, 2024

Status Verified

September 1, 2024

Enrollment Period

5 years

First QC Date

June 6, 2019

Last Update Submit

September 1, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in Alanine Transaminase (ALT)

    A fasting blood sample will be taken at baseline and week 8 and assess change over time in all 3 groups

    Week 1 to week 8 (IU/L)

Secondary Outcomes (9)

  • Change in Fat percentage

    week 1 to 8 weeks (%)

  • Change in kPA levels

    week 1 to 8 weeks (kPA)

  • Change in Height

    week 1 to 8 weeks (cm)

  • Change in Weight

    week 1 to 8 weeks (kg)

  • Change in Waist Circumference

    week 1 to 8 weeks (cm)

  • +4 more secondary outcomes

Study Arms (3)

Standard of Care

NO INTERVENTION

The control group will receive standard of care dietary advice for their solid food and beverage intake.

Water Intervention

ACTIVE COMPARATOR

We will order and deliver bottled water to the homes of subjects in the treatment group. We will provide each participant with a weekly supply of about 36 16.9 fl oz single-serving containers. We will instruct subjects to notify us by calling a dedicated telephone line on occasions when a delivery is expected but not received so that the problem can be corrected expeditiously.

Other: Water Intervention

Stevia Intervention

EXPERIMENTAL

We will order and deliver a commercially-available stevia-sweetened soft drink Zevia (Los Angeles, CA) to each participant in the treatment group. We will provide each participant with a weekly supply of 24 12 fl oz single-serving containers. Zevia will be provided in an assortment of flavors for the first week, then catered to the preference of the participant for the remainder of the study. We will instruct subjects to notify us by calling a dedicated telephone line on occasions when a delivery is expected but not received so that the problem can be corrected expeditiously. Participants will also be asked to keep track of how many containers they consume using a sticker chart, and we will also phone parents weekly to verify the sticker charts

Other: Stevia Intervention

Interventions

We will use commercially available stevia sweetened soft drink Zevia.

Stevia Intervention

Bottled Water

Water Intervention

Eligibility Criteria

Age10 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Age: 10-18 years
  • ALT \> 45 IU/L (twice the normal amount)
  • BMI \>85%
  • Fat \>5% and kPa\> 2.7

You may not qualify if:

  • Physician diagnosis of a major medical illness including, but not limited to, chronic liver disease, immunodeficiency disorder, hypothalamic obesity, or a genetic cause of obesity.
  • Familial hyperlipidemia
  • Positive hepatitis lab
  • Antibiotics within 1 month of beginning the study
  • Physical, mental, or cognitive issues preventing participation
  • Pregnancy
  • Smoking or drinking

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Children's Hospital of Los Angeles

Los Angeles, California, 90027, United States

Location

MeSH Terms

Conditions

Non-alcoholic Fatty Liver Disease

Condition Hierarchy (Ancestors)

Fatty LiverLiver DiseasesDigestive System Diseases

Study Officials

  • Tania Mitsinikos, MD

    Children's Hospital Los Angeles

    PRINCIPAL INVESTIGATOR
  • Rohit Kohli, MBBS, MS

    Children's Hospital Los Angeles

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Participants will be randomly assigned to one of three possible groups.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Medical Staff/USC Faculty CWR

Study Record Dates

First Submitted

June 6, 2019

First Posted

June 13, 2019

Study Start

July 26, 2019

Primary Completion

August 1, 2024

Study Completion

August 1, 2024

Last Updated

September 5, 2024

Record last verified: 2024-09

Locations