Improving Detection and Evidence-based Care of NAFLD in Latinx and Black Patients With Type 2 Diabetes
NAFLD-DM
NAFLD-DM
Sponsor study identifier
interventional
10
1 country
1
Study Start
September 18, 2023
Actual (reported)Primary Completion
January 29, 2024
Actual (reported)Study Completion
January 29, 2024
Actual (reported)The primary objective of this pilot study is to assess the feasibility and acceptability of an intervention for improved detection and evidence-based care of NAFLD in Latinx and Black patients with type 2 diabetes (T2D) in Duke University Healthcare system (DUHS). We will enroll 10-15 Latinx and 10-15 Black patients with T2D and NAFLD, based on having mildly elevated liver enzymes (ALT \>/= 40 IU/mL in males, ALT \>/= 31 IU/mL in females) and exclusion of other liver diseases (e.g., viral hepatitis, alcohol abuse). Intervention content will include: 1) NAFLD education; 2)diet/lifestyle support; 3) T2D medication management; and 4) clinically-indicated liver testing and care. Intervention feasibility will be evaluated by examining recruitment rates, retention rates, and study visit completion rates. Acceptability will be assessed by survey and through qualitative interviews. The project objectives and intervention are minimal risk. The expected risks will not exceed those of usual care.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
January 29, 2024
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
April 25, 2023
Actual (reported)May 6, 2023
Actual (reported)September 18, 2023
Actual (reported)January 29, 2024
Actual (reported)January 29, 2024
Actual (reported)December 27, 2024
Actual (reported)Feasibility as Measured by Recruitment Rate
The Investigator will assess recruitment rates: Patients eligible and sent letter of message / Patients enrolled
3 months
Feasibility as Measured by Retention Rate
The team will assess retention rates: Patients enrolled / Patients completing study
3months
Feasibility as Measured by Visit Completion Rate
The Investigator assess visit completion rates: Total study visits completed / Total study visits scheduled
3months
Feasibility of System-level NAFLD Detection Approach
Measure by the number of patients who met criteria for NAFLD after chart review / total number of potentially-eligible patients based on our EHR criteria.
Baseline
Acceptability of Intervention by Participants
The Investigator will calculate the mean and standard deviation of the Treatment Acceptability and Preferences (TAP);Minimum value = 0; Maximum value = 4; Higher score is a better outcome (ie more acceptable). The Investigator define acceptable score as mean TAP ≥ 3.
Change in Self-Efficacy Measured by the Managing Chronic Diseases (SEMCD) Score
Baseline, 3months
Change in Autonomy Support Measured by the Modified Health Care Climate Questionnaire (HCCQ)
Baseline, 3months
Change in Physical Health Quality of Living as Measured by the 12-Item Short Form Health Survey (SF-12)
Baseline, 3months
Change in Mental Health Quality of Living as Measured by the SF-12
Baseline, 3months
Change in Mean Hemoglobin A1c (HbA1c)
Baseline, 3months
Intervention content will include: 1) NAFLD education; 2) diet/lifestyle support; 3) T2D medication management; and 4) clinically-indicated liver testing and care
NAFLD Education
diet/lifestyle support
Duke University Healthcare System
Durham, North Carolina, 27710, United States
Due to resources constraints, we did not achieve our target number of participants. We did not conduct effect size calculations or inferential statistics due to the small sample size and pilot nature of this study. Further, larger studies will be necessary to examine the effectiveness of this approach - across broader racial and ethnic identities - and to determine the effectiveness of this intervention (versus usual care) on clinically-relevant outcomes.
Anastasia-Stefania Alexopoulos, MD
Duke University
10 participants (actual enrollment reported by the registry).
First Submitted
April 25, 2023
First Posted
May 6, 2023
Study Start
September 18, 2023
Actual (reported)NASH AMPK Exercise Dosing (AMPED) Trial
3months
T2D medication management
clinically-indicated liver testing and care
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Primary Completion
January 29, 2024
Actual (reported)Study Completion
January 29, 2024
Actual (reported)Last Updated
December 27, 2024
Results First Posted
December 27, 2024
Record last verified: 2024-09
NA- IPD will not be made available to other researchers
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Source: ClinicalTrials.gov.
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