UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000048569
Receipt number R000055339
Scientific Title A prospective observational study for the diagnosis of fatty deposits and fibrosis in non-alcoholic fatty liver disease with circulating natriuretic peptides
Date of disclosure of the study information 2022/09/01
Last modified on 2022/10/01 15:55:06

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

A prospective observational study for the diagnosis of non-alcoholic fatty liver disease with circulating natriuretic peptides

Acronym

Diagnosis of non-alcoholic fatty liver disease with circulating natriuretic peptides

Scientific Title

A prospective observational study for the diagnosis of fatty deposits and fibrosis in non-alcoholic fatty liver disease with circulating natriuretic peptides

Scientific Title:Acronym

Diagnosis of non-alcoholic fatty liver disease with circulating natriuretic peptides

Region

Japan


Condition

Condition

Non-alcoholic fatty liver disease

Classification by specialty

Medicine in general Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Natriuretic peptides are endogenous hormones, and decreased in metabolic syndrome with hypertension and lipid/glucose metabolism disorders, suggesting the involvement of relative natriuretic peptide deficiency. In the current study, we will investigate whether plasma natriuretic peptides, ANP, and BNP concentrations can be used as diagnostic markers indicating the progression from fatty liver to steatohepatitis in patients with non-alcoholic fatty liver diseases, which is a metabolic syndrome in the liver.

Basic objectives2

Others

Basic objectives -Others

To investigate whether plasma natriuretic peptides, ANP, and BNP concentrations can be used as diagnostic markers indicating the progression from fatty liver to steatohepatitis in patients with non-alcoholic fatty liver diseases, which is a metabolic syndrome in the liver

Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Correlation between the degree of hepatic steatosis/fibrosis by abdominal ultrasound and plasma ANP or BNP concentration

Key secondary outcomes

1. Comparison of the diagnostic accuracy of liver fibrosis between the conventional scoring system to predict liver fibrosis (Fib-4 index, NAFLD fibrosis score) and plasma ANP or BNP concentration

2. Correlation between the presence or absence of arteriosclerosis diagnosed by ABI (ankle brachial pressure index) and plasma ANP/BNP concentrations

3. Correlation between liver fibrosis, arteriosclerosis, and RAS/fibrosis/inflammatory biomarkers


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who are diagnosed with fatty liver in the out-patient clinic or hospitalized at the Department of Gastroenterology, Sapporo Medical University Hospital, and provided written consent.

1. Patients who have already been diagnosed with fatty liver in a medical check-up and are scheduled for an abdominal ultrasound

2. Hospitalized patients who are pointed out with fatty liver by abdominal ultrasound or abdominal CT

3. Patients aged 18 years or older at the time of obtained consent

4. Patients who provided voluntary written consent from the patient or their legal representative after receiving sufficient explanation about participating in this study

Key exclusion criteria

1. Patients with a history diagnosed or treated with heart failure

2. Patients with alcohol intake (ethanol conversion) of 30g/day for males and 20g/day for females

3. Patients diagnosed with liver cirrhosis

4. Patients who have a history of infection or who are treated with hepatitis B or hepatitis C

5. Patients with intrahepatic malignant tumors such as hepatocellular carcinoma

6. Patients with a diagnosis of any malignancy

7. Patients under treatment with steroids, immunosuppressants, anticancer drugs, etc.

8. Patients diagnosed with chronic inflammatory diseases, such as autoimmune hepatitis, inflammatory bowel disease

9. Patients who do not consent to this study

10. Patients who are judged to be inappropriate as research subjects by the research director

Target sample size

500


Research contact person

Name of lead principal investigator

1st name Tomoko
Middle name
Last name Ichiki

Organization

Sapporo Medical University

Division name

Department of General Medicine

Zip code

060-8556

Address

S1W16, Chuo-ku, Sapporo City, Hokkaido, JAPAN

TEL

011-611-2111

Email

Ichiki.tomoko@sapmed.ac.jp


Public contact

Name of contact person

1st name Tomoko
Middle name
Last name Ichiki

Organization

Sapporo Medical University

Division name

Department of General Medicine

Zip code

060-8556

Address

S1W16, Chuo-ku, Sapporo City, Hokkaido, JAPAN

TEL

011-611-2111

Homepage URL


Email

Ichiki.tomoko@sapmed.ac.jp


Sponsor or person

Institute

Sapporo Medical University

Institute

Department

Personal name



Funding Source

Organization

MEXT(Japan)

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Review Committee, Sapporo Medical University Hospital

Address

291, S1W16, Chuo-ku, Sapporo City, Hokkaido, JAPAN

Tel

011-611-2111

Email

rskk@sapmed.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道公立大学法人札幌医科大学(北海道)


Other administrative information

Date of disclosure of the study information

2022 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2022 Year 07 Month 14 Day

Date of IRB

2022 Year 07 Month 14 Day

Anticipated trial start date

2022 Year 09 Month 01 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Blood sampling and abdominal ultrasound (and ABI in hospitalized patients) will be performed in out-patient or hospitalized patients with non-alcoholic fatty liver disease. We will examine whether plasma ANP and BNP levels are associated with the degree of hepatic steatosis/fibrosis by abdominal ultrasound, the conventional scoring system for predicting liver fibrosis, and circulating biomarkers of inflammatory, fibrosis, and renin-angiotensin systems.


Management information

Registered date

2022 Year 08 Month 03 Day

Last modified on

2022 Year 10 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000055339


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name