The biological variation of insulin resistance and cardiovascular risk factors in patients with non-alcoholic fatty liver disease compared to type 2 diabetes

ISRCTN ISRCTN22497467
DOI https://doi.org/10.1186/ISRCTN22497467
Secondary identifying numbers R0783
Submission date
27/04/2009
Registration date
13/05/2009
Last edited
18/06/2013
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Stephen Atkin
Scientific

HS Brocklehurst Building
Hull Royal Infirmary
Anlaby Road
Hull
HU3 2RW
United Kingdom

Study information

Study designObservational prospective cross-sectional study
Primary study designObservational
Secondary study designCross-section survey
Study setting(s)Hospital
Study typeOther
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleThe biological variation of insulin resistance and cardiovascular risk factors in patients with non-alcoholic fatty liver disease compared to type 2 diabetes: an observational prospective study
Study acronymBV NASH-T2DM
Study objectivesPatients with Non-alcoholic Fatty Liver Disease (NAFLD) have at least as great intra-individual variance of insulin resistance measured using the homeostasis model assessment (HOMA-IR) as those with the paradigm of insulin resistance; Type 2 Diabetes.
Ethics approval(s)Hull and East Riding Research Ethics Committee, approved on 13/03/2009 (ref: LREC 09/H1304/2).
Health condition(s) or problem(s) studiedNon-alcoholic fatty liver disease and type 2 diabetes
Intervention18/06/2013: Please note that this trial was stopped in April 2011.

Twenty type 2 diabetes patients and 20 NAFLD/NASH patients will be recruited for this study (total n = 40).

Over 5 weeks fasting blood samples taken to determine the biological variation of insulin resistance and clotting structure and function and on one occasion endothelial function will be measured using Endo-PAT2000® in the 2 groups - NASH/NAFLD and type 2 diabetes.
Intervention typeOther
Primary outcome measureTo determine the biological variation of insulin resistance measured by HOMA in patients with NAFLD compared to type 2 diabetes.
Secondary outcome measures1. To show statistically significant greater intra-individual variance of insulin resistance measured by HOMA in patients with NASH
2. To determine the level of endothelial dysfunction in subjects with NASH compared to NAFLD compared to type 2 diabetes
3. To determine the fibrin clot structure and function in subjects with NAFLD/NASH compared to type 2 diabetes
Overall study start date14/04/2009
Completion date30/09/2010
Reason abandoned (if study stopped)Participant recruitment issue

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants40
Key inclusion criteriaFor both groups:
Both males and females, over age of 16 years

For NAFLD/non-alcoholic steatohepatitis (NASH) group:
1. Patients with confirmed NAFLD/NASH
2. Able to give informed consent
3. Agreeing to consent to inform GP's regarding participation in the study
4. No change in medication for 3 months prior to starting the study

For type 2 diabetes group:
1. Diabetes diagnosed according to World Health Organization (WHO) criteria
2. No change in medication for 3 months prior to starting study
Key exclusion criteriaFor NAFLD/NASH group:
1. Patients with concurrent illnesses
2. Patients not wishing to allow disclosure to their GP's
3. Alcohol intake more than 14 units/week for women, 21 units a week for men
4. Diabetic patients
5. Pregnancy or breastfeeding women
6. Smokers

For type 2 diabetes group:
1. Abnormal results from liver function tests (LFTs)
2. Patients with concurrent illnesses
3. Patients not wishing to allow disclosure to their GP's
4. Alcohol intake more than 14 units/week for women, 21 units a week for men
5. Pregnancy or breastfeeding women
6. Smokers
Date of first enrolment14/04/2009
Date of final enrolment30/09/2010

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

HS Brocklehurst Building
Hull
HU3 2RW
United Kingdom

Sponsor information

Hull and East Yorkshire Hospitals NHS Trust (UK)
Hospital/treatment centre

Daisy Building
Castle Hill Hospital
Cottingham
HU16 5JQ
England
United Kingdom

Website http://www.hey.nhs.uk
ROR logo "ROR" https://ror.org/01b11x021

Funders

Funder type

University/education

Diabetes Endowment Fund, University of Hull (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan