Safety and Efficacy of Ketogenic Diet for Promoting Weight Loss in Obese Individuals With Compensated NASH Cirrhosis

Last updated: March 6, 2025
Sponsor: Indiana University
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

Weight Loss

Hepatic Fibrosis

Scar Tissue

Treatment

Dietary consult for participants in the standard of care arm

Dietary consult for participants in the ketogenic diet arm

Clinical Study ID

NCT04383951
Keto Diet Study
  • Ages > 18
  • All Genders

Study Summary

This is an open-label, randomized study comparing a monitored ketogenic diet intervention using standard ketogenic diet (SKD) and standard of care (SOC) dietary recommendations for 16 weeks. Subjects enrolled in the standard of care group will receive a voucher to Weight Watchers after study completion.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. NASH cirrhosis (criteria in Appendix 1) with obesity (BMI >30 kg/m2).

  2. Age 18 and greater

Exclusion

Exclusion Criteria:

  1. Actively participation in investigational drug treatment for non-alcoholic fattyliver disease

  2. Currently taking medications for weight loss or have joined a supervised weight lossprogram prior to enrollment

  3. Have hepatocellular carcinoma and are undergoing therapy

  4. Women who become pregnant or plan to become pregnant prior to the study date; femalesubjects who become pregnant during the study will be withdrawn from the study

  5. Pacemaker or implantable cardioverter devices

  6. History of hepatic surgery

  7. Current significant alcohol consumption, defined as more than 20 grams per day infemales or 30 grams per day in males

  8. Presence of ascites or hepatic encephalopathy

  9. Symptomatic gastroparesis

  10. Uncontrolled diabetes, as defined by a HgbA1C >11%

  11. Uncontrolled congestive heart failure

  12. Active infections

  13. Child Turcotte Pugh score > 6

  14. MELD score >12

  15. Unwilling to undergo an MRI or have contraindications to an MRI

Study Design

Total Participants: 40
Treatment Group(s): 2
Primary Treatment: Dietary consult for participants in the standard of care arm
Phase:
Study Start date:
August 15, 2020
Estimated Completion Date:
December 31, 2026

Study Description

The primary aim is to assess the safety of ketogenic diet as compared to standard of care approach for weight loss in patients with compensated cirrhosis due to NASH. The safety endpoints captured in the study include liver decompensation events, measured through several questionnaires, fasting blood glucose, serum creatinine, fasting lipid profile and other adverse events. The tolerability of the ketogenic diet will be assessed by study compliance and by administering a questionnaire.

Secondary aims include weight loss, changes in body composition via serial use of bioelectrical impedance via an Inbody Machine, changes in liver fat and liver stiffness using MRI and proton density fat fraction (MRI-PDFF), liver biochemistries, changes in Child-Turcotte-Pugh and MELD scores measured via labs and changes in liver steatosis and stiffness via serial measures of VCTE by FibroScan®.

Connect with a study center

  • Indiana University School of Medicine

    Indianapolis, Indiana 46202
    United States

    Site Not Available

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