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CompletedNCT01135628Updated Aug 20, 2014

Hyperproteic Diet Plus Lactobacillus Reuteri and Nitazoxanide in Minimal Hepatic Encephalopathy

An interventional study of Auxiliary Treatment and Hyperproteic and fiber-rich diet in Hepatic Cirrhosis and Minimal Hepatic Encephalopathy, sponsored by Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran. Completed at 1 site in Mexico. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2014-08-20.

Sponsored by Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Hepatic encephalopathy is a serious complication of cirrhosis which relays under the burden of diseases with therapeutical difficulties for its given morbidity and mortality and the high recurrence it poses. Its treatment remains a challenge for most of the cases. Even more, minimal hepatic encephalopathy is an entity that has an additional morbidity for it being a subclinical entity. As so, the investigators propose an auxiliary treatment for the management of such patients with minimal hepatic encephalopathy, using a specific diet consisting on hyperproteic and fibre-rich foods along with two independent interventions, whether a probiotic, lactobacillus reuteri, or a drug, nitozoxanide, so to diminish the rate of progression to any clinical stage of hepatic encephalopathy and to revert minimal hepatic encephalopathy itself to none hepatic encephalopathy.

02

Conditions studied

  • Hepatic Cirrhosis
  • Minimal Hepatic Encephalopathy

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Keywords

  • Hepatic cirrhosis
  • Minimal hepatic encephalopathy
  • Hyperproteic and fiber-rich diet
  • Lactobacillus reuteri
  • Psychometric Hepatic Encephalopathy Score (PHES)
  • Critical Flicker Frequency (CFF)
03

In context

Liver Cirrhosis

1,668 studies on the registry are indexed under Liver Cirrhosis; 360 are open to participants now.

This study's enrollment of 60 is below the median of 72 across 1,003 interventional studies indexed under Liver Cirrhosis.

Browse Liver Cirrhosis studies →

Lead sponsor

Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran is the lead sponsor of 144 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Hepatic Cirrhosis
  • Minimal hepatic Encephalopathy

Exclusion criteria

Exclusion Criteria:

  • Personal history of surgery in the last 4 weeks
  • Use of neuropsychiatric drugs
  • Neuropsychiatric disorders (Schizophrenia, bipolar disorder, major depression, dementia and Attention-deficit hyperactivity disorder)
  • Thyroid disorders without replacement therapy
  • Hepatic or renal transplant
  • Alcoholism with active ingest of alcohol in the last 6 months
  • Pregnancy
  • Labour turn-overs
  • Spontaneous bacterial Peritonitis
  • Personal history of hepatocellular carcinoma
  • Placement of transjugular intrahepatic portosystemic shunt
  • Use of a probiotic in the last 6 months
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Active comparator
    MHE and diet plus lactobacillus reuteri

    Patients with minimal hepatic encephalopathy managed with diet consisting in hyperproteic and fiber-rich foods and lactobacillus reuteri.

    Other: Auxiliary Treatment · Dietary Supplement: Hyperproteic and fiber-rich diet

  • Active comparator
    MHE and diet

    Patients with minimal hepatic encephalopathy managed with diet consisting in hyperproteic and fiber-rich foods.

    Dietary Supplement: Hyperproteic and fiber-rich diet

  • Active comparator
    MHE and diet plus nitazoxanide

    Patients with minimal hepatic encephalopathy managed with diet consisting in hyperproteic and fiber-rich foods and nitazoxanide.

    Dietary Supplement: Hyperproteic and fiber-rich diet · Drug: Nitazoxanide

Interventions

  • OtherAuxiliary Treatment

    Lactobacillus reuteri, 1 tablet bid, each of 100,000,000 FCU for 6 months

    Also known as: Biogaia, Probiotics

  • Dietary supplementHyperproteic and fiber-rich diet

    Hyperproteic diet consisting in 1.5 gr/kg of protein per day Fiber-rich diet

  • Nitazoxanide tablets 400 mg, bid, orally for 6 months

06

What researchers measure

Primary outcomes

  1. Reverse minimal hepatic encephalopathy

    Reverse minimal hepatic encephalopathy to none evidence of hepatic encephalopathy

    Time frame: 3 months

  2. Reverse minimal hepatic encephalopathy

    Reverse minimal hepatic encephalopathy to none evidence of clinical hepatic encephalopathy

    Time frame: 6 months

Secondary outcomes

  1. Prevention of progression

    Prevention of progression from minimal hepatic encephalopathy to any clinical stage of West Haven score of hepatic encephalopathy.

    Time frame: 3 months

  2. Prevention of progression

    Prevention of progression from minimal hepatic encephalopathy to any clinical stage of West Haven score of hepatic encephalopathy

    Time frame: 6 months

07

Study locations

1 site
  • Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
    Mexico City, Mexico City 14000, Mexico
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Aug 2010, a primary completion of May 2014 and a completion of Jul 2014. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
May 26, 2010
First posted
Jun 3, 2010
Start
Aug 2010
Primary completionActual
May 2014
CompletionActual
Jul 2014
Last update
Aug 20, 2014
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01135628
Responsible party
ALDO TORRE DELGADILLO (M.D. M.Sc, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran) — Principal investigator
First posted
Jun 3, 2010
Start date
Aug 2010
Primary completion
May 2014
Completion
Jul 2014
Last update
Aug 20, 2014

Study contacts

Aldo Torre-Delgadillo, MD
principal investigator · Instituto Nacional de Ciencias Medicas de Nutricion

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2014. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Nitazoxanide

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