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CompletedNCT03512184Updated Feb 1, 2023

YMCA Diabetes Prevention Program for the Treatment of Nonalcoholic Fatty Liver Disease (NAFLD)

An interventional study of YMCA class in Weight Loss, NAFLD and Liver Diseases, sponsored by Weill Medical College of Cornell University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-02-01.

Sponsored by Weill Medical College of Cornell University · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
48
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study is for men and women have been diagnosed with non-alcoholic fatty liver disease (NAFLD) and will consequently participate in the YMCA's Diabetes Prevention Program.

Read the detailed description

This study is for men and women who participate in the YMCA's Diabetes Prevention Program (YMCA's DPP) and have been diagnosed with non-alcoholic fatty liver disease (NAFLD). There will be no administration of study drug. The purpose of this study is to see if participation in the YMCA's DPP will result in weight loss and improvement in the liver in patients with fatty liver disease.

Eligible participants will visit Weill Cornell Medical College's Gastroenterology and Hepatology clinic to review their medical history, physical examination, complete a survey, and conduct imaging tests (FibroScan, ultrasound, DEXA scan) for their baseline visit. Blood will be collected as part of standard practice. An additional blood sample will be collected for storage. Subjects will complete 9 out of 16 weekly sessions. The YMCA's program will be conducted at Weill Cornell Medical College Gastroenterology and Hepatology Division.

Participants will be in the YMCA program for about 1 year and an additional 1 year in the long-term follow-up for data collection.

Participants will be compensated for their time.

Key eligibility criteria:

  1. Men and women over 18 years of age.
  2. Diagnosed with Non-alcoholic Fatty liver disease.
  3. Detailed eligibility reviewed when contacting the study team.
02

Conditions studied

03

In context

Liver Diseases

2,081 studies on the registry are indexed under Liver Diseases; 390 are open to participants now.

This study's enrollment of 48 is close to the median of 50 across 1,323 interventional studies indexed under Liver Diseases.

Browse Liver Diseases studies →

Lead sponsor

Weill Medical College of Cornell University is the lead sponsor of 867 studies on the registry; 160 are open to participants now.

Of its 119 completed or terminated interventional studies of FDA-regulated products, 91 (76%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age ≥18
  2. Must provide signed written informed consent and agree to comply with the study protocol
  3. BMI >25 kg/m²
  4. Hepatic steatosis by imaging or histology
  5. Baseline Fibroscan CAP score > 238 dB/m
  6. ALT >19IU/mL in females, ALT >30IU/mL in males

Exclusion criteria

Exclusion Criteria:

  1. Unclear etiology of liver disease
  2. Competing etiologies for hepatic steatosis
  3. Co-existing causes of chronic liver disease according to standard diagnostic testing including, but not restricted to:

    • Positive hepatitis B surface antigen
    • Positive hepatitis C virus RNA
    • Suspicion of drug-induced liver disease
    • Alcoholic liver disease
    • Autoimmune hepatitis
    • Wilson's disease
    • Hemochromatosis
    • Primary biliary cholangitis or primary sclerosing cholangitis
  4. Known or suspected hepatocellular carcinoma
  5. Current or recent history (\<5 years) of significant alcohol consumption. For men, significant consumption is defined as >30g of alcohol per day. For women, it is defined as >20g of alcohol per day.
  6. Compensated and decompensated cirrhosis (clinical and/or histologic evidence of cirrhosis). NASH patients with fibrosis stage = 4 according to the NASH CRN fibrosis staging system are excluded.
  7. Pregnant females
  8. Mental instability or incompetence, such that the validity of the informed consent or ability to be compliant with the study is uncertain
  9. Inability to perform Fibroscan and/or invalid study
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Other
    YMCA Class

    This Arm's objective is to determine the effect of the YMCA's Diabetes Prevention Program on NAFLD as determined by comparison of liver enzymes pre- and post- program.

    Behavioral: YMCA class

Interventions

  • BehavioralYMCA class

    The Gastroenterologists of Weill Cornell Medical College that are associated with this trial want to implement the YMCA's DPP in the NAFLD population as a structured lifestyle modification/educational intervention. The hypothesis is that the NAFLD patients who complete the YMCA's DPP will also have weight loss and improvement in hepatic steatosis. Importantly, positive results in this New York City-based pilot study would provide a strong rationale for determining whether such a program could be useful to treat NAFLD at established YMCA DPP sites across the country.

06

What researchers measure

Primary outcomes

  1. Effect of the YMCA's Diabetes Prevention Program on NAFLD

    Determine the effect of the YMCA's Diabetes Prevention Program on NAFLD as determined by comparison of liver enzymes pre- and post- program - we'll look at the changes of ALT levels to determine the aforementioned. We will perform these diagnostic tests in order to determine the effectiveness of the 16 weeks of sessions.

    Time frame: 104 weeks from the start of the study

  2. Determine if Liver Fat via Fibroscan Controlled Attentuation Pattern score has decreased as a result of YMCA program

    Evaluate the amount of liver fat as determined by Fibroscan Controlled Attenuation Pattern (CAP) score in patients with NAFLD pre- and post- participation in the diabetes prevention program with the YMCA. The CAP range should be 100-400, without any sub-scales reported. Lower values in the range represent less 'fat', making it a better score.

    Time frame: 104 weeks from the start of the study

Secondary outcomes

  1. Measuring the effectiveness of the YMCA Program, as per SF-36 patient-reported questionnaires

    Determine the effect of YMCA's DPP on quality of life in patients with NAFLD as per SF-36 questionnaire.

    Time frame: 104 weeks from the start of the study

  2. Measuring the effectiveness of the YMCA Program, as per each patient's BMI

    Determine the effect of YMCA's DPP on BMI in patients with NAFLD. We are reporting this as an aggregate of Body Mass Index.

    Time frame: 104 weeks from the start of the study

  3. Measuring the effectiveness of the YMCA Program, as per the DEXA scan

    Determine the effect of YMCA's DPP on body composition (aggregated via body fat percentage and lean and fat body mass) using dual-energy X-ray absorptiometry (DEXA).

    Time frame: 104 weeks from the start of the study

  4. Measuring the effectiveness of the YMCA Program, as per metabolic blood work that's analyzed

    Determine the effect of YMCA's DPP on levels of systemic factors linked to the metabolic syndrome. The metabolites that will be studied are all research-related blood work.

    Time frame: 104 weeks from the start of the study

07

Study locations

1 site
  • Weill Cornell Medical College
    New York, New York 10065, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03512184
Lead sponsor
Weill Medical College of Cornell University
Collaborators
YMCA
Responsible party
Sponsor
First posted
Apr 30, 2018
Start date
Jan 3, 2018
Primary completion
Sep 12, 2020
Completion
Sep 12, 2021
Last update
Feb 1, 2023

Study contacts

Sonal Kumar, MD
principal investigator · Weill Medical College of Cornell University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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