ClinicalTrials.gg
CompletedNCT05402449Updated Jul 5, 2024

To Evaluate the Beneficial Effect of Probiotics on NAFLD Patients and the Role of Gut Microbiota Modulation

An interventional study of Placebo and Probiotics in Non-Alcoholic Fatty Liver Disease, sponsored by GenMont Biotech Incorporation. Completed at 1 site in Taiwan. Open to participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-07-05.

Sponsored by GenMont Biotech Incorporation · Not applicable, Interventional, and Supportive care

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Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
20 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 48 studies in Non-alcoholic Fatty Liver Disease with a site in Taiwan — 12 open to participants now, 16 under way, 7 of them phase 3. Non-alcoholic Fatty Liver Disease · Taiwan.

Enrollment
31st of 41
70 · median 145
Started
2022
with 6 others
No phase
13 of 48
2 open now
Registered
30th of 48
by date

Among the 48 studies in Non-alcoholic Fatty Liver Disease with a site in Taiwan, this one is the 31st largest by enrollment of the 41 interventional ones that give a count, is one of 7 that started in 2022, is one of 13 with no phase, and was the 30th registered.

Non-alcoholic Fatty Liver Disease

1,618 studies on the registry are indexed under Non-alcoholic Fatty Liver Disease; 323 are open to participants now.

Browse Non-alcoholic Fatty Liver Disease studies →

Open to participants now

12 of the 48 studies in Non-alcoholic Fatty Liver Disease with a site in Taiwan are open now. Recruiting first, the newest first:

7 more — sign in →

All 12 open studies →

A study can be open while its sites in Taiwan have not opened yet or have stopped. Only those recruiting at a site in Taiwan →

Who these studies take

Of the 220 Non-alcoholic Fatty Liver Disease studies recruiting now, 66 (30%) set no upper age limit and 125 (57%) stop at 75 or younger; 27 take children under 18; 55 take healthy volunteers.

This study: 20 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

In this study, the improvement of the clinical status of early-stage non-alcoholic fatty liver disease (NAFLD) patients after the probiotic intervention will be assessed. And the mechanism of probiotics to prevent the progression of illness would be investigated. The chronic inflammation status, systemic oxidative stress, metabolism of carbohydrates and lipid, and gut microbiota of NAFLD patients will also be analyzed.

Read the detailed description

Uncontrolled NAFLD evolves in Non-Alcoholic SteatoHepatitis (NASH), cirrhosis and liver cancer. Early intervention to prevent the progression of illness of NAFLD is very important. From 2005 to 2018, 15 clinical trials concluded that multiple-strain probiotics significantly reduced the liver inflammation index and blood lipids in NAFLD patients. Many reports indicated that NAFLD-associated risk factors, such as chronic inflammation, oxidative stress, insulin resistance, dyslipidemia, and obesity are closely correlated with gut microbiota. Some substances (such as endotoxin and alcohol) produced by harmful gut bacteria caused the progression of the illness of NAFLD.

Three strains are Genmont® Normal Lactobacillus (GMNL) which were divided from natural environments, included Lactobacillus reuteri GMNL-263 (heat-killed) and GMNL-89 (alive) and Lactobacillus rhamnosus GMNL-74 ( alive). They are all isolated from the gastrointestinal tract of healthy Taiwanese and were known as common food material worldwide. The previous clinical research on probiotic consumption in type 2 Diabetes mellitus patients under normal drug treatment was conducted in Changhua Christian Hospital. Results showed that L. reuteri GMNL-263 was able to stabilize the weight and blood pressure of patients. L. reuteri GMNL-89 had a stable effect on glycated hemoglobin. There was no adverse reaction when probiotics combining with type 2 diabetes drugs. Meanwhile, L. rhamnosus GMNL-74 was observed to reduce weight gain in obese mice. In this clinical study, The anti-liver inflammation effect of consumption of Lactobacillus sachet in NAFLD patients will be demonstrated at baseline, 3 months and 6 months. In this clinical study, the anti-liver inflammation effect of consumption of Lactobacillus sachet in NAFLD patients will be demonstrated at baseline, 3 months and 6 months to understand the impact of the probiotics on NAFLD. Since the treatment of fatty liver should focus on controlling weight, blood sugar, and blood fat, the relevant clinical indexes will also be investigated.

03

Conditions studied

  • Non-Alcoholic Fatty Liver Disease

Keywords

  • Probiotic
  • Non-Alcoholic Fatty Liver Disease
  • gut microbiota
04

Who can participate

Ages eligible
20 Years to 80 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

  • Diagnosis of Nonalcoholic fatty liver disease (NALFD) by ultrasound.
  • The range of (ALT) blood test is 60-300 U/L

Exclusion criteria

Exclusion Criteria:

  • Alcoholic consumption (Female ≥ 10g/day or Male ≥ 20g/per)
  • Patients with liver diseases, (hepatitis B virus), (hepatitis C virus), Primary Biliary Cholangitis.
  • system disease
  • Wilson's disease
  • Hereditary hemochromatosis
  • Patients with uncontrolled
  • The subject had previously received weight reduction surgery
  • Taking Antibiotics, probiotics, or any other drugs that affect NAFLD or glucose and lipid metabolism in past 2 months
  • Pregnant or lactating female patients
  • Patient who have severe allergy to soybeans or peanuts
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
70 participants (actual)

Study arms

  • Placebo comparator
    Placebo group

    Subjects received two placebo sachets per day

    Other: Placebo

  • Experimental
    Probiotic group

    Subjects received two probiotic sachets per day

    Dietary Supplement: Probiotics

Interventions

  • OtherPlacebo

    Same Additives to Probiotic group but replace probiotics with Corn starch and Maltodextrin.

    Also known as: Control group

  • Dietary supplementProbiotics

    Multi-strain probiotic supplement includes Lactobacillus reuteri GMNL-263 (heat-killed) and GMNL-89 (alive) and Lactobacillus rhamnosus GMNL-74 ( alive).

    Also known as: Test group

06

What researchers measure

Primary outcomes

  1. Serum ALT (Alanine Aminotransferase) level at baseline

    The number of patients will be enrolled with the concentration of ALT (Alanine Aminotransferase) ranging from 60 to 300 U/mL in serum.

    Time frame: baseline

  2. Change from baseline in Serum ALT (Alanine Aminotransferase) level at 3-months

    Fasting blood samples will be collected to examine the variation of ALT (Alanine Aminotransferase).

    Time frame: 3-months

  3. Change from baseline in Serum ALT (Alanine Aminotransferase) level at 6-months

    Fasting blood samples will be collected to examine the variation of ALT (Alanine Aminotransferase).

    Time frame: 6-months

Secondary outcomes

  1. Change from baseline in BMI (Body Mass index) at 3-months

    BMI will be calculated with weight and height combined in kg/m\^2, the weight will be measured in kilograms and the height will be recorded in centimeters.

    Time frame: 3-months

  2. Change from baseline in BMI (Body Mass index) at 6-months

    BMI will be calculated with weight and height combined in kg/m\^2, the weight will be measured in kilograms and the height will be recorded in centimeters.

    Time frame: 6-months

  3. Change from baseline in Waist and hip circumference at 3-months

    Waist and hip circumference will take down in centimeters.

    Time frame: 3-months

  4. Change from baseline in Waist and hip circumference at 6-months

    Waist and hip circumference will take down in centimeters.

    Time frame: 6-months

  5. Change from baseline in blood pressure at 3-months

    The unit of measurement of blood pressure is mmHg. Both systolic and diastolic blood pressure will be measured.

    Time frame: 3-months

  6. Change from baseline in blood pressure at 6-months

    The unit of measurement of blood pressure is mmHg. Both systolic and diastolic blood pressure will be measured.

    Time frame: 6-months

  7. Change from baseline in the progress of the non-alcoholic fatty liver disease at 3-months

    Utilizing abdominal ultrasound to detect the progress of Non-alcoholic fatty liver disease (NAFLD).

    Time frame: 3-months

  8. Change from baseline in the progress of the non-alcoholic fatty liver disease at 6-months

    Utilizing abdominal ultrasound to detect the progress of Non-alcoholic fatty liver disease (NAFLD).

    Time frame: 6-months

  9. Change from baseline in levels of AST(Aspartate Aminotransferase) at 3-months

    Fasting blood samples will be collected to examine changes from baseline in AST(Aspartate Aminotransferase) in IU/L at 3-months.

    Time frame: 3-months

  10. Change from baseline in levels of AST(Aspartate Aminotransferase) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in AST(Aspartate Aminotransferase) in IU/L at 6-months.

    Time frame: 6-months

  11. Change from baseline in the level of γ-GT (γ-Glutamyl Transpeptidase) at 3-months

    Fasting blood samples will be collected to examine changes from baseline in γ-GT (γ-Glutamyl Transpeptidase) in IU/L at 3-months.

    Time frame: 3-months

  12. Change from baseline in the level of γ-GT (γ-Glutamyl Transpeptidase) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in γ-GT (γ-Glutamyl Transpeptidase) in IU/L at 6-months.

    Time frame: 6-months

  13. Change from baseline in the level of BUN (Blood Urea Nitrogen) at 3-months

    Fasting blood samples will be collected to examine changes in BUN(Blood Urea Nitrogen) from baseline in mg/dL at 3-months.

    Time frame: 3-months

  14. Change from baseline in the level of BUN (Blood Urea Nitrogen) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in BUN(Blood Urea Nitrogen) in mg/dL at 6-months.

    Time frame: 6-months

  15. Change from baseline in the level of CRE (Creatinine) at 3-months

    Fasting blood samples will be collected to examine changes from baseline in CRE(Creatinine) in mg/dL at 3-months.

    Time frame: 3-months

  16. Change from baseline in the level of CRE (Creatinine) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in CRE(Creatinine) in mg/dL at 6-months.

    Time frame: 6-months

  17. Change from baseline in levels of FBS (Fasting Blood Sugar) at 3-months

    Fasting blood samples will be collected to examine changes from baseline in FBS(Fasting Blood Sugar) in mg/dL at 6-months.

    Time frame: 3-months

  18. Change from baseline in the level of FBS (Fasting Blood Sugar) at 6-months

    Fasting blood samples will be collected to examine changes from baseline in FBS(Fasting Blood Sugar) in mg/dL at 6-months.

    Time frame: 6-months

  19. Change from baseline in levels of HbA1c (Hemoglobin A1C) at 3-months

    Fasting blood samples will be collected to investigate the levels of HbA1c(Hemoglobin A1C) in % from baseline at 3-months.

    Time frame: 3-months

  20. Change from baseline in levels of HbA1c (Hemoglobin A1C) at 6-months

    Fasting blood samples will be collected to investigate the levels of HbA1c(Hemoglobin A1C) in % from baseline at 6-months.

    Time frame: 6-months

  21. Change from baseline in levels of serum insulin at baseline

    Fasting blood samples will be collected to examine variation in serum insulin in uIU/mL from baseline at 3-months.

    Time frame: 3-months

  22. Change from 3-months in levels of serum insulin at baseline

    Fasting blood samples will be collected to examine variation in serum insulin in uIU/mL from baseline at 6-months.

    Time frame: 6-months

  23. Change from Baseline in levels of HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) at 3-months

    HOMA-IR(Homeostatic Model Assessment for Insulin Resistance) will be calculated with insulin and glucose. (HOMA-IR=(insulin (mIU/L) and glucose (mg/dl))/405)

    Time frame: 3-months

  24. Change from baseline in levels of HOMA-IR (Homeostatic Model Assessment for Insulin Resistance) at 6-months

    HOMA-IR(Homeostatic Model Assessment for Insulin Resistance) will be calculated with insulin and glucose. (HOMA-IR=(insulin (mIU/L) and glucose (mg/dl))/405)

    Time frame: 6-months

  25. Change from baseline in levels of TC (Total Cholesterol) at 3-months

    Fasting blood samples will be collected to examine variation from baseline in (Total Cholesterol) in mg/dL at 3-months.

    Time frame: 3-months

  26. Change from baseline in levels of TC (Total Cholesterol) at 6-months

    Fasting blood samples will be collected to examine variation from baseline in (Total Cholesterol) in mg/dL from baseline at 6-months.

    Time frame: 6-months

  27. Change from baseline in level of HDL (High density lipoprotein) at 3-months

    Fasting blood samples will be collected to examine variation from baseline in HDL(High density lipoprotein) in mg/dL at 3-months.

    Time frame: 3-months

  28. Change from baseline in level of HDL (High density lipoprotein) at 6-months

    Fasting blood samples will be collected to examine variation from baseline in HDL(High density lipoprotein) in mg/dL at 6-months.

    Time frame: 6-months

  29. Change from baseline in level of LDL (Low density lipoprotein) at 3-months

    Fasting blood samples will be collected to examine variation from baseline in LDL(Low density lipoprotein) in mg/dL at 3-months.

    Time frame: 3-months

  30. Change from baseline in level of LDL (Low density lipoprotein) at 6-months

    Fasting blood samples will be collected to examine variation from baseline in LDL(Low density lipoprotein) in mg/dL at 6-months.

    Time frame: 6-months

  31. Change from baseline in level of TG (Triglyceride) at 3-months

    Fasting blood samples will be collected to examine variation from baseline in TG(Triglyceride) in mg/dL to 3-months.

    Time frame: 3-months

  32. Change from baseline in level of TG (Triglyceride) at 6-months

    Fasting blood samples will be collected to examine variation from baseline in TG(Triglyceride) in mg/dL to 6-months.

    Time frame: 6-months

  33. Change from baseline in level of hs-CRP (high-sensitivity C-reactive protein) at 3-months

    Blood samples will be collected to examine variation from baseline in hs-CRP(high-sensitivity C-reactive protein) in mg/dL at 3-months.

    Time frame: 3-months

  34. Change from baseline in level of hs-CRP (high-sensitivity C-reactive protein) at 6-months

    Blood samples will be collected to examine variation from baseline in hs-CRP(high-sensitivity C-reactive protein) in mg/dL at 6-months.

    Time frame: 6-months

  35. Change from baseline in level of TNF-α (Tumor necrosis factor-α) at 3-months

    Blood samples will be collected to examine variation from baseline in TNF-α (Tumor necrosis factor-α) in pg/mL at 3-months.

    Time frame: 3-months

  36. Change from baseline in level of TNF-α (Tumor necrosis factor-α) at 6-months

    Blood samples will be collected to examine variation from baseline in TNF-α (Tumor necrosis factor-α) in pg/mL at 6-months.

    Time frame: 6-months

  37. Change from baseline in level of IL-1β (Interleukin-1 β) at 3-months

    Blood samples will be collected to examine variation from baseline in IL-1β(Interleukin-1 β) in pg/mL at 3-months.

    Time frame: 3-months

  38. Change from baseline in level of IL-1β (Interleukin-1 β) at 6-months

    Blood samples will be collected to examine variation from baseline in IL-1β(Interleukin-1 β) in pg/mL at 6-months.

    Time frame: 6-months

  39. Change from baseline in level of IL-6 (Interleukin-6) at 3-months

    Blood samples will be collected to examine variation from baseline in IL-6(Interleukin-6) in pg/mL at 3-months.

    Time frame: 3-months

  40. Change from baseline in level of IL-6 (Interleukin-6) at 6-months

    Blood samples will be collected to examine variation from baseline in IL-6(Interleukin-6) in pg/mL at 6-months.

    Time frame: 6-months

  41. Change from baseline in level of LPS (Lipopolysaccharides) at 3-months

    Blood samples will be collected to examine variation from baseline in LPS(Lipopolysaccharides) in mg/dL at 3-months.

    Time frame: 3-months

  42. Change from baseline in level of LPS (Lipopolysaccharides) at 6-months

    Blood samples will be collected to examine variation from baseline in LPS(Lipopolysaccharides) in mg/dL at 6-months.

    Time frame: 6-months

  43. Change from baseline in level of Leptin at 3-months

    Blood samples will be collected to examine variation from baseline in Leptin in pg/mL at 3-months.

    Time frame: 3-months

  44. Change from baseline in level of Leptin at 6-months

    Blood samples will be collected to examine variation from baseline in Leptin in pg/mL at 6-months.

    Time frame: 6-months

  45. Change from baseline in level of Adiponectin at 3-months

    Blood samples will be collected to examine variation from baseline in Adiponectin in pg/mL at 3-months.

    Time frame: 3-months

  46. Change from baseline in level of Adiponectin at 6-months

    Blood samples will be collected to examine variation from baseline in Adiponectin in pg/mL at 6-months.

    Time frame: 6-months

  47. Change from baseline in the level of SCFA (Short Chain Fatty Acids) at 6-months

    Blood samples will be collected to examine variation from baseline in SCFA (Short Chain Fatty Acids) in ug/mL at 6-months.

    Time frame: 6-months

  48. Change from baseline in the level of TMAO (Trimethylamine N-oxide) at 6-months

    Blood samples will be collected to examine variation from baseline in TMAO (Trimethylamine N-oxide) in μmol/L at 6-months.

    Time frame: 6-months

  49. Change from baseline in Self-questionnaire of Diet and lifestyle assessments at 6-months

    The questionnaire will record dietary/drink preferences and other habits by the subject himself /herself, the content of the questionnaire includes vegetarian or not, the frequency if intake of tea, dairy, coffee or yakult intake, smoking habits, betel nuts intake and alcohol consumption.

    Time frame: 6-months

  50. Change from baseline in self-record of the International physical activity questionary (IPAQ) in physical assessment at 6-months

    The questionnaire will be finished to record the laborious activity by the subject himself /herself before and after the treatment.

    Time frame: 6-months

  51. Change from baseline in gut microbiota at 6-months

    The analysis of Gut microbiota will utilize DNA sequencing to investigate the intestinal microbiota through stool samples in subjects with NAFLD at 6-months.

    Time frame: 6-months

07

Study locations

1 site
  • Fu Jen Catholic University Hospital
    New Taipei City, Taiwan
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2022 to primary completion in May 2024, 22 months.

Of 28 industry-sponsored interventional studies with no phase under Non-alcoholic Fatty Liver Disease, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 27. This study's 22 months is above that.

Counting every sponsor, half of 385 studies reached it within 25 months; a quarter within 12 and three quarters within 48.

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

Registered
May 5, 2022
First posted
Jun 2, 2022
StartActual
Jul 14, 2022
Primary completionActual
May 31, 2024
CompletionActual
May 31, 2024
Last update
Jul 5, 2024
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 Jul 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05402449
Lead sponsor
GenMont Biotech Incorporation
Collaborators
Fu Jen Catholic University Hospital
Responsible party
Sponsor
First posted
Jun 2, 2022
Start date
Jul 14, 2022
Primary completion
May 31, 2024
Completion
May 31, 2024
Last update
Jul 5, 2024

Study contacts

Chi-Yang Chang, PhD
principal investigator · Fu Jen Catholic University Hospital

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 Sep 2023. You cannot join it, but the record below documents what was studied.

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