About this trial
To identify key characteristics of the tissue resident and peripherally circulating immune-phenotype in addition to blood markers, metabolic profile, faecal and oral microbiota in non-alcoholic fatty liver disease
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years
Confirmed non-alcoholic Fatty liver disease (diagnosed clinically, radiologically or histologically)
If diabetic, Diagnosed with Type 2 Diabetes Mellitus
Disqualifiers
Unwilling or unable to give informed consent
Type 1 Diabetes Mellitus
Other form of liver disease (other than NAFLD)
Taking medication associated with liver dysfunction (except methotrexate)
Trial population
Participants will be identified from outpatient clinics of Bariatric, Gastroenterology, and Hepatology services at Homerton and King College Hospitals in addition to Gastroenterology outpatients from the Barts Health NHS Trust. Healthy control participants will be identified from patients undergoing outpatient assessment, gastroscopy or surgery for other non-malignant gastrointestinal disorders at hospital sites.
Trial design
Case-control
Prospective
Treatments tested in this trial
Bariatric Surgery
Procedure/SurgeryAlready clinically indicated surgical procedures
Treatment groups
Trial outcomes
Primary outcomes
Impact of weight loss surgery upon Non-alcoholic steatohepatitis
Proportion of patients developing resolution of NASH after weight loss surgery
Secondary outcomes
Impact of weight loss surgery upon Non-invasive measures of fibrosis
Evaluation of changes in liver transient elastography post weight loss surgery
Sponsors and contacts
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Queen Mary University of London
Lead sponsor
Homerton University Hospital NHS Foundation Trust
Collaborator
Barts & The London NHS Trust
Collaborator
King's College Hospital NHS Trust
Collaborator