About this trial
This is a randomized, double-blinded, placebo-controlled clinical trial aimed at evaluating the efficacy and safety of Linzhi Jianghuang Fufang Huoxue Anshen Capsule (LJF) for non-alcoholic fatty liver.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
1) Age between 18 and 65 years (inclusive);
2) Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI-PDFF) ≥ 10%;
3) Liver stiffness measured by transient elastography < 7.3 kPa;
4) Presence of one or more metabolic risk factors: a. Fasting plasma glucose ≥ 6.1 mmol/L, or 2-hour postprandial glucose ≥ 7.8 mmol/L, or HbA1c ≥ 5.7%, or a history of type 2 diabetes, or HOMA-IR ≥ 2.5; b. Arterial blood pressure ≥ 130/85 mmHg, or receiving antihypertensive medication; c. Fasting serum triglycerides ≥ 1.7 mmol/L;
Disqualifiers
1) Excessive alcohol intake (converted pure alcohol > 210 g per week for men, > 140 g per week for women), or an Alcohol Use Disorder Identification Test (AUDIT) score ≥ 8;
2) Other liver diseases (e.g., alcoholic hepatitis, viral hepatitis, drug-induced liver disease, Wilson's disease, autoimmune liver disease, etc.), or a history of liver transplantation or liver resection;
3) Presence of severe concurrent diseases affecting the heart, brain, hematopoietic system, immune system, or kidneys (BUN > 1.5 × ULN, Cr > ULN);
4) Presence of other endocrine system disorders, such as hyperthyroidism, Cushing's syndrome, etc.;
Trial design
Parallel
Treatments tested in this trial
Linzhi Jianghuang Fufang Huoxue Anshen Capsule (LJF)
DrugLinzhi Jianghuang Fufang Huoxue Anshen Capsule (LJF) is composed of five herbs (e.g., Salviae Miltiorrhizae Radix et Rhizoma, Puerariae Lobatae Radix).
Placebo
Other interventionThe placebo contains caramel color, sucrose octaacetate, sucralose, etc.
Treatment groups
Trial outcomes
Primary outcomes
MRI-PDFF
Primary endpoint will be the change in liver fat content from baseline, as measured by Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI-PDFF) after 24 weeks of treatment.
Secondary outcomes
Liver fat content
Changes in liver fat content from baseline, as measured by Liverscan.
Liver stiffness
Changes in liver stiffness from baseline, as measured by Liverscan.
Metabolic parameter
Changes in metabolic parameter (e.g., insulin resistance) from baseline to the end of 24 weeks of treatment.
Anthropometric parameter
Changes in anthropometric parameter (e.g., Body Mass Index) from baseline.
Other outcomes
Dietary intake
Dietary intake will be assessed using a validated Food Frequency Questionnaire (FFQ).
Physical activity
Physical activity (e.g., step count) as measured by a smartwatch.
Locations
Sponsors and contacts
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