Metabolic Pathology of Pediatric NAFLD
NCT05430178 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2024-03-06
Summary
Nonalcoholic fatty liver disease (NAFLD) is now the most common liver disease worldwide and affects nearly 40% of obese youth and up to 10% of the general pediatric population. Some features of NAFLD are similar in children and adults, yet fibrosis and inflammation are more common in the portal zone and occur earlier in pediatric NAFLD patients than adults. This portends a rapid progression to end-stage liver disease in early adulthood. For the majority of children with NAFLD, mechanisms driving the origin and rapid progression of disease remain unknown. Thus, there is a critical, unmet need to study the specific underlying patterns of metabolic and molecular changes in the liver underlying the development and progression unique to children with NAFLD.
This proposal will test the hypotheses that children with NAFLD have excess glucose and lipid produced by the liver, that those events are regulated by specific variations in the amount and location of RNAs and proteins in liver, and that the concentration of specific micro-RNAs in the blood can be used as a biomarker for NAFLD in pediatric patients.
Conditions
- Nonalcoholic Fatty Liver
- Nonalcoholic Steatohepatitis
- Obesity
Interventions
- OTHER
-
Oral sugar tolerance test
Measurement of glucose and insulin for calculation of insulin sensitivity
- OTHER
-
De novo lipogenesis test
Oral consumption of deuterated water to measure incorporation of label into lipids
- OTHER
-
Gluconeogenesis test
Oral consumption of 13C-labeled glycerol to measure incorporation into glucose
Sponsors & Collaborators
-
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
collaborator NIH -
University of Oklahoma
lead OTHER
Principal Investigators
-
Kevin Short, PhD · University of Oklahoma
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 10 Years
- Max Age
- 20 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2022-05-25
- Primary Completion
- 2026-02-28
- Completion
- 2026-06-30
Countries
- United States
Study Locations
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