Effect of Treatment With Insulin Sensitizer on Arterial Properties, Metabolic Parameters and Liver Function in Patients With Nonalcoholic Fatty Liver Disease
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Purpose
Abstract
Background: Insulin resistance has an important role in the development of nonalcoholic fatty liver disease (NAFLD) and is involved in both pathological processes: hepatic steatosis and atherosclerosis. Therefore, treatment of NAFLD with insulin sensitizers is likely to have a favorable effect towards hepatic steatosis and cardiovascular outcomes.
Objectives: The present study investigated the effect of metformin on arterial properties, metabolic parameters and liver function in patients with NAFLD. Methods In randomized, placebo controlled study, 63 patients with NAFLD were assigned to one of two groups: Group 1 received daily metformin; Group 2 received placebo. Pulse wave velocity (PWV) and augmentation index (AI) were performed using SphygmoCor (version 7.1, AtCor Medical, Sydney, Australia) at baseline and at the end of 4-month treatment period.. Metabolic measures and serum adiponectin levels were determined.
| Condition | Intervention | Phase |
|---|---|---|
|
Nonalcoholic Fatty Liver Disease |
Drug: Metformin |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Metformin, Adiponectine, Arterial Compliance | Drug: Metformin |
Eligibility| Ages Eligible for Study: | 40 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- In a single-center study, 63 patients (32 males and 31 females) diagnosed with nonalcoholic fatty liver disease were recruited from the outpatient clinic and evaluated for the study.
Exclusion Criteria:
- Patients with history of unstable angina, MI, CVA or major surgery within the six months preceding entrance to the study.
- Patients with unbalanced endocrine disease or any disease that might affect absorption of medications.
- Patients with plasma creatinine > 1.5 mg/dl, and electrolyte abnormalities.
Contacts and Locations
More Information
No publications provided by Wolfson Medical Center
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT01084486 History of Changes |
| Other Study ID Numbers: | WolfsonMC-2007-9 |
| Study First Received: | March 9, 2010 |
| Last Updated: | March 9, 2010 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Wolfson Medical Center:
|
nonalcoholic fatty liver disease Pulse wave velocity augmentation index metformin |
Additional relevant MeSH terms:
|
Fatty Liver Liver Diseases Digestive System Diseases Metformin |
Hypoglycemic Agents Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 17, 2013