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Treatment of Nonalcoholic Fatty Liver Disease in Children (TONIC)

This study is ongoing, but not recruiting participants.
Information provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

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Descriptive Information Fields
Brief Title  Treatment of Nonalcoholic Fatty Liver Disease in Children (TONIC)
Official Title  Clinical Research Network in Nonalcoholic Steatohepatitis: Treatment of Nonalcoholic Fatty Liver Disease in Children (TONIC)
Brief Summary

The purpose of this study is to determine if therapeutic modification of insulin resistance or oxidative stress leads to improvement in serum or histologic indicators of liver injury or quality of life.

Detailed Description
Study Phase Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Efficacy Study
Primary Outcome Measure  Sustained reduction in ALT to either 50% of baseline value or < 40 U/L [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Secondary Outcome Measure  Sustained reduction in serum AST [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Sustained reduction in serum GGT [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Change in histologic feature scores determined by standardized scoring of liver biopsies at baseline and after 96 weeks of treatment [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Change in liver fibrosis, inflammation, or steatosis [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Change in body mass index [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Change in insulin resistance indices [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Change in serum vitamin E levels [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Change in serum lipid profile [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Change in QOL scores [ Time Frame: 96 weeks ] [ Designated as safety issue: No ]
Condition  Fatty Liver
Intervention  Drug: Metformin
Dietary Supplement: Vitamin E
Drug: Matching placebo
MEDLINE PMIDs
Links National Institute of Diabetes and Digestive and Kidney Diseases This link exits the ClinicalTrials.gov site
Recruitment Information Fields
Recruitment Status  Active, not recruiting
Enrollment  180
Start Date  August 2005
Completion Date September 2009
Eligibility Criteria 
  • Age 8-17 years at first screening visit
  • Histologic evidence of Nonalcoholic Fatty Liver Disease (NAFLD) - biopsy cannot be older than 6 months as of randomization
  • ALT level >60 U/L at time of screening and on one previous occasion determined at least one month but no greater than 6 months prior to screening ALT
  • Consent
Gender Both
Ages 8 Years to 17 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00063635
Organization ID NASH - PEDIATRICS
Secondary IDs ††
Study Sponsor  National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborators ††
Investigators 
Information Provided By National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Verification Date December 2007
First Received Date  July 1, 2003
Last Updated Date December 14, 2007

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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