About this trial
Participants 13-18 years of age with extra fat stored in the liver will be randomly assigned to a protein supplement or placebo "fake supplement" for 2 months to see if the participants who get the protein supplement have less fat in the liver compared to participants who were in the placebo group. After the 2 month intervention, all participants can continue the study and will all receive the protein supplement for an additional 10-months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Ages 13-18, Tanner stage 4-5
Suspected or diagnosed with NAFLD per fibroscan or liver biopsy within 6 months prior to enrollment as long as participants have not lost more than 5% of total body weight. Their MRI liver fat >5.5%
Diagnosis of non-alcoholic fatty liver disease (NAFLD) per hepatologist
Sedentary- less than 3 hours of moderate (jogging, swimming, etc.) exercise a week
Disqualifiers
Use of medications known to affect insulin sensitivity: metformin, oral glucocorticoids within 10 days, atypical antipsychotics, immunosuppressant agents, HIV medications.
Currently pregnant or breastfeeding women. Development of pregnancy during the study period will necessitate withdrawal from the study
Severe illness requiring hospitalization within 60 days
Diabetes, defined as Hemoglobin A1C > 6.4%
Trial design
Parallel
Treatments tested in this trial
Essential Amino Acid Supplement by Amino Co
Drug2 months of twice daily consumption of Purity (EAA), followed by 10 months open label extension of EAA
Placebo
Other intervention2 months of twice daily consumption of Placebo, followed by 10 months open label extension of EAA
Treatment groups
Trial outcomes
Primary outcomes
Change in Hepatic Fat Fraction
Change from baseline in presence/severity of hepatic fat fraction will be measured with MRI, and calculated via the Dixon method as the proton density hepatic fat fraction, which ranges from 0-75%.
Secondary outcomes
Change in Homeostatic Model Assessment for Insulin Resistance (HOMA-IR)
An approximate measure of insulin sensitivity. Less than 1.0 means you are insulin-sensitive which is optimal. Above 1.9 indicates early insulin resistance. Above 2.9 indicates significant insulin resistance.
Change in alanine aminotransferase (ALT)
Target ALT levels in children are between 10-30 (U/L). Higher values may indicate liver inflammation.
Change in aspartate aminotransferase (AST)
Target AST levels in children are between 10-35 (U/L). Higher values may indicate liver inflammation.
Sponsors and contacts
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University of Colorado, Denver
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator