MRI Assessment of Treatment Response in HIV-associated NAFLD: A Randomized Trial of a Stearoyl-Coenzyme-A-Desaturase-1 Inhibitor (ARRIVE Trial).


Journal

Hepatology (Baltimore, Md.)
ISSN: 1527-3350
Titre abrégé: Hepatology
Pays: United States
ID NLM: 8302946

Informations de publication

Date de publication:
11 2019
Historique:
received: 04 01 2019
accepted: 01 04 2019
pubmed: 24 4 2019
medline: 3 7 2020
entrez: 24 4 2019
Statut: ppublish

Résumé

Aramchol, an oral stearoyl-coenzyme-A-desaturase-1 inhibitor, has been shown to reduce hepatic fat content in patients with primary nonalcoholic fatty liver disease (NAFLD); however, its effect in patients with human immunodeficiency virus (HIV)-associated NAFLD is unknown. The aramchol for HIV-associated NAFLD and lipodystrophy (ARRIVE) trial was a double-blind, randomized, investigator-initiated, placebo-controlled trial to test the efficacy of 12 weeks of treatment with aramchol versus placebo in HIV-associated NAFLD. Fifty patients with HIV-associated NAFLD, defined by magnetic resonance imaging (MRI)-proton density fat fraction (PDFF) ≥5%, were randomized to receive either aramchol 600 mg daily (n = 25) or placebo (n = 25) for 12 weeks. The primary endpoint was a change in hepatic fat as measured by MRI-PDFF in colocalized regions of interest. Secondary endpoints included changes in liver stiffness using magnetic resonance elastography (MRE) and vibration-controlled transient elastography (VCTE), and exploratory endpoints included changes in total-body fat and muscle depots on dual-energy X-ray absorptiometry (DXA), whole-body MRI, and cardiac MRI. The mean (± standard deviation) of age and body mass index were 48.2 ± 10.3 years and 30.7 ± 4.6 kg/m

Identifiants

pubmed: 31013363
doi: 10.1002/hep.30674
pmc: PMC7164416
mid: NIHMS1579290
doi:

Substances chimiques

Cholic Acids 0
aramchol QE1Q24M65Y

Banques de données

ClinicalTrials.gov
['NCT02684591']

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1531-1545

Subventions

Organisme : NIDDK NIH HHS
ID : K23 DK119460
Pays : United States
Organisme : Atlantic Philanthropies, Inc.
Pays : International
Organisme : GALMED
Pays : International
Organisme : American Association for the Study of Liver Diseases' Foundation Clinical and Translational Research Award
Pays : International
Organisme : the John A. Hartford Foundation
Pays : International
Organisme : NIDDK NIH HHS
ID : R01 DK106419
Pays : United States

Informations de copyright

© 2019 by the American Association for the Study of Liver Diseases.

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Auteurs

Veeral H Ajmera (VH)

NAFLD Research Center, University of California San Diego Health, La Jolla, CA.
Division of Gastroenterology, Department of Medicine, University of California San Diego Health, La Jolla, CA.

Edward Cachay (E)

Division of Infectious Diseases, Owen Clinic, University of California San Diego, San Diego, CA.

Christian Ramers (C)

Family Health Center, San Diego, CA.

Irine Vodkin (I)

Division of Gastroenterology, Department of Medicine, University of California San Diego Health, La Jolla, CA.

Shirin Bassirian (S)

NAFLD Research Center, University of California San Diego Health, La Jolla, CA.

Seema Singh (S)

NAFLD Research Center, University of California San Diego Health, La Jolla, CA.

Neeraj Mangla (N)

NAFLD Research Center, University of California San Diego Health, La Jolla, CA.

Richele Bettencourt (R)

NAFLD Research Center, University of California San Diego Health, La Jolla, CA.

Jeannette L Aldous (JL)

San Ysidro Health, San Diego, CA.

Daniel Park (D)

San Ysidro Health, San Diego, CA.

Daniel Lee (D)

Division of Infectious Diseases, Owen Clinic, University of California San Diego, San Diego, CA.

Jennifer Blanchard (J)

Division of Infectious Diseases, Owen Clinic, University of California San Diego, San Diego, CA.

Adrija Mamidipalli (A)

Liver Imaging Group, University of California San Diego, La Jolla, CA.

Andrew Boehringer (A)

Liver Imaging Group, University of California San Diego, La Jolla, CA.

Saima Aslam (S)

Division of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, CA.

Olof Dahlqvist Leinhard (OD)

AMRA Medical AB, Linköping, Sweden.
Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.

Lisa Richards (L)

NAFLD Research Center, University of California San Diego Health, La Jolla, CA.

Claude Sirlin (C)

Liver Imaging Group, University of California San Diego, La Jolla, CA.

Rohit Loomba (R)

NAFLD Research Center, University of California San Diego Health, La Jolla, CA.
Division of Gastroenterology, Department of Medicine, University of California San Diego Health, La Jolla, CA.
Division of Epidemiology, Department of Family and Preventive Medicine, University of California San Diego, La Jolla, CA.

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