Non-alcoholic SteatohepatitisNCT04872777
Mobile Health Delivered Lifestyle Intervention Program in Patients With NASH
A study testing Noom Healthy Weight in people with Non-alcoholic Steatohepatitis, run by Milton S. Hershey Medical Center at 1 site in United States.
Trial summary
There is a clear unmet clinical need for effective lifestyle intervention in patients with nonalcoholic steatohepatitis (NASH). Patients have self-identified multiple barriers to effective lifestyle intervention can be removed with a mobile health (mHealth) platform. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-alcoholic Steatohepatitis
- What is being tested?
- Noom Healthy Weight
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteUnited States
- Study dates
- 8 Jun 2021to 10 Feb 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adults age >18 years
- NASH defined as:
- Liver biopsy with evidence of steatohepatitis (NAS >=4) or;
- Imaging study (e.g., ultrasound, CT, MRI) with hepatic steatosis and one of the following:
- Fibroscan kPa >8.2 or;
- FAST > 0.35 or;
- FIB-4 >= 1.45 or;
- Possession of a smartphone
Who cannot join
- Active or recent (<90 days) participation in lifestyle intervention program, including weight-loss program
- Active weight-loss supplement use
- Cirrhosis
- Inability to provide informed consent
- Institutionalized/prisoner
- Other chronic liver disease (e.g., viral hepatitis)
Show all 9Show fewer
- Recent Noom use (<180 days)
- Secondary cause of hepatic steatosis, including significant alcohol consumption (men >30g/d, women >20g/d)
- Severe medical comorbidities/psychiatric illness at the discretion of the study PI
Trial locations and contacts
1 site in 1 country.
United States1 site
Penn State Hershey Medical Center
Marietta, Pennsylvania, 17547
About this study
Official title: Mobile Health Delivered Lifestyle Intervention Program in Patients With Nonalcoholic Steatohepatitis: A Proof of Concept Study
There is a clear unmet clinical need for effective lifestyle intervention in patients with nonalcoholic steatohepatitis (NASH). Patients have self-identified multiple barriers to effective lifestyle intervention can be removed with a mobile health (mHealth) platform.
This study will be a proof of concept study to evaluate weight loss efficacy of Noom Healthy Weight (HW), a mHealth lifestyle intervention, in patients with NASH.
- Conditions
- Non-alcoholic Steatohepatitis
- Being tested
- Noom Healthy Weight
- Medical subject headings
- Non-alcoholic Fatty Liver Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Noom Healthy WeightBehavioural
Following study group assignment, the following procedures will be completed for the Noom HW mHealth lifestyle intervention:
- Noom application set-up and troubleshooting on smartphone (license provided)
- Digital scale provision (subjects may keep the scale)
- Capture of available clinical information over preceding 28-days.
| Study group | Role | What they receive |
|---|---|---|
| Standard of care | No intervention | Standard of care (SOC) control condition: Following study group assignment, the following procedures will be completed for SOC control: 1. Digital scale provision (subjects may keep the scale) 2. Reinforcement of need to comply with SOC treatment as directed by their NASH clinician 3. Capture of available clinical information over preceding 28-days. |
| Noom Healthy Weight | Experimental | Following study group assignment, the following procedures will be completed for the Noom HW mHealth lifestyle intervention:
1. Noom application set-up and troubleshooting on smartphone (license provided)
2. Digital scale provision (subjects may keep the scale)
3. Capture of available clinical information over preceding 28-days. Receives: Behavioral: Noom Healthy Weight |
What is being measured
The primary outcome is the main question the study is designed to answer.
Weight
Change in self-measured body weight
Measured: 16 weeks
Secondary outcomes (9)
liver enzymes
Change in liver enzymes units per liter (alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP))
Measured: 16 weeks
Noom healthy weight engagement
Feasibility will be assessed according to user engagement. Engaged users are defined as those who complete at least one meaningful in-application action per week (e.g., weight log, food log, exercise log, article read).
Measured: 16 weeks
Glucose
Change in blood glucose mg/dL
Measured: 16 weeks
hemoglobin A1c
Change hemoglobin A1c (%)
Measured: 16 weeks
Cholesterol level
Change in cholesterol mg/dL
Measured: 16 weeks
NAFLD Fibrosis Score
change in NAFLD Fibrosis Score
Measured: 16 weeks
IgA level
Change in IgA level mg/dL
Measured: 16 weeks
Ferritin
Change in Ferritin ng/mL
Measured: 16 weeks
histology
Change in transient elastography or liver histology
Measured: 16 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 May 2021
- Study start8 Jun 2021
- Primary completion10 Feb 2022
- Study completion10 Feb 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Non-alcoholic SteatohepatitisStudies of the same condition, open and under way.
- More trials run by Milton S. Hershey Medical CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Milton S. Hershey Medical Center
- Sponsor type
- University, hospital or other
- Collaborators
- Noom Inc.
- Responsible party
- Principal investigator, Jonathan Stine, Milton S. Hershey Medical Center
- Investigators
- Jonathan G Stine, MD, Principal investigator, Milton S. Hershey Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04872777
- Sponsor's protocol ID
- STUDY00017544
- Status last verified
- Mar 2022
- First submitted
- 28 Apr 2021
- Last updated
- 2 Mar 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Stine JG, Rivas G, Hummer B, Duarte-Rojo A, May CN, Geyer N, Chinchilli VM, Conroy DE, Mitchell ES, McCallum M, Michealides A, Schmitz KH. Mobile health lifestyle intervention program leads to clinically significant loss of body weight in patients with NASH. Hepatol Commun. 2023 Mar 17;7(4):e0052. doi: 10.1097/HC9.0000000000000052. eCollection 2023 Apr 1.
PubMed 36930864
Study at a glance
From the registry record, last updated by the sponsor on 2 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Mobile Health Delivered Lifestyle Intervention Program in Patients With Nonalcoholic Steatohepatitis: A Proof of Concept Study
- ClinicalTrials.gov ID
- NCT04872777
- Acronym / sponsor ID
- STUDY00017544
- Conditions
- Non-alcoholic Steatohepatitis
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Milton S. Hershey Medical CenterUniversity, hospital or other
- Collaborators
- Noom Inc.
- Study start
- 8 Jun 2021 (actual)
- Primary completion
- 10 Feb 2022 (actual)
- Study completion
- 10 Feb 2022 (actual)
- First posted
- 5 May 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
There is a clear unmet clinical need for effective lifestyle intervention in patients with nonalcoholic steatohepatitis (NASH). Patients have self-identified multiple barriers to effective lifestyle intervention can be removed with a mobile health (mHealth) platform.
This study will be a proof of concept study to evaluate weight loss efficacy of Noom Healthy Weight (HW), a mHealth lifestyle intervention, in patients with NASH.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Standard of care | No intervention | –Standard of care (SOC) control condition: Following study group assignment, the following procedures will be completed for SOC control: 1. Digital scale provision (subjects may keep the scale) 2. Reinforcement of need to comply with SOC treatment as directed by their NASH clinician 3. Capture of available clinical information over preceding 28-days. |
| Noom Healthy Weight | Experimental | Behavioral: Noom Healthy WeightFollowing study group assignment, the following procedures will be completed for the Noom HW mHealth lifestyle intervention: 1. Noom application set-up and troubleshooting on smartphone (license provided) 2. Digital scale provision (subjects may keep the scale) 3. Capture of available clinical information over preceding 28-days. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Adults age >18 years
- NASH defined as:
- Liver biopsy with evidence of steatohepatitis (NAS >=4) or;
- Imaging study (e.g., ultrasound, CT, MRI) with hepatic steatosis and one of the following:
- Fibroscan kPa >8.2 or;
Key exclusion criteria (9 listed)
- Active or recent (<90 days) participation in lifestyle intervention program, including weight-loss program
- Active weight-loss supplement use
- Cirrhosis
- Inability to provide informed consent
- Institutionalized/prisoner
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Noom Healthy WeightFollowing study group assignment, the following procedures will be completed for the Noom HW mHealth lifestyle intervention: 1. Noom application set-up and troubleshooting on smartphone (license provided) 2. Digital scale provision (subjects may keep the scale) 3. Capture of available clinical information over preceding 28-days. | Behavioural | Noom Healthy Weight |
Primary outcome
Weight
Time frame: 16 weeks
Change in self-measured body weight
9 secondary outcomes
liver enzymes
Time frame: 16 weeks
Noom healthy weight engagement
Time frame: 16 weeks
Glucose
Time frame: 16 weeks
hemoglobin A1c
Time frame: 16 weeks
Cholesterol level
Time frame: 16 weeks
NAFLD Fibrosis Score
Time frame: 16 weeks
IgA level
Time frame: 16 weeks
Ferritin
Time frame: 16 weeks
histology
Time frame: 16 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Mar 2022.
- Derived from this study: PubMed 36930864Stine JG, Rivas G, Hummer B, Duarte-Rojo A, May CN, Geyer N, Chinchilli VM, Conroy DE, Mitchell ES, McCallum M, Michealides A, Schmitz KH. Mobile health lifestyle intervention program leads to clinically significant loss of body weight in patients with NASH. Hepatol Commun. 2023 Mar 17;7(4):e0052. doi: 10.1097/HC9.0000000000000052. eCollection 2023 Apr 1.
- Individual participant dataSharing planned: No
Related trials for Non-alcoholic Steatohepatitis
Not yet recruiting
Efficacy of Carnitine Complex in Improving Hepatic Steatosis in Potential Liver Donors
Hepatic Steatosis, Fatty Liver
RecruitingPhase 3
A Study Evaluating Efruxifermin in Subjects With Non-Cirrhotic Nonalcoholic Steatohepatitis (NASH)/Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Fibrosis
NASH With Fibrosis, MASH With Fibrosis
Recruiting
NAFLD Clinical Care Pathway
NAFLD, MASLD
RecruitingPhase 3
Trial to Evaluate ALN-CIDEB in Adults With Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
Metabolic Dysfunction-Associated Steatotic Liver Disease, MASLD
RecruitingPhase 1
A Study of Efimosfermin Alfa in Adults With Hepatic Impairment
Non-alcoholic Fatty Liver Disease
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jonathan G Stine, MD principal investigator
Milton S. Hershey Medical Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Noom Healthy Weight in people with Non-alcoholic Steatohepatitis, run by Milton S. Hershey Medical Center at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Weight (time frame: 16 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04872777, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Mar 2022.