AzTrials
AzTrials

Metabolic Dysfunction Associated Steatotic Liver DiseaseNCT06352697

Probiotic Lysate (Postbiotic and Metabiotic) Supplementation for Adults MASLD Patients (DELI_MASLD Study)

A study testing Probiotic lysate (postbiotic and metabiotc) in people with Metabolic Dysfunction Associated Steatotic Liver Disease and Steatotic Liver Disease, run by Bogomolets National Medical University at 5 sites in Ukraine.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The current study aim was to conduct placebo-controlled randomize clinical trial to assess the short-term efficacy and safety of postbiotics on hepatic fat content as measured by biochemichal hepatic steatosis indeces, serum lipid profile, transaminases activity and chronic systemic inflammatory markers in MASLD… Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Probiotic lysate (postbiotic and metabiotc)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
52 participants
Where
5 sitesUkraine
Study dates
1 May 2024to 31 Jan 2025
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult participants (ages 18-70)
  • presence of MASLD according to \"A multisociety Delphi consensus statement", 2023;
  • the diagnosis of fatty liver was based on the results of abdominal ultrasonography. Of 4 known criteria (hepato-renal echo contrast, liver brightness, deep attenuation, and vascular blurring), the participants were required to have hepato-renal contrast and liver brightness to be given a diagnosis of SLD
  • fatty liver index (FLI) more than 60;
  • BMI 25-39.9 kg/m2;
  • aspartate transaminase (AST) and alanine transaminase (ALT) ≤3x upper limit of normal;
  • written informed consent.

Who cannot join

  • recent hepatitis, or positive screening test for hepatitis B (hepatitis B virus surface antigen) or hepatitis C (hepatitis C antibody);
  • alcohol abuse (\>20 g/day (2 standard drinks) in women or \> 30 g/d (3 drinks) in men over a two-year period);
  • drug-induced liver disease, Wilson\'s disease, hereditary deficiency of antitrypsin-1 and idiopathic hemochromatosis;
  • history of decompensated liver disease including ascites, encephalopathy or variceal bleeding;
  • regular use of an agents with gut microbiota modulation activity (antibiotic, pro-, pre-, post or synbiotics supplement etc.) within 3 months prior to enrollment;
  • allergy on probiotics or their components;
Show all 12Show fewer
  • use of agents such as vitamin E, omega-3 fatty acids or medications with evidence for effects on NAFLD (pioglitazone, GLP-1 analogues, dipeptidyl peptidase IV inhibitors, ursodeoxycholic acid);
  • subjects with a history of bariatric surgery or significant weight loss (\> 5% body weight) or rapid weight loss (\> 1.6kg/week), within 6 months prior to enrollment;
  • uncontrolled cardiovascular or respiratory disease, decompensated liver disease including ascites, encephalopathy or variceal bleeding, active malignancy, or chronic infections;
  • participant who had severe course of COVID-19 (extracorporeal membrane oxygenation, mechanically ventilated), and/or had a confirmed case of COVID-19 within 4 weeks prior to enrollment;
  • participation in other clinical trials;
  • presence of pregnancy or lactation.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

Ukraine5 sites
  • Bogomolets National Medical University

    Kyiv, 01601

  • Kyiv City Clinical Endocrinology Center

    Kyiv, 01601

  • Taras Shevchenko National University of Kyiv

    Kyiv, 01601

  • Center for Innovative Medical Technologies of the National Academy of Sciences of Ukraine

    Kyiv, 02000

  • Danylo Halytsky Lviv National Medical University

    Lviv, 79010

Other trials in Ukraine

About this study

Official title: Efficacy and Safety of Probiotic Lysate (Postbiotic and Metabiotic) Supplementation in Adults MASLD Patients

The current study aim was to conduct placebo-controlled randomize clinical trial to assess the short-term efficacy and safety of postbiotics on hepatic fat content as measured by biochemichal hepatic steatosis indeces, serum lipid profile, transaminases activity and chronic systemic inflammatory markers in MASLD patients.

The study will include 3 periods. Screening period of up to 1 weeks to assess the eligibility to inclusion/exclusion criteria. Treatment period for 3 month where the participants will receive a twice daily oral dose of postbiotics (cell lysate and DNA fragments of the probiotic strain L. rhamnosus DV - NRRLB-68023) at the assigned dose of 100mg or placebo in capsules. During this period monthly phone contacts will be done for assessment of compliance and safety concerns. Follow-up period of up to 3 month.

Read the detailed description

The scientific literature points to the beneficial properties of probiotics in the process of regulating metabolism, yet at the same time, some scientific papers question the effectiveness and the safety of probiotics. In turn, postbiotics and metabiotics are preparations of inanimate microorganisms and / or their components, which are directly identified with the safety of their use and the health benefits of the host. Due to the chemical structure of postbiotics and metabiotics, it is found that they have many health benefits; in particular, they have a local effect on certain tissues of the intestinal epithelium, and influence on many other organs and tissues. It is postbiotics metabolites and metabiotics structural cell fragments that create the appearance of a therapeutic effect of probiotics, which, in turn, limits the risk of introducing living microorganisms into a weakened immune defence. It should also be pointed out that postbiotics and metabiotics are more stable and have a longer shelf-life.

The practical use of probiotics and the study of the mechanism of their action made lately to find that a certain level of biological activity is preserved by dead probiotic cells and even their lysates, which are the natural mixes of metabiotic and postbiotic substances; a biological activity which is strongly oriented toward gut health and immune system regulation. Because probiotic lysates demonstrated biological activity without any of the potential adverse side effects associated with live bacterial cells, one of the future goal is research of the novel postbiotics and metabiotics substances, their individual structures and biological characteristics for understanding their way of communications with host cells and microbiota representatives.

Considering the high biological activity and safety of postbiotics and metabiotic substances, it can be concluded that such a treatment vector will be promising in the near future. That\'s why our investigation will concentrate on postbiotic, a supplement containing dry fermented cell lysate and DNA fragments of the probiotic strain L. rhamnosus DV - NRRLB-68023.

Recent scientific animal studies on the stated issues point to the benefits of some postbiotics in treating metabolic disorders. The current study aim was to conduct placebo-controlled randomize clinical trial to assess the short-term efficacy and safety of postbiotics on hepatic fat content as measured by biochemichal hepatic steatosis indeces, serum lipid profile, transaminases activity and chronic systemic inflammatory markers in MASLD patients.

The study will include 3 periods. Screening period of up to 1 weeks to assess the eligibility to inclusion/exclusion criteria. Treatment period for 3 month where the participants will receive a twice daily oral dose of postbiotics (cell lysate and DNA fragments of the probiotic strain L. rhamnosus DV - NRRLB-68023) at the assigned dose of 100mg or placebo in capsules. All capsules will be identical with similar organoleptic characteristics (e.g., taste and appearance). Follow-up period of up to 3 month.

The pre-randomization period will be designed to minimize the effects of dietary changes on metabolic markers. For this purpose, 2 weeks before the study start, after inform consent signed, patients were instructed in one-on-one sessions with a dietitian to follow a therapeutic lifestyle-change diet as classified by the NCEP. In addition, participants were instructed to continue with stable anti-hyperglycemic treatment and received standardized mild physical training for 1 hour per day.

Patients who underwent the study were instructed to take the trial medication as prescribed. Throughout the study, weekly phone follow-up visits were provided for assessment of compliance, adherence to the protocol, as well as the recording of adverse events. The effectiveness of therapy was compared and evaluated separately in the two groups.

Being tested
Probiotic lysate (postbiotic and metabiotc), Placebo
Keywords
Postbiotics, metabiotics, L. rhamnosus, L. delbrueckii, Metabolic Dysfunction Associated Steatotic Liver Disease, fatty liver index, hepatic steatosis index
Medical subject headings
Fatty Liver

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Probiotic lysate (postbiotic and metabiotc)Dietary supplement

    Each capsule contains 100 mg of cell lysate and DNA fragments of the probiotic strain L. rhamnosus DV - NRRLB-68023 in powder

  • PlaceboDietary supplement

    Placebo

Study groups in NCT06352697
Study groupRoleWhat they receive
Probiotic lysate (postbiotic and metabiotc) groupActive comparatororal, 2 capsules per day (BID) for 3 month treatment
Receives: Dietary Supplement: Probiotic lysate (postbiotic and metabiotc)
Placebo groupPlacebo comparatorplacebo, oral, 2 capsules per day (BID) for 3 month treatment
Receives: Dietary Supplement: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. changes in fatty liver index (FLI)

    FLI = [e 0.953*loge (triglycerides) + 0.139*BMI + 0.718*loge (ggt) + 0.053*waist circumference - 15.745) / (1 + e 0.953*loge (triglycerides) + 0.139*BMI + 0.718*loge (ggt) + 0.053*waist circumference - 15.745)] × 100

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  2. hepatic steatosis index (HSI)

    HSI = 8 x ALT/AST + BMI(+ 2 if type 2 diabetes yes, + 2 if female)

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  3. TyG index

    TyG = ln [Fasting triglyceride (mg / dl) x Fasting glucose (mg / dl)] / 2

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

Secondary outcomes (9)
  1. Concentration of AST

    AST in IU/L

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  2. Concentration of ALT

    ALT in IU/L

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  3. Concentration of Gamma-glutamyl Transferase (GGT)

    GGT in IU/L

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  4. Concentration of Total Cholesterol (TC)

    TC in mmol/l

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  5. Concentration of Tryglicerides (TG)

    TG in mmol/l

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  6. Concentration of high sensitivity CRP (hs-CRP)

    hs-CRP in mg/L

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  7. waist circumferences (WC)

    WC in cm

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  8. body mass index (BMI)

    weight in kg and height in meters will be combined to report BMI in kg/m^2

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

  9. visceral fat content

    visceral fat content using electronic scales-analyzers of body composition Tanita Scale BC-601

    Measured: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Apr 2024
  2. Study start1 May 2024
  3. Primary completion31 Dec 2024
  4. Study completion31 Jan 2025

Resources

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
52 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06352697
Sponsor's protocol ID
DELI_MASLD
Status last verified
Sep 2026
First submitted
2 Apr 2024
Last updated
23 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Probiotic lysate (postbiotic and metabiotc) in people with Metabolic Dysfunction Associated Steatotic Liver Disease and Steatotic Liver Disease, run by Bogomolets National Medical University at 5 sites in Ukraine.

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 7 inclusion and 12 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 23 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Ukraine. 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. Some participants in this study may receive a placebo. 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?

changes in fatty liver index (FLI) (time frame: at 3 month (end of treatment) and 6 month (follow-up period) compared to baseline]). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Sep 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in