RecruitingNot ApplicableNCT07068191

Gepaktiv vs UDCA and Ademetionine in MAFLD With Hepatomegaly

Randomized Comparative Clinical Study of the Dietary Supplement "Gepaktiv" (International Name: Phenomenon) in Comparison With Ursodeoxycholic Acid (UDCA) and Ademetionine in Patients With Metabolic Associated Fatty Liver Disease (MAFLD) and Hepatomegaly


Sponsor

Phenomen Pharma

Enrollment

90 participants

Start Date

Jun 19, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study compares the effectiveness of the dietary supplement Gepaktiv with standard medications (UDCA and Ademetionine) in patients with fatty liver disease (MAFLD) and liver enlargement (hepatomegaly). Key points: * Participants will receive either Gepaktiv, UDCA, or Ademetionine for 15 days * Doctors will monitor liver health through blood tests and ultrasound scans * The study will check if Gepaktiv helps improve liver function as effectively as standard treatments. Main measurements: * Changes in liver enzyme levels (ALT, AST) * Reduction in liver size * Improvement in fat accumulation (steatosis) measured by FibroScan This research may provide evidence for a new natural option to support liver health.Data analysis will be done by an independent biostatistics


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria8

  • Age 18 to 65 years
  • Confirmed diagnosis of metabolic-associated fatty liver disease (MAFLD)
  • Hepatomegaly confirmed by ultrasound (≥3 cm craniocaudal liver enlargement)
  • ALT level between 90-150 U/L
  • Steatosis ≥260 dB/m by FibroScan (CAP)
  • Fibrosis ≥11 kPa by transient elastography (FibroScan)
  • Ability to comply with study procedures
  • Signed informed consent

Exclusion Criteria7

  • Liver cirrhosis or hepatocellular carcinoma
  • Pregnancy or lactation
  • Known allergy to any of the study medications or supplement components
  • Gallstones or biliary obstruction
  • Shrunken liver on imaging
  • Hepatic cysts (simple liver cysts/biliary cysts)
  • Liver nodules (focal liver lesions)

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Interventions

COMBINATION_PRODUCTDietary supplement "Gepaktiv"

Dietary supplement "Gepaktiv" 60 minutes before meals 2 capsules × 3 times/day

DRUGUDCA (Ursodeoxycholic acid)

UDCA 10-15 mg/kg/day

DRUGAdemetionine

Ademetionine 800-1600 mg/day.


Locations(1)

Tyumen State Medical University

Tyumen, Tyumen Oblast, Russia

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NCT07068191


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