Oral Branched-chain Amino Acid Supplementation for Cirrhotic Patients With Sarcopenia
Status:
Enrolling by invitation
Trial end date:
2025-12-31
Target enrollment:
Participant gender:
Summary
The goal of this clinical trial is to compare the nutritional parameters after 24-week
supplementation of branched-chain amino acids in cirrhotic patients with low muscle mass.
The main questions it aims to answer are:
Is there the differences in the proportions of cirrhotic patients recovering from low muscle
mass at 24 weeks among cirrhotic patients with low muscle mass who received BCAA
supplementation and the placebo group? Is there the differences in the change of skeletal
muscle index (SMI) measured by abdominal computed tomography (CT) at 24 weeks among cirrhotic
patients with low muscle mass who received BCAA supplementation and the placebo group? Is
there changes in other indices related to low muscle mass, including appendicular skeletal
muscle mass (ASM), ASM/height^2, handgrip strength, and 6-meter walk speed at 24 weeks among
cirrhotic patients with low muscle mass who received BCAA supplementation and the placebo
group? Is there changes in the liver frailty index (LFI), consisting of handgrip strength,
chair stands, and balance, at 24 weeks among cirrhotic patients with low muscle mass who
received BCAA supplementation and the placebo group? Is there changes in serum albumin
levels, at 24 weeks among cirrhotic patients with low muscle mass who received BCAA
supplementation and the placebo group? Is there changes in severity of liver disease,
including the Model for End-Stage Liver Disease-Sodium Score (MELD-Na score),
Child-Turcotte-Pugh score, and liver stiffness measured by transient elastography at 24 weeks
among cirrhotic patients with low muscle mass who received BCAA supplementation and the
placebo group?
Participants will be asked to do following tasks:
Participants will be asked for basic information such as age, place of residence, and contact
phone number.
Participants will undergo measurements of body weight, height, body mass index (BMI), muscle
mass, and body fat content using a body composition analyzer, a total of 2 times (at the
beginning and end of the research), and a lower abdominal computed tomography (CT) scan
without additional radiation exposure, only once (at the end of the research) throughout the
study.
Participants will be tested for muscle function, including handgrip strength, a 6-meter walk
test, chair stands, and balance, all performed twice (at the beginning and end of the
research).
Laboratory testing will include a complete blood count, liver and kidney function, blood
clotting function, mineral levels, cholesterol, and glucose. Blood will be drawn a total of 2
times (at the beginning and end of the research) during the study, with each blood draw
approximately 15 milliliters (1 tablespoon).
Transient elastography will be performed twice (at the beginning and end of the research)
during the study, with each Transient elastography taking approximately 10 minutes.
Participants will be randomly assigned to either the group receiving branched chain amino
acid (BCAA) medication or the placebo group, and you will take the assigned medication twice
daily for a total of 24 weeks.
Participants will receive dietary and exercise recommendations from the research team and
nutritionists in a group format, taking approximately 1 hour.
Participants will have follow-up appointments to monitor your condition three times during
the study, at weeks 4, 12, and 24. These appointments will include inquiries about side
effects from medication and placebo use, exercise, and dietary intake, each lasting
approximately 30 minutes.
Participants will be asked to take photos of your daily meals for 3 days before meeting with
the physician at weeks 4 and 12, to provide data for assessing your calorie intake.
Participants can send these meal images via the online application, prepared by our research
team. If participants are unable to do so, participants will be asked to keep a food diary
and report your food and portion sizes to the research team.