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Diet and exercise program for people with fatty liver disease linked to metabolism

Tests a Mediterranean diet plus exercise program in adults with metabolic-related fatty liver disease.

Plain-language title generated from the registry record
Registry title: UNMASK: Unveiling the Pathobiology of Metabolic Dysfunction-Associated Steatotic Liver Disease for the Discovery of Novel Therapeutics and Biomarkers

Key facts

Where
Roma, ItalySee the site

Where in Italy

  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Internal Medicine and Liver Transplantation UnitRoma, ItalyNot yet recruiting

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Fundación Pública Andaluza para la gestión de la Investigación en Sevilla
Trial code
NCT07652151
Record updated
23 June 2026
Original description
Overall design: The study will include one intervention based on Mediterranean diet plus structured lifestyle intervention (150 min/week of moderate-intensity or 75 min/week of high-intensity exercise) for a total of 16 weeks. Following a screening period of up to 12 months, eligible participants will be included in a single cohort.Read full original descriptionShow less

UNMASK: Unveiling the Pathobiology of Metabolic Dysfunction-Associated Steatotic Liver Disease for the Discovery of Novel Therapeutics and Biomarkers - Study Protocol Version 2.0

Overall design: The study will include one intervention based on Mediterranean diet plus structured lifestyle intervention (150 min/week of moderate-intensity or 75 min/week of high-intensity exercise) for a total of 16 weeks. Following a screening period of up to 12 months, eligible participants will be included in a single cohort.

Study details include:

* Study duration will be up to 36 months including the screening period. * Intervention will be up to 16 weeks. * Visit frequency will be every 4 weeks for the interventional period and every 12 weeks during follow-up.

Inclusion: Metabolic disarrangements following ATPIII criteria (i.e. comorbidities such as Type 2 diabetes, central obesity, BMI≥>25 kg/m2, hypertension, dyslipidaemia; Written informed consent; No dietetical counsellor/weight loss higher than 10% within the prior 6 months; Age over 18 years old; Liver stiffness measurement by Fibroscan ≥ 8, CAP ≥ 248 db/m and MRI PDFF ≥ 5%. ,.

Exclusion: Use of recreational drugs; Cirrhosis or transplant waitlist; No nutritional interventions, medications for weight loss or weight loss higher than 5% within the last year; Other causes of liver disease (evidence of viral or autoimmune hepatitis, HIV, drug-induced fatty liver or other metabolic liver diseases); Decompensated acute or chronic liver disease; Significant alcohol intake (≥30 g/day in men and ≥20 g/day in women); Pregnancy or parenteral nutrition; Presence of other comorbidities that would impact lifestyle intervention (i. e. prosthesis); Absence of a personal smartphone with a compatible operating system capable of supporting the Amazfit Bip 6 accelerometer app's functionalities: Android 7.0 or iOS 14.0, or later.

ClinicalTrials.gov NCT07652151