This study will be a randomized, controlled, parallel study that aims to evaluate the efficacy and safety of Rosuvastatin versus Coenzyme Q10 on nonalcoholic steatohepatitis patients.
* This study will be a randomized, controlled, parallel study. * It will be conducted on 46 patients diagnosed with NASH * The patients will be randomized into two groups: Group 1(n=23): patients will receive Rosuvastatin 20mg/day orally Group 2(n=23): patients will receive Coenzyme Q10 100 mg/day orally The patients will be selected from community awareness campaigns about NASH in Alexandria , Egypt . Written informed consent will be obtained from all patients. This study will be approved by the Research Ethics Committee of Tanta University and Alexandria university. The study duration will be 3 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
46
Rosuvastatin 20 mg will be administered orally once daily for 3 Months
Coenzyme Q10 100 mg will be administered orally once daily for 3 Months
Change in liver stiffness measurement (LSM)
LSM will be assessed by Fibro scan
Time frame: At baseline and 12th week
Change in ultrasound score
Ultrasound score will be assessed by Ultrasonography
Time frame: At baseline and 12th week
Demonstrate changes in Alanine aminotransferase (ALT)
Alanine aminotransferase (ALT) in U/L
Time frame: At baseline and 12th week
Demonstrate changes in Aspartate aminotransferase (AST)
Aspartate aminotransferase (AST) in U/L
Time frame: At baseline and 12th week
Demonstrate changes in Alkaline phosphatase (ALP)
Alkaline phosphatase (ALP) in U/L
Time frame: At baseline and 12th week
Demonstrate changes in ɤ-glutamyltranspeptidase (GGT)
ɤ-glutamyltranspeptidase (GGT) in U/L
Time frame: At baseline and 12th week
Demonstrate changes in Direct bilirubin
Direct bilirubin in mg/dl
Time frame: At baseline and 12th week
Demonstrate changes in the Lipid values
Total cholesterol(TC) in mg/dl , Triglycerides(TG) in mg/dl , LDL-Cholesterol in mg/dl , HDL-Cholesterol in mg/dl
Time frame: At baseline and 12th week
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Demonstrate changes in the body weight and body mass index (BMI)
BMI in kg/m\^2 will be calculated using the formula: BMI= \[Weight (kg)/Height (m2)\].
Time frame: At baseline and 12th week
Demonstrate changes in the Inflammatory marker : CRP
C-reactive protein in mg/L
Time frame: At baseline and 12th week
Demonstrate changes in Serum cytokeratin 18 (Ck-18)
Serum cytokeratin 18 (Ck-18) will be determined by Enzyme-linked Immunosorbent assay kits.
Time frame: At baseline and 12th week
Demonstrate changes in Serum transforming growth factor-beta1 (TGF-β1)
Serum transforming growth factor-beta1 (TGF-β1) will be determined by Enzyme-linked Immunosorbent assay kits.
Time frame: At baseline and 12th week
Serum Retinol binding protein 4 (RBP-4)
Serum Retinol binding protein 4 (RBP-4) will be determined by Enzyme-linked Immunosorbent assay kits.
Time frame: At baseline and 12th week