The purpose of this clinical trial is to evaluate whether a nutritional supplement containing resveratrol, quercetin, taurine, inulin, and whey protein improves biochemical and molecular markers, as well as clinical outcomes, in patients with liver disease related to chronic hepatitis C infection. The study will compare the investigational supplement with an active control (whey protein alone) to determine whether the combination formulation provides additional benefits on liver-related biomarkers and clinical assessment. Participants will: Take the investigational supplement or active control daily for 12 weeks. Attend clinic visits every 4 weeks for laboratory testing and clinical evaluations.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
26
powdered supplement containing resveratrol, quercetin, taurine, whey protein, and inulin
powdered supplement containing whey protein
Hospital Civil de Guadalajara Fray Antonio Alcalde
Guadalajara, Jalisco, Mexico
RECRUITINGHospital Civil de Guadalajara Fray Antonio Alcalde
Guadalajara, Jalisco, Mexico
RECRUITINGLiver function measurements
Serum concentrations of alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
Time frame: From enrollment to the end of treatment at 12 weeks
Quality of life (CLDQ)
Quality of life was assessed using the Chronic Liver Disease Questionnaire (CLDQ), which evaluates domains such as fatigue, worry, systemic symptoms, abdominal symptoms, activity, and overall assessment. The maximum score is 7, indicating better quality of life.
Time frame: From enrollment to the end of treatment at 12 weeks
Frailty
Physical frailty assessed using the Liver Frailty Index (LFI)
Time frame: The LFI includes grip strength, timed chair stands, and balance testing. Frailty classifications were determined using previously established LFI cutoffs: robust (LFI < 3.2), prefrail (LFI 3.2-4.4), and frail (LFI ≥ 4.5).
Pro-inflammatory cytokines
Serum concentrations of pro-inflammatory cytokines (IL-1β, TNF-α, TGF-β)
Time frame: From enrollment to the end of treatment at 12 weeks
Antioxidant activity
Serum concentrations of antioxidant enzymes superoxide dismutase (SOD) and catalase (CAT)
Time frame: From enrollment to the end of treatment at 12 weeks
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