Evaluation of the Role of Aflatoxin as an Environmental Risk Factor Attributable to Liver Cancer in Nile Delta
1 other identifier
interventional
300
1 country
1
Brief Summary
Hepatocellular carcinoma is multifactorial in etiology and complex in pathogenesis, the blend of risk factors differs in different parts of the world, and this may explain in part the diverse biologic characteristics of HCC in different populations . Exposure to aflatoxin is an additional risk factor for the development of HCC, through damage of DNA in liver cells and mutation in p53 tumor suppressor gene . A previous study showed that aflatoxin B1 has a considerable role in the development of HCC among Egyptians . Clinical studies have shown that AFB1 selectively targets at the third base position of codon 249 of the human p53 gene, a known mutational hotspot in human hepatocellular carcinoma (HCC) . A significant association between aflatoxin exposure and HCC has been reported in hyperendemic areas . A synergistic interaction between AFB1 exposure and viral hepatitis B (HBV) infection on HCC risk has been reported in several epidemiologic studies. Aflatoxin exposure may be associated with advanced liver disease in chronic hepatitis C (HCV) patients. Levels of AFB1-albumin/albumin were significantly related to ultrasono-graphic hepatic parenchyma scores in anti-HCV-positive subjects .
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2014
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2014
CompletedFirst Submitted
Initial submission to the registry
May 31, 2015
CompletedFirst Posted
Study publicly available on registry
June 3, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2016
CompletedResults Posted
Study results publicly available
October 17, 2017
CompletedAugust 14, 2020
August 1, 2020
1.8 years
May 31, 2015
April 8, 2016
August 1, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Serum Aflatoxin Level in Liver Cancer Patients
Serum aflatoxin level in liver cancer patients in comparison to liver cirrhosis and controls.
6 months
Study Arms (3)
Hepatocellular carcinoma (HCC)
OTHEREstimation of serum aflatoxin level in 40 patients with hepatocellular carcinoma (HCC)
20 cirrhotic patients
OTHEREstimation of serum aflatoxin level in 20 patients with liver cirrhosis
Control group
OTHEREstimation of serum aflatoxin level in 15 individuals, as a control group in patient house whom share the same quality of life and whom were neither HCC patients nor cirrhotic patients, were invited to share in the study
Interventions
Evaluation of Aflatoxin level
Eligibility Criteria
You may qualify if:
- cirrhotic patient with and without HCC
You may not qualify if:
- Malignancy other than HCC
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sherief Abd-Elsalamlead
- Tanta Universitycollaborator
Study Sites (1)
Tanta university - faculty of medicine
Cairo, Elgharbia, Egypt
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Sherief Abd-Elsalam
- Organization
- Tanta university
Study Officials
- PRINCIPAL INVESTIGATOR
Mohamed Sharaf-eldin, Prof
hepatology dept-Tanta
- STUDY DIRECTOR
Raafat Salah, Professor
hepatology dept-Tanta
- STUDY CHAIR
hanan Soliman, Prof
hepatology dept-Tanta
- STUDY CHAIR
Sherief abd-elsalm, lecturer
hepatology dept-Tanta
- STUDY CHAIR
Walaa Elkhalawany, lecturer
hepatology dept-Tanta
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Masking Details
- No Masking
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- sponsor investigator
Study Record Dates
First Submitted
May 31, 2015
First Posted
June 3, 2015
Study Start
June 1, 2014
Primary Completion
April 1, 2016
Study Completion
April 1, 2016
Last Updated
August 14, 2020
Results First Posted
October 17, 2017
Record last verified: 2020-08
Data Sharing
- IPD Sharing
- Will not share