Clinical Trial Multi-analyte Blood Test
CLiMB
Prospective Clinical Trial to Detect Liver Cancer Through Quantification of cfDNA Methylation in Blood Samples: A LAM Insight Trial Study
1 other identifier
observational
1,900
1 country
38
Brief Summary
This is a clinical trial designed to evaluate the performance of a multi-analyte blood test alone to ultrasound alone for the detection of HCC within a population that is at high risk for HCC due to liver cirrhosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2019
Longer than P75 for all trials
38 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 28, 2018
CompletedFirst Posted
Study publicly available on registry
October 3, 2018
CompletedStudy Start
First participant enrolled
February 4, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2024
CompletedMay 31, 2024
September 1, 2023
4 years
September 28, 2018
May 29, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Independent performance measure of sensitivity and specificity of a multi-analyte blood test vs ultrasound
The primary objective is to compare the performance (sensitivity and specificity) of the multi-analyte blood test alone to ultrasound alone for the detection of liver cancers within a high-risk population.
1 month
Secondary Outcomes (1)
Independent performance measure of sensitivity and specificity of a multi-analyte blood test vs ultrasound for the detection of liver cancer lesions that are ≤ 4 cm in diameter.
1 month
Study Arms (1)
men or women between 21-84
Multi-analyte blood test alone versus ultrasound in subjects diagnosed with liver cirrhosis
Interventions
intended for the qualitative detection of DNA methylation profiles associated with hepatocellular carcinoma in cell-free DNA derived from patient whole blood specimens.
Eligibility Criteria
The maximum study duration for any given subject participating in the trial will be approximately 21 months (includes Initial Surveillance Visit and Follow-Up Visits at 6 months, 12 months and 18 months). No study-related lab assessments, imaging or procedures shall be required for any subject after the Study Duration Period. Subject Eligibility Screening Period: 14 days Study Duration Period: Up to 21 months (includes Initial Surveillance Visit for all subjects and up to three Follow-Up Visits ONLY for subjects with indeterminant findings by diagnostic imaging) The maximum observational window for any subject enrolled in the study is expected to be approximately 21 months (for subjects with indeterminant findings by diagnostic imaging).
You may qualify if:
- Subject is age 21 to 84 (inclusive)
- Subject is able to read, comprehend and sign the Informed Consent Document
- Subject is willing and able to undergo liver cancer surveillance by ultrasound and the multi-analyte blood Test
- Subject is able and willing to undergo diagnostic imaging by multiphasic MRI with contrast according to the Study Protocol
- Subject has been diagnosed with liver cirrhosis by one or more of the following methods:
- Clinical diagnosis by blood analytes (APRI ≥ 1.5 or Bonacini cirrhosis discriminant score ≥ 8 or Lok index \> 0.5)
- Ultrasound and Elastography \> 12.5 kPa (Vibration-controlled transient elastography, Point shear wave elastography, Two-dimensional shear wave ultrasound and transient elastography or Magnetic Resonance Elastography)
- Diagnostic imaging by CT or MRI (liver cirrhosis indicated on radiology report)
- Liver biopsy (liver cirrhosis indicated on pathology report)
You may not qualify if:
- The study investigator deems the subject's participation to be unsafe due to an underlying medical condition
- Subject has previously been diagnosed with a primary liver cancer or a non-liver cancer that has metastasized
- Subject has previously submitted a blood sample to Helio Health (HELIO) through a separate clinical protocol
- Subject is unable or unwilling to submit blood samples for testing, undergo ultrasound or undergo diagnostic imaging by multiphasic MRI with contrast as required for the Study Protocol
- Subject has any internal metallic device or fragment, including but not limited to: A pacemaker, artificial joint or valve, surgical clips, pins, plates, screws, wire mesh or shrapnel
- It is unsafe for the subject to receive an MRI contrast dye due to pregnancy or severe kidney disease
- Subject would not routinely be recommended for HCC surveillance
- Subject received an abdominal ultrasound or diagnostic imaging by MRI or CT to image the liver within the past 5 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Helio Genomicslead
Study Sites (38)
AZ Liver Health (Chandler)
Chandler, Arizona, 85224, United States
AZ Liver Health (Glendale, Peoria)
Peoria, Arizona, 85381, United States
AZ Liver Health (Tucson)
Tucson, Arizona, 85712, United States
Banner University Hospital (University of Arizona Tucson)
Tucson, Arizona, 85724, United States
Alliance Research Centers
Irvine, California, 92612, United States
University of South California
Los Angeles, California, 90033, United States
Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
Stanford University
Palo Alto, California, 94304, United States
University of Colorado Hospital - Anschutz Cancer Pavilion
Aurora, Colorado, 80045, United States
Covenant Metabolic LLC
Fort Myers, Florida, 33012, United States
University of Florida Clinical and Translational Science Institute
Gainesville, Florida, 32610, United States
University of Miami - Schiff Center for Liver Diseases
Miami, Florida, 33136, United States
Gastroenterology Group of Naples
Naples, Florida, 34102, United States
Covenant Metabolics LLC
Sarasota, Florida, 34240, United States
Atlanta Gastroenterology
Atlanta, Georgia, 30308, United States
Piedmont Research Institute
Atlanta, Georgia, 30309, United States
Loyola University Medical Center
Maywood, Illinois, 60153, United States
St Luke's Hospital of Kansas City
Kansas City, Kansas, 64111, United States
University of Louisville
Louisville, Kentucky, 40202, United States
Tulane University Health Sciences Center
New Orleans, Louisiana, 70112, United States
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121, United States
Louisiana Research Center, LLC
Shreveport, Louisiana, 71105, United States
Kansas City Research Institute (KCRI)
Kansas City, Missouri, 64131, United States
PMG Research of Winston-Salem
Winston-Salem, North Carolina, 27103, United States
University of Cincinnati College of Medicine
Cincinnati, Ohio, 45627, United States
Gastro One in Memphis
Memphis, Tennessee, 38104, United States
Quality Medical
Nashville, Tennessee, 37211, United States
Liver Center of Texas
Dallas, Texas, 75234, United States
Methodist Dallas Medical Center
Dallas, Texas, 79936, United States
SouthTexas Research Institute
Edinburg, Texas, 78539, United States
Texas Gastro Clinic
El Paso, Texas, 79936, United States
Konkord Research
Houston, Texas, 77065, United States
Texas Liver Institute - American Research Corp.
San Antonio, Texas, 78215, United States
Impact Research Institute
Waco, Texas, 76710, United States
Digestive & Liver Disease Specialists (DLDS) - Norfolk
Norfolk, Virginia, 23502, United States
VA Richmond
Richmond, Virginia, 23249, United States
Harborview Medical Center (University of Washington)
Seattle, Washington, 98104, United States
Liver Institute Northwest
Seattle, Washington, 98105, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Taggart, PhD
Helio Genomics
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 28, 2018
First Posted
October 3, 2018
Study Start
February 4, 2019
Primary Completion
February 1, 2023
Study Completion
June 30, 2024
Last Updated
May 31, 2024
Record last verified: 2023-09