NCT03694600

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

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
1,900

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Feb 2019

Longer than P75 for all trials

Geographic Reach
1 country

38 active sites

Status
unknown

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

First Submitted

Initial submission to the registry

September 28, 2018

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 3, 2018

Completed
4 months until next milestone

Study Start

First participant enrolled

February 4, 2019

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2023

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2024

Completed
Last Updated

May 31, 2024

Status Verified

September 1, 2023

Enrollment Period

4 years

First QC Date

September 28, 2018

Last Update Submit

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

Diagnostic Test: Multi-analyte blood Test

Interventions

intended for the qualitative detection of DNA methylation profiles associated with hepatocellular carcinoma in cell-free DNA derived from patient whole blood specimens.

men or women between 21-84

Eligibility Criteria

Age21 Years - 84 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

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

Study Sites (38)

AZ Liver Health (Chandler)

Chandler, Arizona, 85224, United States

Location

AZ Liver Health (Glendale, Peoria)

Peoria, Arizona, 85381, United States

Location

AZ Liver Health (Tucson)

Tucson, Arizona, 85712, United States

Location

Banner University Hospital (University of Arizona Tucson)

Tucson, Arizona, 85724, United States

Location

Alliance Research Centers

Irvine, California, 92612, United States

Location

University of South California

Los Angeles, California, 90033, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

Stanford University

Palo Alto, California, 94304, United States

Location

University of Colorado Hospital - Anschutz Cancer Pavilion

Aurora, Colorado, 80045, United States

Location

Covenant Metabolic LLC

Fort Myers, Florida, 33012, United States

Location

University of Florida Clinical and Translational Science Institute

Gainesville, Florida, 32610, United States

Location

University of Miami - Schiff Center for Liver Diseases

Miami, Florida, 33136, United States

Location

Gastroenterology Group of Naples

Naples, Florida, 34102, United States

Location

Covenant Metabolics LLC

Sarasota, Florida, 34240, United States

Location

Atlanta Gastroenterology

Atlanta, Georgia, 30308, United States

Location

Piedmont Research Institute

Atlanta, Georgia, 30309, United States

Location

Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

St Luke's Hospital of Kansas City

Kansas City, Kansas, 64111, United States

Location

University of Louisville

Louisville, Kentucky, 40202, United States

Location

Tulane University Health Sciences Center

New Orleans, Louisiana, 70112, United States

Location

Ochsner Clinic Foundation

New Orleans, Louisiana, 70121, United States

Location

Louisiana Research Center, LLC

Shreveport, Louisiana, 71105, United States

Location

Kansas City Research Institute (KCRI)

Kansas City, Missouri, 64131, United States

Location

PMG Research of Winston-Salem

Winston-Salem, North Carolina, 27103, United States

Location

University of Cincinnati College of Medicine

Cincinnati, Ohio, 45627, United States

Location

Gastro One in Memphis

Memphis, Tennessee, 38104, United States

Location

Quality Medical

Nashville, Tennessee, 37211, United States

Location

Liver Center of Texas

Dallas, Texas, 75234, United States

Location

Methodist Dallas Medical Center

Dallas, Texas, 79936, United States

Location

SouthTexas Research Institute

Edinburg, Texas, 78539, United States

Location

Texas Gastro Clinic

El Paso, Texas, 79936, United States

Location

Konkord Research

Houston, Texas, 77065, United States

Location

Texas Liver Institute - American Research Corp.

San Antonio, Texas, 78215, United States

Location

Impact Research Institute

Waco, Texas, 76710, United States

Location

Digestive & Liver Disease Specialists (DLDS) - Norfolk

Norfolk, Virginia, 23502, United States

Location

VA Richmond

Richmond, Virginia, 23249, United States

Location

Harborview Medical Center (University of Washington)

Seattle, Washington, 98104, United States

Location

Liver Institute Northwest

Seattle, Washington, 98105, United States

Location

MeSH Terms

Conditions

Liver Cirrhosis

Condition Hierarchy (Ancestors)

Liver DiseasesDigestive System DiseasesFibrosisPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Taggart, PhD

    Helio Genomics

    STUDY DIRECTOR

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

Locations