Natural History of Advanced Chronic Liver Diseases
1 other identifier
observational
500
1 country
1
Brief Summary
This is a retrospective-prospective registry cohort study. Patients with advanced chronic liver disease (ACLD) will be prospectively invited to this study. The study follow-up duration will be 10 years. The primary outcome is incident hepatic events and liver-related mortality. Participants will undergo annual transient elastography examination.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2024
Longer than P75 for all trials
1 active site
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
Study Start
First participant enrolled
September 25, 2024
CompletedFirst Submitted
Initial submission to the registry
June 17, 2025
CompletedFirst Posted
Study publicly available on registry
June 29, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2035
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2035
June 29, 2025
June 1, 2025
11.2 years
June 17, 2025
June 25, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incident hepatic events and liver-related mortality
Incident hepatic events (including ascites, variceal bleeding and overt hepatic encephalopathy) and liver-related mortality
10 years
Secondary Outcomes (5)
Incidence rate of each hepatic event
10 years
Incidence rate of hepatocellular carcinoma
10 years
Changes in Child-Pugh and Model for End-stage Liver Disease scores
10 years
Change in liver and spleen stiffness
10 years
Exploratory outcome on identification of novel biomarkers
10 years
Study Arms (1)
Patients with advanced chronic liver disease
Adult patients with advanced chronic liver disease
Interventions
Liver stiffness and spleen stiffness from transient elastography
Eligibility Criteria
The prospective cohort will comprise of consecutive patients with advanced chronic liver disease attending hepatology clinics or in-patient care in Prince of Wales Hospital in Hong Kong. All patients will be screened if the eligibility criteria are fulfilled.
You may qualify if:
- Aged 18 or above
- Known ACLD, defined by:
- LSM \> 10kPa or
- Clinical cirrhosis, suggested by 1. ultrasonography of the hepatobiliary system shows features of cirrhosis (e.g. shrunken and nodular liver) and portal hypertension (e.g. dilated portal vein, portal-systemic collaterals or varices, splenomegaly, ascites). 2. Oesophagogastroduodenoscopy (OGD) shows presence of oesophageal varices (OV) and/or gastric varices (GV) and/or portal hypertensive gastropathy.
You may not qualify if:
- Current or past history of hepatocellular carcinoma (HCC)
- History of liver transplantation
- Asplenism or history of splenectomy
- Serious medical illness with limited life expectancy of less than 6 months
- Pregnancy
- Unable to obtain or refusal of informed consent from patient
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Prince of Wales Hospital
Hong Kong, Hong Kong
Biospecimen
Store 10 mL of clotted blood and 10 mL of EDTA blood for exploration or novel biomarkers, future genetic and biochemical research
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jimmy CT Lai, MB ChB
Chinese University of Hong Kong
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 10 Years
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor (Clinical)
Study Record Dates
First Submitted
June 17, 2025
First Posted
June 29, 2025
Study Start
September 25, 2024
Primary Completion (Estimated)
December 1, 2035
Study Completion (Estimated)
December 1, 2035
Last Updated
June 29, 2025
Record last verified: 2025-06
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR
- Time Frame
- 6 months after the first publication until 15 years after the end of the study
- Access Criteria
- By email communication.
Data may be shared upon reasonable request.