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CompletedNCT00896233Updated Aug 25, 2015Results posted

Magnetic Resonance Elastography for Assessment of Liver Fibrosis (MK-0000-132)(COMPLETED)

A Phase 1 interventional study of MRE in Liver Fibrosis and Hepatitis C Virus, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-08-25.

Sponsored by Merck Sharp & Dohme LLC (part of Merck & Co., Inc) · Phase 1, Interventional, and Diagnostic

Phase
Phase 1
Study type
Interventional
Enrollment
10
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will assess the repeatability of Magnetic Resonance Elastography (MRE) in both healthy volunteers and Hepatitis C Virus (HCV)-infected patients with fibrosis and lay the groundwork for the validation of MRE as an alternative to liver biopsy.

02

Conditions studied

  • Liver Fibrosis
  • Hepatitis C Virus

Keywords

  • Staging of liver fibrosis prior to clinical trials for treatment of Hepatitis C Virus
03

In context

Liver Cirrhosis

1,668 studies on the registry are indexed under Liver Cirrhosis; 360 are open to participants now.

This study's enrollment of 10 is below the median of 72 across 1,003 interventional studies indexed under Liver Cirrhosis.

Browse Liver Cirrhosis studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,159 studies on the registry; 133 are open to participants now.

Of its 497 completed or terminated interventional studies of FDA-regulated products, 369 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female and at least 18 years of age
  • Generally good health
  • Willing to fast for 8 hours prior to each study visit

Hepatitis C Virus (HCV) Inclusion Criteria:

  • Positive serology for HCV and detectable HCV ribonucleic acid (RNA) in blood within 12 weeks of screening;

For Part I, known fibrosis stage of at least =F2 (METAVIR) or =F3 (Ishak) from biopsy performed within 3 months of screening; For Part 2, known fibrosis stage of F1-F4 (METAVIR) or F1-F6 (Ishak)

  • Never been treated for HCV

Healthy Participant Inclusion Criteria:

  • Documented absence of hepatitis B virus, HCV, acute hepatitis A virus, and human immunodeficiency virus (HIV) within 12 weeks of screening

Exclusion criteria

Exclusion Criteria:

  • History of stroke, seizures, or neurological disorders
  • Consumption of excessive amounts of alcohol
  • Use of products containing nicotine
  • Unable to hold a breath for 20 seconds
  • Claustrophobia
  • Use of illicit drugs or history of drug or alcohol abuse

HCV-Positive Exclusion Criteria:

  • Evidence or history of chronic hepatitis not caused by HCV
  • HIV
05

Study design

Phase
Phase 1
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    MRE

    Procedure: MRE

Interventions

  • ProcedureMRE

    Part 1: Participants will have a screening visit, followed \~1 month later by two imaging visits over \~14 days. Each imaging visit will consist of two liver MRE scans. Part 2: Participants will have a screening visit, followed \~1 month later by one imaging visit. The imaging visit will consist of two liver MRE scans.

06

What researchers measure

Primary outcomes

  1. Repeated Maximum Liver Elastic Stiffness (Kilopascal [kPa]) Measurements

    Reader evaluated 4 sections of the liver at 4 different time points and the end result was a single region of interest (ROI) that could be measured in the registered elastograms at each of the time points. Stiffness measures obtained using the "Individual ROI" (average of the 4 individual ROI's selected by the reader, one for each slice of liver) and "Common ROI" (intersection (or area of common overlap) of the 4 individual ROI's) analysis methods were compared. The mean was the overall mean of the data and the standard deviation was the within participant standard deviation.

    Time frame: 14 days

  2. Repeated Mean Liver Elastic Stiffness (kPa) Measurements

    Reader evaluated 4 sections of the liver at 4 different time points and the end result was a single ROI that could be measured in the registered elastograms at each of the time points. Stiffness measures obtained using the "Individual ROI" (average of the 4 individual ROI's selected by the reader, one for each slice of liver) and "Common ROI" (intersection (or area of common overlap) of the 4 individual ROI's) analysis methods were compared. The mean was the overall mean of the data and the standard deviation was the within participant standard deviation.

    Time frame: 14 days

  3. Percent Difference in Mean Liver Stiffness Between Hepatitis C Virus (HCV)- Positive Participants With Liver Fibrosis and Healthy Participants

    Reader evaluated 4 sections of the liver at 4 different time points and the end result was a single region of interest (ROI) that could be measured in the registered elastograms at each of the time points. Stiffness measures obtained using the "Individual ROI" (average of the 4 individual ROI's selected by the reader, one for each slice of liver) and "Common ROI" (intersection (or area of common overlap) of the 4 individual ROI's) analysis methods were compared.

    Time frame: 14 days

  4. Percent Difference in Maximum Liver Stiffness Between HCV- Positive Participants With Liver Fibrosis and Healthy Participants

    Reader evaluated 4 sections of the liver at 4 different time points and the end result was a single region of interest (ROI) that could be measured in the registered elastograms at each of the time points. Stiffness measures obtained using the "Individual ROI" (average of the 4 individual ROI's selected by the reader, one for each slice of liver) and "Common ROI" (intersection (or area of common overlap) of the 4 individual ROI's) analysis methods were compared.

    Time frame: 14 days

07

Results

Posted Sep 22, 2011
Limitations and caveats
Since both primary objectives were met based on the Part 1 analysis, a decision was made to stop the study and not proceed to Part 2. Therefore, data from Part 1 of the study were used for outcome measures 3 and 4 instead of data from Part 2.

Participant flow

Participant flow — Overall Study
MilestoneMagnetic Resonance Elastography (MRE)
Started10
Completed9
Not completed1
Withdrew: Claustrophobia during mri1

Outcome measures

PrimaryRepeated Maximum Liver Elastic Stiffness (Kilopascal [kPa]) Measurements

Reader evaluated 4 sections of the liver at 4 different time points and the end result was a single region of interest (ROI) that could be measured in the registered elastograms at each of the time points. Stiffness measures obtained using the "Individual ROI" (average of the 4 individual ROI's selected by the reader, one for each slice of liver) and "Common ROI" (intersection (or area of common overlap) of the 4 individual ROI's) analysis methods were compared. The mean was the overall mean of the data and the standard deviation was the within participant standard deviation.

Time frame:
14 days
Reported as:
Mean · kPa
Repeated Maximum Liver Elastic Stiffness (Kilopascal [kPa]) Measurements
kPaReader 1Reader 2
MRE Common ROI4.54 ± 0.484.64 ± 0.50
MRE Individual ROI5.10 ± 0.445.14 ± 0.41
Statistical analysis
  • Reader 1 · Icc: 0.90 · 90% CI 0.81 to 0.99
  • Reader 2 · Icc: 0.85 · 90% CI 0.71 to 0.98
  • Reader 1 · Icc: 0.88 · 90% CI 0.78 to 0.98
  • Reader 2 · Icc: 0.86 · 90% CI 0.75 to 0.98
PrimaryRepeated Mean Liver Elastic Stiffness (kPa) Measurements

Reader evaluated 4 sections of the liver at 4 different time points and the end result was a single ROI that could be measured in the registered elastograms at each of the time points. Stiffness measures obtained using the "Individual ROI" (average of the 4 individual ROI's selected by the reader, one for each slice of liver) and "Common ROI" (intersection (or area of common overlap) of the 4 individual ROI's) analysis methods were compared. The mean was the overall mean of the data and the standard deviation was the within participant standard deviation.

Time frame:
14 days
Reported as:
Mean · kPa
Repeated Mean Liver Elastic Stiffness (kPa) Measurements
kPaReader 1Reader 2
MRE Common ROI3.12 ± 0.263.14 ± 0.31
MRE Individual ROI3.08 ± 0.193.15 ± 0.20
Statistical analysis
  • Reader 1 · Icc: 0.90 · 90% CI 0.80 to 0.99
  • Reader 2 · Icc: 0.88 · 90% CI 0.78 to 0.99
  • Reader 1 · Icc: 0.93 · 90% CI 0.87 to 1.00
  • Reader 2 · Icc: 0.94 · 90% CI 0.88 to 1.00
PrimaryPercent Difference in Mean Liver Stiffness Between Hepatitis C Virus (HCV)- Positive Participants With Liver Fibrosis and Healthy Participants

Reader evaluated 4 sections of the liver at 4 different time points and the end result was a single region of interest (ROI) that could be measured in the registered elastograms at each of the time points. Stiffness measures obtained using the "Individual ROI" (average of the 4 individual ROI's selected by the reader, one for each slice of liver) and "Common ROI" (intersection (or area of common overlap) of the 4 individual ROI's) analysis methods were compared.

Time frame:
14 days
Reported as:
Number · percent treatment difference
Percent Difference in Mean Liver Stiffness Between Hepatitis C Virus (HCV)- Positive Participants With Liver Fibrosis and Healthy Participants
percent treatment differenceReader 1Reader 2
MRE Common ROI94.41 (33.85 to 182.36)94.66 (32.65 to 185.67)
MRE Individual ROI97.02 (39.77 to 177.73)99.31 (37.81 to 188.27)
PrimaryPercent Difference in Maximum Liver Stiffness Between HCV- Positive Participants With Liver Fibrosis and Healthy Participants

Reader evaluated 4 sections of the liver at 4 different time points and the end result was a single region of interest (ROI) that could be measured in the registered elastograms at each of the time points. Stiffness measures obtained using the "Individual ROI" (average of the 4 individual ROI's selected by the reader, one for each slice of liver) and "Common ROI" (intersection (or area of common overlap) of the 4 individual ROI's) analysis methods were compared.

Time frame:
14 days
Reported as:
Number · percent treatment difference
Percent Difference in Maximum Liver Stiffness Between HCV- Positive Participants With Liver Fibrosis and Healthy Participants
percent treatment differenceReader 1Reader 2
MRE Common ROI117.21 (33.70 to 252.87)91.24 (32.12 to 176.83)
MRE Individual ROI105.35 (38.51 to 204.42)90.77 (34.64 to 170.29)

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Magnetic Resonance Elastography (MRE)—0/10 (0%)1/10 (10%)
Most frequent other events
Most frequent other events
EventMagnetic Resonance Elastography (MRE)
Muscle sorenessMusculoskeletal and connective tissue disorders1/10
NephrolithiasisRenal and urinary disorders1/10
Red blood cells urine positiveInvestigations1/10

Baseline characteristics

Age, Continuous
Age, Continuous(years)Magnetic Resonance Elastography (MRE)
Mean45.5 ± 12.9
Sex: Female, Male
Sex: Female, Male(Participants)Magnetic Resonance Elastography (MRE)
Female5
Male5
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Shire NJ, Yin M, Chen J, Railkar RA, Fox-Bosetti S, Johnson SM, Beals CR, Dardzinski BJ, Sanderson SO, Talwalkar JA, Ehman RL. Test-retest repeatability of MR elastography for noninvasive liver fibrosis assessment in hepatitis C. J Magn Reson Imaging. 2011 Oct;34(4):947-55. doi: 10.1002/jmri.22716. Epub 2011 Jul 12. PubMed 21751289 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 25, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00896233
Responsible party
Sponsor
First posted
May 11, 2009
Start date
Aug 2009
Primary completion
Jan 2010
Completion
Jan 2010
Results posted
Sep 22, 2011
Last update
Aug 25, 2015

Study contacts

Medical Monitor
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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