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CompletedNCT01900808Updated Jan 18, 2016

Improvement of Transient Elastography Applicability and Diagnostic Accuracy to Identify Significant Fibrosis by Experienced Operators Using the M and XL Probe.

An observational study in Chronic Liver Diseases (CLD), sponsored by Parc de Salut Mar. Completed at 1 site in Spain. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2016-01-18.

Sponsored by Parc de Salut Mar · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
868
Ages
18 Years to 90 Years
Sex
All
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Study summary

Transient elastography (TE)is the reference method to identify liver stiffness (LSM) but fails to obtain a measurement in 3% of cases and results are considered unreliable in 16%. The aim of this study is to evaluate the applicability and diagnostic accuracy of TE performed by trained operators (\<500 explorations), after a second evaluation by experienced explorers (>500 explorations) and after a third exploration using XL probe. Inadequate LSM will be re-evaluated by experienced operators with the M (standard size) probe. A third register will be performed with XL (obese size) probe in those patients with inadequate M probe determination. Diagnostic accuracy will be estimated in patients with liver biopsy to identify significant fibrosis with a TE cut-off value of 7.6 kPa (kilo pascal).

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Conditions studied

  • Chronic Liver Diseases (CLD)

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03

In context

Liver Diseases

2,080 studies on the registry are indexed under Liver Diseases; 389 are open to participants now.

This study's enrollment of 868 is above the median of 167 across 681 observational studies indexed under Liver Diseases.

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Lead sponsor

Parc de Salut Mar is the lead sponsor of 180 studies on the registry; 27 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with liver stiffness

Inclusion criteria

  • Patients with chronic liver disease evaluated with TE by trained operators (experience \<500 explorations).
  • Signed inform consent.
  • Aged between 18-90.

Exclusion criteria

Exclusion Criteria:

  • Patients with ascites.
  • Pregnancy.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
868 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients with chronic liver disease

    Device: Trained operator with M probe. · Device: Experienced operator with M probe. · Device: Experienced operator with XL probe.

Interventions

  • DeviceTrained operator with M probe.

    Trained operator with M probe: non-drug intervention, baseline comparator.

  • DeviceExperienced operator with M probe.

    Experienced operator with M probe: non-drug intervention, longitudinal comparator.

  • DeviceExperienced operator with XL probe.

    Experienced operator with XL probe: non-drug intervention, longitudinal comparator.

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What researchers measure

Primary outcomes

  1. Applicability of transient elastography (TE)

    Applicability will be calculated as the proportion of reliable liver stiffness measurements (LSM). TE will be considered ADEQUATE when it included at least 10 valid measurements with a success rate ≥60% and interquartile range/median of LSM (IQR/M) ≤30% OR INADEQUATE.

    Time frame: Will be calculated after evaluation of all included patients with M probe by trained operators (at baseline and after 48 weeks), M probe by experienced operators after 72 weeks and XL probe after 72 weeks.

Secondary outcomes

  1. Diagnostic accuracy of TE

    Diagnostic accuracy will be calculated with the number of correctly classified patients (wuth significant fibrosis) considering a cut-off value of 7.6 kPa.

    Time frame: Will be calculated after evaluation of all included patients with M probe by trained operators after 48 weeks, M probe by experienced operators after 72 weeks and XL probe after 72 weeks.

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Study locations

1 site
  • Hospital del Mar, Servei de Digestiu
    Barcelona, 08003, Spain
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References and documents

Publications

  • Carrion JA, Puigvehi M, Coll S, Garcia-Retortillo M, Canete N, Fernandez R, Marquez C, Gimenez MD, Garcia M, Bory F, Sola R. Applicability and accuracy improvement of transient elastography using the M and XL probes by experienced operators. J Viral Hepat. 2015 Mar;22(3):297-306. doi: 10.1111/jvh.12296. Epub 2014 Aug 27. PubMed 25164560 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 18, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01900808
Lead sponsor
Parc de Salut Mar
Responsible party
José Antonio Carrion (MD, Parc de Salut Mar) — Principal investigator
First posted
Jul 16, 2013
Start date
Mar 2012
Primary completion
Apr 2012
Completion
Dec 2012
Last update
Jan 18, 2016

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2013. You cannot join it, but the record below documents what was studied.

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