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Status unknownNCT03295812SCALEUpdated Jan 23, 2018

Stratification of Chronic Alcoholic Liver Diseases (SCALE Study)

An observational study in Alcoholic Liver Disease, sponsored by Nanfang Hospital, Southern Medical University. Status unknown at 26 sites in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2018-01-23.

Sponsored by Nanfang Hospital, Southern Medical University · Observational

The sponsor has not verified this record recently (last verified Sep 2017), so the status shown — last known as Recruiting — may be out of date.

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3,000
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Recent years, the European Association for the Study of the Liver-chronic liver failure (EASL-CLIF) has defined and graded acute-on-chronic liver failure (ACLF) based on CANONIC study which enrolled cirrhotic patients with acute decompensation. However, the characteristics and definitions of ACLF in non-cirrhotic patients with acute deterioration of liver function and organs injury or failure remain to be clear. As for patients who don't fulfil ACLF criteria, there might be a subgroup with high risk of progression (>25%) and a moderate 4-week mortality rate (>7%), which can be defined as "pre-ACLF", while the others are just chronic liver disease with "mere" liver injury or decompensation. This stratification system was primarily verified in a previous retrospective cohort which enrolled Hepatitis B patients only. The stratification criteria for chronic alcoholic liver disease needs to be further defined in detail. Therefore, investigators plan to prospectively recruit 3000 chronic alcoholic hospitalized patients with liver dysfunction from 24 hepatology departments in China, aiming to propose a stratified diagnostic system for chronic alcoholic patients based on organs injury. Meanwhile, risk factors of disease progression and short-term mortality will be analyzed, while characteristics and prognosis will be compared between patients with and without cirrhosis.

02

Conditions studied

  • Alcoholic Liver Disease
03

In context

Liver Diseases, Alcoholic

74 studies on the registry are indexed under Liver Diseases, Alcoholic; 25 are open to participants now.

This study's planned enrollment of 3,000 is above the median of 439 across 28 observational studies indexed under Liver Diseases, Alcoholic.

Browse Liver Diseases, Alcoholic studies →

Lead sponsor

Nanfang Hospital, Southern Medical University is the lead sponsor of 490 studies on the registry; 214 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients will be selected from all in-patients in 24 hepatology departments

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

  1. Long-term alcohol consumption (at least one of the followings):

    1. >40g/d for male and >20g/d for female, at least for 5 years;
    2. >50g/d for at least 6 months;
  2. Liver injury (at least one of the followings):

    1. >1.0 and AST>ALT;
    2. >2.0mg/dl;
    3. Ascites;
    4. Hepatic encephalopathy;
    5. Esophageal variceal bleeding;
    6. Hypersplenism

Exclusion criteria

Exclusion Criteria:

  1. Younger than 18 or older than 80;
  2. Other etiologies rather than alcoholic liver disease, including but not limited to the followings:

    1. Acute or chronic virologic hepatitis: Hepatitis A-E, Hepatitis caused by CMV,EBV, etc.
    2. hepatitis, including PSC, PBC, AIH, IgG4 related liver disease
    3. Inherited metabolic liver diseases: Wilson disease;
    4. Others: Schistosomiasis
  3. antibody positive;
  4. including but not limited to HCC;
  5. Pregnancy;
  6. Hospital stay less than 24h;
  7. Refuse to sigh the ;
  8. Combined with other improper situations determined by investigators.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Interventions

  • Otherstandard therapy

    standard therapy,non-interventional study

06

What researchers measure

Primary outcomes

  1. 4-week mortality

    mortality rate

    Time frame: 4 weeks

  2. 12-week mortality

    mortality rate

    Time frame: 12 weeks

Secondary outcomes

  1. 4-week progression rate

    The proportion of subjects progressed to acute-on-chronic liver failure within 4 weeks

    Time frame: 4 weeks

  2. 24-week mortality

    mortality rate

    Time frame: 24 weeks

  3. 48-week mortality

    mortality rate

    Time frame: 48 weeks

Other outcomes

  1. Risk factors for disease progression within 4 weeks

    analysis of risk factors for disease progression

    Time frame: 4 weeks

07

Study locations

12 of 26 sites recruiting
  • Nanfang Hospital
    Guangzhou, Guangdong 510515, China
    Recruiting
  • People's hospital of Yangshan
    Qingyuan, Guangdong, China
    Active, not recruiting
  • Dongguan dalang hospital
    Dongguan, China
    Active, not recruiting
  • People's hospital of Foshan Nanhai District
    Foshan, China
    Recruiting
  • The First People's Hospital of Foshan
    Foshan, China
    Recruiting
  • Guangdong General Hospital
    Guangzhou, China
    Active, not recruiting
  • Guangzhou Eighth People's Hospital
    Guangzhou, China
    Active, not recruiting
  • The First Affiliated Hospital,Guangzhou University of Chinese Medicine
    Guangzhou, China
    Active, not recruiting
  • The First Affiliated Hospital,Jinan University
    Guangzhou, China
    Active, not recruiting
  • Huizhou Central Hospital
    Huizhou, China
    Recruiting
  • Huizhou Hospital of Traditional Chinese Medicine
    Huizhou, China
    Recruiting
  • The First People's Hospital of Huizhou
    Huizhou, China
    Recruiting
  • The Sixth People's Hospital of Huizhou
    Huizhou, China
    Recruiting
  • The Third People's hospital of Huizhou
    Huizhou, China
    Recruiting
  • People's Hospital of Enping
    Jiangmen, China
    Not yet recruiting
  • Kaiping Central Hospital
    Kaiping, China
    Active, not recruiting
  • The Second People's Hospital of Yuebei
    Shaoguan, China
    Active, not recruiting
  • Peking University Shenzhen Hospital
    Shenzhen, China
    Recruiting
  • Shenzhen Third People's Hospital
    Shenzhen, China
    Active, not recruiting
  • Shunde Hospital of Southern Medical University
    Shunde, China
    Recruiting
  • Yangjiang Public Health Hospital
    Yangjiang, China
    Active, not recruiting
  • People's Hospital of Yingde City
    Yingde, China
    Recruiting
  • Nongken Central Hospital
    Zhanjiang, China
    Not yet recruiting
  • The First People's Hospital of Zhaoqing
    Zhaoqing, China
    Active, not recruiting
  • Zhaoqing No.2 People's Hospital
    Zhaoqing, China
    Active, not recruiting
  • Zhongshan Second People's Hospital
    Zhongshan, China
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2017 (actual). Primary completion is estimated for Dec 2019, 25 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 25, 2017
First posted
Sep 28, 2017
StartActual
Nov 16, 2017
Primary completionEst.
Dec 30, 2019
CompletionEst.
Dec 30, 2020
Last update
Jan 23, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 23, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03295812
Responsible party
Sponsor
First posted
Sep 28, 2017
Start date
Nov 16, 2017
Primary completion
Dec 30, 2019 (estimated)
Completion
Dec 30, 2020 (estimated)
Last update
Jan 23, 2018

Study contacts

Jinjun Chen
Contact
chjj@smu.edu.cn
0086-18588531001
Tingting Qi
Contact
tingtingqi@126.com
+8615521287260
Jinjun Chen
principal investigator · Hepatology Unit, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.

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