ClinicalTrials.gg
CompletedNCT03674528NAFLDUpdated Sep 19, 2024

Technical Validation of MR Biomarkers of Obesity-Associated NAFLD

An observational study in Non-Alcoholic Fatty Liver Disease and Non-alcoholic Steatohepatitis, sponsored by University of Wisconsin, Madison. Completed at 2 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by University of Wisconsin, Madison · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
152
Ages
18 Years and older
Sex
All
01

Study summary

The overall goal of this collaborative research program is to develop, validate and translate advanced quantitative magnetic resonance (MR) biomarkers of obesity-associated non-alcoholic fatty liver disease (NAFLD). This protocol represents the research plan for two distinct phases. The first phase is an optimization phase. The second phase is designed to complete a rigorous test of conventional and advanced MRE techniques. Complementary anthropometric, laboratory, and MR measures will also be collected to characterize the cohort and identify factors that affect MRE performance

Read the detailed description

The long-term objective of this research is to improve the health of the millions of Americans with or at risk for NAFLD, the most common chronic liver disease and most rapidly growing indication for liver transplantation in the United States. To achieve this objective, an advanced MR-based imaging method will be used to measure liver "stiffness" which is an early sign of disease. This technique has been previously developed and validated and ready to be used for further research. This current protocol will extend previous work by optimizing and validating advanced 2 dimensional and 3 dimensional-magnetic resonance elastography (MRE) methods as non-invasive biomarkers of hepatic inflammation and fibrosis in obese patients at risk for non-alcoholic steatohepatitis (NASH), the histologically more aggressive subset of NAFLD.

Per Amendment approved 4/8/22: MRE exams will be conducted using a PDFF Pocket Phantom purchased by the UCSD from Calimetrix. This phantom consists of vials with known fat fraction which are captured when taking images of the liver. The known fat fractions provide an independent reference and are used for quality assurance purposes.

02

Conditions studied

  • Non-Alcoholic Fatty Liver Disease
  • Non-alcoholic Steatohepatitis

Keywords

  • MRI
  • MRE
  • Liver Disease
  • Liver Fibrosis
03

In context

Non-alcoholic Fatty Liver Disease

1,507 studies on the registry are indexed under Non-alcoholic Fatty Liver Disease; 303 are open to participants now.

This study's enrollment of 152 is close to the median of 150 across 359 observational studies indexed under Non-alcoholic Fatty Liver Disease.

Browse Non-alcoholic Fatty Liver Disease studies →

Lead sponsor

University of Wisconsin, Madison is the lead sponsor of 1,182 studies on the registry; 180 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 118 (76%) 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
Sampling method
Non-probability sample

Study population

Phase 1 participants will be healthy adults with a BMI of greater/equal to 35 kilograms per meter squared.

Phase 2 participants must be eligible for weight loss surgery and willing to undergo a liver biopsy procedure.

Eligibility criteria

Inclusion Criteria (Phase 1 and 2 participants)

  • Age of at least 18 years
  • Severely obese (BMI ≥ 35 kg/m2) patient

Inclusion Criteria (Phase 2 participants only)

  • Cleared for weight-loss surgery
  • Willing and able to complete all safety and follow-up procedures
  • Willing to allow for the banking of biological samples

Exclusion Criteria (Phase 1 and 2 participants)

  • Contraindications to MRI
  • Girth or weight that exceeds scanner capacity
  • Women of childbearing potential that are pregnant or will be attempting to become pregnant during the study duration.

Exclusion Criteria (Phase 2 participants only)

  • Known liver malignancies
  • Regular \& excessive alcohol consumption within 2 years prior to recruitment
  • Use of steatogenic or hepatotoxic drugs
  • Clinical or laboratory evidence of liver disease other than Nonalcoholic fatty liver disease (NAFLD)/ Nonalcoholic steatohepatitis (NASH) (e.g. HCV Ab, HBV Ab, ceruloplasmin)
  • The subject has increased bleeding risk (i.e., decreased platelets, von Willebrand disease)
05

Study design

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

Groups and cohorts

  • Control Group

    Subjects with a BMI of 35 or more will be asked to undergo a single MRE imaging session.

    Other: Magnetic Resonance Elastography (MRE)

  • Patient Group

    Adults that are candidates for weight loss surgery will be asked to participate in four study visits that include MRE imaging and 1 - 2 liver biopsy procedures.

    Other: Magnetic Resonance Elastography (MRE) · Diagnostic Test: Liver biopsy

Interventions

  • OtherMagnetic Resonance Elastography (MRE)

    The MRE scan will several breath holds and will take approximately 30 minutes to complete.

    Also known as: MRI

  • Diagnostic testLiver biopsy

    Subjects undergoing WLS will be asked to allow for liver biopsy samples to be collected during their surgical procedure. The collection of these samples will take approximately 5 minutes to complete.

    Also known as: Intraoperative Biopsy

06

What researchers measure

Primary outcomes

  1. Optimization of MRE for 2 dimensional and 3 dimensional methods

    Optimize MRE wave-field generation in this subject population to maximize the area of invertible shear waves in the liver into interpretable shear stiffness maps.

    Time frame: Up to 24 months

07

Study locations

2 sites
  • University of California, San Diego
    La Jolla, California 92093, United States
  • University of Wisconsin, Madison
    Madison, Wisconsin 53704, United States
08

References and documents

Publications

  • Muller L, Ceriani L, Harris DT, Wolfson T, Batakis D, Agni R, Covarrubias Y, Pepin K, Ehman RL, Heilman J, Panagiotopoulos N, Hamilton G, Middleton MS, Martins VF, Gamst AC, Sappenfield R, Grunvald E, Funk LM, Jacobsen GR, Lidor AO, Goodman JA, Khoury SB, Sirlin CB, Reeder SB. Comparative Precision of 3D MRE and 2D MRE for Measurement of Liver Stiffness in Adults with Severe Obesity. Radiology. 2026 May;319(2):e253243. doi: 10.1148/radiol.253243. PubMed 42084509 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03674528
Responsible party
Sponsor
First posted
Sep 17, 2018
Start date
May 4, 2018
Primary completion
Jun 11, 2024
Completion
Jun 11, 2024
Last update
Sep 19, 2024

Study contacts

Scott Reeder, MD, PhD
principal investigator · University of Wisconsin, Madison

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion