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TerminatedNCT04264754Updated May 6, 2021

Characterization of Methylation Patterns in Hepatocellular Carcinoma

An observational study in Hepatocellular Carcinoma, Hepatocellular Cancer and Cirrhosis, sponsored by Nucleix Ltd.. Terminated at 5 sites in Israel. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2021-05-06.

Sponsored by Nucleix Ltd. · Observational

Why this study was terminated
Sponsor prioritize other clinical projects over this study
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
120
Ages
22 Years and older
Sex
All
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Study summary

This study is being performed as part of the development process of the Liver EpiCheck test which includes the identification of different methylation profiles in HCC (hepatocellular carcinoma) patients compare to cancer free control in blood samples

Read the detailed description

This is a prospective, multi-center, observational study aimed to collect blood samples and de-identified clinical data from subjects diagnosed with HCC (cases arm) and subjects with high risk for HCC which are undergoing routine surveillance for HCC.

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Conditions studied

  • Hepatocellular Carcinoma
  • Hepatocellular Cancer
  • Cirrhosis

Keywords

  • Cirrhosis
  • Hepatocellular Carcinoma
  • Methylation
  • HCC
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In context

Carcinoma

6,745 studies on the registry are indexed under Carcinoma; 1,163 are open to participants now.

This study's enrollment of 120 is below the median of 149 across 1,175 observational studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Nucleix Ltd. is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects who have already been diagnosed with liver cancer, however did not yet undergo any surgery, ablation, embolization or any other treatment for this cancerous lesion (including, but not limited to systemic therapies) will be enlisted into the study as the Case group.

In addition, blood samples will be obtained from participants without cancer, who are considered in high risk for HCC; those subjects will be recruited from outpatient units or from Health Management Organization involved in routine surveillance for HCC in high risk subjects.

Eligibility criteria

Inclusion Criteria - Case Group:

  • Age ≥ 22 years
  • Subjects who are willing and able to provide written informed consent
  • Subjects with confirmed diagnosis of HCC, naïve to tumor directed therapy

Exclusion Criteria - Case Group:

  • Subjects with current cancer of any kind, other than hepatocellular carcinoma
  • Subjects with a history of cancer of any kind (including hepatocellular carcinoma), other than non-melanoma skin cancer completely resected
  • Coinfection with HIV
  • Prior solid organ transplant

Inclusion Criteria - Control Group:

  • Age ≥ 22 years
  • Subjects who are willing and able to provide written informed consent
  • Subjects diagnosed with one of the following:

    i. Subjects with HCV and cirrhosis ii. Subjects with HBV and cirrhosis iii. Non-cirrhotic chronic HBV subjects at intermediate or high risk of HCC, according to EASL Clinical Practice Guidelines for the management of hepatocellular carcinoma iv. Subjects with Non-Alcoholic Fatty Liver Disease (NAFLD) with cirrhosis. v. Cirrhotic patients due to any other reasons, including alcohol disease

  • Subjects currently undergoing surveillance for hepatocellular carcinoma
  • HCC surveillance imaging (e.g., US, CT, MRI) performed within 3 months prior to baseline visit
  • Subjects with compensated liver function as measured by Child-Pugh Score A or B7 without ascites (all measures should be from the last three months)

Exclusion Criteria - Control Group:

  • Subjects with current cancer of any kind, other than hepatocellular carcinoma
  • Subjects with a history of cancer of any kind (including hepatocellular carcinoma), other than non-melanoma skin cancer completely resected
  • Coinfection with HIV
  • Prior solid organ transplant
  • Current substance abuse
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
120 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Cases Group

    Subjects who have already been diagnosed with liver cancer, however did not yet undergo any surgery, ablation, embolization or any other treatment for this cancerous lesion (including, but not limited to systemic therapies)

    Procedure: Blood collection

  • Control Group

    Cancer free subjects with high risk to development HCC. High risk subjects include the following: 1. Subjects with HCV (hepatitis C virus) and cirrhosis 2. Subjects with HBV (hepatitis B virus) and cirrhosis 3. Non-cirrhotic chronic HBV subjects at intermediate or high risk of HCC, according to EASL (European Association for the Study of the Liver) Clinical Practice Guidelines for the management of hepatocellular carcinoma 4. Subjects with NAFLD (Non-Alcoholic Fatty Liver Disease) with cirrhosis 5. Cirrhotic patients due to any other reasons, including alcohol disease

    Procedure: Blood collection

Interventions

  • ProcedureBlood collection

    Peripheral blood will be collected via routine venipuncture procedure

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What researchers measure

Primary outcomes

  1. To collect blood samples and clinical data in order to characterize methylation patterns that will discriminate between HCC and normal hepatic tissue

    To collect blood samples and clinical data in order to characterize methylation patterns that will discriminate between HCC and normal hepatic tissue

    Time frame: 60 months

  2. To develop a molecular blood test that will be able to detect HCC based on change in methylation patterns between HCC and normal hepatic tissue

    To develop a molecular blood test that will be able to detect HCC based on change in methylation patterns between HCC and normal hepatic tissue

    Time frame: 60 months

Secondary outcomes

  1. Liver EpiCheck Performance

    To assess the performance of the Liver EpiCheck in terms of (1) Sensitivity (2) Specificity (3) NPV(negative predictive value) and (4) PPV (positive predictive value)

    Time frame: 60 months

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Study locations

5 sites
  • Ha'emek Medical Center
    Afula, Israel
  • Carmel Medical Center
    Haifa, Israel
  • Rambam Medical Center
    Haifa, Israel
  • Sheba Medical Center
    Ramat Gan, Israel
  • Tel Aviv Sourasky Medical Center
    Tel Aviv, Israel
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References and documents

Individual participant data

Plan to share: No — No IPD will be share with other researchers. The statistical analysis will be performed by the study sponsor

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2021, 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
NCT04264754
Lead sponsor
Nucleix Ltd.
Responsible party
Sponsor
First posted
Feb 11, 2020
Start date
Feb 13, 2018
Primary completion
Feb 1, 2021
Completion
Feb 1, 2021
Last update
May 6, 2021

Oversight

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

Not currently enrolling

This study is terminated, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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