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RecruitingNCT06392503NID-HRVUpdated Apr 30, 2024

Noninvasive Diagnosis Model for High-risk Varices in Cirrhosis

An observational study in Varices and Liver Cirrhosis, sponsored by Beijing 302 Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-30.

Sponsored by Beijing 302 Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2025, 1 year 3 months ago, but the record still lists the study as recruiting.
  • Started Nov 2023; still recruiting 2 years 10 months later.
Study type
Observational
Model
Other
Time perspective
Other
Enrollment
2,500
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is an observational ambispective cohort study to validate the Baveno VI guideline and develop a new diagnostic model to screen high-risk varices (HRV) of liver cirrhosis using iLivTouch.

Read the detailed description

Esophageal variceal bleeding is a common and fatal complication in patients with liver cirrhosis. The diagnosis of high-risk varices (HRV) traditionally depends on gastroscopy, which is expensive and poorly tolerated with patients. Baveno VI guideline has put forward a HRV screening model based on liver stiffness and platelet count. This is an observational ambispective cohort study. The retrospective cohort is derived from the previous records of the hospital information system, and the prospective cohort is enrolled prospectively at the local research center when participants meet the inclusion criteria. The purpose of this study is to establish a diagnostic model of HRV in patients with liver cirrhosis according to the liver stiffness value measured by iLivTouch and other laboratory indexes, so as to verify the applicability of Baveno VI standard under the condition of iLivTouch and establish a cutoff value that is more suitable for iLivTouch. In addition, this study will try to find some new indexes to further improve the diagnostic efficiency of HRV. The minimum enrolment period is anticipated to be 6 months per center and will be extended if necessary to reach the overall study target.

02

Conditions studied

  • Varices
  • Liver Cirrhosis

Keywords

  • diagnostic model
  • high risk varices
  • iLivTouch
03

In context

Liver Cirrhosis

1,642 studies on the registry are indexed under Liver Cirrhosis; 358 are open to participants now.

This study's planned enrollment of 2,500 is above the median of 151 across 587 observational studies indexed under Liver Cirrhosis.

Browse Liver Cirrhosis studies →

Lead sponsor

Beijing 302 Hospital is the lead sponsor of 86 studies on the registry; 31 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients with liver cirrhosis diagnosed by clinical or imaging diagnosis.

Inclusion criteria

  1. Age 18-75;
  2. Patients with liver cirrhosis diagnosed by clinical or imaging diagnosis;
  3. The interval of iLivTouch and esophagogastroduodenoscopy is no more than 3 months;

Exclusion criteria

Exclusion Criteria:

  1. the interval between esophagogastroduodenoscopy and iLivTouch is more than 3 months;
  2. any decompensation events (ascites, hepatic encephalopathy or gastroesophageal variceal bleeding) during endoscopy or iLivTouch examination, or during the interval between them;
  3. currently taking nonselective beta blocker/ antiplatelet / anticoagulant drugs;
  4. hepatocellular carcinoma;
  5. after transjugular intrahepatic portosystemic shunt surgery;
  6. after liver transplantation.
  7. portal-spleen-mesenteric venous thrombosis;
  8. patients with splenectomy;
  9. BMI ≥ 30;
  10. patients with acute active hepatitis or patients with cholestatic hepatitis;
  11. IQR/median of liver stiffness measurement > 30%.
05

Study design

Observational model
Other
Time perspective
Other
Enrollment
2,500 participants (estimated)
Patient registry
No

Groups and cohorts

  • retrospective cohort group

    patients before the study started

    Diagnostic Test: different diagnostic models

  • prospective cohort group

    spatients after the study started

    Diagnostic Test: different diagnostic models

Interventions

  • Diagnostic testdifferent diagnostic models

    the patients were screened by different diagnostic models

06

What researchers measure

Primary outcomes

  1. diagnostic performance

    sensitivity, specificity, positive predictive value, negative predictive value and accuracy of different diagnostic models

    Time frame: at end of the patient enrollment

Other outcomes

  1. Endoscopy spared ratio

    the percentage of patients spared with endoscopy

    Time frame: at end of the patient enrollment

  2. HRV missing ratio

    the percentage of patients missed with high-risk varices

    Time frame: at end of the patient enrollment

07

Study locations

1 of 1 sites recruiting
  • the Fifth Medical Center, Chinese PLA General Hospital
    Beijing, Beijing 100039, China
    Recruiting
08

References and documents

Publications

  • Yan Y, Xing X, Wang X, Yang L. Liver stiffness by two-dimensional shear wave elastography for screening high-risk varices in patients with compensated advanced chronic liver disease. Eur Radiol. 2022 Mar;32(3):2078-2088. doi: 10.1007/s00330-021-08280-3. Epub 2021 Oct 29. Erratum In: Eur Radiol. 2024 Aug;34(8):5504-5505. doi: 10.1007/s00330-023-10577-4. PubMed 34713329 ↗
  • de Franchis R; Baveno VI Faculty. Expanding consensus in portal hypertension: Report of the Baveno VI Consensus Workshop: Stratifying risk and individualizing care for portal hypertension. J Hepatol. 2015 Sep;63(3):743-52. doi: 10.1016/j.jhep.2015.05.022. Epub 2015 Jun 3. No abstract available. PubMed 26047908 ↗
  • Augustin S, Pons M, Maurice JB, Bureau C, Stefanescu H, Ney M, Blasco H, Procopet B, Tsochatzis E, Westbrook RH, Bosch J, Berzigotti A, Abraldes JG, Genesca J. Expanding the Baveno VI criteria for the screening of varices in patients with compensated advanced chronic liver disease. Hepatology. 2017 Dec;66(6):1980-1988. doi: 10.1002/hep.29363. Epub 2017 Oct 30. PubMed 28696510 ↗
  • Wang H, Wen B, Chang X, Wu Q, Wen W, Zhou F, Guo Y, Ji Y, Gu Y, Lai Q, He Q, Li J, Chen J, Hou J. Baveno VI criteria and spleen stiffness measurement rule out high-risk varices in virally suppressed HBV-related cirrhosis. J Hepatol. 2021 Mar;74(3):584-592. doi: 10.1016/j.jhep.2020.09.034. Epub 2020 Oct 8. PubMed 33039403 ↗
  • de Franchis R, Bosch J, Garcia-Tsao G, Reiberger T, Ripoll C; Baveno VII Faculty. Baveno VII - Renewing consensus in portal hypertension. J Hepatol. 2022 Apr;76(4):959-974. doi: 10.1016/j.jhep.2021.12.022. Epub 2021 Dec 30. Erratum In: J Hepatol. 2022 Jul;77(1):271. doi: 10.1016/j.jhep.2022.03.024. PubMed 35120736 ↗
  • Zhang X, Song J, Zhang Y, Wen B, Dai L, Xi R, Wu Q, Li Y, Luo X, Lan X, He Q, Luo W, Lai Q, Ji Y, Zhou L, Qi T, Liu M, Zhou F, Wen W, Li H, Liu Z, Chen Y, Zhu Y, Li J, Huang J, Cheng X, Tu M, Hou J, Wang H, Chen J. Baveno VII algorithm outperformed other models in ruling out high-risk varices in individuals with HBV-related cirrhosis. J Hepatol. 2023 Mar;78(3):574-583. doi: 10.1016/j.jhep.2022.10.030. Epub 2022 Nov 7. PubMed 36356684 ↗
  • Ng YZ, Lai LL, Wong SW, Mohamad SY, Chuah KH, Chan WK. Attenuation parameter and liver stiffness measurement using FibroTouch vs Fibroscan in patients with chronic liver disease. PLoS One. 2021 May 3;16(5):e0250300. doi: 10.1371/journal.pone.0250300. eCollection 2021. PubMed 33939744 ↗
  • Ou X, Wang X, Wu X, Kong Y, Duan W, Zhou J, Sun D, Wang Y, You H, Jia J. [Comparison of FibroTouch and FibroScan for the assessment of fibrosis in chronic hepatitis B patients]. Zhonghua Gan Zang Bing Za Zhi. 2015 Feb;23(2):103-6. doi: 10.3760/cma.j.issn.1007-3418.2015.02.006. Chinese. PubMed 25880975 ↗
  • Zeng J, Sun WL, Chen GY, Pan Q, Yan SY, Sun C, Xu ZJ, Fan JG. [Efficiency of FibroScan and FibroTouch in liver stiffness measurement and fat quantification: a comparative analysis]. Zhonghua Gan Zang Bing Za Zhi. 2016 Sep 20;24(9):652-658. doi: 10.3760/cma.j.issn.1007-3418.2016.09.004. Chinese. PubMed 27788720 ↗
  • Colecchia A, Ravaioli F, Marasco G, Colli A, Dajti E, Di Biase AR, Bacchi Reggiani ML, Berzigotti A, Pinzani M, Festi D. A combined model based on spleen stiffness measurement and Baveno VI criteria to rule out high-risk varices in advanced chronic liver disease. J Hepatol. 2018 Aug;69(2):308-317. doi: 10.1016/j.jhep.2018.04.023. Epub 2018 May 3. PubMed 29729368 ↗

Individual participant data

Plan to share: No — After enrollment and data analysis, the study results will be submitted to peer-reviewed journals for publication. Personal information about potential and enrolled participants will be strictly confidential to the public before, during, and after the study.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06392503
Lead sponsor
Beijing 302 Hospital
Collaborators
Qianfoshan Hospital, First Hospital of China Medical University, The Second Affiliated Hospital of Dalian Medical University, The Second Norman Bethune Hospital of Jilin University, Shengjing Hospital, The Affiliated Hospital Of Guizhou Medical University, The First Hospital of Yulin, LanZhou University, Chengdu Third People's Hospital, Tianjin Third Central Hospital, Second Affiliated Hospital of Xi'an Jiaotong University, People's Hospital of Lixin County, The Fourth People's Hospital of Qinghai Provence, The Fourth People's Hospital of Nanning, The Third People's Hospital of Taiyuan, Central Hospital of Huludao, Jixi Infectious Diseases Hospital, the first affiliated hospital of Jiamusi university, Benxi Sixth People's Hospital, Yuncheng Central Hospital, The First People's Hospital of Zigong City, Sichuan Province, Second Affiliated Hospital of Guangzhou Medical University, Ruikang Affiliated Hospital of Guangxi University of Chinese Medicine, Guilin People's Hospital, Tianjin Binhai New Area Dagang Hospital
Responsible party
Sponsor
First posted
Apr 30, 2024
Start date
Nov 30, 2023
Primary completion
Jun 30, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Apr 30, 2024

Study contacts

Fu junliang, PHD
Contact
fjunliang@163.com
010-66933214
Fu junliang
principal investigator · the Fifth Medical Center, Chinese PLA General Hospital

Oversight

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

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