ClinicalTrials.gg
RecruitingNCT07116096Updated Sep 15, 2026

Effect of Handgrip Strength on Portal Vein Hemodynamics in Patients With Liver Cirrhosis

An interventional study of Jamar Hand Dynamometer, Hand Dynamometer in Liver Cirrhosis and Portal Hypertension, sponsored by Shanxi Provincial People's Hospital. Recruiting at 2 sites in China. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Shanxi Provincial People's Hospital · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 2 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 214 studies in Liver Cirrhosis with a site in China — 65 open to participants now, 73 under way, 4 of them phase 3. Liver Cirrhosis · China.

Planned enrollment
63rd of 127
120 · median 120
Started
2025
with 18 others
No phase
61 of 214
26 open now
Primary completion
2027-08
later than 43 of 72 live
Registered
178th of 214
by date

Among the 214 studies in Liver Cirrhosis with a site in China, this one is the 63rd largest by planned enrollment of the 127 interventional ones that give a count, is one of 19 that started in 2025, is one of 61 with no phase, reaches primary completion later than 43 of the 72 other live ones, and was the 178th registered.

Liver Cirrhosis

1,300 studies on the registry are indexed under Liver Cirrhosis; 341 are open to participants now.

Browse Liver Cirrhosis studies →

Open to participants now

65 of the 214 studies in Liver Cirrhosis with a site in China are open now. Recruiting first, the newest first:

59 more — sign in →

All 65 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 209 Liver Cirrhosis studies recruiting now, 101 (48%) set no upper age limit and 67 (32%) stop at 75 or younger; 12 take children under 18; 25 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

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02

Study summary

  1. Background Handgrip strength , a core indicator of muscle function, has been confirmed to be significantly associated with the clinical prognosis of patients with liver cirrhosis. However, no studies have explored its correlation with portal venous hemodynamics.
  2. Objective The purpose of the study is to examine the effects of Handgrip strength on portal vein and left gastric vein pressure, blood flow velocity and direction in patients with liver cirrhosis, as well as its hemodynamic impact on gastroesophageal varices.
  3. Method Study Design: Interventional study. Detection Timing: Hemodynamic indices were measured simultaneously after patients achieved their maximum handgrip strength. Participants were divided into three groups based on the assessment methods. Group 1 (Portal Pressure Measurement Group): Before the placement of TIPS, the pressures of the portal vein and left gastric vein were measured, both before and after the handgrip strength test. Group 2 (Doppler Ultrasound Measurement Group): Measurements of portal flow velocity and direction were taken before and after the handgrip strength test, based on Doppler ultrasound. Group 3 (Endoscopic Ultrasound Measurement Group): Measurements of blood flow volume and direction in esophagogastric varices were conducted before and after the handgrip strength test, based on endoscopic ultrasonography. The inclusion and exclusion criteria were described.
  4. Elaboration of the Research Hypothesis 4.1. Core Hypothesis The handgrip strength level in patients with liver cirrhosis is correlated with portal venous system hemodynamic indices. Specifically, enhanced handgrip strength may affect portal hypertension and the hemodynamics of varicose veins by improving systemic muscle function or circulatory status.

4.2. Speculation on potential mechanisms Association between muscle function and circulation: As a representative of systemic muscle function, increased handgrip strength may reflect an increase in cardiac output or changes in splanchnic vascular resistance, thereby influencing portal venous hemodynamics.

Effects on varicose veins: Improved handgrip strength may reduce blood flow velocity or diameter of esophagogastric varices by decreasing splanchnic congestion or regulating local vascular tension, thus lowering the risk of variceal rupture and bleeding.

Role of compensatory mechanisms: Muscle wasting is common in decompensated cirrhosis. Patients with higher handgrip strength may have better compensatory capacity, and the degree of hemodynamic disorder in their portal venous system may be less severe.

Conclusion This study uses a multi-method grouping design to first explore the association between handgrip strength and portal venous hemodynamics in cirrhotic patients. The hypothesis is based on the potential regulatory role of muscle function in the circulatory system, which is expected to provide a new non-invasive indicator for clinical assessment of portal hypertension risk.

03

Conditions studied

  • Liver Cirrhosis
  • Portal Hypertension
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Adults aged ≥18 years old
  • Clinically diagnosed with liver cirrhosis
  • Endoscopic observation to determine the presence of esophagogastric varices
  • Only eligible for the portal vein pressure measurement group if there are no signs of variceal bleeding for at least 14 days
  • Participant or guardian is capable of comprehending the study protocol, willing to participate, and able to provide written

Exclusion criteria

Exclusion Criteria:

  • Severe congestive heart failure, or severe untreated valvular heart disease
  • Moderate to severe pulmonary hypertension
  • Uncontrolled systemic infection
  • Lesions (e.g., cysts) or tumors in the liver parenchyma that preclude TIPS creation
  • Overt hepatic encephalopathy
  • Unrelieved biliary obstruction
  • score > 13
  • MELD score > 18
  • > 5
  • count \< 20 ×109/mm3
  • No gastrointestinal bleeding (suitable for the ultrasound examination group and the endoscopic ultrasonography group)
  • Participants who had undergone hand or wrist surgery within the previous 3 months or were unable to hold the dynamometer with the testing hand were excluded from the study.
Terms in these criteria, in plain language(4)

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.

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.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Portal pressure measurement group

    Device: Jamar Hand Dynamometer, Hand Dynamometer

  • Experimental
    Doppler Ultrasound Measurement Group

    Device: Jamar Hand Dynamometer, Hand Dynamometer

  • Experimental
    Endoscopic Ultrasound Measurement Group

    Device: Jamar Hand Dynamometer, Hand Dynamometer

Interventions

  • DeviceJamar Hand Dynamometer, Hand Dynamometer

    Jamar Hand Dynamometer, from Illinois, USA. Maximum handgrip strength was measured three times, with each measurement lasting 3 seconds and a 1-minute interval between tests

06

What researchers measure

Primary outcomes

  1. portal pressure

    Time frame: through study completion, an average of 3 minutes

  2. left gastric vein pressure

    Time frame: through study completion, an average of 3 minutes

  3. portal flow velocity

    Time frame: Before the handgrip strength test, and during the maximum handgrip strength phase, measurements were conducted at intervals of 15 seconds, 30 seconds, 45 seconds, and 60 seconds after the release of strength related to the HGS

  4. Portal vein blood flow direction

    Time frame: Before the handgrip strength test, and during the maximum handgrip strength phase, measurements were conducted at intervals of 15 seconds, 30 seconds, 45 seconds, and 60 seconds after the release of strength related to the HGS

  5. Blood flow velocity in esophageal varices

    Time frame: through study completion, an average of 3 minutes

  6. Blood flow direction of esophageal varices

    Time frame: through study completion, an average of 3 minutes

  7. Diameter of esophageal varices

    Time frame: through study completion, an average of 3 minutes

  8. Heart rate

    Time frame: through study completion, an average of 3 minutes

  9. blood pressure

    Time frame: through study completion, an average of 3 minutes

Secondary outcomes

  1. Serum albumin

    Time frame: Baseline

  2. Prothrombin time

    Time frame: Baseline

  3. triglyceride

    Time frame: Baseline

  4. Total cholesterol

    Time frame: Baseline

  5. Fasting blood glucose

    Time frame: Baseline

  6. Serum creatinine

    Time frame: Baseline

  7. Platelet count

    Time frame: Baseline

  8. Serum potassium

    Time frame: Baseline

  9. Serum sodium

    Time frame: Baseline

  10. Serum chloride

    Time frame: Baseline

  11. alanine aminotransferase

    Time frame: Baseline

  12. aspartate aminotransferase

    Time frame: Baseline

  13. Total bilirubin

    Time frame: Baseline

  14. height

    Time frame: Baseline

  15. weight

    Time frame: Baseline

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The way of sharing IPD: Sharing and email consultation will begin after December 31, 2026. Data collection and Management: Case record forms and electronic data captures.

Supporting information: Study protocol

Time frame: Sharing and email consultation will begin after December 31, 2026.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2025 (actual). Primary completion is estimated for Aug 2027, 23 months after the start.

Of 206 non-industry interventional studies with no phase under Liver Cirrhosis, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 73. This study's planned 23 months is below that.

Counting every sponsor, half of 215 studies reached it within 32 months; a quarter within 17 and three quarters within 54.

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

Registered
Jul 28, 2025
First posted
Aug 11, 2025
StartActual
Aug 17, 2025
Primary completionEst.
Aug 15, 2027
CompletionEst.
Aug 15, 2027
Last update
Sep 15, 2026
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 Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07116096
Lead sponsor
Shanxi Provincial People's Hospital
Collaborators
The First Affiliated Hospital of Shanxi Medical University, The Third People's Hospital of Taiyuan, The First Affiliated Hospital of Henan University of Science and Technology
Responsible party
Sponsor
First posted
Aug 11, 2025
Start date
Aug 17, 2025
Primary completion
Aug 15, 2027 (estimated)
Completion
Aug 15, 2027 (estimated)
Last update
Sep 15, 2026

Study contacts

Mingyuan Zhao, M.D.
Contact
zmy255255@163.com
+86 134 8537 1098

Oversight

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

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