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Non-Invasive Quantification of Liver Health in NASH (N-QUAN)

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ClinicalTrials.gov Identifier: NCT04054310
Recruitment Status : Recruiting
First Posted : August 13, 2019
Last Update Posted : April 25, 2022
Information provided by (Responsible Party):

Brief Summary:
To evaluate, in patients with suspected NASH referred for liver biopsy, the diagnostic performance of CT1 at discriminating those with NAS≥4 & F≥2 from those without.

Condition or disease Intervention/treatment Phase
NASH - Nonalcoholic Steatohepatitis Diagnostic Test: Liver Multi Scan Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 225 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Non-Invasive Quantification of Liver Health in NASH (N-QUAN): A Prospective Diagnostic Accuracy Study
Actual Study Start Date : August 5, 2020
Estimated Primary Completion Date : June 30, 2022
Estimated Study Completion Date : June 30, 2022

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Biopsy

Arm Intervention/treatment
Experimental: Study-gate
Single arm of biopsy naïve participants suspected of having NAFLD or NASH, who have been referred for a liver biopsy as part of routine clinical care
Diagnostic Test: Liver Multi Scan
MRI to create cT1, T2* and PDFF images of patients liver.
Other Name: Biopsy

Primary Outcome Measures :
  1. Diagnostic performance of cT1 [ Time Frame: 12 months ]
    To evaluate, in patients with suspected Nash referred for Liver biopsy, the diagnostic performance of cT1 at discriminating those patients with NAS≥4 & F≥2 from those patients without. In order to evaluate the diagnostic performance area under the receiver operative curve (AUROC) will be analysised.

Secondary Outcome Measures :
  1. Diagnostics performance of PDFF [ Time Frame: 12 months ]
    To evaluate, inpatients with suspected NASH referred for liver biopsy, the diagnostic performance of PDFF at discriminating those with NAS≥4 from those without, and those with Brunt Steatosis≥2 from those without. The diagnostic performance will be determined using area under the receiver operative curve (AUROC) analysis.

  2. Correlation between cT1 and hisopathological features [ Time Frame: 12 months ]
    To assess the correlation between cT1 and histopathological features of NASH and PDFF and histopathological features of NASH. The correlations will be explored using Spearman's Rho

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Male and Female subjects aged between 18 and 75 years old
  • Ability to understand and sign a written informed consent forms
  • Patients scheduled to undergo a standard of care diagnostic liver biopsy as follows
  • Percutaneous biopsy with a 16 gauged needle passed into the right lobe
  • Trans-jugular biopsy with an 18 gauged needle passed into the right lobe
  • Patients who are suspected of having NAFLD, who are being considered for treatment, and presenting with two or more of the following risk factors for NASH
  • Elevated liver enzymes (ALT≥40)
  • BMI≥25kG/m^2
  • Hypertension
  • Type II diabetes
  • Dyslipidameia
  • Low High-density lipoprotein (HDL) (<40mg/dl in men or <50mg/dl in women)
  • Hypertriglyceridemia (≥150mg/dl)
  • Hypercholestrolemia (≥200mg/dl)
  • Triglycerides (TG)/HDL>5.0

Exclusion Criteria:

  • Prior histopathological diagnosis of NASH
  • Inability to undergo a liver biopsy
  • Prior or planned liver transplantation
  • Patient scheduled to undergo a laparoscopic or wedge liver biopsy or biopsy taken from the left lobe
  • Participation in an investigational new drug (IND) trial in the 30 days before enrolment
  • Other known causes of chronic liver disease based on clinical criteria at the study site such as the following:
  • Alcoholic liver disease
  • Primary biliary cirrhosis
  • Primary sclerosing cholangitis
  • Autoimmune Hepatitis
  • Wilson's disease, hemochromatosis, iron overload
  • Alpha/1/Antitrypsin (A1AT) deficiency
  • HCV, HBV
  • History or diagnosis of cirrhosis and or hepatic decompensation including ascites, hepatic encephalopathy or variceal bleeding
  • Clinically relevant drug or alcohol abuse within 12 months of screening
  • Any contradiction or significant limitation to MRI scanning
  • Claustrophobia preventing MR imaging (requires 15-30 minutes in scanning)
  • Pacemaker or another implanted device
  • Metal in body (such as an aneurysm clip) that might produce artefacts on abdominal MRI or might be adversely impacted by a high magnetic field
  • Inability to lie flat, remain still or briefly hold breath as necessary during MR imaging
  • Medical condition likely to produce significant hypervolemia like congestive heart failure
  • Severe obesity complicating positioning in MR scanner
  • Weight reduction surgery within 3 years
  • Concomitant medical illnesses per investigators discretion (such as HIV infection, recent major surgery, uncontrolled heart disease, concurrent infection or fever of unknown origin, illicit drug use, cancer
  • Clinically significant medical or psychiatric condition considered a high risk participation in an investigational study
  • Failure to give informed consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04054310

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Contact: Velko Tonev, BSc. 01865655343 velko.tonev@perspectum.com

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United States, New York
Icahn School of Medicine at Mount Sinai Recruiting
New York, New York, United States, 10029
Contact: Elianna Sanchez       elianna.sanchez@mssm.edu   
Principal Investigator: Douglas Dieterich         
United States, Texas
Liver Center of Texas Recruiting
Dallas, Texas, United States, 75234
Contact: Ariela Moreno       Ariela@livercenteroftexas.com   
Principal Investigator: Abdullah Mubarak         
United States, Virginia
University of Virginia Recruiting
Charlottesville, Virginia, United States, 22908
Contact: Cheree Denbee       cjd4a@hscmail.mcc.virginia.edu   
Principal Investigator: Zachary Henry         
Virginia Common wealth University Recruiting
Richmond, Virginia, United States, 23284
Contact: Arun Sanyal, MD    804-828-4060    arun.sanyal@vcuhealth.org   
Contact: Rebecca Collen, BSC    8048280100    rebeccs.collen@vcuhealth.org   
Principal Investigator: Arun Sanyal         
Sponsors and Collaborators
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Principal Investigator: Arun Sanyal, M.D. VCU School of Medicine
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Responsible Party: Perspectum
ClinicalTrials.gov Identifier: NCT04054310    
Other Study ID Numbers: IIP137
First Posted: August 13, 2019    Key Record Dates
Last Update Posted: April 25, 2022
Last Verified: April 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: Yes
Product Manufactured in and Exported from the U.S.: No
Additional relevant MeSH terms:
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Fatty Liver
Non-alcoholic Fatty Liver Disease
Liver Diseases
Digestive System Diseases