RecruitingPhase 4NCT06084234

National Liver Cancer Screening Trial


Sponsor

University of Texas Southwestern Medical Center

Enrollment

5,500 participants

Start Date

Dec 26, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The National Liver Cancer Screening Trial is an adaptive randomized phase IV Trial comparing ultrasound-based versus biomarker-based screening in 5500 patients with cirrhosis from any etiology or patients with chronic hepatitis B infection. Eligible patients will be randomized in a 1:1 fashion to Arm A using semi-annual ultrasound and AFP-based screening or Arm B using semi-annual screening using GALAD alone. Randomization will be stratified by sex, enrolling site, Child Pugh class (A vs. B), and HCC etiology (viral vs. non-viral). Patients will be recruited from 15 sites (mix of tertiary care and large community health systems) over a 3-year period, and the primary endpoint of the phase IV trial, reduction in late-stage HCC, will be assessed after 5.5 years.


Eligibility

Min Age: 18 YearsMax Age: 85 Years

Plain Language Summary

Simplified for easier understanding

This trial compares different liver cancer screening methods in people with cirrhosis or chronic hepatitis B to find which approach detects liver cancer earliest and most accurately. **You may be eligible if...** - You are between 18 and 85 years old - You have cirrhosis (from any cause) or chronic hepatitis B with a higher-risk PAGE-B score - Your doctor considers you eligible for liver cancer surveillance - Your life expectancy is more than 6 months **You may NOT be eligible if...** - You have very advanced cirrhosis (Child-Pugh C) - You have a history or current symptoms of liver cancer or bile duct cancer - You have certain liver imaging findings that suggest possible cancer - You have another active cancer (other than non-melanoma skin cancer) - Your doctor plans to use MRI as your standard surveillance method Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DIAGNOSTIC_TESTGALAD

GALAD is a 3 biomarker panel incorporating AFP, AFP-L3% and DCP (all FDA approved), with patient age and sex.

DIAGNOSTIC_TESTLiver Ultrasound with or without AFP

This intervention consists of current standard of care ultrasound based surveillance with or without alpha-fetoprotein measurement.


Locations(18)

University of Southern California

Los Angeles, California, United States

Stanford University

Redwood City, California, United States

Kaiser Permanente

Roseville, California, United States

University of California, San Francisco

San Francisco, California, United States

Northwestern University

Chicago, Illinois, United States

Indiana University

Indianapolis, Indiana, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

University of Michigan

Ann Arbor, Michigan, United States

Henry Ford Health System

Detroit, Michigan, United States

Hennepin Healthcare

Minneapolis, Minnesota, United States

University of Minnesota

Minneapolis, Minnesota, United States

The Feinstein Institutes, Northwell Health, Inc.

Manhasset, New York, United States

University of North Carolina

Chapel Hill, North Carolina, United States

Case Western Reserve University

Cleveland, Ohio, United States

University of Pennsylvania

Philadelphia, Pennsylvania, United States

UT Southwestern Medical Center and Parkland Hospital

Dallas, Texas, United States

Baylor College of Medicine

Houston, Texas, United States

Virginia Commonwealth University

Richmond, Virginia, United States

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT06084234


Related Trials