About this trial
This study looks to gather data on hepatomiR, a CE-certified test already intended for gauging liver-related outcomes, in order to define a cut-off regarding specific decompensation events (ascites, variceal hemorrhage, hepatic encephalopathy) in chronic liver disease (CLD). Based on these data, it is aimed to advance the current understanding of factors driving decompensation, with potential repercussions for future risk management and therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
Chronic liver disease (more than 6 months)
LSM ≥ 10 kPa
Outpatient at the Clinical Department of Internal Medicine II, University Hospital St. Pölten
Disqualifiers
Age older than 18 years
Pregnancy
Primary hepatic malignancy (hepatocellular carcinoma, cholangiocarcinoma) with portal invasion and/or extrahepatic spread
Trial population
The study population is made up of patients with compensated advanced chronic liver disease (cACLD) regardless of etiology; cACLD will be defined as per the Baveno VII consensus (LSM values: ≥ 10 kPa ACLD, less than 10 kPa non-ACLD).
Trial design
Cohort
Prospective
Treatments tested in this trial
hepatomiR
Diagnostic testhepatomiR is a CE-certified test intended for gauging liver-related outcomes. It quantifies the levels of hsa-miR-122-5p, hsa-miR-192-5p, and hsa-miR-151a-5p in human plasma samples. A proprietary algorithm is then used to compute a liver function score (hepatomiR p-score).
Treatment groups
Trial outcomes
Primary outcomes
Occurrence of any hepatic decompensation event (per patient)
Any (further) hepatic decompensation event (compound endpoint; Baveno VII definition; ascites, variceal bleeding, hepatic encephalopathy)
Secondary outcomes
Number and type of individual decompensation events (per patient)
Number of hospital admissions (per patient)
Number of acute on chronic liver failure events (per patient)
EF-CLIF (European Association for the Study of the Liver - Chronic Liver Failure) definition, CLIF-C (chronic liver failure score) ACLF (acute on chronic liver failure) grading
Number of ICU (intensive care unit) admissions (per patient)
Sponsors and contacts
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Karl Landsteiner University of Health Sciences
Lead sponsor
University Hospital St. Polten
Collaborator