About this trial
The primary objective of the SOPRANO study is to compare two blood fibrosis tests, the eLIFT and the FibroMeter, for the screening of advanced liver fibrosis in patients with NAFLD and/or ALD from primary care centers.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Excessive alcohol consumption: higher than 210 g / week (men), or 140 g / week (women)
Type 2 diabetes
at least 2 metabolic factors among BMI higher than or equal to 25 kg / m 2; Elevated blood pressure (antihypertensive drug, or systolic blood pressure higher than or equal to 130mmHg, or diastolic blood pressure higher than or equal to 85mmHg), Dyslipidemia (lipid-lowering drug, or HDL cholesterol lower to 40mg/dl (men) / 50mg/dl (women), or triglycerides higher than or equal to150mg/dl); Hyperferritinemia (higher than upper limit of normal from the laboratory)
Bright liver at ultrasonography without steatosis-inducing drug(systemic corticosteroids, tamoxifen, amiodarone, methotrexate)
Disqualifiers
Already ongoing specialized follow-up for a chronic liver disease
Altered health status with poor short-term prognosis, not compatible with a screening procedure
Decompensated cirrhosis (hepatic encephalopathy, jaundice, ascites, variceal bleeding, hepatorenal syndrome)
Acute infection
Trial design
Single group
Treatments tested in this trial
eLIFT
Diagnostic testDiagnostic procedure: elastography devices, blood tests (e-LIFT + Fibrometer), liver biopsy if necessary (elastometry ≥ 8 kPa and \< 15 kPa)
Treatment groups
Trial outcomes
Primary outcomes
Sensitivity of the eLIFT test for advanced liver fibrosis
Rate of patients with advanced liver fibrosis correctly identified by the eLIFT test
Sensitivity of the Fibrometer test for advanced liver fibrosis
Rate of patients with advanced liver fibrosis correctly identified by the Fibrometer test
Secondary outcomes
rate of patients referred to the specialist following the screening procedure, with eLIFT test
Rate of patients with positive screening test (eLIFT ≥8)
rate of patients referred to the specialist following the screening procedure, with FibroMeter test
Rate of patients with positive screening test (FibroMeter ≥0.46)
Rate of "unnecessary referrals" to the specialist with eLIFT test
Rate of patients with positive screening test (eLIFT ≥8) but without final diagnosis of ALF
Rate of "unnecessary referrals" to the specialist with Fibrometer test
Rate of patients with positive screening test (FibroMeter ≥0.46) but without final diagnosis of ALF
Sponsors and contacts
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