About this trial
The main objective of this cohort study is to determine genetic, clinical biologic and metabolic factors associated with patient heterogeneity in regards to severity of NAFLD at diagnosis as well as during the clinical course.
* at diagnosis, with the aim to better characterize patients of different severity and improve our understanding of clinical and histological heterogeneity at diagnosis * during the clinical course to better understand and predict disease progression in terms notably of fibrosis progression and progression to cirrhosis
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years
Patients with a confirmed diagnosis of NAFLD
Patients affiliated to French social security
Written informed consent signed by the patient
Disqualifiers
Refusal or inability (lack of capacity) to give informed consent.
Average alcohol ingestion greater than 21/14 units/week (males/females) in the preceding 6 months or history of sustained excessive consumption of alcohol in past 5 years.
History or presence of Type 1 diabetes mellitus.
Presence of any other form of chronic liver disease except NAFLD
Trial design
Single group
Treatments tested in this trial
Biological specimens
Other interventionBiological specimens are collected to better characterize patients of different severity and improve our understanding of clinical and histological heterogeneity at diagnosis : * added for the research : blood, urine, stools * collected for the research : liver tissue sample, if a liver biopsy is indicated for clinical reasons (standard of care)
Additional visit
Other interventionVisits if possible during standard care, otherwise added by the research (If necessary the annual visit will be added by research for the collection of biological samples)
Treatment groups
Trial outcomes
Primary outcomes
Disease severity
The disease severity defined by the fibrosis stage on liver biopsy according to the semi-quantitative histological classification of NASH CRN.
Secondary outcomes
Ballooning grade
Lobular inflammation
Composite scores of Lobular inflammation (Ballooning and Inflammation)
Steatohepatitis
Presence or Absence
Cirrhosis
Cirrhosis defined by either : 1. stage 4 of histological classification of fibrosis on liver biopsy or 2. liver stiffness \>14 kPa by elastometry
Locations
Sponsors and contacts
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