Clinical trial NCT04576923: Quantitative Ultrasound With Liver Incytes for Evaluation of Non-Alcoholic Fatty Liver Disease
Official title: Quantitative Ultrasound With Liver Incytes for Evaluation of Non-Alcoholic Fatty Liver Disease
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: NAFLD
NASH - Nonalcoholic Steatohepatitis
Lead sponsor: Indiana University
Sponsor class: OTHER
Collaborators: name: Sonic Incytes
First posted: 2020-10-06
Enrollment: 36
Sex: ALL
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: All participants will undergo quantitative ultrasound with Liver Incytes by a certified technician.
Primary purpose: DIAGNOSTIC

Brief summary: The purpose of this study is to prospectively evaluate the utility of Liver Incytes in assessing NAFLD with or without advanced fibrosis in patients seen in liver clinics for suspected NAFLD diagnosis.

Detailed description: The proposed study will evaluate the performance characteristics of LSM as a measure of fibrosis and ACE as a measure of hepatic steatosis by Liver Incytes in patients with different stages of NAFLD. In addition, the diagnostic accuracy of ACE will be compared to CAP and LSM as measured by Liver Incytes to that measured by FibroScan® using liver histology as the reference standard. The performance of these two methods will also be compared to that of non-invasive blood based markers such as APRI, FIB4, and NAFLD fibrosis score in predicting advanced fibrosis in biopsy proven NAFLD.

Eligibility criteria: Inclusion Criteria:

1. Adults aged 21 years or older
2. Suspected NAFLD or NASH with plans to undergo standard of care liver biopsy
3. History of biopsy proven NAFLD or NASH within 6 months prior to enrollment
4. Planned liver biopsy for evaluation of NAFLD within 6 months of enrollment
5. Ability to provide informed consent

Exclusion Criteria:

1. Fasting for less than three hours prior to the scan
2. Subject is a pregnant or lactating female
3. Subject with current, significant alcohol consumption or history of significant alcohol consumption for a period of more than 3 consecutive months any time within 1 year prior to screening. Significant alcohol consumption is defined as more than 20 gram per day in females and more than 30 grams per day in males, on average (a standard drink in the US is considered to be 14 grams of alcohol).
4. Subject is unable to reliably quantify alcohol consumption based upon local study physician judgment.
5. Subject uses drugs historically associated with NAFLD (amiodarone, methotrexate, systemic glucocorticoids, tetracyclines, tamoxifen, estrogens at doses greater than those used for hormone replacement, anabolic steroids, valproic acid, and other known hepatotoxins) for more than 2 weeks in the year prior to screening
6. Subject with history of cirrhosis or clinical evidence of hepatic decompensation as defined by the presence of any of the following abnormalities at screening

   1. Serum albumin less than 3.5 grams/deciliter (g/dL).
   2. INR greater than 1.5.
   3. Direct bilirubin greater than 1.3 milligrams per deciliter (mg/dL).
7. Subject has a history of bleeding esophageal varices, ascites or hepatic encephalopathy
8. Subject has history of other forms of chronic liver diseases such as viral hepatitis, autoimmune hepatitis, cholestatic liver disease (primary biliary cirrhosis or primary sclerosing cholangitis).
9. Subject with active substance abuse
10. Acute hepatitis defined as AST/ALT \> 500 U/L
11. Patients with a pacemaker or defibrillator
12. Ascites

Primary outcomes:
measure: Liver Stiffness Measured by Velacur
timeFrame: one day
measure: Liver Stiffness Measured by Transient Elastography
timeFrame: one day
Secondary outcomes:
Other outcomes:
measure: Correlation of Velacur Measurements to Non-Invasive Blood Markers for Predicting Advanced Fibrosis
timeFrame: one day
Locations:
city: Indianapolis
country: United States
facility: Indiana University Division of Gastroenterolgy and Hepatology
state: Indiana
Study officials:
affiliation: Indiana University School of Medicine
name: Samer Gawrieh, MD
role: PRINCIPAL_INVESTIGATOR
References: