Hepatocellular Carcinoma Early Detection Strategy Study

Overview

About this study

The purpose of this study is to evaluate the usefulness of new markers found in blood that might help to diagnose of liver cancer (HCC) early among people with cirrhosis. We hope that this study will show that these new markers could identify HCC at an earlier stage where better treatment options are available.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria

Eligibility criteria for controls are:

  •  Able and willing to provide written informed consent
  •  Age > 18 years of age
  •  Albumin, Bilirubin, Creatinine and INR (used to calculate MELD and Child Class) lab result date within 6 months prior to consent OR up to 2 weeks after consent
  •  Ultrasound or other imaging within 6 months prior to consent OR up to 2 weeks after consent showing no liver mass
  •  Diagnosis of cirrhosis based one or more of the following:

o Histology

o US, MRI or CT showing cirrhotic appearing liver with splenomegaly and platelet count of < 120 mm-3

o Elastography, done by ultrasound or MRI showing a cirrhotic liver

o A FibroTest result of F4 (stage 4), indicating cirrhosis

o Varices on endoscopy or an abdominal imaging test AND presence of chronic liver disease

  •  MELD < 15 OR INR is < 1.5, Total Bilirubin is < 1.7 and patient has a history of intrinsic renal disease

Exclusion Criteria

  •  Clinical evidence of significant hepatic decompensation

o Refractory ascites

o Grade 3-4 encephalopathy

o Hepatorenal syndrome

o Child Class C

  •  Listed for liver transplantation and noted for an "exception"
  •  Known AIDS related diseases
  •  Detection of HCC at initial evaluation
  •  Significant co-morbid medical conditions with life expectancy less than one year
  •  Cancer history within the last 5 years (excluding non-melanoma skin cancer)
  •  Need for long-term immunosuppressive therapy for solid organ transplant
  •  Prior solid organ transplant

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status

Rochester, Minn.

Mayo Clinic principal investigator

Lewis Roberts, M.B., Ch.B., Ph.D.

Closed for enrollment

More information

Publications

Publications are currently not available

Additional contact information

Cancer-related trials contact form

Phone: 855-776-0015 (toll-free)

International patient clinical studies questions