- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04539717
FAST (Focused Abbreviated Screening Technique)-MRI Study
Abbreviated MRI for HCC Screening in Cirrhotic Patients (FAST-MRI Study)
Study Overview
Status
Conditions
Detailed Description
Hepatocellular carcinoma (HCC) is the fastest growing cause of cancer death in the United States and now kills over 30,000 Americans annually. To reduce the morbidity and mortality caused by this aggressive cancer, current practice guidelines recommend semi-annual abdominal ultrasound in adults with cirrhosis, the leading risk factor for HCC, to detect HCC nodules when they are small and treatable. Unfortunately, US has poor sensitivity for early-stage HCC in cirrhosis, failing to detect treatable cancer in over half of affected patients. Alternatives such as computed tomography (CT) or magnetic resonance imaging (MRI) are also not ideal due to ionizing radiation (CT), higher cost (MRI), or long exam time (~30-45 min for MRI). An optimal and fast HCC screening method is urgently needed and should be more sensitive and cost-effective than US and avoid ionizing radiation.
This is a prospective cross-sectional single arm non randomized multicenter study enrolling in 4 American centers as follows: Icahn School of Medicine at Mount Sinai-ISMMS, University of California San Diego-UCSD, University of Wisconsin-UW, and Duke University. The composite reference standard will incorporate the clinical results of the full baseline MRI exam and of subsequent imaging and pathology data collected over the next 6 months. Routine clinical follow-up imaging at 6 months will be observed. Patients will then be classified as positive for HCC, negative for HCC, or excluded.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
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New York
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria
- Liver cirrhosis of any etiology.
- 18 years of age and older.
- Enrolled in screening/surveillance program for HCC.
- Clinically indicated imaging-based screening for HCC.
- Willing and able to complete all study procedures within specified time windows.
- Patient is able to give informed consent for this study.
Exclusion Criteria
- Contra-indications to MRI.
- Age less than 18 years.
- Patients with chronic renal failure or inability to tolerate contrast.
- Inability to undergo MRI due to lack of insurance coverage.
- Prior negative screening exam less than 5 months prior to enrollment.
- Prior hepatic resection.
- Post liver transplantation.
- Previously treated HCC or other liver neoplasm.
- Any other condition or factor that in judgment of study investigator may interfere with study completion.
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Presence of HCC
Time Frame: Within 6 months after initial index imaging (MRI & US)
|
The presence of HCC will be determined by a composite reference standard.
This composite reference standard incorporates the results of the complete MRI exam, pathology, and clinical follow-up.
|
Within 6 months after initial index imaging (MRI & US)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Circulating tumor DNA (ctDNA)
Time Frame: Within 1 year of blood processing
|
Within 1 year of blood processing
|
|
Serum AFP
Time Frame: Within 1 year of blood processing
|
Serum Alpha-Fetoprotein
|
Within 1 year of blood processing
|
Cost-effectiveness
Time Frame: Within 1 year after initial index imaging (MRI & US).
|
The cost-effectiveness will be assessed using a micro simulation model.
|
Within 1 year after initial index imaging (MRI & US).
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Bachir Taouli, Icahn School of Medicine at Mount Sinai
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- GCO 19-1409
- 1R01CA249765-01 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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