EUS Guided Liver Biopsy - Will it Give Better Yield, More Tissue With Less Complication?

NCT ID: NCT04235855

Last Updated: 2022-01-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-31

Study Completion Date

2022-01-01

Brief Summary

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Liver biopsy would be done by Endoscopic Ultrasound using Acquire needle.

Detailed Description

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In this study, we aim to evaluate the tissue adequacy of EUS guided liver biopsy for parenchymal liver disease and to evaluate if diagnostic yield of left lobe is non-inferior to right lobe biopsies and to assess if combination biopsies have better yield than single lobe biopsies. Safety of the procedure and technical success would be noted.

The data would be analysed using SPSS software and needful variables and tests would be used as per statistical requirement.

Conditions

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NAFLD Alcoholic Hepatitis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

All liver biopsies done in the Institute as routine procedure by percutaneous route would be compared with the EUS guided biopsy in respect to safety , tissue quality and diagnostic yield.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Outcome Assessors
The biopsy specimens would be reported independently by two pathologists who would be masked to the source of tissue ( right/ left lobe ).

Study Groups

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Endoscopic USG guided Liver biopsy

Olympus linear echo endoscope (GF -UCT 180, Olympus Ltde, Tkyo, Japan) will be used. 19 Gz EUS Acquire needle Boston ©Scientific Corp will be used for liver tissue acquisition.

Group Type EXPERIMENTAL

Endoscopic USG guided Liver biopsy

Intervention Type DEVICE

Diagnostic yield with EUS guided liver biopsy - Left lobe Bx vs combined right and left lobe or vs right lobe would be assessed.

Percutaneous Liver biopsy

All liver biopsies done in the Institute as routine procedure by percutaneous route would be compared with the EUS guided biopsy in respect to safety , tissue quality and diagnostic yield .

Group Type ACTIVE_COMPARATOR

Percutaneous Liver Biopsy

Intervention Type DEVICE

All liver biopsies done in the Institute as routine procedure by percutaneous route would be compared with the EUS guided biopsy in respect to safety , tissue quality and diagnostic yield .

Interventions

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Endoscopic USG guided Liver biopsy

Diagnostic yield with EUS guided liver biopsy - Left lobe Bx vs combined right and left lobe or vs right lobe would be assessed.

Intervention Type DEVICE

Percutaneous Liver Biopsy

All liver biopsies done in the Institute as routine procedure by percutaneous route would be compared with the EUS guided biopsy in respect to safety , tissue quality and diagnostic yield .

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients of any undiagnosed hepatic disease (after extensive investigation - serological as well as imaging) requiring a liver biopsy
* Patients of NAFLD who need liver biopsy
* Alcoholic hepatitis patients needing biopsy
* Any patient with unexplained transaminesemia \> 1.5 times ULN needing a liver biopsy as advised by Hepatologist

Exclusion Criteria

* Any liver Space occupying lesion suspicious of malignancy
* Platelet count \<80,000
* INR \> 1.5
* Pregnancy
* Severe cardiovascular and pulmonary diseases
* Recent use of anti-platelet agents within 5 days of the procedure
* Unwilling to provide informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asian Institute of Gastroenterology, India

OTHER

Sponsor Role lead

Responsible Party

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Dr Mithun Sharma

Consultant Hepatologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Asian Institute of Gastroenterology Hospitals

Hyderabad, Telangana, India

Site Status

Countries

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India

References

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Gor N, Salem SB, Jakate S, Patel R, Shah N, Patil A. Histological adequacy of EUS-guided liver biopsy when using a 19-gauge non-Tru-Cut FNA needle. Gastrointest Endosc. 2014 Jan;79(1):170-2. doi: 10.1016/j.gie.2013.06.031. Epub 2013 Jul 31. No abstract available.

Reference Type BACKGROUND
PMID: 23916397 (View on PubMed)

Dewitt J, McGreevy K, Cummings O, Sherman S, Leblanc JK, McHenry L, Al-Haddad M, Chalasani N. Initial experience with EUS-guided Tru-cut biopsy of benign liver disease. Gastrointest Endosc. 2009 Mar;69(3 Pt 1):535-42. doi: 10.1016/j.gie.2008.09.056.

Reference Type BACKGROUND
PMID: 19231495 (View on PubMed)

Schulman AR, Thompson CC, Odze R, Chan WW, Ryou M. Optimizing EUS-guided liver biopsy sampling: comprehensive assessment of needle types and tissue acquisition techniques. Gastrointest Endosc. 2017 Feb;85(2):419-426. doi: 10.1016/j.gie.2016.07.065. Epub 2016 Aug 13.

Reference Type BACKGROUND
PMID: 27530070 (View on PubMed)

Other Identifiers

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ECR/346/Inst/AP/2013/RR-19

Identifier Type: -

Identifier Source: org_study_id

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