The Detection of Small Early Liver Cancer With Natural History Follow up

NCT ID: NCT05534906

Last Updated: 2022-09-10

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

RECRUITING

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-05-23

Study Completion Date

2035-06-30

Brief Summary

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The SELINA study will recruit 200 patients with cirrhosis and small HCC and 50 patients with HCC but without cirrhosis (most of whom are expected to have FLD). Blood, urine and liver tissue samples (where available) will be collected for laboratory analysis. In a subgroup of patients (N=80, around 64 patients with HCC with liver cirrhosis and around 16 patients with HCC without liver cirrhosis), additional magnetic resonance liver imaging will be performed. The findings of the SELINA study aim to identify biomarkers that can be used to detect liver cancer at the earliest possible time, something we expect will increase the survival rate of HCC.

Detailed Description

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Conditions

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Hepatocellular Carcinoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Small HCC with Cirrhosis

200 patients diagnosed with small HCC (as defined in Eligibility Criteria) and cirrhosis

Blood & Urine Samples

Intervention Type OTHER

Blood and urine samples will be collected to help identify biomarkers that can be used to detect liver cancer at the earliest possible time

Small HCC without Cirrhosis

50 patients diagnosed with small HCC (as defined in Eligibility Criteria) but without cirrhosis

Blood & Urine Samples

Intervention Type OTHER

Blood and urine samples will be collected to help identify biomarkers that can be used to detect liver cancer at the earliest possible time

Imaging Subgroup

In a subgroup of patients (N=80, around 64 patients with HCC with liver cirrhosis and around 16 patients with HCC without liver cirrhosis), additional magnetic resonance liver imaging \& elastography will be performed

Imaging

Intervention Type OTHER

MRI \& MRE Scans

Interventions

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Blood & Urine Samples

Blood and urine samples will be collected to help identify biomarkers that can be used to detect liver cancer at the earliest possible time

Intervention Type OTHER

Imaging

MRI \& MRE Scans

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Participant is willing and able to give informed consent for participation in the study.
2. Male or Female aged 18 years or above.
3. Diagnosed with small HCC (Barcelona Clinic Liver Cancer Staging Criteria (BCLC) stage 0/A; 1-3 nodules \<3cm, preserved liver function, performance status 0) with liver cirrhosis from any aetiology
4. Diagnosed with small HCC (as above) and without cirrhosis
5. Diagnosis of small HCC shown or confirmed within 3 months of study Visit 1
6. Patients with a diagnosis of HCC that was fully ablated or resected more than 6 months ago and now presenting with a new diagnosis of HCC in a different site in the liver may be included in the study
7. Histological confirmation is required to establish the diagnosis of HCC in patients without cirrhosis (imaging alone is not considered sufficient to establish the diagnosis of HCC).

Exclusion Criteria

1. Patients judged by the investigator to be unsuitable for inclusion in the study (e.g. where the investigator feels that the participant will not be able to comply with the study procedures)
2. HCC with liver cirrhosis at BCLC stage B/C
4. Participants of the Pearl study
5. Patients who have had a previous diagnosis of HCC followed by therapy, and now have a recurrence at the same site in the liver
6. Patients who have received HCC specific therapy 3 months prior to study visit 1 (including resection, ablation \[microwave/radiofrequency\]), transarterial chemoembolization \[TACE\], select internal radiation therapy \[SIRT\] or stereotactic body radiation therapy \[SBRT\] 3, chemotherapy, immune modulators and other experimental therapies).


1\. Any contra-indication to Magnetic Resonance Imaging (MRI) (e.g. claustrophobia, metal implants/fragments, implants, pregnancy, other conditions the scanner operator deems unsafe for MR scanning).
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cancer Research UK

OTHER

Sponsor Role collaborator

Roche Diagnostic Ltd.

INDUSTRY

Sponsor Role collaborator

OncImmune Ltd

UNKNOWN

Sponsor Role collaborator

Perspectum

INDUSTRY

Sponsor Role collaborator

University of Nottingham

OTHER

Sponsor Role collaborator

Glasgow Caledonian University

OTHER

Sponsor Role collaborator

University of Oxford

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ellie Barnes

Role: PRINCIPAL_INVESTIGATOR

University of Oxford

Locations

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Hepatology Clinical Trial Unit, John Radcliffe Hospital

Oxford, Oxfordshire, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Clinical Study Coordinator

Role: CONTACT

Facility Contacts

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Eleanor Barnes, Prof

Role: primary

Related Links

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https://deliver.cancer.ox.ac.uk/

DeLIVER Project Website

Other Identifiers

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SELINA

Identifier Type: -

Identifier Source: org_study_id

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