Baveno VI Criteria in Dynamic Monitoring of High-risk Varices in Compensated Cirrhotic Patients

NCT ID: NCT05538546

Last Updated: 2022-09-14

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

UNKNOWN

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-09-30

Study Completion Date

2023-12-31

Brief Summary

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Patients meet Baveno VI criteria (with a liver stiffness \<20kPa and with a platelet count \>150,000 are considered to have very low risk of having varices requiring treatment, but whether these patients can be followed up by repetition of this criteria lacks sufficient evidence. This study aimed to assess the value of Baveno VI criteria for following up and monitoring of varices needing treatment in patients with compensated cirrhosis.

Detailed Description

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Conditions

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Cirrhosis Varices Non-invasive Evaluation

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cohort 1

Population: Patients meet Baveno VI criteria (with a liver stiffness \<20kPa and with a platelet count \>150,000) at baseline.

Complete blood count

Intervention Type DIAGNOSTIC_TEST

Complete blood count will be conducted at 12th month and 24th month from baseline.

Transient elastrography

Intervention Type DIAGNOSTIC_TEST

Transient elastrography, and endoscopy will be conducted at 12th month and 24th month from baseline.

Endoscopy

Intervention Type DIAGNOSTIC_TEST

Endoscopy will be conducted at 12th month and 24th month from baseline.

Cohort 2

Population: Patients don't meet Baveno VI criteria (with a liver stiffness ≥ 20kPa or with a platelet count ≤150,000) at baseline, but don't have varices requiring treatment (proved by endoscopy at baseline)

Complete blood count

Intervention Type DIAGNOSTIC_TEST

Complete blood count will be conducted at 12th month and 24th month from baseline.

Transient elastrography

Intervention Type DIAGNOSTIC_TEST

Transient elastrography, and endoscopy will be conducted at 12th month and 24th month from baseline.

Endoscopy

Intervention Type DIAGNOSTIC_TEST

Endoscopy will be conducted at 12th month and 24th month from baseline.

Interventions

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Complete blood count

Complete blood count will be conducted at 12th month and 24th month from baseline.

Intervention Type DIAGNOSTIC_TEST

Transient elastrography

Transient elastrography, and endoscopy will be conducted at 12th month and 24th month from baseline.

Intervention Type DIAGNOSTIC_TEST

Endoscopy

Endoscopy will be conducted at 12th month and 24th month from baseline.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Patients with liver cirrhosis diagnosed according to clinical or pathological criteria;
2. No decompensation events in the past, no ascites shown by ultrasound, no significant abnormality in liver function and coagulation function;
3. Willing to carry out routine diagnosis and treatment evaluation and follow-up liver stiffness test and gastroscopy;
4. Patients meet Baveno VI criteria (with a liver stiffness \<20kPa and with a platelet count \>150,000) at baseline, or patients don't meet Baveno VI criteria (with a liver stiffness ≥ 20kPa or with a platelet count ≤150,000) at baseline, but don't have varices requiring treatment (proved by endoscopy).
5. Voluntarily signed the informed consent.

Exclusion Criteria

1. Patients with liver carcinoma;
2. Patients with portal vein thrombosis;
3. Patients with varices requiring treatment confirmed by gastroscopy during the screening period;
4. Patients who have received propranolol, ligation, sclerosis, splenectomy, transcatheter splenic arterial embolization, transjugular interhepatic portosystemicstent-shunt and other treatments to decrease portal hypertension in the past.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fifth Hospital of Shijiazhuang City

OTHER

Sponsor Role collaborator

The Sixth Hospital of Qingdao

UNKNOWN

Sponsor Role collaborator

The Sixth Hospital of Dalian

UNKNOWN

Sponsor Role collaborator

The Third People's Hospital of Taiyuan

OTHER

Sponsor Role collaborator

The Fourth People's Hospital of Qinghai Province

OTHER

Sponsor Role collaborator

Affiliated Hospital of Nanjing University of Chinese Medicine

OTHER

Sponsor Role collaborator

The Fifth People's Hospital of Wuxi Affiliated Hospital of Jiangnan University

UNKNOWN

Sponsor Role collaborator

Beilun Hospital of Chinese Medicine

UNKNOWN

Sponsor Role collaborator

Gansu Wuwei Tumor Hospital

OTHER

Sponsor Role collaborator

The Affiliated Hospital of Xuzhou Medical University

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Fujian Medical University

OTHER

Sponsor Role collaborator

The Third People's Hospital of Linfen City

UNKNOWN

Sponsor Role collaborator

The First Affiliated Hospital of Xian Jiaotong University

UNKNOWN

Sponsor Role collaborator

The Third Affiliated Hospital of Hebei Medical University

UNKNOWN

Sponsor Role collaborator

The First Affiliated Hospital of Anhui Medical University

OTHER

Sponsor Role collaborator

Liuzhou Workers' Hospital

OTHER_GOV

Sponsor Role collaborator

The First People's Hospital of Taicang

UNKNOWN

Sponsor Role collaborator

Xinjiang Hospital of Chinese Medicine

UNKNOWN

Sponsor Role collaborator

Taizhou People's Hospital

UNKNOWN

Sponsor Role collaborator

Shenzhen Third People's Hospital

OTHER

Sponsor Role collaborator

Huashan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Wen-hong Zhang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Qiran Zhang

Role: CONTACT

+8618800245704

Other Identifiers

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OASIS-CHESS

Identifier Type: -

Identifier Source: org_study_id

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