Global Research Initiative for Patients Screening on MASH

NCT ID: NCT05651724

Last Updated: 2024-08-01

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

10000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-06-30

Study Completion Date

2031-03-31

Brief Summary

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GRIPonMASH will assist (primary) health care providers clinicians to implement the latest patient care pathway, as described by the European Association for the Study of the Liver (EASL), to identify patients at risk of severe metabolic dysfunction-associated steatotic liver disease (MASLD) and to raise awareness. The primary objective is to implement a transmural patient care pathway, in order to identify patients with MASLD and its progressive form metabolic dysfunction-associated steatohepatitis (MASH) in primary care centres and clinics in 10 European countries.

Detailed Description

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GRIPonMASH is an observational study in which 10.000 high risk patients (type 2 diabetes mellitus, metabolic syndrome, obesity or arterial hypertension) in 10 different European countries will be screened for the presence of MASLD, liver fibrosis and (at-rsik) MASH using at least two non-invasive tests (FIB-4 and FibroScan). Additional published and exploratory non-invasive test will also be investigated. Blood samples and liver biopsy material will be collected. Genomic, proteomic, metabolomic, lipidomic and fluxomic studies will be applied to gain a better understanding of the pathophysiology of MASLD and to identify (bio)markers that will help to detect patients at-risk. The predictive value of FIB-4 in relation to FibroScan results and liver biopsy will be analysed. Long-term follow-up of 5 years in all participants will provide insight into the natural history of the disease.

Conditions

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MASH MASLD MASH With Fibrosis Fibrosis, Liver Steatosis of Liver Type 2 Diabetes Obesity Metabolic Syndrome Arterial Hypertension

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed subjects should fulfil criteria for diagnosis of type 2 diabetes mellitus or metabolic syndrome or obesity or arterial hypertension, following the study definitions.
* Subjects that are currently being treated for type 2 diabetes mellitus or metabolic syndrome or obesity or arterial hypertension, should have had a prior diagnosis based on study definitions.

Study definitions:

Type 2 diabetes mellitus

* At least 2 times a fasting glucose \> 7,0 mmol/L
* Or elevated non-fasting glucose \>11,1 mmol/L 2 hrs after OGTT
* Or HbA1c ≥48 mmol/mol (≥6.5%)
* Or being actively treated for previously diagnosed type 2 diabetes by a health care provider

Obesity

* Body mass index (BMI) \> 30
* Or waist circumferences Caucasian: male ≥ 94 cm, female ≥ 80 cm South-Asian/Chinese: male ≥90 cm, female ≥80 cm Japanese: male ≥85 cm, female ≥90 cm

Arterial hypertension

* Systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg
* Or being actively treated for previously diagnosed arterial hypertension by a health care provider

Metabolic syndrome

\- Central obesity defined as waist circumference (see above), if BMI is \>30 kg/m2, central obesity can be assumed and waist circumference does not need to be measured

AND any two of the following:

* Raised triglycerides: ≥ 150 mg/dL (1.7 mmol/L), or specific treatment for this lipid abnormality
* Reduced HDL cholesterol: \< 40 mg/dL (1.03 mmol/L) in males, \< 50 mg/dL (1.29 mmol/L) in females, or specific treatment for this lipid abnormality
* Raised blood pressure (BP): systolic BP ≥ 130 or diastolic BP ≥ 85 mm Hg, or treatment of previously diagnosed hypertension
* Raised fasting plasma glucose (FPG): FGP ≥ 100 mg/dL (5.6 mmol/L), or previously diagnosed type 2 diabetes (if above \>5.6 mmol/L or 100 mg/dL, an oral glucose tolerance test is strongly recommended, but is not necessary to define presence of the syndrome)

Exclusion Criteria

* The patient is known with hepatitis B, C or HIV or any other liver condition (like hemochromatosis, sarcoidosis, Wilson's disease etc);
* The patient is known with any other condition that may lead to liver fibrosis or cirrhosis;
* The patient engages in (excessive) alcohol use: \> 3 units/day in males \[30 grams/day\] and \> 2 units/day in females \[20 grams/day\];
* The patient has a history or evidence of any other clinically significant condition or planned or expected procedure that in the opinion of the Investigator, may compromise the patient's safety or ability to be included in this study;
* The patient is an employee or contractor of the facility that is conducting the study or is a family member of the Investigator, sub-Investigator, or any Sponsor personnel;
* The patient is not able to understand the details of the protocol and/or is not able to provide written informed consent;
* The patient is pregnant or breastfeeding.
* The patient underwent bariatric surgery in the last 12 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UMC Utrecht

OTHER

Sponsor Role collaborator

Echosens

INDUSTRY

Sponsor Role collaborator

MIMETAS BV

UNKNOWN

Sponsor Role collaborator

Nordic Bioscience A/S

INDUSTRY

Sponsor Role collaborator

Elevate BV

UNKNOWN

Sponsor Role collaborator

Leiden University

OTHER

Sponsor Role collaborator

Amsterdam University Medical Center

OTHER

Sponsor Role collaborator

Andaluz Health Service

OTHER_GOV

Sponsor Role collaborator

National Research Council, Institute of Clinical Physiology, Italy

OTHER

Sponsor Role collaborator

Leiden University Medical Center

OTHER

Sponsor Role collaborator

Université Libre de Bruxelles

OTHER

Sponsor Role collaborator

University Hospital, Antwerp

OTHER

Sponsor Role collaborator

Catholic University of the Sacred Heart

OTHER

Sponsor Role collaborator

Medical Education Research And Innovation Center S.R.L.

UNKNOWN

Sponsor Role collaborator

EUROPEAN LIVER PATIENTS ASSOCIATION

UNKNOWN

Sponsor Role collaborator

Harokopio University

OTHER

Sponsor Role collaborator

General University Hospital, Prague

OTHER

Sponsor Role collaborator

Novo Nordisk A/S

INDUSTRY

Sponsor Role collaborator

Maastricht University

OTHER

Sponsor Role collaborator

Mercodia Aktiebolag

UNKNOWN

Sponsor Role collaborator

EXIT071 BV

UNKNOWN

Sponsor Role collaborator

European Atherosclerosis Society

OTHER

Sponsor Role collaborator

MetaDeq Limited

UNKNOWN

Sponsor Role collaborator

Associação para Investigação e Desenvolvimento da Faculdade de Medicina

UNKNOWN

Sponsor Role collaborator

Institute of Cardiometabolism and Nutrition, France

OTHER

Sponsor Role collaborator

University Hospital, Saarland

OTHER

Sponsor Role collaborator

Roche Pharma AG

INDUSTRY

Sponsor Role collaborator

Inventiva Pharma

INDUSTRY

Sponsor Role collaborator

Biocellvia

UNKNOWN

Sponsor Role collaborator

Franciscus Gasthuis & Vlietland (Hospital)

OTHER

Sponsor Role collaborator

Julius Clinical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Manuel Castro Cabezas, MD/PhD

Role: PRINCIPAL_INVESTIGATOR

Sint Franciscus Gasthuis

Diederick E. Grobbee, MD/PhD/FESC

Role: PRINCIPAL_INVESTIGATOR

UMC Utrecht

Oscar H. Franco, MD/PhD/FESC/FFPH

Role: STUDY_CHAIR

UMC Utrecht

Locations

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Hôpital Erasme, Cliniques Universitaires De Bruxelles

Brussels, Vlaams-brabant, Belgium

Site Status RECRUITING

Antwerp University Hospital

Antwerp, , Belgium

Site Status ACTIVE_NOT_RECRUITING

4th internal clinic General University Hospital

Prague, Bohemia, Czechia

Site Status NOT_YET_RECRUITING

Hôpital de la Pitié Salpêtrière

Paris, Il-de-France, France

Site Status NOT_YET_RECRUITING

Universitätsmedizin Mainz

Mainz, Rhineland-Palatinate, Germany

Site Status RECRUITING

Universitätsklinikum des Saarlandes

Homburg, Saarland, Germany

Site Status NOT_YET_RECRUITING

Harokopio University of Athens

Athens, , Greece

Site Status NOT_YET_RECRUITING

Fondazione Policlinico Universitario Agostino Gemelli IRCCS (FPG), Università Cattolica del Sacro Cuore (UCSC)

Rome, Lazio, Italy

Site Status NOT_YET_RECRUITING

Amsterdam UMC

Amsterdam, South Holland, Netherlands

Site Status RECRUITING

Franciscus Gasthuis & Vlietland

Rotterdam, South Holland, Netherlands

Site Status RECRUITING

ULSSM - Unidade Local de Saúde Santa Maria, E.P.E

Lisbon, , Portugal

Site Status RECRUITING

Sacele Municipal Hospital

Săcele, Brașov County, Romania

Site Status NOT_YET_RECRUITING

Hospital Universitario Virgen del Rocío

Seville, , Spain

Site Status RECRUITING

Countries

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Belgium Czechia France Germany Greece Italy Netherlands Portugal Romania Spain

Central Contacts

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de Jong

Role: CONTACT

+31628259968

Wijkhuis

Role: CONTACT

References

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de Jong VD, Alings M, Bruha R, Cortez-Pinto H, Dedoussis GV, Doukas M, Francque S, Fournier-Poizat C, Gastaldelli A, Hankemeier T, Holleboom AG, Miele L, Moreno C, Muris JWM, Ratziu V, Romero-Gomez M, Schattenberg JM, Serfaty L, Stefan DC, Tushuizen ME, Verheij J, Willemse J, Franco OH, Grobbee DE, Castro Cabezas M; GRIPonMASH consortium. Global research initiative for patient screening on MASH (GRIPonMASH) protocol: rationale and design of a prospective multicentre study. BMJ Open. 2025 May 30;15(5):e092731. doi: 10.1136/bmjopen-2024-092731.

Reference Type DERIVED
PMID: 40447415 (View on PubMed)

Related Links

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https://griponmash.eu/

GRIPonMASH consortium website

Other Identifiers

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GOM

Identifier Type: -

Identifier Source: org_study_id

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