Risk Factors for Advanced Fibrosis Among FLD Patients

NCT ID: NCT05971082

Last Updated: 2023-10-17

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

ENROLLING_BY_INVITATION

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-08-24

Study Completion Date

2025-12-31

Brief Summary

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The investigators investigate the heterogeneity fatty liver disease (FLD) as well as risk factors associated with progression of the liver diseases or development of cardiovascular complication. The overarching aim is to develop a AI-based prediction model that could be integrated into the electronic medical record system.

To identify large numbers of unselected individuals with FLD, the investigators developed a phrase recognition algorithm, which identifies FLD using radiology reports. Within the data lake of Helsinki University Hospital, they identified a large number of individuals with or without FLD. The investigators will now randomly invite 1000-1500 individuals with FLD to a follow-up study including investigation of metabolism and progression of liver disease (elastography, blood tests) as well as gathering life-style information. Register data on previous diagnoses and medication will be used to evaluate cardiovascular disease.

Detailed Description

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The investigators investigate the heterogeneity fatty liver disease (FLD) as well as risk factors associated with progression of the liver diseases or development of cardiovascular complication. The overarching aim is to develop a AI-based prediction model that could be integrated into the electronic medical record system.

To identify large numbers of unselected individuals with FLD, the investigators developed a phrase recognition algorithm, which identifies FLD using radiology reports. This allows them to study also individuals who have had abdominal imaging for any reason (usually not for suspected liver disease). Within the data lake of Helsinki University Hospital, the investigators identified 61,271 individuals with FLD and 155,521 without. The investigators have obtained national register data on their diagnosed diseases and medication.

The investigators will now invite a random sample of 1000-1500 individuals with FLD (aged 20-60 years at the time of the previous imaging) to a follow-up study. Progression of liver disease will be studied by elastography, measurement of fat content and a blood sample for fibrosis markes (ELF score). The participants' metabolism will be evaluated with several laboraroty tests and an i.v. glucagon tolerance test and amino acid response. Questionnaires will be used to obtain life-style information.

Conditions

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NAFLD Liver Cirrhosis Diabetes Mellitus, Type 2

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Recall study

Recruited individuals aged 20-60 at index imaging date invited for follow-up with liver elastography and fat prosentage measurement

Follow-up

Intervention Type OTHER

Follow-up study of progression/remission of liver disease

Interventions

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Follow-up

Follow-up study of progression/remission of liver disease

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Liver imaging results in the Helsinki University Hospital datalake 2010-2018 and a finding of fatty liver disease (without liver cirrhosis)
* Age 25-70 years(20-60 yrs at the time of the index imaging (2010-2018)
* Biobank consent with the Helsinki Biobank to be contacted for possible studies

Exclusion Criteria

Liver cirrhosis at index imaging date; pregnancy; active treatment for cancer
Minimum Eligible Age

25 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

Helsinki University Central Hospital

OTHER

Sponsor Role lead

Responsible Party

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Tiinamaija Tuomi

Chief Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tiinamaija Tuomi, MD, PhD

Role: STUDY_DIRECTOR

Chief Physician

Locations

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Helsinki University Hospital

Helsinki, , Finland

Site Status

Countries

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Finland

Other Identifiers

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FLD_FU_HUS

Identifier Type: -

Identifier Source: org_study_id

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