AGED Diagnostics Liver Disease Assessment

NCT ID: NCT06348563

Last Updated: 2024-04-04

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

NOT_YET_RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-15

Study Completion Date

2025-09-15

Brief Summary

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Continue development of previously established methods to further validate candidate biomarkers that can discriminate steatosis from NASH and separately stage fibrosis from blood. The first assessment is to conduct test method verification to expand sample size to several hundred samples through whole genome sequencing methods. The second assessment is focused on biomarker validation by comparing targeted sequencing from patient plasma. Several sub- assessments will be conducted to support overall biomarker development efforts.

Detailed Description

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Aim 1: Test Method Verification, Whole genome bisulfite sequencing assessment for liver tissue and plasma Conduct whole genome bisulfite sequencing in patient liver tissue and patient plasma to identified candidate biomarkers that can discriminate between steatosis and NASH, and separately conduct a comparative analysis of patient liver tissue and patient plasma samples to assess NASH encompassing NASH with mild fibrosis, NASH with significant fibrosis and NASH with advanced fibrosis. The purpose of each is to identify a set of markers that have biological relevance on the liver and then identify epigenetic biomarkers in plasma derived from liver tissue. Note: both a subset of NASH specific biomarkers and fibrosis specific biomarkers have been previously reported for technical feasibility.

Aim 2: Biomarker Validation, Targeted Epigenetic Sequencing Assessment Select top NASH specific biomarkers and top fibrosis specific biomarkers and design, develop and test probes to assess overall performance of each candidate biomarker in plasma. Conduct comparative analysis between various targeted sequencing and PCR based modalities. Candidate biomarker performance will be evaluated based on sensitivity, specificity, AUROC and reproducibility, among several other assessments.

Conditions

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NASH With Fibrosis NAFLD Healthy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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Health controls

Diagnostic assessment

Group Type OTHER

AGED Multiple Target Assay in Healthy Controls

Intervention Type DIAGNOSTIC_TEST

Analysis of blood based cfDNA/cfRNA biomarkers found at defined concentrations in participant samples that correlates to healthy controls

NAFLD

Diagnostic assessment. confirmation of diagnosis from liver biopsy is required.

* NASH Diagnosis is on histological assessment from NASH CRN score:

* NASH CRN score of ≤ 3 is classified as steatosis.
* NASH CRN score of ≥ 5 is classified as NASH.
* Participant samples can be subsequently diagnosed with CAP or MRI-PDFF to rule out NASH (or in rule in simple steatosis) but cannot be used to rule in NASH (as biopsy is required for confirmation).
* All diagnostic criteria for participant at time of visit is requested.

Group Type OTHER

AGED Multiple Target Assay in NAFLD Participants

Intervention Type DIAGNOSTIC_TEST

Analysis of blood based cfDNA/cfRNA biomarkers found at defined concentrations in participant samples that correlates to NAFLD participants (defined as simple steatosis through NASH)

Liver Fibrosis

Diagnostic assessment, For fibrosis diagnosis and analysis, diagnostic tools can constitute zero or mild fibrosis (F0-F1), significant fibrosis (F2), and advanced fibrosis (F3-F4) in the presence or absence of NASH.

* Participant samples can be diagnosed through non-invasive modalities such as but not limited to FIB4, ELF, PROC3, and/or imaging modalities such as but not limited to vibration controlled transient elastography (VCTE), magnetic resonance elastography (MRE), acoustic radiation force impulse (AFRI) or multiparameter imaging assessments.
* All diagnostic criteria for participant at time of visit is requested.

Group Type OTHER

AGED Multiple Target Assay in Fibrosis Participants

Intervention Type DIAGNOSTIC_TEST

Analysis of blood based cfDNA/cfRNA biomarkers found at defined concentrations in participant samples that correlates to liver fibrosis stage (F0-F4)

Interventions

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AGED Multiple Target Assay in Healthy Controls

Analysis of blood based cfDNA/cfRNA biomarkers found at defined concentrations in participant samples that correlates to healthy controls

Intervention Type DIAGNOSTIC_TEST

AGED Multiple Target Assay in NAFLD Participants

Analysis of blood based cfDNA/cfRNA biomarkers found at defined concentrations in participant samples that correlates to NAFLD participants (defined as simple steatosis through NASH)

Intervention Type DIAGNOSTIC_TEST

AGED Multiple Target Assay in Fibrosis Participants

Analysis of blood based cfDNA/cfRNA biomarkers found at defined concentrations in participant samples that correlates to liver fibrosis stage (F0-F4)

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Participant with liver biopsy over the past 1-2 years are permissible for study inclusion.
* Participant is considered to be a "Healthy Subject" relative to any form of liver disease OR
* Participant is suspected of having one of the following diagnoses: metabolic syndrome, NAFLD, fibrosis/cirrhosis, cardiovascular disease, chronic kidney disease.

Exclusion Criteria

* Participant is known to have HIV, Hepatitis B or Hepatitis C
* Participant has any other known form of chronic liver disease (aside from NAFLD/liver fibrosis)
* Participant has excess alcohol intake, excess alcohol is defined as participants that exceed an average 20g of alcohol daily for females (140g weekly intake) and average 30g of alcohol daily for males (210g weekly intake)
* Participant has had a bone marrow transplant at any time
* Participant is on anti-coagulation or anti-platelet therapy
* Participant is known to be pregnant
* Participant is unable to provide informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Arizona Clinical Trials

UNKNOWN

Sponsor Role collaborator

Walter Reed National Military Medical Center

FED

Sponsor Role collaborator

Active Genomes Expressed Diagnostics, Corp

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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AGED Diagnostics

Bethesda, Maryland, United States

Site Status

Countries

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United States

Facility Contacts

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Rachel Zayas

Role: primary

617-777-7971

Other Identifiers

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7437787981

Identifier Type: -

Identifier Source: org_study_id

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