2D-shear Wave Spleen Elastography in Clinically Significant Portal Hypertension and High-risk Varices

NCT ID: NCT07122622

Last Updated: 2025-11-25

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

450 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-08-20

Study Completion Date

2027-08-20

Brief Summary

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The primary objective of this study is to evaluate the role of spleen shear wave elastography (SWE-SSM) for ruling in and ruling out clinically significant portal hypertension (CSPH) in patients with compensated advanced chronic liver disease (cACLD) and for ruling in and ruling out high-risk esophageal varices (HRV) in patients with CSPH. Secondary objectives of the study include the investigation of the correlation between SWE-SSM and portal pressure in a subgroup of patients undergoing hepatic venous pressure gradient (HVPG) measurement and between SWE-SSM and transient elastography (TE-SSM).

The values of SWE-SSM and SWE-LSM will be assessed during the ultrasound examination to which the patient will be subjected according to their care pathway. If inclusion criteria are met and informed consent is obtained, spleen elastography will be carried out (in addition to the routine SWE-LSM planned in clinical practice). Spleen elastography will not alter the standard ultrasound examination but represents a non-invasive diagnostic addition.

There will be no treatment or experimental intervention that will modify the patient's condition or directly influence their clinical course. The aim is to collect data based on clinical observations without altering the treatment or the natural course of the disease.

Detailed Description

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Conditions

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Portal Hypertension Related to Cirrhosis Esophageal Varices

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Age greater than 18 years;
* SWE-LSM ≥9 kPa and/or TE-LSM ≥15 kPa;

Exclusion Criteria

* Presence of transjugular intrahepatic porto-systemic shunt (TIPS);·
* Surgical absence of the spleen;
* Grade 3 ascites;
* History of variceal bleeding;
* Refusal to participate in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondazione Policlinico Universitario Agostino Gemelli IRCCS

OTHER

Sponsor Role lead

Responsible Party

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Garcovich Matteo

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ultrasound diagnostic and interventional service "Policlinico A.Gemelli"

Roma, Italia, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Matteo Garcovich doctor

Role: CONTACT

0039 0630156018

Facility Contacts

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Garcovich

Role: primary

0630155052

Other Identifiers

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7514

Identifier Type: -

Identifier Source: org_study_id

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