New blood panel aims to catch liver cancer before it spreads
NCT ID NCT03878550
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Researchers are testing a blood test panel called Glycotest HCC to see if it detects early-stage liver cancer better than the standard alpha-fetoprotein (AFP) test. The study includes 766 people with cirrhosis, some of whom have early liver cancer and some who do not. Participants give blood samples, and researchers compare how well each test identifies cancer. The goal is to find a more sensitive surveillance tool for people at high risk.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a blood test panel called Glycotest HCC
- What this could lead to
- If it works, this blood test could help doctors find liver cancer at an earlier, more treatable stage in people with cirrhosis.
- What could go wrong
- This is a validation study, not a proven test. The panel may not perform well enough in real-world settings, and a blood test alone cannot replace imaging or other clinical checks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 766 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2019
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population will comprise male and female adult patients with early-stage HCC against a background of cirrhosis (cases) as well as at-risk cirrhotic patients (controls). Enrollment of the aggregate of HCC cases with single lesions ≥ 3 cm and with multiple lesions will be capped at 50% of total cases. Enrollment of Chronic Hepatitis C cases and controls with sustained virologic response (SVR) to therapy will be matched. Cases and controls will be matched based on age, sex and etiology.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Cases 1. Males and females ages 18 years or older. 2. Treatment-naïve HCC as defined by LI-RADS (Liver Imaging Reporting and Data System) LR-5 or OPTN (Organ Procurement and Transplantation Network) 5 CT or MRI criteria (all lesions must exhibit arterial phase hyper-enhancement), or histologic evidence. 3. Early-stage HCC defined by single lesion ≤ 5 cm or ≤ 3 lesions ≤ 3 cm determined at enrollment or within 100 days prior without vascular invasion. 4. Cirrhosis based on serum biomarkers (FibroSure®/FibroTest \> 0.74, APRI (AST to Platelet Ratio Index) \> 2, or FIB-4 (Fibrosis-4) \> 3.25), histology, imaging, elastography, or clinical evidence of portal hypertension in the setting of known chronic liver disease. 5. Child-Pugh score A-B8. 6. Subject must be able to understand and provide informed consent. Controls 1. Males and females ages 18 or older. 2. Cirrhosis based on serum biomarkers (FibroSure®/FibroTest \> 0.74, APRI \> 2, or FIB-4 \> 3.25), histology, imaging, elastography, or clinical evidence of portal hypertension in the setting of known chronic liver disease. 3. Evidence of the absence of a solid hepatic mass, suspicious for HCC, at enrollment or within 100 days prior based on one of the following: 1. Negative multiphase CT scan or MRI with contrast at screening/baseline visit, OR 2. Negative abdominal US at both screening/baseline visit AND 6-month follow-up visit, OR 3. Negative abdominal US at screening/baseline visit AND negative multiphase CT scan or MRI with contrast at 6-month or earlier follow-up visit. 4. Child-Pugh score A-B8. 5. Subject must be able to understand and provide informed consent. Exclusion Criteria: Cases 1. Uncontrolled ascites. 2. Uncontrolled encephalopathy. 3. History of liver transplant. 4. Diagnosis of active malignancy or history of active malignancy within 5 years prior to enrollment, including mixed HCC-CCA (cholangiocarcinoma). If previously diagnosed with malignancy, subject must be in remission for at least 5 years prior to enrollment. Prior history of HCC, including resection of HCC at any time, is excluded. 5. Prior treatment of tumor. 6. Any significant non-liver-related medical condition in which expected survival is less than 1 year. Controls 1. Imaging evidence of solid hepatic mass, suspicious for HCC, including lesions meeting LI-RADS LR-3 or LR-4, OPTN-3 or OPTN-4, or LI-RADS LR-M criteria. 2. Uncontrolled ascites. 3. History of liver transplantation. 4. Uncontrolled encephalopathy. 5. Diagnosis of active malignancy or history of active malignancy within 5 years prior to enrollment (if previously diagnosed with malignancy, subject must be in remission for at least 5 years prior to enrollment). History of HCC including resection of HCC at any time, is excluded. 6. Any significant non-liver-related medical condition in which expected survival is less than 1 year.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baylor College of Medicine
Houston, Texas, 77030, United States
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Baylor Scott & White Research Institute
Dallas, Texas, 75201, United States
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Cedars- Sinai Medical Center
Los Angeles, California, 90048, United States
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Hebrew University- Hadassah Medical Center
Jerusalem, 91120, Israel
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Henry Ford Health System
Detroit, Michigan, 48202, United States
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Hospital of the University of Pennsylvania (HUP)
Philadelphia, Pennsylvania, 19104, United States
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Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
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Kaiser Permanente Northern California
San Francisco, California, 94115, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Miami VA Healthcare System
Miami, Florida, 33125, United States
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Montefiore Medical Center
The Bronx, New York, 10467, United States
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NYU Langone Health
New York, New York, 10016, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Stanford University School of Medicine
Stanford, California, 94304, United States
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The University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
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University of California Los Angeles
Los Angeles, California, 90095, United States
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University of California- San Francisco
San Francisco, California, 94115, United States
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University of Florida
Gainesville, Florida, 32608, United States
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University of Maryland, Baltimore
Baltimore, Maryland, 21201, United States
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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