Blood test aims to outshine ultrasound for liver cancer detection
NCT ID NCT03694600
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This trial is testing a blood test that looks for DNA markers of liver cancer in people with liver cirrhosis, who are at high risk for developing the disease. The test is compared to standard ultrasound to see which method is better at detecting liver cancer. If the blood test proves accurate, it could offer a less invasive and more convenient screening option.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Multi-analyte blood test
- What this could lead to
- If successful, this blood test could offer a simpler, more accurate way to screen for liver cancer in high-risk people with cirrhosis, potentially catching tumors earlier.
- What could go wrong
- The test is still being evaluated and may not prove more effective than standard ultrasound. False positives or negatives could occur, and results may not apply to all populations.
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 1,900 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 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 maximum study duration for any given subject participating in the trial will be approximately 21 months (includes Initial Surveillance Visit and Follow-Up Visits at 6 months, 12 months and 18 months). No study-related lab assessments, imaging or procedures shall be required for any subject after the Study Duration Period. Subject Eligibility Screening Period: 14 days Study Duration Period: Up to 21 months (includes Initial Surveillance Visit for all subjects and up to three Follow-Up Visits ONLY for subjects with indeterminant findings by diagnostic imaging) The maximum observational window for any subject enrolled in the study is expected to be approximately 21 months (for subjects with indeterminant findings by diagnostic imaging).
- Ages
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21 to 84 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: * Subject is age 21 to 84 (inclusive) * Subject is able to read, comprehend and sign the Informed Consent Document * Subject is willing and able to undergo liver cancer surveillance by ultrasound and the multi-analyte blood Test * Subject is able and willing to undergo diagnostic imaging by multiphasic MRI with contrast according to the Study Protocol * Subject has been diagnosed with liver cirrhosis by one or more of the following methods: 1. Clinical diagnosis by blood analytes (APRI ≥ 1.5 or Bonacini cirrhosis discriminant score ≥ 8 or Lok index \> 0.5) 2. Ultrasound and Elastography \> 12.5 kPa (Vibration-controlled transient elastography, Point shear wave elastography, Two-dimensional shear wave ultrasound and transient elastography or Magnetic Resonance Elastography) 3. Diagnostic imaging by CT or MRI (liver cirrhosis indicated on radiology report) 4. Liver biopsy (liver cirrhosis indicated on pathology report) Exclusion Criteria: * The study investigator deems the subject's participation to be unsafe due to an underlying medical condition * Subject has previously been diagnosed with a primary liver cancer or a non-liver cancer that has metastasized * Subject has previously submitted a blood sample to Helio Health (HELIO) through a separate clinical protocol * Subject is unable or unwilling to submit blood samples for testing, undergo ultrasound or undergo diagnostic imaging by multiphasic MRI with contrast as required for the Study Protocol * Subject has any internal metallic device or fragment, including but not limited to: A pacemaker, artificial joint or valve, surgical clips, pins, plates, screws, wire mesh or shrapnel * It is unsafe for the subject to receive an MRI contrast dye due to pregnancy or severe kidney disease * Subject would not routinely be recommended for HCC surveillance * Subject received an abdominal ultrasound or diagnostic imaging by MRI or CT to image the liver within the past 5 months
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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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AZ Liver Health (Chandler)
Chandler, Arizona, 85224, United States
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AZ Liver Health (Glendale, Peoria)
Peoria, Arizona, 85381, United States
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AZ Liver Health (Tucson)
Tucson, Arizona, 85712, United States
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Alliance Research Centers
Irvine, California, 92612, United States
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Atlanta Gastroenterology
Atlanta, Georgia, 30308, United States
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Banner University Hospital (University of Arizona Tucson)
Tucson, Arizona, 85724, United States
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Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
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Covenant Metabolic LLC
Fort Myers, Florida, 33012, United States
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Covenant Metabolics LLC
Sarasota, Florida, 34240, United States
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Digestive & Liver Disease Specialists (DLDS) - Norfolk
Norfolk, Virginia, 23502, United States
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Gastro One in Memphis
Memphis, Tennessee, 38104, United States
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Gastroenterology Group of Naples
Naples, Florida, 34102, United States
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Harborview Medical Center (University of Washington)
Seattle, Washington, 98104, United States
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Impact Research Institute
Waco, Texas, 76710, United States
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Kansas City Research Institute (KCRI)
Kansas City, Missouri, 64131, United States
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Konkord Research
Houston, Texas, 77065, United States
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Liver Center of Texas
Dallas, Texas, 75234, United States
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Liver Institute Northwest
Seattle, Washington, 98105, United States
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Louisiana Research Center, LLC
Shreveport, Louisiana, 71105, United States
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Loyola University Medical Center
Maywood, Illinois, 60153, United States
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Methodist Dallas Medical Center
Dallas, Texas, 79936, United States
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Ochsner Clinic Foundation
New Orleans, Louisiana, 70121, United States
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PMG Research of Winston-Salem
Winston-Salem, North Carolina, 27103, United States
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Piedmont Research Institute
Atlanta, Georgia, 30309, United States
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Quality Medical
Nashville, Tennessee, 37211, United States
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SouthTexas Research Institute
Edinburg, Texas, 78539, United States
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St Luke's Hospital of Kansas City
Kansas City, Kansas, 64111, United States
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Stanford University
Palo Alto, California, 94304, United States
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Texas Gastro Clinic
El Paso, Texas, 79936, United States
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Texas Liver Institute - American Research Corp.
San Antonio, Texas, 78215, United States
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Tulane University Health Sciences Center
New Orleans, Louisiana, 70112, United States
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University of Cincinnati College of Medicine
Cincinnati, Ohio, 45627, United States
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University of Colorado Hospital - Anschutz Cancer Pavilion
Aurora, Colorado, 80045, United States
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University of Florida Clinical and Translational Science Institute
Gainesville, Florida, 32610, United States
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University of Louisville
Louisville, Kentucky, 40202, United States
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University of Miami - Schiff Center for Liver Diseases
Miami, Florida, 33136, United States
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University of South California
Los Angeles, California, 90033, United States
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VA Richmond
Richmond, Virginia, 23249, United States
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