Blood markers could transform liver cancer surveillance
NCT ID NCT05148572
First seen Jul 17, 2026 ยท Last updated Jul 17, 2026
Summary
This study follows people with liver cancer who are scheduled for surgery, measuring tiny molecules called microRNAs in their blood before and after the operation. The goal is to find patterns that could signal whether the cancer has come back. Researchers will also look at gut bacteria and other substances in urine and blood to build a more complete picture. If these markers prove reliable, they might one day replace or improve current screening methods, which miss many early-stage liver cancers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could lead to a simple blood test that detects liver cancer earlier and predicts recurrence after surgery.
- What could go wrong
- This is an observational study with only 101 participants, so findings may not apply to all patients. The biomarkers need further validation before they can be used in practice.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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101 people
The number who actually took part.
- Started
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Nov 2021
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with diagnosis of hepatocellular carcinoma (HCC) confirmed by histology at surgical resection.
- Ages
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21 to 90 years
- 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: * The patient is male or female patients, 21 to 90 years of age at the time of signature of the informed consent form. * The patient has clinically AND histologically proven HCC. * The patient has R0 or R1 resection on histology. * The patient has Child-Pugh \<= 7 points without clinical ascites before surgery. * The patient has ECOG performance status 0-1 before surgery. * The patient is scheduled for liver resection within 6 weeks of signing screening informed consent form. * The patient has received no anti-cancer specific treatment for HCC before the surgery (eg. previous liver resection, loco-regional therapy such as RFA, TACE, SIRT, radiotherapy, immunotherapy, chemotherapy or neo-adjuvant chemotherapy), other than the planned surgery. However, patient who has received previous HCC treatment more than 5 years ago is deemed to have a de-novo liver tumour and therefore can be included. * The patient is able to comply with scheduled visits, assessments and other study procedures. * The patient is willing to provide informed consent before enrolment in the study. Exclusion Criteria: * The patient has previous or concomitant malignancies at other sites, except effectively treated non-melanoma skin cancers or carcinoma in situ of the cervix or effectively treated malignancy that has been in remission for over 5 years and highly likely to have been cured. * The patient has active hepatic encephalopathy at time of enrolment. * The patient has received a major organ allograft. * The patient is known to be positive for the Human Immunodeficiency Virus (HIV). * The patient has an uncontrolled bleeding disorder. * The patient has uncontrolled congestive heart failure or hypertension, unstable heart disease (coronary artery disease or myocardial infarction) or uncontrolled arrhythmia at the time of enrolment. * The patient has psychiatric or addictive disorders that may compromise his/her ability to give informed consent, or to comply with the study procedures. * The patient has other concurrent severe medical problems, unrelated to the malignancy, that would significantly limit full compliance with the study or expose the patient to unacceptable risk. * The patient has received any investigational or non-registered medicinal product (drug or vaccine) within the 30 days preceding the date of enrolment. * For female patients: the patient is pregnant or lactating. * The patient is unable to provide informed consent or refuse blood taking. * The patient has any other condition which, in the opinion of the Investigators, would make the patient unsuitable for enrolment or could interfere with completion of the study.
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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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Changi General Hospital
Singapore, 529889, Singapore
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National Cancer Centre Singapore
Singapore, 168583, Singapore
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National University Hospital
Singapore, 119228, Singapore
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Sengkang General Hospital
Singapore, 544886, Singapore
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Singapore General Hospital
Singapore, 169608, Singapore
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Tan Tock Seng Hospital
Singapore, 308433, Singapore
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Other studies related to the condition(s) this trial covers.
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