Simple blood tests could spot liver cancer earlier in diabetics
NCT ID NCT07675187
First seen Jun 30, 2026 · Last updated Jul 08, 2026 · Updated 3 times
Summary
This study investigates whether regular blood tests can detect liver cancer earlier in people with type 2 diabetes who also have significant liver scarring. Participants are randomly assigned to either a surveillance group receiving specialized blood tests every six months or a standard-care group. The goal is to see if the surveillance strategy leads to smaller tumors at diagnosis and better treatment outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- GAAD score-based surveillance (blood tests for AFP, PIVKA-II, and liver function)
- What this could lead to
- If successful, this could establish a simple blood-test strategy to catch liver cancer earlier in people with type 2 diabetes, potentially improving treatment options and survival.
- What could go wrong
- This is a single-center trial in Taiwan, so results may not apply globally. The surveillance approach may not significantly improve detection or outcomes compared to standard care.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 2,400 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2030
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.
- 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: * Age 18 years or older. * Diagnosed with type 2 diabetes mellitus and clinically followed with regular outpatient visits. * FIB-4 index greater than 2.67 (calculated based on AST, ALT, and platelet count within the past 6 months). * Willing and able to provide written informed consent. Exclusion Criteria: * HBsAg positive. * Anti-HCV positive and HCV RNA positive (patients with anti-HCV positive but negative HCV RNA are still eligible). * Prior history of hepatobiliary malignancies. * Undergoing regular abdominal ultrasound screening more than once per year. * Established diagnosis of liver cirrhosis via abdominal ultrasound or clinical evaluation. * Diagnosed with or treated for any malignancy within the past 2 years. * Women of childbearing potential or pregnant women. * Thrombocytopenia secondary to hematologic disorders. * Known history of human immunodeficiency virus (HIV) infection. * Concomitant use of medications that may interfere with PIVKA-II assay results (e.g., warfarin, vitamin K).
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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National Taiwan University Hospital
Taipei, Taiwan
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