Artificial intelligence may help decide who gets a liver first
NCT ID NCT06723275
First seen Jul 29, 2026 · Last updated Jul 30, 2026 · Updated 1 time
Summary
This study tests whether artificial intelligence can more accurately predict which patients on the liver transplant waiting list are at highest risk of dying or becoming too sick for surgery. Researchers will follow 630 adults with severe liver disease or liver cancer across five European countries, collecting blood, urine, and tissue samples along with detailed health data. The goal is to validate new AI-based models that could eventually replace current scoring systems and improve how donor livers are allocated.
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 fairer and more accurate systems for allocating donor livers to the patients who need them most urgently.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly help participants. The AI models may not prove more accurate than current methods.
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 630 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Apr 2029
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
Adult patients consecutively listed for LT for end-stage chronic liver diseases and HCC
- Ages
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18 to 70 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: * Adult \[age 18;70\] patients listed for: * decompensated cirrhosis as primary diagnosis, irrespective of liver disease etiology (subset1) OR * other end-stage liver diseases requiring LT, listed under MELD offering schemes (subset 2), including notably but not exclusively cholestatic diseases, primary biliary cholangitis, primary sclerosing cholangitis (subset 2) OR * HCC as primary diagnosis, whatever the etiology of the underlying liver disease with or without underlying cirrhosis (subset 3). (HCC diagnosed on Barcelona/EASL criteria or histologically proven. HCC meeting or not Milan criteria, as per center practice.) * Patients registered on national waiting lists under the MELD offering schemes, regardless of extra MELD points are affected or not. * Patient (or trusted person, family member or close relation, if the patient is unable to express consent) who has been informed and signed the informed consent. * Patient affiliated with a health insurance scheme (beneficiary or entitled party). Exclusion Criteria: * Tumor vascular invasion (portal or hepatic veins) evidenced by imaging on pre transplantation work-up, including PVT stage 1 * Extra-hepatic metastasis of HCC, as assessed by sectional imaging, functional imaging (18 FDG PET CT/MRI) or histologically proven * Women who are pregnant or nursing * Patients who are under safeguard of justice or tutorship or curatorship * Patient on AME (state medical aid) * Participation in another trial including other studies proposed as part of the European LEOPARD project (cohort associated to WP1 \& WP5 ("LEOPARD TVDCS") or being in the exclusion period following previous interventional research involving the human person, if applicable
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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
8 sites in 5 countries. 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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Beaujon Hospital, Department of Hepatology
RECRUITINGClichy, France, 92110, France
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Center for Liver Tumors Leiden of the Leiden University Medical Center (LUMC)
NOT_YET_RECRUITINGLeiden, Netherlands, Netherlands
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Department of Gastroenterology and Hepatology Universitair Ziekenhuis Gent
NOT_YET_RECRUITINGGhent, Belgium, Belgium
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Hospital Henri Mondor, Department of Hepatology
RECRUITINGCréteil, France, 94010, France
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Hospital La Pitié Salpêtrière, Department of Hepato-gastro-enterology
RECRUITINGParis, France, 75013, France
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Italian National Transplant Center
NOT_YET_RECRUITINGRoma, Italy, Italy
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St Eloi Hospital, Department of Hepato-gastro-enterology,
RECRUITINGMontpellier, France, 34295, France
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Universitätsklinikum Schleswig - Holstein | UKSH · Transplantation Medicine
NOT_YET_RECRUITINGKiel, Germany, Germany
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