New blood tests could replace painful liver biopsies for millions with fatty liver disease
NCT ID NCT03695796
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study looked at over 1,000 people with non-alcoholic fatty liver disease (NAFLD) to see if simple blood tests and ultrasound-based devices can accurately detect liver scarring (fibrosis) without needing a liver biopsy. The goal is to develop reliable, non-invasive tools to identify patients who may benefit from future treatments. Participants had liver biopsies to confirm their condition and also underwent various non-invasive tests for comparison.
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 reliable non-invasive tests to identify NAFLD patients who need treatment, avoiding the need for liver biopsies.
- What could go wrong
- This is an observational study, not a treatment trial. The tests may not be accurate enough to replace biopsy in all cases, and results may not apply to all patient groups.
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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1,005 people
The number who actually took part.
- Started
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Nov 2018
- Finished
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Jun 2025
- Lead sponsor
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A government agency
The lead sponsor is a government body.
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: * NAFLD diagnosis defined by the presence of at least two of the following elements: * Liver steatosis (hyperechoic liver on hepatic ultrasound, quantification \> 5.6 % by spectroscopy or MRI) * Presence of one metabolic risk factor: * BMI ≥ 25 kg/m2 or waist circumference ≥ 94 cm (male) / ≥ 80 cm (female) * Antihypertensive treatment or systolic BP ≥ 130 mmHg or diastolic BP ≥ 85 mmHg * Antidiabetic treatment or fasting blood glucose ≥ 5.6 mmol/l * Lipid-lowering treatment or triglycerides ≥ 1.71 mmol/l or HDL cholesterol \<1.1 mmol/l (male) / \<1.3 mmol/l (female) * Dysmetabolic hyperferritinemia * Anomaly in the liver enzyme test or liver function tests * Indication for liver biopsy in the clinical management of the patient * Obtaining the signature of the consent to participate in the study Exclusion Criteria: * Steatogenic treatment (corticosteroids, tamoxifen, amiodarone, methotrexate) * Excessive alcohol consumption in the last 5 years (\> 210 g / week for men or \> 140 g / week for women) * Chronic infection with hepatitis B or C * Any evidence of other concomitant chronic liver disease * Decompensated cirrhosis (ascites, digestive bleeding due to varicose vein rupture, liver failure, hepatocellular failure, hepato-renal syndrome) * Hepatocellular carcinoma * Pregnant, breastfeeding or parturient women * Persons deprived of their liberty by judicial or administrative decision * Persons subject to legal protection measures * Persons unable to consent * Refusal to participate
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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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Amiens University Hospital
Amiens, France
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Edouard Herriot Hospital
Lyon, France
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Grenoble University Hospital
Grenoble, France
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Hospital Center Of Lorient
Lorient, France
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Hospital of Le Havre
Le Havre, France
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Saint-Joseph Hospital
Marseille, France
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University Hospital Of Nancy
Vandœuvre-lès-Nancy, France
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University Hospital Of Nice
Nice, France
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University Hospital of Besançon
Besançon, France
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University Hospital of Clermont-Ferrand
Clermont-Ferrand, France
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University Hospital of Lille
Lille, France
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University Hospital of Pointe à Pitre
Pointe-à-Pitre, Guadeloupe
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University Hospital of Rouen
Rouen, France
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University Hospital of Strasbourd
Strasbourg, France
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University Hospital of Toulouse
Toulouse, France
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University of Bordeaux
Pessac, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can talk therapy and mindfulness shrink a fatty liver?
- A smartphone app may help curb the silent march of fatty liver disease toward cirrhosis
- AI and blood biomarkers could catch hidden liver damage
- A protein supplement may fight fatty liver in teens
- Can a single pill tackle both fatty liver and diabetes?
- A new MRI technique could see inside the Liver's metabolism without a biopsy