Scientists hunt for clues in gut and blood to spot hidden brain trouble in liver patients
NCT ID NCT07150195
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at differences in proteins and gut bacteria between liver cirrhosis patients with and without hepatic encephalopathy (a brain complication). Researchers will analyze blood and stool samples from 32 adults to find unique patterns that could help diagnose and understand the disease better. Participants are not given any treatment; the goal is to gather knowledge.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 32 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2025
An estimate. Start dates often move.
- 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
Study Population: A hospital-based cohort of adult patients (aged 18-85 years) with a confirmed diagnosis of liver cirrhosis, specifically recruited to form two distinct study groups based on the presence or absence of hepatic encephalopathy (HE) and blood ammonia levels. Sampling Method: Non-Probability Sample. Participants will be consecutively recruited from inpatient units. A purposive sampling strategy will be employed to ensure the successful enrollment of a sufficient number of participants in the Hepatic Encephalopathy (HE) group.
- Ages
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18 to 85 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: For the NHE (No Hepatic Encephalopathy) Group: 1. Aged between 18 and 85 years, inclusive. 2. Diagnosis of liver cirrhosis. 3. Normal blood ammonia level. 4. West-Haven Criteria grade 0 for Hepatic Encephalopathy. 5. Normal neurological signs. 6. Normal neuropsychological test results. 7. Willing to participate and provides written informed consent. For the CHE (Covert Hepatic Encephalopathy) Group: 1. Aged between 18 and 85 years, inclusive. 2. Diagnosis of liver cirrhosis. 3. Elevated blood ammonia level. 4. Diagnosis of Covert Hepatic Encephalopathy (West-Haven Criteria grade 0 or I). * Grade 0: No personality or behavioral changes but abnormal neuropsychological tests. * Grade I: Mild cognitive impairment, lack of awareness, euphoria or anxiety, shortened attention span, or impaired performance of addition/subtraction. 5. Neurological signs are normal or mild asterixis (flapping tremor) may be elicited. 6. Neuropsychological tests are abnormal. 7. Willing to participate and provides written informed consent. Exclusion Criteria: 1. Diagnosis of any malignant tumor. 2. History of treatment for any malignant tumor. 3. Presence of severe concomitant cardiac, pulmonary, cerebral, or renal diseases, or severe diabetic complications. 4. Use of antibiotics, prebiotics, probiotics, or proton pump inhibitors within the three months prior to enrollment. 5. Pregnancy, lactation, or puerperium.
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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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Department of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University
Nanjing, Jiangsu, China
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