UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000051252
Receipt number R000058447
Scientific Title The usefulness of multiparametric ultrasound for the assessment of patients with autoimmune hepatitis
Date of disclosure of the study information 2023/06/03
Last modified on 2023/06/03 14:39:52

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Basic information

Public title

The usefulness of multiparametric ultrasound for the assessment of patients with autoimmune hepatitis

Acronym

AIH study

Scientific Title

The usefulness of multiparametric ultrasound for the assessment of patients with autoimmune hepatitis

Scientific Title:Acronym

AIH study

Region

Japan


Condition

Condition

Autoimmune hepatitis

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim is to evaluate the relationship between three ultrasonic parameters (Liver stiffness [LS], Dispersion slope [DS], Attenuation coefficient [AC]) measured by multiparametric ultrasound and tissue parameters (degree of necroinflammatory activity, degree of fibrosis, degree of steatosis) obtained from liver biopsy, and to clarify the usefulness of multiparametric ultrasound in the assessment of disease states in Autoimmune Hepatitis (AIH).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The correlation between ultrasonic parameters (LS, DS, AC) and pathological parameters (fibrosis, lobular inflammation, steatosis).

Key secondary outcomes

1.Diagnostic capability of liver fibrosis by LS (F0 vs. F1234, F01 vs. F234, F012 vs. F34, F0123 vs. F4)
2.Diagnostic capability of lobular inflammation by DS (A0 vs. A123, A01 vs. A23, A012 vs. A3)
3.Diagnostic capability of liver steatosis by AC (S0 vs. S123, S01 vs. S23, S012 vs. S3)
4.Progression of ultrasound parameters before treatment and 3, 6, 9, 12 months after treatment initiation.
5.The impact of subcutaneous thickness on ultrasound parameters (LS, DS, AC).


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who are suspected to have Autoimmune Hepatitis (AIH) and are scheduled for liver biopsy
2) Patients from whom other diseases have been excluded (such as alcohol, drugs, viral infections, metabolic diseases, cases with PBC)
3) Men and women aged 20 and above

Key exclusion criteria

1) Patients who the principal investigator or co-investigator has deemed unsuitable for this study.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Katsutoshi
Middle name
Last name sugimoto

Organization

Tokyo Medical University Hospital

Division name

Dept of Gastroenterology and Hepatology

Zip code

160-0023

Address

6-7-1, Nishishinjuku, Shinjuku-ku, Tokyo

TEL

03-3342-6111

Email

sugimoto@tokyo-med.ac.jp


Public contact

Name of contact person

1st name Katsutoshi
Middle name
Last name Sugimoto

Organization

Tokyo Medical University Hospital

Division name

Dept of Gastroenterology and Hepatology

Zip code

160-0023

Address

6-7-1, Nishishinjuku, Shinjuku-ku, Tokyo

TEL

03-3342-6111

Homepage URL


Email

sugimoto@tokyo-med.ac.jp


Sponsor or person

Institute

Tokyo Medical University

Institute

Department

Personal name



Funding Source

Organization

Tokyo Medical University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Medical University Institutional Review Board

Address

6-7-1, Nishishinjuku, Shinjuku-ku, Tokyo

Tel

03-3342-6111

Email

IRB@tokyo-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京医科大学病院(東京都)、岩手医科大学病院(岩手県)、福島県立医科大学病院(福島県)、大垣市民病院(岐阜県)、愛媛大学大学院(愛媛県)


Other administrative information

Date of disclosure of the study information

2023 Year 06 Month 03 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2022 Year 11 Month 05 Day

Date of IRB

2023 Year 05 Month 12 Day

Anticipated trial start date

2023 Year 05 Month 12 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

1. Perform multiparametric ultrasound on the target patients and measure three image parameters (LS, DS, AC). The ultrasound diagnostic device used for this purpose is the Aplio i800 (manufactured by Canon Medical Systems), capable of imaging multiparametric ultrasound, using the abdominal convex probe PVI-475BX.

2. For patients who underwent liver biopsy for the purpose of evaluating AIH, multiparametric ultrasound should be performed within one month before and after the liver biopsy. It is desirable to scan the same area as the biopsy as much as possible during the measurement of multiparametric ultrasound. For patients with untreated AIH, multiparametric ultrasound imaging should be performed before initiating AIH treatment. In addition to the initial treatment, multiparametric ultrasound should be performed at 3, 6, 9, and 12 months, along with peripheral blood and biochemical tests, serum IgG, and measurement of liver fibrosis markers (Fibrosis-4 index, M2BPGi).

3. The collected multiparametric ultrasound image data should be sent to the research office after removing personal data at each facility.

4. Patient backgrounds, blood test findings, and treatment details should be assigned an identification ID after removing personal data at each facility and sent to the research office.

5. The liver biopsy tissue specimens collected at each facility should be sent to the Department of Pathology, Kanazawa University, after removing personal data at each facility. The evaluation of AIH activity and fibrosis will be conducted using the new Inuyama classification and modified HAI score, and the evaluation of steatosis will be assessed using the NAFLD Activity Score. The pathological reports generated by Kanazawa University will be sent to the research office.

6. Statistical analysis of the collected data will be conducted at Tokyo Medical University Hospital.






Management information

Registered date

2023 Year 06 Month 03 Day

Last modified on

2023 Year 06 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000058447


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name