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RECRUITING
NCT07469319
NA

Biannual Screening for HCC Offered to Patients With Cirrhosis. Introducing Surveillance for Hepatocellular Carcinoma (HCC) in the Central Denmark Region Using Ultrasound and Alpha-Fetoprotein to Reduce HCC-Related Mortality in Patients With Compensated Non-Viral Cirrhosis

Sponsor: University of Aarhus

View on ClinicalTrials.gov

Summary

This study aims to investigate whether repeated 6-monthly screening for hepatocellular carcinoma (HCC) - called "HCC surveillance" - offered to selected patients with chronic liver disease can reduce HCC-related mortality by facilitating earlier detection of HCC. The screening procedure consists of two tests: an ultrasound examination of the liver and a blood sample to measure alpha-fetoprotein. Patients who screen positive on either examination will be offered standard work-up for HCC, typically beginning with a CT-scan. In the study HCC surveillance will be offered to all patients with compensated non-viral cirrhosis residing in the Central Denmark Region, one of five administrative regions of Denmark. The study aims to determine the efficacy of HCC surveillance in reducing HCC-related mortality by comparing HCC-related mortality between the Central Denmark Region and the other four Danish regions, where HCC surveillance is not offered.

Official title: Introducing HCC Surveillance in the Central Denmark Region

Key Details

Gender

All

Age Range

40 Years - 79 Years

Study Type

INTERVENTIONAL

Enrollment

617

Start Date

2026-01-01

Completion Date

2028-06-30

Last Updated

2026-03-13

Healthy Volunteers

No

Interventions

DIAGNOSTIC_TEST

Ultrasound of the liver and blood sample for alpha-fetoprotein

Ultrasound of the liver without Doppler or contrast. Alpha-fetoprotein ≥20 \* 10\^3 IE/l, doubling since last measurement or two consecutive increasing measurements.

Locations (6)

Aarhus University Hospital

Aarhus, Central Jutland, Denmark

Regional Hospital Gødstrup

Herning, Central Jutland, Denmark

Horsens Regional Hospital

Horsens, Central Jutland, Denmark

Randers Regional Hospital

Randers, Central Jutland, Denmark

Silkeborg Regional Hospital

Silkeborg, Central Jutland, Denmark

Viborg Regional Hospital

Viborg, Central Jutland, Denmark