Biannual liver cancer screening with ultrasound and AFP for compensated non‑viral cirrhosis in Central Denmark
Official title: Introducing HCC Surveillance in the Central Denmark Region
Run by University of Aarhus · NCT07469319 · Data updated 2026-11-12
This program will try giving people aged 40–79 with compensated non‑viral cirrhosis ultrasound scans plus AFP blood tests every six months to see if screening lowers deaths from liver cancer.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 40 Years to 79 Years |
| Sex | All |
| Enrollment | 617 (estimated) |
| Sponsor | University of Aarhus Academic / other |
| Locations | 6 sites (Aarhus, Central Jutland and 5 other locations) |
| Status | Recruiting |
| Started | January 1, 2026 |
| Main results expected | June 30, 2028 |
| Study ends | June 30, 2028 |
| Registry record updated | March 13, 2026 |
| Trial ID | NCT07469319 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 40–79 with compensated non‑viral cirrhosis (no recent variceal bleeding, uncontrolled ascites, or overt hepatic encephalopathy, Child‑Pugh ≤ 8), expected life expectancy ≥1 year, not currently in HCC follow‑up, and residing in Central Denmark are ideal candidates.
✕Probably not a fit
Patients with decompensated cirrhosis, chronic hepatitis B or C, limited life expectancy, existing HCC or current HCC follow‑up, or those living outside the Central Denmark Region are unlikely to benefit from this program.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
About 600 patients in the Central Denmark Region with compensated non‑viral cirrhosis will be offered HCC surveillance consisting of abdominal ultrasound and an alpha‑fetoprotein (AFP) blood test at 0, 6, and 12 months. Anyone with a positive screen on ultrasound or AFP will be referred for standard diagnostic work‑up, typically beginning with CT. There is no individual randomization; instead HCC‑related mortality in the screened region will be compared with the other four Danish regions using national registry data. The program aims to determine whether organized biannual surveillance leads to earlier detection and fewer deaths from HCC in this patient group.
Why it matters
Potential benefit: If successful, earlier detection could increase the number of patients eligible for curative treatment and reduce deaths from hepatocellular carcinoma.
How similar studies have gone: Ultrasound with or without AFP has been shown to detect HCC earlier in viral cirrhosis and is guideline‑recommended, but randomized evidence that surveillance reduces mortality in non‑viral cirrhosis is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Cirrhosis * No history of chronic hepatitis B or C * Compensated cirrhosis defined as: * No recent variceal bleeding, no uncontrolled ascites, no clinically apparent hepatic encephalopathy, and Child-Pugh score ≤ 8 * Age 40-79 years * Expected remaining life expectancy ≥ 1 year * Not already in follow-up after treatment for HCC * No clinical suspicion of HCC Exclusion Criteria: \-
Where it's running
-
Aarhus University Hospital
Aarhus, Central Jutland, Denmark Recruiting -
Regional Hospital Gødstrup
Herning, Central Jutland, Denmark Recruiting -
Horsens Regional Hospital
Horsens, Central Jutland, Denmark Recruiting -
Randers Regional Hospital
Randers, Central Jutland, Denmark Recruiting -
Silkeborg Regional Hospital
Silkeborg, Central Jutland, Denmark Recruiting -
Viborg Regional Hospital
Viborg, Central Jutland, Denmark Recruiting
Study contacts
- Study coordinator: Peter Jepsen, Professor, MD, PhD
- Email: pj@clin.au.dk
- Phone: +45 29314466
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.