Improving early detection of liver cancer in patients with cirrhosis

Real-world Elecsys® GAAD Algorithm Implementation and Validation to Improve Surveillance and Early Detection of Hepatocellular Carcinoma

NA · Manchester University NHS Foundation Trust · NCT05971108

This study is testing a new tool to see if it can help doctors find liver cancer earlier and more accurately in patients with cirrhosis who are already being monitored for it.

Quick facts

PhaseNA
Study typeInterventional
Enrollment600 (estimated)
Ages18 Years and up
SexAll
SponsorManchester University NHS Foundation Trust (other gov)
Locations1 site (Manchester, Greater Manchester)
Trial IDNCT05971108 on ClinicalTrials.gov

What this trial studies

This study aims to implement the Elecsys® GAAD algorithm in real-world settings to enhance the surveillance and early detection of hepatocellular carcinoma (HCC) in patients with liver cirrhosis. Researchers will compare the effectiveness of Elecsys® GAAD against standard care tests to determine if it leads to earlier detection of HCC, reduces false positives, and improves patient adherence to surveillance protocols. The study focuses on patients already under HCC surveillance or referred for it due to their liver cirrhosis.

Who should consider this trial

Good fit: Ideal candidates for this study are patients with known liver cirrhosis who are referred for or already undergoing hepatocellular carcinoma surveillance.

Not a fit: Patients who do not have liver cirrhosis or those who already have hepatocellular carcinoma will not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly improve early detection rates of hepatocellular carcinoma, leading to better treatment options and outcomes for patients.

How similar studies have performed: While the specific implementation of Elecsys® GAAD is novel, similar approaches in enhancing cancer surveillance have shown promise in other studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

• Patients with known liver cirrhosis referred into or already under hepatocellular carcinoma surveillance

Exclusion Criteria:

* Pregnancy/breast-feeding.
* Patients who do not have liver cirrhosis
* Patients who already have hepatocellular carcinoma
* Any patient who is unable to understand, retain and weigh information to make an informed decision, will be excluded from the study. The investigators will use every opportunity, including tele-interpretation services to minimise this from happening.

Where this trial is running

Manchester, Greater Manchester

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Liver Cirrhosis, Hepatocellular Carcinoma, GAAD, hepatocellular carcinoma, cirrhosis, health inequalities, surveillance

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.