Registry for children with Non-Alcoholic Fatty Liver Disease in Europe

The European Paediatric Non-alcoholic Fatty Liver Disease Registry (EU-PNAFLD): a Prospective, Longitudinal Follow-up of Children With Non-alcoholic Fatty Liver Disease

Observational Cambridge University Hospitals NHS Foundation Trust · NCT04190849

This study is creating a large registry to help doctors learn more about Non-Alcoholic Fatty Liver Disease in children and improve future treatments.

Quick facts

Study typeObservational
Enrollment2000 (estimated)
AgesN/A to 18 Years
SexAll
SponsorCambridge University Hospitals NHS Foundation Trust Academic / other
Locations3 sites (Maastricht and 2 other locations)
Trial IDNCT04190849 on ClinicalTrials.gov

What this trial studies

The EU-PNAFLD is a collaborative network of European centers focused on the care of children diagnosed with Non-Alcoholic Fatty Liver Disease (NAFLD). This observational registry aims to create a large-scale cohort that will facilitate multi-center clinical trials and enhance understanding of the disease mechanisms and natural history of pediatric NAFLD. It will leverage existing databases and bio-repositories while aligning with the adult European NAFLD Registry for comprehensive long-term follow-up. The collaboration includes hepatologists, endocrinologists, and scientists, supported by international specialists.

Who should consider this trial

Good fit: Ideal candidates are children under 18 years diagnosed with the NAFLD spectrum, including simple steatosis and non-alcoholic steatohepatitis.

Not a fit: Patients with secondary fatty liver diseases or those with significant alcohol intake will not benefit from this registry.

Why it matters

Potential benefit: If successful, this registry could lead to improved understanding and management of pediatric NAFLD, ultimately enhancing patient outcomes.

How similar studies have performed: Other studies have shown success with similar registry approaches in understanding liver diseases, indicating potential for this initiative.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis made under 18 years of age.
* Diagnosis of NAFLD spectrum disease (simple steatosis (NAFL), steatosis with abnormal transaminases, NASH ± fibrosis or cirrhosis)
* Diagnosis established by:

  * Radiological evidence of hepatic steatosis (e.g. increased hepatic echogenicity on ultrasound), with
  * Exclusion of secondary causes (negative serological liver screen for HBV/HCV, caeruloplasmin \>0.20g/L, no history of excess alcohol consumption, no evidence of iron overload, and no clinically significant alpha-1 antitrypsin (A1AT) phenotype (i.e. SZ, ZZ, SS), with or without
  * Histology (\>5% steatosis and histology consistent with paediatric NAFLD)

Exclusion Criteria:

* Secondary fatty liver disease (e.g. glycogen storage diseases, Wilson disease, viral hepatitis, drug-related, autoimmune hepatitis, type 1 diabetes mellitus)
* Post-transplant fatty liver
* \>20g/day ethanol intake

Where this trial is running

Maastricht and 2 other locations

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.
Conditions Non-Alcoholic Fatty Liver DiseaseNon-alcoholic Fatty LiverNon-alcoholic SteatohepatitisCirrhosisLiver diseaseHepatocellular carcinomaType 2 diabetesAtherosclerosis
Last reviewed 2026-06-13 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.