UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062754
Receipt number R000071850
Scientific Title A Prospective Observational Study of Histopathological Validation of Liver Stiffness Measurement Using Endoscopic Ultrasound Shear Wave Elastography (EUS-SWE) in Steatotic Liver Disease: Comparison with Fibrosis Assessment by EUS-Guided Liver Biopsy
Date of disclosure of the study information 2026/08/31
Last modified on 2026/08/31 19:37:10

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Basic information

Public title

A Study Comparing Liver Stiffness Measured Using Endoscopic Ultrasound with Liver Biopsy Findings in Patients with Steatotic Liver Disease

Acronym

A Study Comparing Liver Stiffness and Liver Tissue in Steatotic Liver Disease

Scientific Title

A Prospective Observational Study of Histopathological Validation of Liver Stiffness Measurement Using Endoscopic Ultrasound Shear Wave Elastography (EUS-SWE) in Steatotic Liver Disease: Comparison with Fibrosis Assessment by EUS-Guided Liver Biopsy

Scientific Title:Acronym

EUS-SWE Histopathological Validation Study in Steatotic Liver Disease

Region

Japan


Condition

Condition

Steatotic Liver Disease

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the association between liver stiffness measured by EUS-SWE and the degree of histological liver fibrosis assessed using liver biopsy specimens processed and diagnosed as part of routine clinical care.

Basic objectives2

Others

Basic objectives -Others

Evaluation of the histopathological validity of liver stiffness measurement using EUS-SWE

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Association between liver stiffness measured by EUS-SWE and the degree of histological liver fibrosis assessed using liver biopsy specimens processed and diagnosed as part of routine clinical care.

Key secondary outcomes



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 aged 20 years or older.
2. Patients with steatotic liver disease (SLD) who have been found to have hepatic steatosis on liver imaging, such as abdominal ultrasonography, computed tomography (CT), or magnetic resonance imaging (MRI).
3. Patients scheduled to undergo upper gastrointestinal endoscopic ultrasonography (EUS) as part of routine clinical care.
4. Patients considered able to undergo attempted liver stiffness measurement using EUS-SWE.
5. Patients who have received an explanation of the study objectives and procedures and are able to provide written informed consent to participate.

Key exclusion criteria

1. Patients in whom EUS is considered inappropriate.
2. Patients in whom a safe needle trajectory cannot be secured when EUS-guided liver biopsy is to be performed.
3. Patients considered to be at high risk of bleeding.
4. Patients for whom interruption or management of antithrombotic therapy is difficult and EUS-guided liver biopsy is therefore considered inappropriate.
5. Patients with a severely impaired general condition.
6. Patients who are pregnant or highly likely to be pregnant.
7. Patients with comorbidities or cognitive impairment that would interfere with participation in the study.
8. Patients otherwise deemed unsuitable for participation by the principal investigator or a study investigator.

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Takako
Middle name
Last name Nomura

Organization

HITO Medical Center

Division name

Department of Gastroenterology & Hepatology

Zip code

7990121

Address

788-1 Kamibun-Cho, Shikokuchuo City, Ehime 799-0121, Japan

TEL

0896-58-2222

Email

nomura.takako@hito-medical.net


Public contact

Name of contact person

1st name Takako
Middle name
Last name Nomura

Organization

HITO Medical Center

Division name

Department of Gastroenterology & Hepatology

Zip code

7990121

Address

788-1 Kamibun-Cho, Shikokuchuo City, Ehime 799-0121, Japan

TEL

0896-58-2222

Homepage URL


Email

nomura.takako@hito-medical.net


Sponsor or person

Institute

HITO Medical Center

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

HITO Medical Center

Address

788-1 Kamibun-Cho, Shikokuchuo City, Ehime 799-0121, Japan

Tel

0896-58-2222

Email

nomura.takako@hito-medical.net


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



Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 31 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

Enrolling by invitation

Date of protocol fixation

2026 Year 07 Month 26 Day

Date of IRB

2026 Year 08 Month 13 Day

Anticipated trial start date

2026 Year 08 Month 13 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a multicenter prospective observational study of patients with suspected steatotic liver disease (SLD) who undergo upper gastrointestinal endoscopic ultrasonography (EUS) as part of routine clinical care. Liver stiffness will be measured using EUS-SWE during routine EUS, and the feasibility, measurement quality, and within-session repeatability will be evaluated. Among patients for whom EUS-guided liver biopsy is clinically indicated, the association between liver stiffness and the degree of histological liver fibrosis assessed using liver biopsy specimens will be investigated. EUS B-mode images, MRI-proton density fat fraction (MRI-PDFF), and clinical data obtained during routine clinical care will also be collected for exploratory assessment of hepatic steatosis. Eligible patients who provide written informed consent will be prospectively enrolled. No EUS-guided liver biopsy, additional needle puncture, MRI, or other examination will be performed solely for research purposes, and no research-specific intervention or allocation will be conducted.


Management information

Registered date

2026 Year 08 Month 31 Day

Last modified on

2026 Year 08 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071850