Non-Invasive Risk Stratification for Hepatocellular Carcinoma in HCV-Related Compensated Advanced Chronic Liver Disease Following Sustained Virological Response: Validation of the aMAP Score
NCT07687758 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 571
Last updated 2026-07-07
Summary
This retrospective cohort study evaluated the performance of non-invasive risk scores for predicting de novo hepatocellular carcinoma in adults with hepatitis C virus-related compensated advanced chronic liver disease who achieved sustained virological response after sofosbuvir-based direct-acting antiviral therapy. Patients treated at Siriraj Hospital between 2013 and 2023 were included if they had compensated advanced chronic liver disease and documented SVR12. The study compared FIB-4, APRI, ALBI, and aMAP scores calculated at SVR12 for prediction of hepatocellular carcinoma during long-term follow-up. The primary aim was to identify a very-low-risk subgroup in whom hepatocellular carcinoma surveillance might potentially be de-escalated.
Conditions
- Hepatitis C Virus Infection
- Compensated Advanced Chronic Liver Disease
- Hepatocellular Carcinoma (HCC)
Interventions
- OTHER
-
Non-invasive Risk Score Assessment
FIB-4, APRI, ALBI, and aMAP scores were calculated using laboratory values at SVR12 to evaluate their performance for predicting de novo hepatocellular carcinoma during follow-up.
Sponsors & Collaborators
-
Siriraj Hospital
lead OTHER
Principal Investigators
-
Tawesak Tanwandee, MD · Siriraj Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-01-01
- Primary Completion
- 2023-07-31
- Completion
- 2023-07-31
Countries
- Thailand
Study Locations
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