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CompletedNo phase

A Study to Detect Advanced Liver Disease Via AI-enabled Electrocardiogram

Key facts

Who runs it
Mayo Clinic
Where
Rochester, United StatesSee the site
Trial code
Status
Completed
People taking part
248 people enrolled
Started
18 Apr 2023
Ended
1 Sept 2025
Type of study
Interventional, 4 groupsOne group gets no study treatment, for comparison.
Treatments tested
  • ACE (AI-Cirrhosis-ECG) 2.0
Record updated
16 October 2026

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 8 criteriaShow less

Who can take part

  • Primary care clinicians (physicians, nurse practitioners, and physician assistants)
  • Part of a team that cares for adult patients (≥18 years)
  • Have the ability to order ECG
  • Consent will be obtained from primary care clinicians
  • Patients' data will be collected from electronic medical records (EMR)
  • Adult patients (≥ 18 years) undergoing an ECG for any indication over a period of 6 months will be included

Who cannot take part

  • Patients with known cirrhosis based on noninvasive fibrosis assessment tests, liver biopsy or complications of decompensated disease, or with a documented history of cirrhosis identified by clinical notes

Other criteria

  • Criteria:

Where in United States

  • Mayo Clinic MinnesotaRochester, United StatesNo longer taking part

About the trial

What the trial wants to find out

The overall objectives of this study are to determine the effectiveness of ACE 2.0 model in early detection of advanced liver fibrosis, and to determine the acceptance and barriers for use of an AI-enabled algorithm for prediction of liver disease in primary care.

The 4 groups in the trial

  • Group 1: Usual Care Group-CliniciansNo study treatment, for comparison

    Primary care providers will treat subject per standard of care

  • Group 2: Electrocardiogram AI Group-CliniciansTreatment being tested

    The ACE (AI-Cirrhosis-ECG) 2.0 will be used to alert primary care providers to the likelihood of advanced liver disease with a recommendation for laboratory tests.

    Treatment: ACE (AI-Cirrhosis-ECG) 2.0

  • Group 3: Usual Care Group-PatientsNo study treatment, for comparison

    Patients will receive standard of care

  • Group 4: Electrocardiogram AI Group-PatientsTreatment being tested

    Patients whose Clinician will be alerted by the ACE (AI-Cirrhosis-ECG) 2.0 to the likelihood of advanced liver disease with a recommendation for laboratory tests.

    Treatment: ACE (AI-Cirrhosis-ECG) 2.0

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Early Detection of Advanced Liver Disease Via Artificial Intelligence-Enabled Electrocardiogram (Advance): A Pragmatic, Cluster-Randomized Clinical Trial
Publications
Record updated
16 October 2026