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NCT06723275Recruiting

LEOPARD Prospective Validation Cohort 1

Validation of LEOPARD Predictive Models of Delisting in Liver Transplant Candidates: the LEOPARD Longitudinal Multicentre Prospective Validation Cohort 1, With Bio- and Tissue Collection

Source: ClinicalTrials.gov · Last updated 29 Jul 2026

Brief summary (registry, in English)

Intro: The present clinical research protocol is part of the LEOPARD European project (Grant n° 101080964 Horizon Europe) which aims to design and validate new predictive models of mortality among liver transplantation (LT) candidates. MELD based-liver graft allocation systems have become increasingly inaccurate over the last decade to predict mortality/dropout of liver transplantation (LT) candidates on the waitlist (WL). Wide disparities in mortality/dropout on the WL also exist across European countries, ranging from 5 to 30% according to transplantation indications. In this setting, the European Commission- Horizon Europe funded-LEOPARD project intends to design new, 2nd generation, AI-machine learning-based predictive models of delisting in LT candidates, to better serve on time patients with the highest risk of dropout on the WL and to improve equity of access to LT across Europe. Hypothesis/Objective The scientific justification of the LEOPARD PVC1 is therefore 1. to build an external cohort of LT candidates to test and validate the LEOPARD models, therefore providing robust evidence for adoption of LEOPARD models by Organ Sharing Organizations (OSOs). 2. to collect granular data, bio- and tissues sampes and images to test last-generation OMICs predictors and radiomics, therefore opening the door to design of 3rd generation, precision medicine-based predictive models. The primary objective of the LEOPARD longitudinal study is to test and validate AI-based 2nd generation LEOPARD predictive models of mortality/drop out on the waitlist in patients with decompensated cirrhosis, or other end-stage chronic liver diseases, and in patients listed for HCC. Method Multicenter Prospective longitudinal study in up to 630 enrolments (in case of replacing participants after inclusion) to obtain 600 patients meeting selection criteria, in 30 hospitals in 5 European countries including France, Italy, The Netherlands, Belgium and Germany.

Status (registry)
Recruiting
Study type
Observational
Enrollment
630 (estimated)
First submitted
4 Dec 2024
Start date
7 Jul 2026
Primary completion date
7 Jul 2028
Lead sponsor
Assistance Publique - Hôpitaux de Paris
NCT number
NCT06723275

What you commit to

  • Study type: Observational
  • Planned participants: 630
  • From 7 Jul 2026 to the primary completion date, 7 Jul 2028
  • 8 sites in 5 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Tumor vascular invasion (portal or hepatic veins) evidenced by imaging on pre transplantation work-up, including PVT stage 1
  • Participation in another trial including other studies proposed as part of the European LEOPARD project (cohort associated to WP1 \& WP5 ("LEOPARD TVDCS") or being in the exclusion period following previous interventional research involving the human person, if applicable

Other

  • Extra-hepatic metastasis of HCC, as assessed by sectional imaging, functional imaging (18 FDG PET CT/MRI) or histologically proven
  • Women who are pregnant or nursing
  • Patients who are under safeguard of justice or tutorship or curatorship
  • Patient on AME (state medical aid)

Who the study is looking for

  • Adult \[age 18;70\] patients listed for:
    • decompensated cirrhosis as primary diagnosis, irrespective of liver disease etiology (subset1) OR
    • other end-stage liver diseases requiring LT, listed under MELD offering schemes (subset 2), including notably but not exclusively cholestatic diseases, primary biliary cholangitis, primary sclerosing cholangitis (subset 2) OR
    • HCC as primary diagnosis, whatever the etiology of the underlying liver disease with or without underlying cirrhosis (subset 3). (HCC diagnosed on Barcelona/EASL criteria or histologically proven. HCC meeting or not Milan criteria, as per center practice.)
  • Patients registered on national waiting lists under the MELD offering schemes, regardless of extra MELD points are affected or not.
  • Patient (or trusted person, family member or close relation, if the patient is unable to express consent) who has been informed and signed the informed consent.
  • Patient affiliated with a health insurance scheme (beneficiary or entitled party).

Age in the registry: 18 years to 70 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (8)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Department of Gastroenterology and Hepatology Universitair Ziekenhuis Gent
Coordinator of this site? Confirm its status
GhentBelgiumNot yet recruiting
Universitätsklinikum Schleswig - Holstein | UKSH · Transplantation Medicine
Coordinator of this site? Confirm its status
KielGermanyNot yet recruiting
Beaujon Hospital, Department of Hepatology
Coordinator of this site? Confirm its status
ClichyFranceRecruiting
Hospital Henri Mondor, Department of Hepatology
Coordinator of this site? Confirm its status
CréteilFranceRecruiting
St Eloi Hospital, Department of Hepato-gastro-enterology,
Coordinator of this site? Confirm its status
MontpellierFranceRecruiting
Hospital La Pitié Salpêtrière, Department of Hepato-gastro-enterology
Coordinator of this site? Confirm its status
ParisFranceRecruiting
Italian National Transplant Center
Coordinator of this site? Confirm its status
RomaItalyNot yet recruiting
Center for Liver Tumors Leiden of the Leiden University Medical Center (LUMC)
Coordinator of this site? Confirm its status
LeidenNetherlandsNot yet recruiting

This page is information, not medical advice. Discuss any trial with your doctor.