Studies environmental factors and liver cancer risk in people with cirrhosis
Collects blood, urine and stool samples from adults with cirrhosis.
Key facts
- Who runs it
- University Hospital, Angers
- Where
- Angers, Rennes, and Tours, FranceSee the 4 sites
- Trial code
- Registry title
- ProspEXPO : Study of the Associations Between Hepatocellular Carcinoma and Chemical and Psychosocial Environmental EXPOsome
- Status
- Recruiting
- People taking part
- 300 people, planned
- Started
- 17 Dec 2025
- Expected to end
- Mar 2029
- Type of study
- Interventional, 2 groups
- Treatments tested
- Blood, urine and stool biocollection
- Record updated
- 10 June 2026
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults with fatty liver disease (metabolic or alcohol-related) and cirrhosis, with or without liver cancer. Samples are collected to study how lifestyle and environment relate to liver cancer.
- Age
- 18 years or older
- Sex
- All sexes can join.
- Disease stage
- Cirrhosis from metabolic and/or alcohol-related fatty liver disease (MASLD, ALD or MetALD). One group has cirrhosis only; the other group has liver cancer (HCC) within cirrhosis. A liver biopsy was done in the last 2 months or is planned.
Main reasons for not taking part
- Chronic liver disease from causes other than MASLD, ALD or MetALD
- Cirrhosis complications in the 2 years before joining (ascites, hepatic encephalopathy, bleeding from varices, liver failure, hepatorenal syndrome)
- History of liver cancer (for the group without liver cancer)
- Pregnant, breast-feeding or women giving birth
- People deprived of liberty by judicial or administrative decision
The registry criteria, word for word
Show all 9 criteriaShow less
Who can take part
- Presence of metabolic and/or alcoholic steatotic liver disease, as defined by the new nomenclature (MASLD, ALD, or mixed MetALD)
- Liver biopsy performed (less than 2 months ago) or planned as part of treatment for diagnosis of cirrhosis ("Control" group without HCC) or diagnosis of HCC on cirrhosis ("Case" group)
- Patient affiliated to or benefiting from a social security scheme
- Patient having signed an informed consent to participate in the study (bio-collection)
Who cannot take part
- Decompensation of cirrhosis in the two years prior to inclusion (ascites, hepatic encephalopathy, gastrointestinal variceal hemorrhage, liver failure, hepatorenal syndrome)
- Causes of chronic liver disease other than MASLD, ALD, or MetALD
- For the "Control" group: history of hepatocellular carcinoma
- Pregnant, breast-feeding or parturient women
- Persons deprived of liberty by judicial or administrative decision
Where in France
- Angers University HospitalAngers, FranceContact: Jérôme BOURSIER, ProfessorTaking people
- Centre Eugène Marquis (Oncology center)Rennes, FranceContact: Julien EDELINENot yet recruiting
- Rennes University Hospital, Hepatogastroenteroly DepartmentRennes, FranceContact: Edouard BARDOU-JACQUETNot yet recruiting
- Tours University Hospital, HepatoGastroenterology DepartmentTours, FranceContact: Laure ELKRIEFNot yet recruiting
About the trial
What the trial wants to find out
The aim of the study is to build up a bio-collection of biological samples from patients with cirrhosis. Further work using this bio-collection will permit to describe the influence of different exposome factors (nutrition, physical activity, socio-demographic conditions, tobacco, alcohol, pollutants) on the occurrence of the main type of liver cancer (called HCC).
Read full original descriptionShow less
Indeed, in the vast majority of cases, HCC develops within cirrhosis, and the factors that precipitate the progression of cirrhotic patients to HCC remain largely unknown.
The 2 groups in the trial
- Control groupOther group
Group of patients with MASLD and/or ALD at cirrhosis stage, without HCC
Treatment: Blood, urine and stool biocollection
- Case groupOther group
Group of patients with MASLD and/or ALD at cirrhosis stage and complicated by HCC
Treatment: Blood, urine and stool biocollection
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Official title
- ProspEXPO : PROSPective Study of the Associations Between Hepatocellular Carcinoma and Chemical and Psychosocial Environmental EXPOsome
- Plain-language title
- Studies environmental factors and liver cancer risk in people with cirrhosisGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 12 November 2026.
- Record updated
- 10 June 2026