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NCT07272200Recruiting

Understanding Gene ENvironment Interaction in ALcohol-related Hepatocellular Carcinoma

Source: ClinicalTrials.gov · Last updated 9 Dec 2025

Brief summary (registry, in English)

It has been estimated that alcohol causes around 40% of premature liver deaths in Europe each year, although this number is probably underestimated. Alcohol-related liver disease (ALD) is the most common cause of liver cirrhosis and liver death in Europe with a peak age of deaths occurring among individuals aged 40 to 50. Despite these findings, ALD is little studied with only 5% of all clinical trials in the field of liver disease recorded on ClinicalTrials.gov and only 5% of all publications in the same research area. Liver cancer is the second most common cause of cancer-related death (15-20% survival at 5 years) and the second most common cause of alcohol-related cancers worldwide. Like other complex diseases, ALD-HCC results from the interaction between environmental determinants and genetic variations but knowledge of gene-environment interactions is currently lacking in this area. The GENIAL project will address these needs through a comprehensive evaluation of gene-environment interactions concerning ALD-HCC.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
1000 (estimated)
First submitted
18 Feb 2025
Start date
1 Dec 2023
Primary completion date
31 Dec 2026
Lead sponsor
Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
NCT number
NCT07272200

What you commit to

  • Study type: Interventional
  • Planned participants: 1000
  • From 1 Dec 2023 to the primary completion date, 31 Dec 2026
  • 1 site in 1 country
  • 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

  • Any previously diagnosed liver genetic disease associated with increased risk of HCC (such as hereditary hemochromatosis, Wilson's disease, Alpha-1 antitrypsin deficiency)
  • HCC previously diagnosed the study start date.

Other illness

  • Chronic viral or autoimmune hepatitis
  • Use of drugs known to induce steatosis and liver disease
  • Other pathological conditions with prognosis less than two years.

Other

  • Alcohol intake \>60/40 g/day in M/F

Who the study is looking for

  • Patients from the EPIDEMIC (approval no. 1822 of 27 August 2013) and SERENA (last amendment no. 1151\_2021 of 9 November 2021), already approved by the CE Milano Area 2 will be included.
  • Diagnosis of NAFLD or cryptogenic liver disease, allowing a more liberal alcohol intake limit (\<60/40 g/day in M/F), so that subjects with a moderate alcoholic component of the hepatopathy are also included, Important factor given the high epidemiological weight of this group
  • Any of the following:
  • Male patient with type 2 diabetes or obesity carrying at least three genetic variants in PNPLA3, TM6SF2, MBOAT7.
  • Willingness to sign informed consent.

Age in the registry: 45 years to 75 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

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

SiteCityCountrySite status
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico - Istituto di Ricovero e Cura a Carattere Scientifico di natura pubblica
Coordinator of this site? Confirm its status
MilanItalyRecruiting

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