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Blood fat and protein patterns in fatty liver disease, with and without HIV

Compares blood samples from adults with fatty liver disease, with or without HIV.

Plain-language title generated from the registry record
Registry title: Lipidomic and Multi-Omics Profiling of Fatty Liver Disease in People With and Without HIV

Key facts

Where
Shanghai, ChinaSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 80 years old?

Source: NCT07640880, who can take part

Where in China

  • Shanghai Public Health Clinical CenterShanghai, ChinaNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Yinzhong Shen
Trial code
NCT07640880
Record updated
11 June 2026
Original description
Metabolic dysfunction-associated steatotic liver disease (MASLD), commonly known as fatty liver disease, is increasingly prevalent worldwide. People living with HIV (PWH) face a higher risk of developing MASLD due to chronic immune activation and long-term antiretroviral therapy, yet whether the underlying biological changes differ from those in HIV-negative individuals with MASLD remains unknown.Read full original descriptionShow less

Multi-Omics Characterization of Lipid Metabolic Reprogramming in People With HIV Versus HIV-Negative Metabolic Dysfunction-Associated Steatotic Liver Disease

Metabolic dysfunction-associated steatotic liver disease (MASLD), commonly known as fatty liver disease, is increasingly prevalent worldwide. People living with HIV (PWH) face a higher risk of developing MASLD due to chronic immune activation and long-term antiretroviral therapy, yet whether the underlying biological changes differ from those in HIV-negative individuals with MASLD remains unknown.

This prospective observational study will enroll three groups: PWH with MASLD, HIV-negative individuals with MASLD, and healthy controls without liver disease. A single fasting blood sample will be collected from each participant. Using targeted lipidomics, proteomics, and transcriptomics platforms, researchers will compare plasma molecular profiles across the three groups to identify MASLD-specific lipid signatures, characterize metabolic pathway dysregulation, and discover potential blood-based biomarkers for non-invasive diagnosis of MASLD.

Findings from this study may help explain how HIV infection alters lipid metabolism in the context of MASLD and support the development of HIV-specific diagnostic tools for fatty liver disease.

Inclusion: Age 18-80 years; Able to provide written informed consent and cooperate with blood sample collection and clinical data recording; For Group 1 (Treatment-naive people with HIV and MASLD):; Confirmed HIV infection with no prior antiretroviral therapy (treatment-naive); Diagnosis of MASLD per the 2024 Chinese Guidelines: hepatic steatosis confirmed by imaging or histology (≥5% macrovesicular steatosis), exclusion of excessive alcohol consumption (>210 g/week for men, >140 g/week for women), and at least one metabolic cardiovascular risk factor; For Group 2 (HIV-negative individuals with MASLD):; HIV-negative; Diagnosis of MASLD as defined above; For Group 3 (Healthy Controls):; HIV-negative; Normal liver morphology on abdominal ultrasonography within the past year, with no evidence of hepatic steatosis; Matched to MASLD groups by age (within 5 years), sex, and BMI (within 3 kg/m²).

Exclusion: Chronic liver disease with decompensated cirrhosis, hepatic malignancy, or history of liver transplantation; Active severe infectious disease (other than HIV for Group 1); Severe critical illness or major organ failure; Pregnancy or lactation.

ClinicalTrials.gov NCT07640880