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Endohepatology Assessment in Adults at High Risk of Fatty Liver Disease

Examines whether endohepatology testing changes treatment plans in adults at high risk of MASLD.

Plain-language title generated from the registry record
Registry title: Endohepatology-Based Reclassification of Treatment Indication in High-Risk MASLD

Key facts

Where
Münster, GermanySee the site

Where in Germany

  • University hospital MuensterMünster, GermanyTaking people

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Trial details

Who runs it
University Hospital Muenster
Trial code
NCT07877272
Record updated
20 October 2026
Original description
This prospective observational study evaluates whether endohepatology changes treatment indications in adults at high risk of metabolic dysfunction-associated steatotic liver disease. Non-invasive testing is followed, when indicated, by a single-session endohepatology assessment including EUS-guided shear-wave elastography, portal pressure gradient measurement and liver biopsy. The primary outcome is treatment reclassification compared with the prospectively documented non-invasive assessment.Read full original descriptionShow less

Endohepatology-Based Reclassification of Treatment Indication in High-Risk Patients With Metabolic Dysfunction-Associated Steatotic Liver Disease: A Prospective, Multicenter Observational Study

This prospective observational study evaluates whether endohepatology changes treatment indications in adults at high risk of metabolic dysfunction-associated steatotic liver disease. Non-invasive testing is followed, when indicated, by a single-session endohepatology assessment including EUS-guided shear-wave elastography, portal pressure gradient measurement and liver biopsy. The primary outcome is treatment reclassification compared with the prospectively documented non-invasive assessment.

Inclusion: Age 18 years or older; Written informed consent; Suspected MASLD; At least one predefined risk criterion.

Exclusion: Previous organ transplantation or TIPS; Current resmetirom therapy; HIV infection; Vascular liver disease; No evidence of MASLD; Decompensated cirrhosis; Contraindication to endoscopy, sedation, or liver biopsy; Pregnancy or breastfeeding; Inability to provide informed consent.

ClinicalTrials.gov NCT07877272