AzTrials
AzTrials

Liver CirrhosisVICISNCT03267615

VICIS - Vienna Cirrhosis Study

An observational study of Liver Cirrhosis and Portal Hypertension, run by Medical University of Vienna at 1 site in Austria.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Patients with advanced chronic liver diseases treated at the Vienna General Hospital of the Medical University of Vienna will be offered to participate in this prospective observational trial - including an optional participation in a biobank. Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Liver Cirrhosis, Portal Hypertension, Ascites
How many people
10,000 participants
Where
1 siteAustria
Study dates
1 Feb 2017to 31 Dec 2027
How long will I take part?
10 Years
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patient with advanced chronic liver disease diagnosed and/or treated at the Medical University of Vienna will be screened for inclusion/exclusion criteria.

Who may be able to join

  • Age >18 years and <100 years
  • Diagnosis of advanced chronic liver disease (by liver stiffness ≥10kPa, HVPG>5mmHg or Histology F3/F4)
  • Written informed consent

Who cannot join

  • Withdrawal of written informed consent

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Austria1 site, 1 recruiting
  • Medical University of Vienna

    Vienna, 1090

    Thomas Reiberger, M.D., +43140400 ext. 47440, thomas.reiberger@meduniwien.ac.at

    Alexandra Weisgram, +43140400 ext. 47410, alexandra.weisgram@meduniwien.ac.at

    Recruiting

Other trials in Austria

About this study

Patients with advanced chronic liver diseases treated at the Vienna General Hospital of the Medical University of Vienna will be offered to participate in this prospective observational trial - including an optional participation in a biobank.

Clinical parameters and laboratory parameters will be recorded for all patients and patients will undergo a regular follow-up schedule with clinical visits at the Vienna General Hospital.

This study is linked to a biobank with serum/plasma, ascitic fluid, urine, GI tract mucosal biopsies, liver biopsies and stool collected from the study participants.

Read the detailed description

Patients with advanced chronic liver disease (ACLD) as evident by HVPG>5mmHg or liver biopsy showing F3/F4 fibrosis or as suggested by liver stiffness measurement (LSM) ≥10kPa can be included in the VICIS study. Most patients will be recruited on the day of HVPG measurement performed for screening of clinically significant portal hypertension (CSPH) or on the day of upper GI endoscopy for screening for the presence of varices. Next to the detailed characterization of patients by epidemiologic, clinical and laboratory parameters, the degree of portal hypertension will be assessed by HVPG, liver (LSM) and spleen (SSM) stiffness will be assessed by transient elastography, the presence of ascites, splenomegaly, portosystemic collaterals, PVT and liver lesions will be assessed by ultrasound and optionally cross-sectional imaging.

In addition, patients will be asked to (optionally) participate in biobank sampling including serum/plasma, ascitic fluid, urine, GI tract mucosal biopsies, stool, liver biopsies and stool. All patients recruited in the VICIS study will be prospectively followed every 3 months (decompenated ACLD) or every 6 months (compensated ACLD) patients with clinical visits at the Cirrhosis Outpatient Clinic at the Vienna General Hospital. These assessments include a detailed assessment of risk factors (such as a structured interview of alcohol consumption), the recording of decompensating events (such as ascites, hepatic encephalopathy, variceal bleeding), screening for PVT and HCC, recording of medications and other clinically-relevant information.

Keywords
Liver Cirrhosis, Portal Hypertension
Medical subject headings
Liver Cirrhosis, Hypertension, Portal, Ascites, Hepatic Encephalopathy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Transplant-free survival

    Time from inclusion to death or liver transplantation

    Measured: 01/FEB/2017 - 31/DECEMBER/2027

Secondary outcomes (1)
  1. Decompensation-free survival

    Time from inclusion to decompensation, death or liver transplantation

    Measured: 01/FEB/2017 - 31/DECEMBER/2027

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Aug 2017
  2. Study start1 Feb 2017
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
10,000 participants (estimated)
Target duration
10 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT03267615
Sponsor's protocol ID
VICIS
Acronym
VICIS
Status last verified
Sep 2025
First submitted
28 Aug 2017
Last updated
25 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kramer G, Lie-Ungurean IA, Hofer BS, Hartl L, Jachs M, Balcar L, Semmler G, Sebesta C, Thone P, Hintersteininger M, Hofinger P, Marculescu R, Perkmann T, Schwabl P, Trauner M, Mandorfer M, Reiberger T, Simbrunner B. Circulating fibronectin levels are linked to liver function, matrix remodeling, and hemostatic complications in advanced chronic liver disease. Hepatol Int. 2026 Sep 25. doi: 10.1007/s12072-026-11140-1. Online ahead of print.

    PubMed 42789231
  • Simbrunner B, Sorribas M, Schaerer J, Felber M, Codinach J, Gomes Rodrigues S, Mandorfer M, Berzigotti A, Trauner M, Reiberger T, Hammer J, Wiest R. Intestinal barrier dysfunction assessed by confocal laser endomicroscopy correlates with cirrhosis severity and clinical outcome☆. JHEP Rep. 2026 Sep 18:102037. doi: 10.1016/j.jhepr.2026.102037. Online ahead of print.

    PubMed 42759696
  • Kramer G, Hildeman A, Tozzi C, Maghsood R, Kalatharan V, Koo HN, Jastrzebska K, Svangard N, Donoghue C, Simbrunner B, Hofer BS, Mandorfer M, Reiberger T, Oscarsson J, Ambery P. A machine learning approach to non-invasive prediction of hepatic decompensation in compensated advanced chronic liver disease: The CIRI model. J Hepatol. 2026 Jul 16:S0168-8278(26)02716-9. doi: 10.1016/j.jhep.2026.06.042. Online ahead of print.

    PubMed 42462822
  • Simbrunner B, Semmler G, Bofill Roig M, Meyer EL, Balcar L, Jachs M, Hartl L, Hofer BS, Kramer G, Thone P, Sebesta C, Dominik N, Marculescu R, Quehenberger P, Scheiner B, Schwabl P, Stattermayer AF, Trauner M, Reiberger T, Mandorfer M. Stage-Specific Drivers of Clinical Progression in Advanced Chronic Liver Disease. Clin Gastroenterol Hepatol. 2026 Jun 17:S1542-3565(26)00445-3. doi: 10.1016/j.cgh.2026.06.011. Online ahead of print.

    PubMed 42309430
  • Pfisterer N, Lie-Ungurean I, Maurer J, Bauer D, Hengstschlaeger H, Noe A, Balcar L, Scheiner B, Schwabl P, Marculescu R, Woran K, Mozayani B, Madl C, Trauner M, Mandorfer M, Reiberger T, Simbrunner B. The Link of Portal-Hypertensive Gastropathy to Anaemia, Systemic Inflammation and Disease Progression in Cirrhosis. Liver Int. 2026 Jun;46(6):e70700. doi: 10.1111/liv.70700.

    PubMed 42174757
  • Kramer G, Simbrunner B, Jachs M, Balcar L, Hofer BS, Dominik N, Hartl L, Schwarz M, Semmler G, Sebesta C, Thone P, Geisselbrecht S, Maasoumy B, Alvarez E, McCoy MS, Petrenko O, Reinis J, Schwabl P, Stattermayer AF, Trauner M, Mandorfer M, Reiberger T. Blood-based Vienna 3P/5P risk models accurately predict first hepatic decompensation in compensated advanced chronic liver disease. JHEP Rep. 2025 Oct 17;8(2):101642. doi: 10.1016/j.jhepr.2025.101642. eCollection 2026 Feb.

    PubMed 41551411
  • Jachs M, Carvalho T, Simbrunner B, Semmler G, Hartl L, Balcar L, Hofer BS, Thone P, Dominik N, Kramer G, Sebesta C, Schwarz M, Bauer D, Stattermayer AF, Pinter M, Trauner M, Reiberger T, Mandorfer M. Indocyanine Green Clearance Correlates With Biomarkers Reflecting Key Disease-Driving Mechanisms in Advanced Chronic Liver Disease and Predicts Acute-on-Chronic Liver Failure and Death. Aliment Pharmacol Ther. 2026 Mar;63(6):874-884. doi: 10.1111/apt.70447. Epub 2025 Nov 5.

    PubMed 41194563
  • Simbrunner B, Villesen IF, Semmler G, Balcar L, Kramer G, Almeida Calvao J, Hofer BS, Jachs M, Hartl L, Maurer J, Scheiner B, Zinober K, Marculescu R, Trauner M, Karsdal M, Reiberger T, Mandorfer M, Leeming DJ. Biomarkers of Extracellular Matrix Remodelling Are Linked to Severity and Outcome of Advanced Chronic Liver Disease. Aliment Pharmacol Ther. 2026 Mar;63(5):648-661. doi: 10.1111/apt.70407. Epub 2025 Oct 12.

    PubMed 41077886
  • Dominik N, Simbrunner B, Scheiner B, Schwarz M, Hartl L, Jachs M, Balcar L, Semmler G, Kramer G, Sebesta C, Trauner M, Pinter M, Mandorfer M, Reiberger T, Hofer BS. Smoking Aggravates Inflammation, Fibrogenesis, Angiogenesis and Cancer Risk in Patients With Cirrhosis. Liver Int. 2025 Oct;45(10):e70314. doi: 10.1111/liv.70314.

    PubMed 40899194
  • Hartl L, Hintersteininger M, Simbrunner B, Jachs M, Hofer BS, Bauer DJM, Dominik N, Schwarz M, Balcar L, Kramer G, Kerbert AJC, Coenraad MJ, Thevenot T, Moreau R, Trebicka J, Claria J, Marculescu R, Trauner M, Mandorfer M, Reiberger T. The Vasopressin Biomarker Copeptin Is Linked to Systemic Inflammation and Refines Prognostication in Decompensated Cirrhosis. Clin Gastroenterol Hepatol. 2026 Jan;24(1):131-140. doi: 10.1016/j.cgh.2025.04.030. Epub 2025 Jun 2.

    PubMed 40467020
  • Hofer BS, Simbrunner B, Konigshofer P, Brusilovskaya K, Petrenko O, Taru V, Sorz-Nechay T, Zinober K, Regnat K, Semmler G, Lackner C, Trauner M, Mandorfer M, Schwabl P, Reiberger T. Inflammation remains a dynamic component of portal hypertension in regressive alcohol-related cirrhosis. United European Gastroenterol J. 2025 Apr;13(3):317-329. doi: 10.1002/ueg2.12643. Epub 2024 Dec 21.

    PubMed 39708052
  • Simbrunner B, Hofer BS, Schwabl P, Zinober K, Petrenko O, Fuchs C, Semmler G, Marculescu R, Mandorfer M, Datz C, Trauner M, Reiberger T. FXR-FGF19 signaling in the gut-liver axis is dysregulated in patients with cirrhosis and correlates with impaired intestinal defence. Hepatol Int. 2024 Jun;18(3):929-942. doi: 10.1007/s12072-023-10636-4. Epub 2024 Feb 8.

    PubMed 38332428
  • Hartl L, Simbrunner B, Jachs M, Wolf P, Bauer DJM, Scheiner B, Balcar L, Semmler G, Schwarz M, Marculescu R, Dannenberg V, Trauner M, Mandorfer M, Reiberger T. Lower free triiodothyronine (fT3) levels in cirrhosis are linked to systemic inflammation, higher risk of acute-on-chronic liver failure, and mortality. JHEP Rep. 2023 Nov 1;6(1):100954. doi: 10.1016/j.jhepr.2023.100954. eCollection 2024 Jan.

    PubMed 38125301
  • Simbrunner B, Villesen IF, Scheiner B, Paternostro R, Schwabl P, Stattermayer AF, Marculescu R, Pinter M, Quehenberger P, Trauner M, Karsdal M, Lisman T, Reiberger T, Leeming DJ, Mandorfer M. Von Willebrand factor processing in patients with advanced chronic liver disease and its relation to portal hypertension and clinical outcome. Hepatol Int. 2023 Dec;17(6):1532-1544. doi: 10.1007/s12072-023-10577-y. Epub 2023 Aug 21.

    PubMed 37605068
  • Hartl L, Simbrunner B, Jachs M, Wolf P, Bauer DJM, Scheiner B, Balcar L, Semmler G, Schwarz M, Marculescu R, Trauner M, Mandorfer M, Reiberger T. An impaired pituitary-adrenal signalling axis in stable cirrhosis is linked to worse prognosis. JHEP Rep. 2023 May 11;5(8):100789. doi: 10.1016/j.jhepr.2023.100789. eCollection 2023 Aug.

    PubMed 37484210

Questions about this trial

What is this clinical trial studying?

An observational study of Liver Cirrhosis and Portal Hypertension, run by Medical University of Vienna at 1 site in Austria.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Austria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Thomas Reiberger, M.D. (+43140400 ext. 65890, thomas.reiberger@meduniwien.ac.at), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Transplant-free survival (time frame: 01/FEB/2017 - 31/DECEMBER/2027). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03267615, which also lists 28 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2025.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in
VICIS - Vienna Cirrhosis Study (NCT03267615) | AzTrials