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MASHGRIPonMASHNCT05651724

Global Research Initiative for Patients Screening on MASH

An observational study of MASH and MASLD, run by Julius Clinical at 13 sites in 10 countries.

Recruiting

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

Sites and contacts
Official record
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Trial summary

GRIPonMASH will assist (primary) health care providers clinicians to implement the latest patient care pathway, as described by the European Association for the Study of the Liver (EASL), to identify patients at risk of severe metabolic dysfunction-associated steatotic liver disease (MASLD) and to raise awareness. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
MASH, MASLD, MASH With Fibrosis
How many people
10,000 participants
Where
13 sitesin 10 countries
Study dates
30 Jun 2023to 31 Mar 2031
How long will I take part?
5 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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Male and female patients aged 18-75 years with a current or prior diagnosis of at least one of the following four conditions: type 2 diabetes mellitus or metabolic syndrome or obesity or arterial hypertension. Subjects who meet the inclusion and exclusion criteria will be enrolled at primary care centers in one of the 10 countries.

Who may be able to join

  • Newly diagnosed subjects should fulfil criteria for diagnosis of type 2 diabetes mellitus or metabolic syndrome or obesity or arterial hypertension, following the study definitions.
  • Subjects that are currently being treated for type 2 diabetes mellitus or metabolic syndrome or obesity or arterial hypertension, should have had a prior diagnosis based on study definitions.
  • Study definitions:
  • Type 2 diabetes mellitus
  • At least 2 times a fasting glucose > 7,0 mmol/L
  • Or elevated non-fasting glucose >11,1 mmol/L 2 hrs after OGTT
Show all 21Show fewer
  • Or HbA1c ≥48 mmol/mol (≥6.5%)
  • Or being actively treated for previously diagnosed type 2 diabetes by a health care provider
  • Obesity
  • Body mass index (BMI) > 30
  • Or waist circumferences Caucasian: male ≥ 94 cm, female ≥ 80 cm South-Asian/Chinese: male ≥90 cm, female ≥80 cm Japanese: male ≥85 cm, female ≥90 cm
  • Arterial hypertension
  • Systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg
  • Or being actively treated for previously diagnosed arterial hypertension by a health care provider
  • Metabolic syndrome
  • Central obesity defined as waist circumference (see above), if BMI is >30 kg/m2, central obesity can be assumed and waist circumference does not need to be measured
  • AND any two of the following:
  • Raised triglycerides: ≥ 150 mg/dL (1.7 mmol/L), or specific treatment for this lipid abnormality
  • Reduced HDL cholesterol: < 40 mg/dL (1.03 mmol/L) in males, < 50 mg/dL (1.29 mmol/L) in females, or specific treatment for this lipid abnormality
  • Raised blood pressure (BP): systolic BP ≥ 130 or diastolic BP ≥ 85 mm Hg, or treatment of previously diagnosed hypertension
  • Raised fasting plasma glucose (FPG): FGP ≥ 100 mg/dL (5.6 mmol/L), or previously diagnosed type 2 diabetes (if above >5.6 mmol/L or 100 mg/dL, an oral glucose tolerance test is strongly recommended, but is not necessary to define presence of the syndrome)

Who cannot join

  • The patient is known with hepatitis B, C or HIV or any other liver condition (like hemochromatosis, sarcoidosis, Wilson's disease etc);
  • The patient is known with any other condition that may lead to liver fibrosis or cirrhosis;
  • The patient engages in (excessive) alcohol use: > 3 units/day in males [30 grams/day] and > 2 units/day in females [20 grams/day];
  • The patient has a history or evidence of any other clinically significant condition or planned or expected procedure that in the opinion of the Investigator, may compromise the patient's safety or ability to be included in this study;
  • The patient is an employee or contractor of the facility that is conducting the study or is a family member of the Investigator, sub-Investigator, or any Sponsor personnel;
  • The patient is not able to understand the details of the protocol and/or is not able to provide written informed consent;
  • The patient is pregnant or breastfeeding.
  • The patient underwent bariatric surgery in the last 12 months.

Trial locations and contacts

13 sites in 10 countries. Contact the study team or a site near you to ask about taking part.

13 sites in 10 countries

Belgium2 sites, 1 recruiting
  • Antwerp University Hospital

    Antwerp, B-2650

    Active, not recruiting
  • Hôpital Erasme, Cliniques Universitaires De Bruxelles

    Brussels, Vlaams-brabant, B-1070

    Recruiting

Other trials in Belgium

Germany2 sites, 2 recruiting
  • Universitätsklinikum des Saarlandes

    Homburg, Saarland, 66421

    Not yet recruiting
  • Universitätsmedizin Mainz

    Mainz, Rhineland-Palatinate, 55131

    Recruiting

Other trials in Germany

Netherlands2 sites, 2 recruiting
  • Amsterdam UMC

    Amsterdam, South Holland, 1105 AZ

    Recruiting
  • Franciscus Gasthuis & Vlietland

    Rotterdam, South Holland, 3045 PM

    Recruiting

Other trials in Netherlands

Czechia1 site, 1 recruiting
  • 4th internal clinic General University Hospital

    Prague, Bohemia, 128 08

    Not yet recruiting

Other trials in Czechia

France1 site, 1 recruiting
  • Hôpital de la Pitié Salpêtrière

    Paris, Il-de-France, 75013

    Not yet recruiting

Other trials in France

Greece1 site, 1 recruiting
  • Harokopio University of Athens

    Athens, 17676

    Not yet recruiting

Other trials in Greece

Italy1 site, 1 recruiting
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS (FPG), Università Cattolica del Sacro Cuore (UCSC)

    Rome, Lazio, 00168

    Not yet recruiting

Other trials in Italy

Portugal1 site, 1 recruiting
  • ULSSM - Unidade Local de Saúde Santa Maria, E.P.E

    Lisbon, 1649-028

    Recruiting

Other trials in Portugal

Romania1 site, 1 recruiting
  • Sacele Municipal Hospital

    Săcele, Brașov County, 505600

    Not yet recruiting

Other trials in Romania

Spain1 site, 1 recruiting
  • Hospital Universitario Virgen del Rocío

    Seville, 41013

    Recruiting

Other trials in Spain

About this study

Official title: Global Research Initiative for Patients Screening on MASH - Implementation of an International Transmural Patient Care Pathway

GRIPonMASH will assist (primary) health care providers clinicians to implement the latest patient care pathway, as described by the European Association for the Study of the Liver (EASL), to identify patients at risk of severe metabolic dysfunction-associated steatotic liver disease (MASLD) and to raise awareness. The primary objective is to implement a transmural patient care pathway, in order to identify patients with MASLD and its progressive form metabolic dysfunction-associated steatohepatitis (MASH) in primary care centres and clinics in 10 European countries.

Read the detailed description

GRIPonMASH is an observational study in which 10.000 high risk patients (type 2 diabetes mellitus, metabolic syndrome, obesity or arterial hypertension) in 10 different European countries will be screened for the presence of MASLD, liver fibrosis and (at-rsik) MASH using at least two non-invasive tests (FIB-4 and FibroScan). Additional published and exploratory non-invasive test will also be investigated. Blood samples and liver biopsy material will be collected. Genomic, proteomic, metabolomic, lipidomic and fluxomic studies will be applied to gain a better understanding of the pathophysiology of MASLD and to identify (bio)markers that will help to detect patients at-risk. The predictive value of FIB-4 in relation to FibroScan results and liver biopsy will be analysed. Long-term follow-up of 5 years in all participants will provide insight into the natural history of the disease.

Keywords
MASLD, MASH, Screening, Patient care pathway
Medical subject headings
Liver Cirrhosis, Fatty Liver, Diabetes Mellitus, Type 2, Obesity, Metabolic Syndrome, Hypertension

What is being measured

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

  1. Prevalence of liver steatosis and MASLD estimated by FibroScan CAP in patients at risk

    Steatosis grade deduced from controlled attenuation parameter (CAP) measurement with Fibroscan

    Measured: Baseline

  2. Prevalence of liver fibrosis estimated by FibroScan LSM in patients at risk

    Fibrosis stage deduced from liver stiffness measurement (LSM) by vibration controlled transient elastography (VCTE) measurement with Fibroscan

    Measured: Baseline

  3. Prevalence of at-risk MASH estimated by FAST score in patients at risk

    At-risk MASH deduced from FAST score

    Measured: Baseline

  4. *Subset of patients: prevalence of MASH in patients at risk

    MASH diagnosis confirmed by histology (NAS/SAF criteria) upon liver biopsy; only in patients with >12 kPa at 1st FibroScan or >=8 kPa at 2nd FibroScan

    Measured: 16 or 30 weeks

  5. Comparison of the prevalence of MASLD, liver fibrosis and (at-risk) MASH between the participating countries

    Prevalence (see outcome 1-4) stratified per country

    Measured: Baseline (1-3) to 16/30 weeks for biopsy-confirmed MASH (4)

  6. Evaluate added value of a 2-step pathway as compared to FibroScan only for detection of high-risk patients

    Number of patients at risk identified by FIB-4 compared to numbers found using LSM by VCTE with FibroScan measurements, and numbers found in combination

    Measured: Baseline

Secondary outcomes (8)
  1. Build diagnostic model to identify MASH patients in a high-risk population

    Possible model parameters are all baseline clinical characteristics reported in the eCRF

    Measured: Baseline

  2. Genotypes related to MASH in different European countries: Exploratory

    Genomic (GWAS) and proteomic analysis on collected blood samples

    Measured: Baseline

  3. (Non-invasive) metabolite biomarkers identifying MASH in patients at risk: Exploratory

    Mass-spectrometry (MS) based metabolomic and lipidomic analyses on collected blood and samples, both targeted and untargeted approaches.

    Measured: Baseline

  4. Prevalence of co-morbidities and associated therapies (especially for CVD) in patients with MASH compared to those without, in high-risk patient populations

    Prevalence of comorbidities, medication use, medical history

    Measured: Baseline

  5. Identify prognostic factors/biomarkers for complications in patients with MASLD and MASH by 5 years follow up

    Disease progression and liver-related and non-liver related complications

    Measured: Throughout follow-up (at 3 and 5 years)

  6. Patient Reported Outcomes: Dietary habits and lifestyle

    14 item Mediterranean Diet Score; lifestyle surveys

    Measured: Baseline + throughout follow-up (at 3 and 5 years)

  7. *Subset of patients: Second FibroScan examination

    CAP and LSM by VCTE at 2nd FibroScan examination

    Measured: 14 weeks

  8. Longitudinal changes in liver assessments

    Repeated CAP, LSM by VCTE and FAST measurements over time

    Measured: Baseline, 14 weeks + throughout follow-up (at 3 and 5 years)

Timeline

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

  1. First posted15 Dec 2022
  2. Study start30 Jun 2023
  3. Primary completion31 Mar 2031 (estimated)
  4. Study completion31 Mar 2031 (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
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT05651724
Sponsor's protocol ID
GOM
Acronym
GRIPonMASH
Status last verified
Jul 2024
First submitted
18 Oct 2022
Last updated
1 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • de Jong VD, Alings M, Bruha R, Cortez-Pinto H, Dedoussis GV, Doukas M, Francque S, Fournier-Poizat C, Gastaldelli A, Hankemeier T, Holleboom AG, Miele L, Moreno C, Muris JWM, Ratziu V, Romero-Gomez M, Schattenberg JM, Serfaty L, Stefan DC, Tushuizen ME, Verheij J, Willemse J, Franco OH, Grobbee DE, Castro Cabezas M; GRIPonMASH consortium. Global research initiative for patient screening on MASH (GRIPonMASH) protocol: rationale and design of a prospective multicentre study. BMJ Open. 2025 May 30;15(5):e092731. doi: 10.1136/bmjopen-2024-092731.

    PubMed 40447415

Questions about this trial

What is this clinical trial studying?

An observational study of MASH and MASLD, run by Julius Clinical at 13 sites in 10 countries.

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 21 inclusion and 8 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 1 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in Belgium, Germany, Netherlands, Czechia, France and 5 more countries. 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 de Jong (+31628259968, griponmash@juliusclinical.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prevalence of liver steatosis and MASLD estimated by FibroScan CAP in patients at risk (time frame: Baseline). The study lists 6 primary outcomes in all. 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 NCT05651724, which also lists 1 linked publication.

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 1 Aug 2024.

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