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Type 2 Diabetes Mellitus (T2DM)NCT07632677

Diagnostic Value of the Liver Inflammation Index for MASH in Patients With T2DM and MAFLD

An observational study of Type 2 Diabetes Mellitus (T2DM) and MASH - Metabolic Dysfunction-Associated Steatohepatitis, run by The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School at 22 sites in China.

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

This observational study aims to evaluate a new diagnostic tool, the Liver Inflammation Index, in detecting Metabolic Dysfunction-Associated Steatohepatitis (MASH) among adults who have both Type 2 Diabetes Mellitus (T2DM) and Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD). Read more about this study

Who is it for?
Ages 18 years and older
How many people
10,000 participants
Where
22 sitesChina
Study dates
15 May 2026to 31 Dec 2027
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study population consists of adult patients concurrently diagnosed with Type 2 Diabetes Mellitus (T2DM) and Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD). Participants will be continuously enrolled from both outpatient clinics and inpatient departments across 22 major research centers and tertiary hospitals located in various geographic regions of China. This cohort represents a real-world clinical population seeking routine medical care, health evaluations, or regular follow-ups for their metabolic and endocrine conditions. Data will be collected through both prospective clinical assessments and retrospective medical record reviews.

Who may be able to join

  • Adults aged ≥18 years, with no restrictions on sex;
  • Patients clinically diagnosed with metabolic dysfunction-associated fatty liver disease (MAFLD) according to the Chinese Society of Hepatology guideline Guidelines for the Prevention and Treatment of Metabolic Dysfunction-Associated (Nonalcoholic) Fatty Liver Disease (2024 Edition), and additionally diagnosed with type 2 diabetes mellitus (T2DM) based on the Chinese Guidelines for the Prevention and Treatment of Type 2 Diabetes Mellitus (2024 Edition).

Who cannot join

  • Presence of unhealed wounds, scars, or other conditions in the right upper abdominal region that are unsuitable for ultrasonographic examination;
  • Development of other liver diseases during follow-up, including viral hepatitis, drug-induced liver injury, autoimmune liver disease, alcoholic liver disease, or other chronic liver diseases;
  • History of hepatic decompensation;
  • History of hepatectomy or liver transplantation;
  • History of other malignancies;
  • Presence of vascular liver disease, cystic fibrosis-associated liver disease, sarcoidosis, polycystic liver disease, congenital or rare hereditary liver diseases, mechanical cholestasis, secondary sclerosing cholangitis, or heart failure accompanied by hepatic venous congestion;
Show all 9Show fewer
  • History of transjugular intrahepatic portosystemic shunt (TIPS);
  • Occurrence of acute hepatitis during follow-up (defined as alanine aminotransferase levels >5 times the upper limit of normal) or acute-on-chronic liver failure (ACLF);
  • Clinical or subclinical hypothyroidism or hyperthyroidism.

Trial locations and contacts

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

Yan Bi, MD,PhD contact

86-25-83-105302

biyan@nju.edu

Jin Li, MD,PhD contact

86-25-83-105302

jinli807@126.com

22 sites in 1 country

China22 sites, 22 recruiting
  • Department of Endocrinology, the First Affiliated Hospital of Bengbu Medical University

    Bengbu, Anhui, 233004

    Xiaolei Hu

    Recruiting
  • Department of Endocrinology, Zhujiang Hospital, Southern Medical University

    Guangzhou, Guangdong, 510280

    Jia Sun

    Recruiting
  • Department of Obesity and Metabolic Diseases, Panyu Hospital of Traditional Chinese Medicine

    Guangzhou, Guangdong, 511495

    Hui Li

    Recruiting
  • Department of Endocrinology, Hainan General Hospital

    Haikou, Hainan, 570311

    Kaining Chen

    Recruiting
  • Department of Endocrinology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310020

    Jiaqiang Zhou

    Recruiting
  • Department of Endocrinology, the Second Affiliated Hospital of Anhui Medical University

    Hefei, Anhui, 230601

    Tianrong Pan

    Recruiting
  • Department of Endocrinology, the First Affiliated Hospital of University of South China

    Hengyang, Hunan, 421001

    Xinhua Xiao

    Recruiting
  • Department of Endocrinology, the Third People's Hospital of Yunnan Province

    Kunming, Yunnan, 650011

    Li Gui

    Recruiting
  • Department of Endocrinology, Endocrine and Metabolic Disease Medical Center,Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University

    Nanjing, Jiangsu, 210008

    Yan Bi, MD, PhD, 86-25-83-105302, biyan@nju.edu.cn

    Jin Li, MD, PhD, 86-25-83-105302, jinli807@126.com

    Recruiting
  • Department of Endocrinology, the First Affiliated Hospital of Guangxi Medical University

    Nanning, Guangxi, 530021

    Yingfen Qin

    Recruiting
  • Department of Endocrinology, the Affiliated Hospital of Qingdao University

    Qingdao, Shandong, 266000

    Yangang Wang

    Recruiting
  • Department of Endocrinology, ZhongShan Hospital, Fudan University

    Shanghai, Shanghai Municipality, 200000

    Xiaoying Li, MD, PhD, 86-21-64041990, li.xiaoying@zs-hospital.sh.cn

    Recruiting
  • Department of Endocrinology, the Eighth Affiliated Hospital, Sun Yat-sen University

    Shenzhen, Guangdong, 518033

    Yunfeng Shen

    Recruiting
  • Department of Endocrinology, the First Affiliated Hospital of Soochow University

    Suzhou, Jiangsu, 215006

    Bimin Shi, MD, PhD, 86-0512-65223637, shibimin@163.com

    Recruiting
  • Department of Metabolic Diseases and Weight Management, Weifang People's Hospital

    Weifang, Shandong, 261000

    Haixia Liu

    Recruiting
  • Department of Endocrinology, the First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang, 325000

    Hong Zhu

    Recruiting
  • Department of Endocrinology, Renmin Hospital of Wuhan University

    Wuhan, Hubei, 430060

    Ling Gao

    Recruiting
  • Department of Endocrinology, the Second Affiliated Hospital of Wannan Medical University

    Wuhu, Anhui, 241000

    Junfei Gu

    Recruiting
  • Department of Endocrinology and Metabolism, Xijing Hospital, Air Force Medical University

    Xi’an, Shanxi, 710032

    Xiangyang Liu

    Recruiting
  • Department of Endocrinology, Xuzhou Central Hospital

    Xuzhou, Jiangsu, 221009

    Houfa Geng

    Recruiting
  • Department of Endocrinology, the First Affiliated Hospital of Henan University of CM

    Zhengzhou, Hennan, 450099

    Suqin Shi

    Recruiting
  • Department of Endocrinology, the Affiliated Hospital of Zunyi Medical University

    Zunyi, Guizhou, 563000

    Xin Liao

    Recruiting

Other trials in China

About this study

Official title: A Multicenter Cross-Sectional Study Evaluating the Diagnostic Accuracy of the Liver Inflammation Index for Metabolic Dysfunction-Associated Steatohepatitis (MASH) in Patients With Concurrent Type 2 Diabetes Mellitus and Metabolic Dysfunction-Associated Fatty Liver Disease

This observational study aims to evaluate a new diagnostic tool, the Liver Inflammation Index, in detecting Metabolic Dysfunction-Associated Steatohepatitis (MASH) among adults who have both Type 2 Diabetes Mellitus (T2DM) and Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD).

Read the detailed description

This study is a national, multicenter, real-world, cross-sectional observational trial designed to assess the clinical utility and diagnostic accuracy of the Liver Inflammation Index for identifying Metabolic Dysfunction-Associated Steatohepatitis (MASH) in patients with concurrent Type 2 Diabetes Mellitus (T2DM) and Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD).

The study plans to enroll a total of 10,000 participants across 22 major research centers in China. Data collection will be split into a prospective cohort (9,000 patients) and a retrospective cohort (1,000 patients). Each participating center will enroll between 100 and 2,000 subjects.

Study Procedures and Data Collection:

For all eligible participants, researchers will systematically collect comprehensive clinical data. This includes general demographic information, detailed past medical history, physical examination findings, and lifestyle questionnaires (assessing diet, physical activity, smoking, and alcohol consumption). Clinical assessments will involve standard laboratory tests to calculate the Liver Inflammation Index. Additionally, participants will undergo vibration-controlled transient elastography (using the iLivTouch device) to obtain the Ultrasound Attenuation Parameter (UAP) for steatosis grading and Liver Stiffness Measurement (LSM) for fibrosis staging.

Study Objectives:

The primary objective is to investigate the distribution and alterations of the Liver Inflammation Index in the Chinese T2DM and MAFLD population, and to evaluate the overall detection rate of MASH within this cohort.

Secondary objectives focus on stratifying the MASH detection rate based on several clinical variables:

The presence of comorbidities (including cardiovascular disease, chronic kidney disease, obesity, dyslipidemia, and hypertension).

The degree of hepatic steatosis (S1, S2, and S3), as determined by UAP results.

The severity of liver fibrosis (F0-F1, F2, F3, and F4), as determined by LSM results.

Demographic stratifications, including age, gender, and geographic region within China.

Identification of predictive risk factors associated with MASH in this specific patient population.

Exploratory Endpoints:

The study will explore the impact of modifiable, adverse lifestyle factors on the prevalence of MASH. Furthermore, a 5-year retrospective data collection (where hospital records permit) will be conducted to analyze the relationship between the MASH detection rate and various Liver-Related Events (LREs). LREs are defined as the occurrence of any of the following: Model for End-Stage Liver Disease (MELD) score ≥ 15, liver-related mortality, liver transplantation, progression to hepatocellular carcinoma, esophagogastric variceal bleeding, or hepatic decompensation (including ascites, overt hepatic encephalopathy, bacterial infections, and non-obstructive jaundice).

Being tested
iLivTouch (Vibration-controlled transient elastography)
Keywords
Type 2 Diabetes Mellitus, MASH, MAFLD, Liver inflammation index
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • iLivTouch (Vibration-controlled transient elastography)Diagnostic test

    A non-invasive diagnostic assessment performed using the iLivTouch device. This device simultaneously generates three key metrics: the Liver Inflammation Index (the primary target evaluated for its accuracy in detecting MASH), the Ultrasound Attenuation Parameter (UAP) for hepatic steatosis grading, and the Liver Stiffness Measurement (LSM) for fibrosis staging.

Study groups in NCT07632677
Study groupRoleWhat they receive
T2DM with MAFLDNot described
Receives: Diagnostic Test: iLivTouch (Vibration-controlled transient elastography)

What is being measured

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

  1. To evaluate the overall detection rate of MASH in the Chinese T2DM and MAFLD population.

    Measured: Baseline

Secondary outcomes (6)
  1. Proportion of Participants with MASH Stratified by Comorbidities

    To evaluate and compare the detection rate of Metabolic Dysfunction-Associated Steatohepatitis (MASH) among subgroups of patients with specific concurrent conditions, including cardiovascular disease, chronic kidney disease, obesity, dyslipidemia, and hypertension.

    Measured: Baseline

  2. Proportion of Participants with MASH Stratified by Hepatic Steatosis Grades

    To analyze the differences in the detection rate of MASH across varying degrees of hepatic steatosis (mild [S1], moderate [S2], and severe [S3]), as determined by the Ultrasound Attenuation Parameter (UAP) via transient elastography.

    Measured: Baseline

  3. Proportion of Participants with MASH Stratified by Liver Fibrosis Stages

    To assess the differences in the detection rate of MASH among patients with different stages of liver fibrosis (F0-F1, F2, F3, and F4), as classified by Liver Stiffness Measurement (LSM) via transient elastography.

    Measured: Baseline

  4. Demographic Variations in MASH Detection Rate

    To determine the detection rate of MASH stratified by key demographic factors, specifically gender and predefined age groups, to identify potential population-specific distribution patterns.

    Measured: Baseline

  5. Geographic Variations in MASH Detection Rate Across China

    To evaluate the regional differences in the detection rate of MASH among the enrolled cohort of T2DM and MAFLD patients across different geographical regions within China.

    Measured: Baseline

  6. Identification of Risk Factors Associated with MASH

    To identify and evaluate independent demographic, clinical, and laboratory predictors (risk factors) associated with the presence of MASH using multivariable logistic regression modeling.

    Measured: Baseline

Timeline

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

  1. First posted8 Jun 2026
  2. Study start15 May 2026 (estimated)
  3. Primary completion31 Dec 2027 (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
Cross-sectional
Enrolment
10,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07632677
Sponsor's protocol ID
2026-0142-01
Status last verified
Jun 2026
First submitted
23 May 2026
Last updated
8 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified participant data may be timely shared with qualified researchers upon request, subject to review and approval.

Questions about this trial

What is this clinical trial studying?

An observational study of Type 2 Diabetes Mellitus (T2DM) and MASH - Metabolic Dysfunction-Associated Steatohepatitis, run by The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School at 22 sites in China.

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 2 inclusion and 9 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 8 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in China. 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 Yan Bi, MD,PhD (86-25-83-105302, biyan@nju.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To evaluate the overall detection rate of MASH in the Chinese T2DM and MAFLD population. (time frame: Baseline). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Jun 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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