Cirrhosis, Liver
Conditions
Brief summary
Longitudinal monitoring of inflammation using skin devices may help predict outcomes compared to traditional blood draws
Interventions
Skin sensor to detect inflammatory molecules in sweat
Sponsors
Study design
Intervention model description
All subjects will receive the sensor but they are 3 different populations, which is why there are 3 different arms
Eligibility
Inclusion criteria
Healthy Volunteers Inclusion Criteria: 1. Age \>18 years 2. Able to give consent
Exclusion criteria
1. Unable/unwilling to consent 2. Chronic diseases 3. Unable to come in daily or be available daily for 3 days. Outpatients with Cirrhosis: Inclusion criteria: 1. Age \>18 years 2. Able to give consent 3. Cirrhosis defined by any one of the following 1. Cirrhosis on liver biopsy or transient wave elastography 2. Nodular liver on imaging 3. Endoscopic or radiological evidence of varices in a patient with chronic liver disease 4. Platelet count \<150,000/mm3 and AST/ALT ratio \>1 in a patient with chronic liver disease 5. Patients with frank decompensation (ascites, HE, variceal bleeding, hepato-pulmonary syndrome)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 | 3 days | We will study whether subjects have any issues or adverse events related to the sensor |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ability to detect inflammatory markers (TNF, IL-1b, IL-6 and CRP) using skin sensor compared to blood values | 3 days | Comparison of skin sensor data to blood inflammatory markers as above using daily blood draw and sensor values. Blood markers and sensor markers will be correlated for each day. |
| Linkage of skin inflammatory markers (TNF, IL-6, IL-1b and CRP) with quality of life | 3 days | Correlation of inflammatory markers using the skin sensor data to quality of life using Sickness Impact Profile and PROMIS questionnaires. |
| Linkage of inflammatory markers (TNF, IL-6, IL-1b and CRP) with cognitive testing | 3 days | Correlation of inflammatory markers using the skin sensor data to cognitive performance on PHES and EncephalApp Stroop |
| Linkage of inflammatory markers with MELD score | 3 days | Correlation of inflammatory markers using the skin sensor data to MELD score |
Countries
United States