Hepatocellular Carcinoma
Conditions
Brief summary
This study evaluates a target population of patients with Hepatitis C virus (HCV) infection, including those with complications like liver cirrhosis (LC) and hepatocellular carcinoma (HCC), to investigate the diagnostic utility of a specific panel of microRNAs (miRNAs). The intervention involves quantifying the plasma expression (PE) levels of MiR-21, 1246, 205, 29a-3p, and 497 via PCR and comparing them to healthy controls to determine their efficacy as biomarkers. The primary outcome is to assess the sensitivity, specificity, and overall accuracy of these miRNAs in differentiating HCC from cirrhotic and non-cirrhotic HCV cases, aiming to establish more reliable screening tools than current standard biomarkers like alpha-fetoprotein (AFP).
Interventions
PCR quantification of plasma microRNA levels (MiR-21, 1246, 205, 29a-3p, and 497).
Sponsors
Study design
Eligibility
Inclusion criteria
* Newly diagnosed HCV infection. * Chronic uncomplicated HCV infection. * HCV complicated with liver cirrhosis. * HCV complicated with HCC on top of cirrhosis. * Willingness to participate and sign written informed consent.
Exclusion criteria
* Advanced stage of hepatic cirrhosis with portal hypertension or hepatorenal failure. * Hepatic malignancies other than HCC. * Bilharzial pre-portal fibrosis. * Alcoholic fatty liver disease * hepatosteatosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success Rate of Diagnostic Regimens in Identifying Hepatocellular Carcinoma | Around 3 months | iagnostic utility (sensitivity, specificity, and accuracy rate) of estimated plasma expression (PE) levels of microRNAs (specifically Mir-1246, Mir-21, and Mir-497) to distinguish HCC from LC and HCV |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic Performance for LC | Around 3 months | Differentiating liver cirrhosis using downregulated MiR-205 and overexpressed MiR-29a. |
| Biomarker Correlation | Around 3 months | Correlation between miRNA levels and serum Alpha-Fetoprotein (AFP). |
Countries
Egypt