RADIcAL 1

  • Research type

    Research Study

  • Full title

    Non-invasive rapid assessment of non-alcoholic fatty liver disease (NAFLD) using Magnetic Resonance Imaging with LiverMultiScan (RADIcAL)

  • IRAS ID

    244088

  • Contact name

    Dimitar Tonev

  • Contact email

    dimitar.tonev@perspectum-diagnostics.com

  • Sponsor organisation

    Perspectum Diagnostics Ltd

  • Clinicaltrials.gov Identifier

    NCT03289897

  • Duration of Study in the UK

    2 years, 0 months, 1 days

  • Research summary

    The current standard for diagnosing and staging NASH is a liver biopsy,which is costly, invasive and carries risk for the patient. LiverMultiScan™ (LMS) uses multiparametric MRI to characterise liver tissue to aid the diagnosis of liver disorders. RADIcAL1 is a randomised control trial (RCT) to determine cost-effectiveness of LMS versus the existing standard care pathway for assessing chronic liver disease in tertiary-referral hepatology centres across Europe.
    RADIcAL1 will recruit 2000 patients suspected of NAFLD/NASH from centres across Europe. Eligible participants will be screened and randomised (1:1) to either the current diagnostic evaluation (control arm), or LMS (study arm). Participants in the study arms with a corrected T1 of <800 ms and proton density fat fraction <10%, will be managed in primary care. Those not meeting these criteria will be recommended for further diagnostic evaluation. The primary outcome will be the proportion of patients receiving liver-related hospital consultations and/or biopsies in each arm. Healthcare costs will also be compared between arms following the intention-to-treat principle.

  • REC name

    South Central - Berkshire Research Ethics Committee

  • REC reference

    18/SC/0275

  • Date of REC Opinion

    25 May 2018

  • REC opinion

    Favourable Opinion