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MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease)MASLDNCT07872059

Prevalence and Clinical Significance of Hematological Abnormalities in Patients With Clinically Diagnosed Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): A Case-Control Study

An observational study of MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease), run by Assiut University.

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Official record

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Trial summary

this study aims to investigate the prevalence of hematological abnormalities among patients with clinically diagnosed MASLD, evaluate their clinical correlates, and examine their association with non-invasive fibrosis scores. Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
How many people
120 participants
Where
No sites listed yet
Study dates
1 Nov 2026to 1 Oct 2027
How long will I take part?
1 Month
Phase
Observational

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 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: El-Raghy Hospital patients

Who may be able to join

  • Adults aged ≥18 years.
  • Patients with a clinical diagnosis of MASLD based on fibroscan records.
  • Availability of complete blood count (CBC) data.
  • Availability of relevant demographic and clinical information.

Who cannot join

  • Age below 18 years.
  • Alcoholic liver disease.
  • Viral hepatitis.
  • Autoimmune liver diseases.
  • Other chronic liver diseases or secondary causes of hepatic steatosis.
  • Patients with unavailable essential laboratory or clinical data.

About this study

this study aims to investigate the prevalence of hematological abnormalities among patients with clinically diagnosed MASLD, evaluate their clinical correlates, and examine their association with non-invasive fibrosis scores. The findings may improve risk stratification and facilitate early identification of patients who require closer monitoring or further hepatological assessment.

Read the detailed description

Metabolic dysfunction-associated steatotic liver disease (MASLD), previously known as non-alcoholic fatty liver disease (NAFLD), is one of the most prevalent chronic liver diseases worldwide, with its burden increasing in parallel with obesity, type 2 diabetes mellitus, and metabolic syndrome. Progressive forms of MASLD may lead to advanced fibrosis, cirrhosis, hepatocellular carcinoma, and liver-related complications. Beyond hepatic injury, MASLD is increasingly recognized as a multisystem disorder associated with extrahepatic manifestations.

Hematological abnormalities, including anemia, neutropenia, and platelet abnormalities, have been reported in patients with chronic liver disease. These abnormalities may be related to chronic inflammation, hypersplenism, nutritional deficiencies, bone marrow suppression, or impaired thrombopoietin production. Platelet count is also incorporated into commonly used non-invasive fibrosis scores, including the Fibrosis-4 (FIB-4) index and the Aspartate Aminotransferase-to-Platelet Ratio Index (APRI).

Although hematological parameters are routinely available through complete blood count (CBC) testing, the prevalence and clinical significance of CBC abnormalities among patients with clinically diagnosed MASLD remain insufficiently characterized. Evaluating these abnormalities may provide additional information for clinical risk stratification and identification of patients who may require further hepatological assessment.

Keywords
MASLD

What participants receive

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

Study groups in NCT07872059
Study groupRoleWhat they receive
MASLD patientsNot described

What is being measured

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

  1. • To determine the difference in prevalence of thrombocytopenia between cases and controls

    To determine the difference in prevalence of thrombocytopenia between patients with clinically diagnosed metabolic dysfunction-associated steatotic liver disease (MASLD) and control participants.

    Measured: Baseline (at the index CBC assessment corresponding to MASLD diagnosis for cases and the corresponding index CBC assessment for controls).

Secondary outcomes (3)
  1. · To determine the difference in prevalence of other hematological abnormalities, including anemia, neutropenia, thrombocytosis, and any complete blood count (CBC) abnormality

    Measured: Baseline (at the index CBC assessment corresponding to MASLD diagnosis for cases and the corresponding index CBC assessment for controls)

  2. · To assess the association between hematological abnormalities and demographic and clinical characteristics

    Measured: Baseline (at the index assessment corresponding to the CBC assessment for cases and the corresponding index assessment for controls).

  3. · To evaluate the relationship between CBC abnormalities and non-invasive liver fibrosis scores, including the Fibrosis-4 Index (FIB-4) and the Aspartate Aminotransferase-to-Platelet Ratio Index (APRI)

    Measured: Baseline (using laboratory data corresponding to the index CBC assessment for cases and the corresponding index assessment for controls).

Timeline

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

  1. First posted13 Oct 2026
  2. Study start1 Nov 2026 (estimated)
  3. Primary completion1 May 2027 (estimated)
  4. Study completion1 Oct 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
Case-control
Time perspective
Prospective
Enrolment
120 participants (estimated)
Target duration
1 Month
IDs, dates and publications
ClinicalTrials.gov ID
NCT07872059
Sponsor's protocol ID
CBC abnormalities in MASLD
Acronym
MASLD
Status last verified
Oct 2026
First submitted
4 Sep 2026
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Wang L, Wang Y. Non-Invasive Tests for the Detection of MASLD: Biomarkers and Imaging for Staging Steatosis, MASH, and Fibrosis. Int J Gen Med. 2026 Apr 9;19:593387. doi: 10.2147/IJGM.S593387. eCollection 2026.

    PubMed 41987810
  • Krintus M, Panteghini M. Detection of Advanced Liver Fibrosis Using Blood Noninvasive Tests: A Laboratory Medicine Perspective. Clin Chem. 2026 Mar 5;72(3):337-346. doi: 10.1093/clinchem/hvaf193.

    PubMed 41631709
  • Chen M, Guo C, Ouyang K, Liu N. Diagnostic role of the fibrosis-4 index and nonalcoholic fatty liver disease fibrosis score as a noninvasive tool for liver fibrosis scoring. Medicine (Baltimore). 2024 Oct 25;103(43):e40214. doi: 10.1097/MD.0000000000040214.

    PubMed 39470560
  • Tsai CH, Hung TH, Wong TS, Lin CY, Hsu CL, Ko PH, Chou YC, Li HF, Chien SH, Hsu CS. Extrahepatic manifestations of metabolic dysfunction-associated steatotic liver disease: An updated clinical overview. Tzu Chi Med J. 2025 Jul 23;37(4):378-385. doi: 10.4103/tcmj.tcmj_158_25. eCollection 2025 Oct-Dec.

    PubMed 41180506
  • Miller DM, McCauley KF, Dunham-Snary KJ. Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): Mechanisms, Clinical Implications and Therapeutic Advances. Endocrinol Diabetes Metab. 2025 Nov;8(6):e70132. doi: 10.1002/edm2.70132.

    PubMed 41255342
  • Zeng J, Gu C, Wen C, Shen C. The burden of NAFLD (now referred to as MASLD)-related chronic liver disease and cirrhosis from 1990 to 2021 with projections to 2036: a comparative study of global China the United States and India. Lipids Health Dis. 2025 Sep 29;24(1):298. doi: 10.1186/s12944-025-02750-z.

    PubMed 41024003
  • Huang DQ, Wong VWS, Rinella ME, Boursier J, Lazarus JV, Yki-Jarvinen H, Loomba R. Metabolic dysfunction-associated steatotic liver disease in adults. Nat Rev Dis Primers. 2025 Mar 6;11(1):14. doi: 10.1038/s41572-025-00599-1.

    PubMed 40050362

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