News

9 - 10 April 2025

Upcoming: 11th Steering Committee Meeting

We’re excited to welcome DECISION’s Steering Committee (SC) to our 11th SC Meeting, taking place on 10 April 2025 in Barcelona. These meetings are a key moment in our project timeline—an opportunity to review progress across all work packages, align on next steps, and reconnect in person.

With major updates from both clinical studies and a busy season of dissemination ahead, we look forward to engaging discussions and shared insights that will continue to move DECISION forward.

See you soon in Barcelona!

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News

5 January 2025

We’re on Bluesky!

Exciting news! DECISION has officially joined the social media platform Bluesky, a fresh and dynamic space for connecting and sharing research results.

By expanding our digital presence, we aim to reach more individuals passionate about hepatology and cutting-edge research in decompensated cirrhosis. Whether you’re a researcher, patient advocate, or simply curious about our work, Bluesky offers a new way to stay informed and engaged.

Follow us @decision4liver.bsky.social or https://bsky.app/profile/pancaid.bsky.social for updates, insights, and conversations about how we’re advancing this research field.

Not on Bluesky? You can also connect with us on LinkedIn, or Twitter / X.

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Events

21 October 2024

This was our 6th General Assembly Meeting

The DECISION project held its 6th General Assembly from October 16–18, 2024, in Bologna, Italy, focusing on novel therapies, biomarker validation, and clinical translation for acutely decompensated cirrhosis.

Scientific Highlights:

  • Epigenetics and Transcriptomics: Estefania Huergo presented on epigenetic signatures, while Richard Moreau highlighted RNA-sequencing data, both offering insights into predicting adverse outcomes and mortality risks.
  • Biomarker Discovery: Johanna Reissing and Cristina López-Vicario identified potential biomarkers like microRNAs and inflammatory proteins linked to disease progression and ACLF risk. Pierre-Emmanuel Rautou discussed extracellular vesicles and their correlation with mortality.
  • Preclinical Models: Frank Uschner showcased progress in preclinical models testing combinatorial therapies like albumin and enoxaparin for ACLF.
  • Patient Stratification: David Gomez-Cabrero reported advancements in predicting outcomes using multi-omics data.
  • Clinical Trials: Paolo Caraceni outlined the COMBAT trial, assessing a combinatorial therapy, and the PROSPECT study focusing on biomarker validation and survival prediction.

Outreach and Impact: Tamara Berghammer emphasized dissemination efforts through a dedicated website, social media, and conference participation, ensuring the project’s influence and visibility.

The assembly concluded with a summary of progress in identifying new therapeutic strategies for liver disease, underscoring the consortium’s dedication to translating research into clinical practice.

Article is adapted from the EF-CLIF's news piece here.

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Our Vision

DECISION strives to better understand the pathophysiology of decompensated cirrhosis leading to acute-on-chronic liver failure (ACLF) at the systems level by taking advantage of already existing large and clinically well characterized patient cohorts. The ultimate goal is to significantly reduce mortality through combinatorial therapies that are tailored to the specific needs of individual patients. Part of this endeavour is to develop a reliable prognostic test and a robust response test.

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Why it matters

In 2013, cirrhosis was responsible for 1.2 million deaths worldwide. While most cirrhosis patients initially do not show symptoms, acute decompensation of cirrhosis, defined as the body’s inability to cope with the progressing dysfunctionality of the liver, leads to drastic symptoms. Decompensation is characterized by the development of ascites, hepatic encephalopathy, jaundice, or gastrointestinal haemorrhage, and is often a turning point for cirrhosis.

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