- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01144507
Prediction by Ultrasound of the Risk of Hepatic Cirrhosis in Cystic Fibrosis (PUSH)
November 1, 2023 updated by: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Prediction by Ultrasound of the Risk of Hepatic Cirrhosis in Cystic Fibrosis (PUSH)
The specific aims for this study are:
- To determine if sonographic findings predict the risk of progression of liver disease to cirrhosis by comparing cystic fibrosis subjects with heterogeneous echogenicity pattern on ultrasound to those with normal echogenicity pattern on ultrasound
- To develop a database and biorepository of serum, plasma, urine and DNA to aid the investigations in ascertaining the mechanisms, consequences, genetic risk factors and biomarkers for the development of cirrhosis
- To determine if there are differences in health related quality of life, pulmonary or nutritional status in children with cystic fibrosis who have a heterogeneous echo pattern on ultrasound compared to those who have a normal echo pattern on ultrasound
- To determine if Doppler velocity measurements of hepatic and splenic vessels predict an increased risk for the development of cirrhosis.
- To determine if cirrhosis on ultrasound progresses to portal hypertension during the study period
- To determine if homogeneous liver progresses to either cirrhosis or heterogeneous liver.
- To determine the frequency of complications of portal hypertension during follow up in those identified with cirrhosis by year 6 of the study
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
For subjects in longitudinal follow up, this study will:
- Collect detailed clinical and demographic information about each subject at enrollment and during follow up,
- Obtain and store imaging data from the subject at entry and during follow up,
- Obtain and store serum, plasma and urine samples from the subject at entry (after matching) and during follow up,
- Obtain and store DNA from the subject,
- Obtain and store DNA from the biological parents,
- Obtain and store quality of life data from the subject and parents at enrollment and during follow up
Study Type
Observational
Enrollment (Actual)
774
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Ontario
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Toronto, Ontario, Canada, M5G 1X8
- Hospital for Sick Children
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Colorado
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Aurora, Colorado, United States, 80045
- Children's Hospital of Colorado
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Georgia
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Atlanta, Georgia, United States, 30322
- Emory University School Of Medicine
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Illinois
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Chicago, Illinois, United States, 60611
- Ann & Robert H. Lurie Children's Hospital of
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Indiana
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Indianapolis, Indiana, United States, 46202
- Riley Hospital for Children
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Maryland
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Baltimore, Maryland, United States, 21287
- Johns Hopkins School of Medicine
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Minnesota
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Minneapolis, Minnesota, United States, 55455
- University of Minneapolis Medical Center
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Missouri
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Saint Louis, Missouri, United States, 63110
- Washington University School of Medicine
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Ohio
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Cincinnati, Ohio, United States, 45229
- Cincinnati Children's Hospital Medical Center
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Texas
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Houston, Texas, United States, 77030
- Texas Children's Hospital
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Washington
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Seattle, Washington, United States, 98105
- Seattle Children's Hospital
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
3 years to 12 years (Child)
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
The study population will consist of males and females 3 through 12 years of age with Cystic Fibrosis and pancreatic insufficiency who are enrolled in the CFF or Toronto CF registry studies.
All racial and ethnic groups will be included.
Description
Inclusion Criteria:
- Children aged 3 through 12 years of age at time of enrollment diagnosed with Cystic Fibrosis and pancreatic insufficiency
- Enrolled in the CFF registry study or Toronto CF Registry
- CF defined as sweat chloride of >60 mEq/L on one occasion (using the value in the CF registry) or two disease-causing mutations of CFTR with evidence of end organ involvement.
Pancreatic insufficient defined as one of the following:
- CFTR Mutation associated with pancreatic insufficiency
- Fecal elastase <100 mcg/gm (at any time)
- 72 hour fecal fat with coefficient of fat absorption <85% (at any time)
Exclusion Criteria:
- Known cirrhosis
- Presence of Burkholderia cepacia
- Short bowel syndrome defined as not on full enteral feeds by 3 months of age
- Presence of other serious disease precluding participation in this study (This would include patients with known other causes of chronic liver disease)
- If in the opinion of the Investigator the study is not in the best interest of the patient
- Inability to comply with the longitudinal follow-up described below
- Failure of a family to sign the informed consent document or the HIPAA medical record release form
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Group A
Approximately 60 subjects with a heterogeneous echo pattern of the liver on abdominal ultrasound (HTG US).
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To establish eligibility and/or markers regarding echo pattern types.
Other Names:
Samples of urine, serum, plasma, and blood for DNA from children and blood for DNA from parents will be requested from participating subjects
Other Names:
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Group B
Approximately 680 subjects with a normal echo pattern on abdominal ultrasound (NL US).
Of these subjects, approximately 110 will be matched 1:1 with Group A participants and followed for the duration of the study.
The remaining unmatched subjects will not be followed beyond their initial visit.
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To establish eligibility and/or markers regarding echo pattern types.
Other Names:
Samples of urine, serum, plasma, and blood for DNA from children and blood for DNA from parents will be requested from participating subjects
Other Names:
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Group C
An estimated 30 subjects with cirrhosis pattern on abdominal ultrasound.
These subjects will be followed in the study.
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To establish eligibility and/or markers regarding echo pattern types.
Other Names:
Samples of urine, serum, plasma, and blood for DNA from children and blood for DNA from parents will be requested from participating subjects
Other Names:
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Group D
An estimated 30 subjects with diffusely homogeneous echogenic pattern at screening ultrasound will be followed in the study.
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To establish eligibility and/or markers regarding echo pattern types.
Other Names:
Samples of urine, serum, plasma, and blood for DNA from children and blood for DNA from parents will be requested from participating subjects
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Development of cirrhosis, as defined by imaging criteria
Time Frame: Nine years
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The primary objective of this prospective longitudinal study is to determine the utility of abdominal ultrasound (US) at enrollment to predict the development of cirrhosis in subjects with cystic fibrosis (CF) within a nine year period.
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Nine years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Effects on associated pulmonary and nutritional issues
Time Frame: 9years
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9years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Study Chair: Michael Narkewicz, MD, Children's Hospital Colorado
- Study Director: Ed Doo, MD, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
- Study Director: Averell Sherker, MD, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 12, 2010
Primary Completion (Actual)
February 26, 2021
Study Completion (Actual)
June 14, 2023
Study Registration Dates
First Submitted
June 14, 2010
First Submitted That Met QC Criteria
June 14, 2010
First Posted (Estimated)
June 15, 2010
Study Record Updates
Last Update Posted (Estimated)
November 3, 2023
Last Update Submitted That Met QC Criteria
November 1, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CFLD PUSH
- U01DK062456 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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