- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01148550
Longitudinal Study of Mitochondrial Hepatopathies (MITOHEP)
Study Overview
Status
Detailed Description
This study will be conducted as part of the NIH-supported Childhood Liver Disease Research and Education Network (ChiLDREN). ChiLDREN is investigating rare cholestatic liver diseases of childhood: alpha-1 antitrypsin deficiency (A1AT), Alagille's Syndrome (AGS), progressive familial intrahepatic cholestasis (PFIC), bile acid synthesis defects and mitochondrial hepatopathies (all previously studied by the Cholestatic Liver Disease Consortium [CLiC]); biliary atresia (previously studied by the Biliary Atresia Research Consortium [BARC]); neonatal hepatitis; and cystic fibrosis liver disease, which is studied by a new branch of ChiLDREN known as the Cystic Fibrosis Liver Disease (CFLD) Network.
In this protocol, mitochondrial hepatopathies in children and young adults will be investigated. The focus will be on respiratory chain defects (RC) and defects of fatty acid oxidation (FAO). There is little known about the full spectrum of severity and long-term natural history of mitochondrial hepatopathies. Moreover, these disorders have not been subject to prospective, rigorous clinicopathological scrutiny.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Terese Howell, BS, CCRC
- Phone Number: 734-476-5340
- Email: terri.howell@arborresearch.org
Study Contact Backup
- Name: Sayori Suda-Wilson, BS, RD
- Phone Number: 734-678-5070
- Email: sayori.suda-wilson@arborresearch.org
Study Locations
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 1X8
- Recruiting
- Hospital For Sick Children
-
Contact:
- Claudia Quammie
- Phone Number: 201594 416-813-7654
- Email: claudia.quammie@sickkids.ca
-
Sub-Investigator:
- Vicky Ng, MD
-
Principal Investigator:
- Binita Kamath, MD
-
Contact:
- Zune Ahmad
- Phone Number: 201561 416-813-7654
- Email: zune.ahmad@sickkids.ca
-
-
-
-
California
-
Los Angeles, California, United States, 90027
- Recruiting
- Children's Hospital Los Angeles
-
Contact:
- Sirikorn Boonsawat
- Phone Number: 323-361-2181
- Email: sboonsawat@chla.usc.edu
-
Sub-Investigator:
- Danny Thomas, MD
-
Sub-Investigator:
- Nisreen Soufi, MD
-
Sub-Investigator:
- Sonia Michail, MD
-
Principal Investigator:
- Rohit Kohli, MD
-
San Francisco, California, United States, 94143
- Active, not recruiting
- University of California at San Francisco (UCSF)
-
-
Colorado
-
Aurora, Colorado, United States, 80045
- Recruiting
- Children's Hospital Colorado
-
Contact:
- Kelly Gilmartin
- Phone Number: 720-777-2961
- Email: kelly.gilmartin@childrenscolorado.org
-
Contact:
- Eseosa Enabulele
- Email: eseosa.enabulele@childrenscolorado.org
-
Principal Investigator:
- Ronald J Sokol, MD
-
Sub-Investigator:
- Michael Narkewicz, MD
-
Sub-Investigator:
- Shikha Sundram, MD
-
Sub-Investigator:
- Johan Van Hove, MD
-
Sub-Investigator:
- Amy Feldman, MD
-
Sub-Investigator:
- Dania Brigham, MD
-
-
Georgia
-
Atlanta, Georgia, United States, 30322
- Recruiting
- Children's Healthcare of Atlanta - Emory University
-
Contact:
- Katelynn Harris
- Phone Number: 404-785-0421
- Email: katelynn.harris@choa.org
-
Contact:
- Jordyn Turner
- Phone Number: 404-785-3690
- Email: jordyn.turner@choa.org
-
Principal Investigator:
- Saul Karpen, MD, Ph.D
-
Sub-Investigator:
- Nitika Gupta, MD
-
Sub-Investigator:
- Miriam Vos, MD, MSPH
-
Sub-Investigator:
- Rene Romero, MD
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- Recruiting
- Ann & Robert H. Lurie Children's Hospital
-
Contact:
- Mary M. Riordan
- Phone Number: 312-227-4558
- Email: mriordan@luriechildrens.org
-
Contact:
- Angela Anthony
- Phone Number: 312-227-4559
- Email: aanthony@luriechildrens.org
-
Principal Investigator:
- Estella Alonso, MD
-
Sub-Investigator:
- Lee Bass, MD
-
-
Indiana
-
Indianapolis, Indiana, United States, 46202
- Recruiting
- Riley Hospital for Children
-
Principal Investigator:
- Jean Molleston, MD
-
Contact:
- Ann Klipsch, RN
- Phone Number: 317-944-9605
- Email: aeye@iu.edu
-
Sub-Investigator:
- Molly Bozic, MD
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
- Completed
- Johns Hopkins School of Medicine
-
-
Missouri
-
Saint Louis, Missouri, United States, 63110
- Completed
- Washington University School of Medicine
-
-
New York
-
New York, New York, United States, 10029
- Completed
- Mount Sinai Medical Center
-
-
Ohio
-
Cincinnati, Ohio, United States, 45229
- Recruiting
- Children's Hospital Medical Center
-
Contact:
- Erin Chapman, BAS
- Phone Number: 513-803-7482
- Email: erin.chapman@cchmc.org
-
Contact:
- Jennifer Hawkins, MS
- Phone Number: 513-636-7818
- Email: jennifer.hawkins@cchmc.org
-
Sub-Investigator:
- Joseph Palermo, MD
-
Principal Investigator:
- Alexander Miethke, MD
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- The Children's Hospital of Philadelphia
-
Principal Investigator:
- Kathleen Loomes, MD
-
Sub-Investigator:
- David Piccoli, MD
-
Sub-Investigator:
- Elizabeth Rand, MD
-
Contact:
- Caitlin Griffiths, MS
- Phone Number: 267-577-9888
- Email: griffithc2@chop.edu
-
Contact:
- Ashley Ajay
- Phone Number: 267-426-8412
- Email: ajaya@chop.edu
-
Pittsburgh, Pennsylvania, United States, 15224
- Recruiting
- UPMC Children's Hospital of Pittsburgh
-
Sub-Investigator:
- James Squires, MD
-
Principal Investigator:
- Simon Horslen, MD
-
Contact:
- Alexandria Falcon-Assadian
- Phone Number: 412-692-3293
- Email: falconassadianak2@upmc.edu
-
Contact:
- Audrey Fitzgerald
- Email: fitzgeraldal2@upmc.edu
-
-
Texas
-
Houston, Texas, United States, 77030
- Recruiting
- Texas Children's Hospital (Baylor College of Medicine)
-
Principal Investigator:
- Paula Hertel, MD
-
Sub-Investigator:
- Benjamin Shneider, MD
-
Contact:
- Cynthia Tsai, MPH
- Phone Number: 832-822-3634
- Email: children.network@bcm.edu
-
Contact:
- Laurell Cavallo
- Phone Number: 832-822-1053
- Email: children.network@bcm.edu
-
-
Utah
-
Salt Lake City, Utah, United States, 84113
- Recruiting
- University of Utah
-
Contact:
- Ann Rutherford
- Phone Number: 801-585-9495
- Email: ann.rutherford@hsc.utah.edu
-
Principal Investigator:
- Stephen Guthery, MD
-
Sub-Investigator:
- Kyle Jensen, MD
-
Sub-Investigator:
- Linda Book, MD
-
Contact:
- Natalie Fillerup
- Phone Number: 801-587-5670
- Email: natalie.fillerup@hsc.utah.edu
-
-
Washington
-
Seattle, Washington, United States, 98105
- Recruiting
- Seattle Children's Hospital
-
Principal Investigator:
- Pamela Valentino, MD
-
Contact:
- Melissa Young
- Phone Number: 206-987-1037
- Email: melissa.young@seattlechildrens.org
-
Sub-Investigator:
- Evelyn Hsu, MD
-
Sub-Investigator:
- Niviann Blondet, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Subjects in Group 1 (Mitochondrial Hepatopathy group) must meet all of the following inclusion criteria:
- Children and young adults with suspected or documented hepatic RC defector FAO defect from birth to 18 years old (through 18 years).
- Both sexes, all races and ethnic groups.
- Participants must meet one of the following sets of criteria (A or B):
A. Potential subjects presenting with acute or chronic liver disease or acute liver failure but who have not had a liver transplant must meet one of Clinical Criteria 1 and one of Clinical Criteria 2 listed below:
Clinical Criteria 1 (any one of the following)
- 1.Acute liver failure, defined as severe liver dysfunction and either 1) INR >1.5 or prothrombin time > 15 seconds with encephalopathy or 2) INR > 2.0 or prothrombin time > 20 seconds with or without encephalopathy; occurring within 8 weeks of onset of illness; with no known underlying chronic liver disease, or
- 2.Acute liver disease defined as elevated AST or ALT >1.25 ULN and CK <1000u/L or conjugated bilirubin >2.0 mg/dl and >20% of total bilirubin, or
3.Chronic liver disease defined as:
- elevated ALT or AST (>1.25 ULN) for > 6 months, or
- conjugated hyperbilirubinemia (conjugated [direct] > 2.0 mg/dl and > 20% of total bilirubin) for > 6 months or
- clinical stigmata of chronic liver disease, including chronic hepatomegaly, clinical findings or complications of cirrhosis or portal hypertension, impaired liver synthetic function, intractable pruritus explainable only by liver disease or end-stage liver disease, or
- abnormal liver histology including hepatic fibrosis or cirrhosis, microvesicular steatosis, canalicular cholestasis, ballooned granular red hepatocytes (AKA oncocytes), intralobular collapse/regeneration And
Clinical Criteria 2 (any one of the following):
- 1.Prior history of extra-hepatic organ involvement accompanied by any one or more of the signs and symptoms associated with mitochondrial dysfunction (e.g.
hypotonia, neuro-developmental delay, seizure disorder requiring treatment with valproic acid, nystagmus, cardiomyopathy, renal tubulopathy, bone marrow failure, myopathy, hearing loss), or
- 2.Lactic acidosis (arterial blood or free-flowing venous blood level >2.5 mmol/L or >22.5 mg/dl at any age and increased lactate:pyruvate ratio [>25.0]) or
- 3.Hypoglycemia (blood glucose <45 mg/dl on any measurement) and hypoketonuria (<1+ for urine ketones by dipstick on urine specimen obtained within 4 hours after collecting blood with low glucose concentration), or
- 4.Abnormal acyl carnitine profile, or
- 5.Documented biochemical (enzymatic) or genetic diagnosis
B. Potential participants who have undergone a liver transplantation because of acute liver failure or end stage liver disease due to suspected or confirmed mitochondrial hepatopathy; the transplantation may have been performed at a non-ChiLDREN medical center or at a ChiLDREN Clinical Site. Participants will meet Criteria 1 and either criteria 2 or criteria 3 below:
- 1.Previous liver transplantation, AND
2.Suspected mitochondrial liver disease, based upon meeting one or more of the following criteria:
- Had a prior history of extra-hepatic organ involvement accompanied by signs and symptoms associated with mitochondrial dysfunction (e.g., hypotonia, neuro-developmental delay, seizure disorder requiring treatment with valproic acid, nystagmus, cardiomyopathy, renal tubulopathy, bone marrow failure, myopathy, hearing loss), OR
- A prior history of lactic acidosis (arterial blood or free-flowing venous blood level >2.5 mmol/L or >22.5 mg/dl at any age and increased lactate:pyruvate ratio [>25.0]), OR
- A prior history of hypoglycemia (blood glucose <45 mg/dl on any measurement) and hypoketonuria (≤1+ for urine ketones by dipstick on urine specimen obtained within 4 hours after collecting blood with low glucose concentration), OR
- A prior history of an abnormal acyl carnitine profile, OR
- Documented biochemical (enzymatic) or genetic diagnosis of a mitochondrial disorder
- 3.A documented (confirmed) mitochondrial disorder based upon the confirmation criteria specified in protocol.
Subjects in Group 2 (Suspected Mitochondrial Hepatopathy not meeting Group 1 enrollment criteria) must meet the following inclusion criteria:
- Children and young adults with suspected hepatic RC defect or FAO defect between birth through 18 years but who do not meet clinical inclusion criteria listed above for acute or chronic liver disease or acute liver failure.
- Both sexes, all races and ethnic groups.
Subjects in either Group 1 or 2 must not have any of the following exclusion criteria:
- Inability to comply with the longitudinal follow-up described below.
- Failure of a family/patient to sign the informed consent/assent document or the HIPAA authorization form.
- Known Medium Chain Acyl CoA Dehydrogenase deficiency (MCAD).
- Other known causes of liver disease.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
---|
Group 1
Mitochondrial Hepatopathy Disease Group
|
Group 2
Subjects with Suspected Mitochondrial Hepatopathy who do not meet the enrollment criteria for Group 1 Subjects with Suspected Mitochondrial Hepatopathy who do not meet the enrollment criteria for Group 1
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Listing for liver transplant
Time Frame: Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Listing for liver transplant
|
Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Liver transplantation
Time Frame: Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Liver transplantation
|
Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Involvement of other organ systems known to be associated with mitochondrial diseases
Time Frame: Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Involvement of other organ systems known to be associated with mitochondrial diseases
|
Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Death
Time Frame: Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Death
|
Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Growth failure
Time Frame: Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Growth failure (defined as weight or length Z-score for age < -2)
|
Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Worsening liver function
Time Frame: Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Worsening liver function (defined as PELD >10)
|
Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Complications of portal hypertension
Time Frame: Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Complications of portal hypertension
|
Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Neurodevelopmental outcome
Time Frame: Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Neurodevelopmental outcome
|
Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Health related Quality of Life
Time Frame: Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Health related Quality of Life
|
Measured/assessed at baseline, 6 months, Years 1 through 10, and at time of liver transplant, liver or muscle biopsy or hospitalization for critical illness if applicable
|
Collaborators and Investigators
Collaborators
Investigators
- 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)
- Study Chair: Ronald J Sokol, MD, University of Colorado, Denver
- Principal Investigator: John C Magee, MD, University of Michigan
- Principal Investigator: Lisa Henn, PhD, Arbor Research Collaborative for Health - Data Coordinating Center
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MITOHEP Study-ChiLDReN Network
- U01DK062436 (U.S. NIH Grant/Contract)
- U01DK062456 (U.S. NIH Grant/Contract)
- U01DK103149 (U.S. NIH Grant/Contract)
- U01DK103140 (U.S. NIH Grant/Contract)
- U01DK103135 (U.S. NIH Grant/Contract)
- U01DK084575 (U.S. NIH Grant/Contract)
- U01DK084538 (U.S. NIH Grant/Contract)
- U01DK084536 (U.S. NIH Grant/Contract)
- U01DK062503 (U.S. NIH Grant/Contract)
- U01DK062500 (U.S. NIH Grant/Contract)
- U01DK062497 (U.S. NIH Grant/Contract)
- U01DK062481 (U.S. NIH Grant/Contract)
- U01DK062470 (U.S. NIH Grant/Contract)
- U01DK062466 (U.S. NIH Grant/Contract)
- U01DK062453 (U.S. NIH Grant/Contract)
- U01DK062452 (U.S. NIH Grant/Contract)
- U01DK062445 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on End Stage Liver Disease
-
Vanderbilt University Medical CenterEnrolling by invitationEnd Stage Liver DIseaseUnited States
-
Virginia Commonwealth UniversityCompletedEnd Stage Liver DIseaseUnited States
-
Guy's and St Thomas' NHS Foundation TrustKing's College LondonCompletedEnd-stage Liver DiseaseUnited Kingdom
-
Proteonomix, Inc.University of Medicine and Dentistry of New Jersey; NumodaUnknownEnd Stage Liver DIseaseUnited States
-
University of ZurichUniversity Ghent; University Hospital of Sao Paulo, BrazilCompleted
-
RenJi HospitalNot yet recruitingEnd Stage Liver DIsease
-
Mayo ClinicRecruiting
-
University of Sao PauloFundação de Amparo à Pesquisa do Estado de São PauloCompleted
-
Huashan HospitalRecruiting
-
Beijing Chao Yang HospitalUnknownLiver Transplantation | End Stage Liver DIseaseChina