- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03178630
MRI Biomarkers in as Predictor of Clinical Endpoints in Pediatric Autoimmune Liver Disease
Longitudinal Study for the Assessment of MRI Based Biomarkers as a Predictors of Clinical Endpoints in Pediatric Onset Autoimmune Liver Disease
Study Overview
Status
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
-
-
Ohio
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Cincinnati, Ohio, United States, 45229
- Recruiting
- Cincinnati Children's Hospital and Medical Center
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age 6-23 years old.
- Established clinical diagnosis of AIH or PSC.
Exclusion Criteria:
- History of liver transplantation.
- Chronic Hepatitis B or untreated hepatitis C virus infection.
- Pregnancy.
- Absolute contraindication for MRI (e.g. pacemaker, metallic implants, claustrophobia).
- Diagnosis of cystic fibrosis or biliary atresia
- Diagnosis of cardiac hepatopathy.
- Diagnosis of Wilson's disease, Alpha-1 Antitrypsin deficiency, or Glycogen storage disease.
- Skin conditions which could be aggravated by MREL (i.e. Epidermolysis bullosa).
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
---|
Patients with autoimmune liver disease
Patients with autoimmune liver disease Patients (6-23 y.o.) with established clinical diagnosis of AIH or suspected diagnosis of AIH based on elevated serum AST or ALT, elevated IgG level >1.1 ULN, elevated titer of autoantibodies, including ANA, SMA, LKM, LC-1 or SLA, which is consistent with the simplified criteria for the diagnosis of AIH in children will be enrolled. Patients (6-23 y.o.) with established clinical diagnosis of PSC or Suspected diagnosis of PSC supported by abnormal cholangiogram (ERCP or MRCP) or elevated GGT>1.5 ULN and dilated bile ducts by liver ultrasound will be enrolled. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of intrahepatic bile duct irregularities between V0 (baseline visit) and V1 (visit after12 months) or V2 (visit after 24 months).
Time Frame: 24 months
|
Change of intrahepatic bile duct irregularities between V0 and V1 or V2 by MRCP (scored by Majoie classification on 4 point scale of 0-3).
|
24 months
|
Change of extra-hepatic duct irregularities between V0 (baseline visit) and V1 (visit after 12 months) or V2 (visit after 24 months).
Time Frame: 24 months
|
Change of extra-hepatic duct irregularities between V0 and V1 or V2 by MRCP (scored by Majoie classification on 5 point scale 0-4).
|
24 months
|
Mean shear stiffness of the liver
Time Frame: 24 months
|
Change in mean shear stiffness (kPa) of the liver by MREL between V0 (baseline visit) and V1 ( visit after 12 months) or V2 (visit after 24 months).
|
24 months
|
long-term clinical outcomes: survival with the native liver
Time Frame: 120 months
|
Annual assessment of survival with the native liver (Yes=1, No=0) will be done within 10 years of follow-up.
|
120 months
|
long-term clinical outcomes: hospital admissions for cholangitis
Time Frame: 120 months
|
Annual assessment of long-term clinical outcomes will be done within 10 years of follow-up.
Any hospital admissions for cholangitis (Yes=1, No=0) since last visit will be recorded at the time of follow-up.
|
120 months
|
long-term clinical outcomes:endoscopic interventions for biliary strictures
Time Frame: 120 months
|
Annual assessment of long-term clinical outcomes will be done within 10 years of follow-up.
Endoscopic interventions for biliary strictures (Yes=1, No=0) since last visit will be recorded at the time of follow-up.
|
120 months
|
long-term clinical outcomes:diagnosis of cholangiocarcinoma
Time Frame: 120 months
|
Annual assessment of long-term clinical outcomes will be done within 10 years of follow-up.
If there is diagnosis of cholangiocarcinoma (Yes=1, No=0) since last visit will be recorded.
|
120 months
|
long-term clinical outcomes: variceal bleeding
Time Frame: 120 months
|
Annual assessment of long-term clinical outcomes will be done within 10 years of follow-up.
Presence or absence of variceal bleeding (Yes=1, No=0) since last visit will be recorded.
|
120 months
|
long-term clinical outcomes: ascites
Time Frame: 120 months
|
Annual assessment of long-term clinical outcomes will be done within 10 years of follow-up.
Presence or absence of ascites (Yes=1, No=0) since last visit will be recorded.
|
120 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in liver/spleen volumes
Time Frame: 24 months
|
Changes in liver/spleen volumes (mL) between V0 (baseline visit) and V1 (visit after 12 months) or V2 (visit after 24 months).
|
24 months
|
Changes in T1rho, T1 and T2 mapping
Time Frame: 24 months
|
Readouts of T1rho, T1 and T2 mapping between baseline MRI at V0 (baseline visit) and repeat ones at V1 (after12 months) or V2 (after 24 months) in msec.
|
24 months
|
Clinical endpoints of AILD: Pruritus
Time Frame: 120 months
|
Annual assessment for Pruritus (on visual analogue scale of 0-10) will be done within 10 years of follow-up.
|
120 months
|
Clinical endpoints of AILD
Time Frame: 120 months
|
Annual assessment for Clinical diagnosis of hepatopulmonary syndrome (Yes=1, No=0) and/or hepatic encephalopathy (Yes=1, No=0) will be done within 10 years of follow-up.
|
120 months
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CIN002 MRI biomarkers in AILD
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
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