MedPath

Trial of High-dose Urso in Primary Sclerosing Cholangitis

Phase 2
Terminated
Conditions
Primary Sclerosing Cholangitis
Interventions
Registration Number
NCT00059202
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Brief Summary

This is a multicenter, randomized, controlled trial of high dose ursodiol versus placebo for patients with primary sclerosing cholangitis (PSC). The average duration of follow-up will be approximately five years with important clinical endpoints such as death, eligibility for liver transplantation, changes in histology and cholangiogram as well as liver biochemistries and quality of life data collected.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
150
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ursodeoxycholic acidUrsodeoxycholic AcidUrsodeoxycholic acid 28-30 mg/kg/day
PlaceboPlaceboPlacebo tablet that is identical (size, color, etc) to experimental ursodeoxycholic acid tablet.
Primary Outcome Measures
NameTimeMethod
Number of Participants With Treatment Failure5 years

Treatment failure was defined as death, transplantation, meeting minimal listing criteria, development of varices, cholangiocarcinoma, or progression to cirrhosis

Secondary Outcome Measures
NameTimeMethod
Number of Participants Who Have a Liver Transplantation5 years

Liver transplantation at any time up to 5 years

Number of Participants Who Developed Varices5 years

Development of esophogeal and/or gastric varices

Alkaline Phosphatase at 36 Months36 months

Alkaline phosphatase divided by the upper limit of normal

Number of Deaths5 years

Death at any time up to 5 years

Aspartate Aminotransferase at 24 Months24 months

Aspartate aminotransferase at divided by the upper limit of normal

Number of Participants Meeting Minimal Listing Criteria for Liver Transplantation5 years

Meeting minimal listing criteria for liver transplantation at any time up to 5 years. Minimal listing criteria are defined as a MELD score of 14 or higher. The Model For End-Stage Liver Disease (MELD) is a numeric score with a range of 6 to 40, where a higher score means worse liver disease.

Number of Participants Who Developed Cholangiocarcinoma5 years

Development of cholangiocarcinoma at any time up to 5 years

Alkaline Phosphatase at 24 Months24 months

Alkaline phosphatase divided by the upper limit of normal

Number of Participants Who Developed Cirrhosis5 years

Development of cirrhosis based on liver biopsy

Bilirubin at 12 Months12 months

Bilirubin divided by the upper limit of normal

Bilirubin at 36 Months36 months

Bilirubin divided by the upper limit of normal

Alkaline Phosphatase at 12 Months12 months

Alkaline phosphatase divided by the upper limit of normal

Bilirubin at 24 Months24 months

Bilirubin divided by the upper limit of normal

Aspartate Aminotransferase at 12 Months12 months

Aspartate aminotransferase at divided by the upper limit of normal

Aspartate Aminotransferase at 36 Months36 months

Aspartate aminotransferase at divided by the upper limit of normal

Trial Locations

Locations (5)

St. Louis University

🇺🇸

Saint Louis, Missouri, United States

Medical College of Virginia

🇺🇸

Richmond, Virginia, United States

University of Washington

🇺🇸

Seattle, Washington, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

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