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Targeting the gut microbiome as a treatment for Primary Sclerosing Cholangitis: The Queensland Clinical Network Study

Phase 3
Recruiting
Conditions
Primary Sclerosing Cholangitis
Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
Registration Number
ACTRN12621000792820
Lead Sponsor
Princess Alexandra Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
34
Inclusion Criteria

•Male and females (females of childbearing age must have negative pregnancy test within 48 hours of participation and agreement to practice contraception for the duration of the study), age =>14 years old and <75 years,
0 Established clinical diagnosis of PSC (confirmed by a hepatologist) with or without an associated IBD
oHistory of chronic cholestatic disease of at least 6 months duration,
oSerum alkaline phosphatase level at least 1.5 times the upper limit of normal.
oCholangiography or MRCP demonstrating intrahepatic and/or extrahepatic biliary obstruction, beading, or narrowing consistent with PSC (without evidence for other causes of the biliary abnormalities).
0 Patients have given informed consent for study participation.
0 All other treatments for PSC and IBD need to be stable for the last 4 weeks prior to inclusion.

Exclusion Criteria

•Findings highly suggestive of hepatobiliary disease of other aetiology complicating PSC,
•Anticipated need for liver transplantation in one year (e.g. determined by Mayo model with an estimate of <75% one year survival without transplantation),
•Recurrent variceal bleeding, presence of ascites, or encephalopathy,
•Active drug or alcohol use, pregnancy, breast feeding,
•Serum creatinine over 1.5 fold of the norm,
•Prior history of allergic reactions to antibiotics belonging to the family to be used,
•Any condition that, in the opinion of the investigator, would interfere with the patient's ability to complete the study safely or successfully.
•Evidence of active malignancy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Improvement of ALP as assessed with blood test.[ At baseline and after 12 weeks of treatment.]
Secondary Outcome Measures
NameTimeMethod
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