MedPath

Identifying features contributing to the development and progression of primary sclerosing cholangitis

Not Applicable
Conditions
Primary sclerosing cholangitis
Digestive System
Registration Number
ISRCTN12203379
Lead Sponsor
University of Birmingham
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
350
Inclusion Criteria

Eligible participants must fulfil the criteria set out below, as related to the sample type in question.Peripheral blood:1.Adults (age 18 – 75 years).2.Be able to provide written (signed) informed consent.3.Be willing and able to comply with routine clinic visits and study-related procedures.4.Be able to understand and complete study-related questionnaires.5.Liver disease populations - participants must have an established diagnosis of any of the following conditions: 5.1.PSC5.2.PBC5.3.MASLD6.IBD alone populations - participants must have an established diagnosis of one of the following, without a concurrent diagnosis of PSC:6.1.Ulcerative colitis (UC) 6.2.Crohn’s disease with colonic involvement 6.3.IBD unclassified with colonic involvement7.Healthy controls -defined as participants who do not have present or previous gastrointestinal or liver disease. Participants with functional gastrointestinal disorder (FGID) can be included. This will be clinician defined.Stool:1.Adults (age 18 – 75 years).2.Be able to provide written (signed) informed consent.3.Be willing and able to comply with routine clinic visits and study-related procedures.4.Be able to understand and complete study-related questionnaires.5.Liver disease populations: participants must have an established diagnosis of any of the following conditions: 5.1.PSC5.2.PBC5.3.MASLD6.IBD populations: participants must have an established diagnosis of one of the following, without a concurrent diagnosis of PSC:6.1.Ulcerative colitis (UC) 6.2.Crohn’s disease with colonic involvement 6.3.IBD unclassified with colonic involvement7.Healthy control populations: defined as participants who do not have present or previous gastrointestinal or liver disease. Participants with functional gastrointestinal disorder (FGID) can be included. This will be clinician defined.Colonic biopsies:1.Adults (age 18 – 75 years).2.Be able to provide written (signed) informed consent.3.Be willing and able to comply with routine clinic visits and study-related procedures.4.Be able to understand and complete study-related questionnaires.5.Liver disease populations: participants must have an established diagnosis of PSC.6.IBD population: participants must have an established diagnosis of one of the following, without a concurrent diagnosis of PSC:6.1.Ulcerative colitis (UC) 6.2.Crohn’s disease with colonic involvement 6.3.IBD unclassified with colonic involvement7.Healthy control populations:7.1.Participants without a diagnosis of PSC or IBD, attending for a colonoscopy who do not meet the exclusion criteria.Biliary aspirates/biopsies:1.Adults (age 18 – 75 years).2.Be able to provide written (signed) informed consent.3.Be willing and able to comply with routine clinic visits and study-related procedures.4.Be able to understand and complete study-related questionnaires.5.Established diagnosis of PSC.

Exclusion Criteria

Here is the revised text with the requested numbering system:Eligible participants must fulfill the criteria set out below, as related to the sample type in question.Peripheral blood:1. Liver transplant recipients.2. Evidence of acute or chronic liver disease not listed in the inclusion criteria, including, but not limited to: 1.1. Secondary sclerosing cholangitis 1.2. IgG4-related cholangitis 1.3. Viral hepatitis 1.4. Alcohol-related liver disease 1.5. Drug-induced liver disease or drug-induced sclerosing cholangitis 1.6. Hereditary haemochromatosis 1.7. Alpha-1-antitrypsin disease 1.8. Wilson disease 1.9. Budd-Chiari Syndrome *Individuals with autoimmune hepatitis, concomitant IBD, and overlapping features of sclerosing cholangitis are eligible and may be recruited to the PSC group.*3. Evidence of acute or chronic gastrointestinal disease not listed in the inclusion criteria.4. A history of malignancy within the prior 3 years, except for individuals with: 1.1. Prior gallbladder cancer, with gallbladder removal, and without evidence of recurrence or disseminated/metastatic disease. 1.2. Prior colonic cancer, with local resection, and without evidence of recurrence or disseminated/metastatic disease. 1.3. Prior non-melanomatous skin cancer that has been resected, without evidence of recurrence or disseminated/metastatic disease.5. If the potential participant is a member of the clinical site study team and/or his/her immediate family.6. Women who are pregnant or less than 12 weeks post-partum.Stool:1. Liver transplant recipients.2. Evidence of acute or chronic liver disease not listed in the inclusion criteria, including, but not limited to: 1.1. Secondary sclerosing cholangitis 1.2. IgG4-related cholangitis 1.3. Viral hepatitis 1.4. Alcohol-related liver disease 1.5. Drug-induced liver disease or drug-induced sclerosing cholangitis 1.6. Hereditary haemochromatosis 1.7. Alpha-1-antitrypsin disease 1.8. Wilson disease 1.9. Budd-Chiari Syndrome *Individuals with autoimmune hepatitis, concomitant IBD, and overlapping features of sclerosing cholangitis are eligible and may be recruited to the PSC group.*3. Evidence of acute or chronic gastrointestinal disease not listed in the inclusion criteria.4. A history of malignancy within the prior 3 years, except for individuals with: 1.1. Prior gallbladder cancer, with gallbladder removal, without evidence of recurrence or disseminated/metastatic disease. 1.2. Prior colonic cancer, with local resection, without evidence of recurrence or disseminated/metastatic disease. 1.3. Prior non-melanomatous skin cancer that has been resected, without evidence of recurrence or disseminated/metastatic disease.5. Previous colonic or small bowel resection.6. If the potential participant is a member of the clinical site study team and/or his/her immediate family.7. Women who are pregnant or less than 12 weeks post-partum.Colonic biopsies:1. Liver transplant recipients.2. Evidence of acute or chronic liver disease not listed in the inclusion criteria, including, but not limited to: 1.1. Secondary sclerosing cholangitis 1.2. IgG4-related cholangitis 1.3. Viral hepatitis 1.4. Alcohol-related liver disease 1.5. Drug-induced liver disease or drug-induced sclerosing cholangitis 1.6. Hereditary haemochromatosis 1.7. Alpha-1-antitrypsin diseas

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath