Cystic Fibrosis Liver Disease Clinical Trial
Official title:
Longitudinal Assessment of Transient Elastography in Cystic Fibrosis
Verified date | November 2023 |
Source | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
To determine if transient elastography (TE), when combined with ultrasound (US) pattern characterization can improve the prediction of progression to a nodular pattern on US. To confirm the feasibility of obtaining TE measurements in children with Cystic Fibrosis (CF) To prospectively assess whether TE data are associated with conventional laboratory markers of hepatic fibrosis To determine the variability of TE measurements taken at different sites in the same patient
Status | Completed |
Enrollment | 141 |
Est. completion date | May 9, 2023 |
Est. primary completion date | May 9, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 6 Years to 26 Years |
Eligibility | Inclusion Criteria: - Participants enrolled in CFLD NET PUSH study in longitudinal follow up at centers with Fibroscan available (currently 8/11 centers) - Entry criteria for that study were: - CF as determined by sweat chloride >60 meq/l - Pancreatic insufficiency - Age 3-12 years old at entry - For entry into the longitudinal follow up subjects were in one of two groups - A screening US pattern of nodular liver (CIR), heterogeneous increased echogenicity (HTG) or homogeneous increased echogenicity (HMG) - A screening US pattern of normal (NL) matched to a HTG subject (2 NL:1HTG) by age, center and pseudomonas status Exclusion Criteria: - Exited from the PUSH Study - Unable / unwilling to sign consent |
Country | Name | City | State |
---|---|---|---|
Canada | The Hospital for Sick Children | Toronto | Ontario |
United States | Children's Healthcare of Atlanta | Atlanta | Georgia |
United States | Children's Hospital Colorado | Aurora | Colorado |
United States | Ann & Robert H. Lurie Children's | Chicago | Illinois |
United States | Cincinnati Children's Hospital Medical | Cincinnati | Ohio |
United States | Texas Children's Hospital | Houston | Texas |
United States | Riley Hospital for Children | Indianapolis | Indiana |
United States | Seattle Children's Hospital | Seattle | Washington |
Lead Sponsor | Collaborator |
---|---|
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | Cystic Fibrosis Foundation |
United States, Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Invalid measurements and success rate on liver stiffness and liver steatosis measurements | Baseline, Year 1 and Year 2 | ||
Other | Inter quartile range (IQR) (kPa or dB/m) of all valid measurements within the examination | To reflect the dispersion of stiffness and steatosis | Baseline, Year 1 and Year 2 | |
Other | IQR/median ratio of all valid measurements within the examination | This quantity should remain as low as possible to ensure reliable results (goal < 30%) | Baseline, Year 1 and Year 2 | |
Primary | Liver Stiffness Measurement (LSM) obtained via transient elastography using FibroScanTM | Liver stiffness" quantifies liver fibrosis and is measured in kPa (median of 10 subsequent valid measurements and are deemed acceptable if the ratio of interquartile range and median is <30% and success rate is >60%, meaning 10 valid measurements are obtained within 16 attempts). | Baseline | |
Primary | Liver Stiffness Measurement (LSM) obtained via transient elastography using FibroScanTM | Liver stiffness" quantifies liver fibrosis and is measured in kPa (median of 10 subsequent valid measurements and are deemed acceptable if the ratio of interquartile range and median is <30% and success rate is >60%, meaning 10 valid measurements are obtained within 16 attempts). | Year 1 | |
Primary | Liver Stiffness Measurement (LSM) obtained via transient elastography using FibroScanTM | Liver stiffness" quantifies liver fibrosis and is measured in kPa (median of 10 subsequent | Year 2 | |
Secondary | Liver steatosis obtained via transient elastography | Controlled Attenuation Parameter (CAP)" quantifies liver steatosis and is measured in dB | Baseline, Year 1, Year 2 | |
Secondary | Comparison of liver stiffness and liver steatosis measurements at each time point to grayscale ultrasound grades | Grayscale ultrasound grades will be obtained from the parent study (PUSH: Clinical Trials: NCT01144507) | Baseline, Year 1 and Year 2 | |
Secondary | Comparison of liver stiffness and liver steatosis measurements at each time point to clinical findings of portal hypertension | Grayscale ultrasound grades will be obtained from the parent study (PUSH: Clinical Trials: NCT01144507) | Baseline, Year 1 and Year 2 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT04602468 -
Real World Clinical Outcomes With Novel Modulator Therapy Combinations in People With CF (RECOVER)
|
Phase 4 | |
Not yet recruiting |
NCT03264950 -
Utility of Point Shear-wave Elastography to Assess for Hepatic & Pancreatic Fibrosis in Pediatric CF Patients
|
N/A | |
Completed |
NCT03312140 -
Examination of the Lipid Metabolism of the Liver After Choline Substitution in Cystic Fibrosis
|
N/A | |
Completed |
NCT03961516 -
Glycemic Characterization and Pancreatic Imaging Correlates in Cystic Fibrosis
|
||
Withdrawn |
NCT05229640 -
Relationship Between the Development of Impaired Glucose Tolerance, the Phenotype of CFLD, and the Risk of Liver Fibrosis
|
N/A | |
Completed |
NCT05037643 -
Pre-emptive Transjugular Intrahepatic Portosystemic Shunt (TIPS) in Cystic Fibrosis Related Liver Disease
|
N/A | |
Completed |
NCT02979340 -
MRI to Characterize and Predict CF Liver Disease in PUSH Cohort
|
||
Completed |
NCT04277819 -
The Use of Novel Diagnostic Tools to Increase Detection of Early Fibrosis in Cystic Fibrosis Related Liver Disease to Improve Clinical Management
|