Intra-Individual Reproducibility of the Non-Invasive Assessment of the Portal Circulation
Repro
1 other identifier
interventional
48
1 country
1
Brief Summary
HepQuant tests are new liver tests that are being developed to accurately measure liver function with sensitivity and specificity while being safe and non-invasive. The primary goal of this study is to define the intra-individual reproducibility of the HepQuant tests, that is, to see if a person is given the tests several times that the test results are essentially the same each time. Subjects for this study will include healthy controls and patients with chronic liver diseases. The chronic liver diseases will include hepatitis C virus (HCV) infection and a serious form of fatty liver disease, known as non-alcoholic steatohepatitis (NASH). The HCV and NASH patients will include men and women, and those with early stage and late stage liver disease as defined by the amount of fibrosis observed in their liver biopsies. Once a subject has been enrolled in the study they will be given the HepQuant tests on three separate days within the span of one month. The hypothesis of this study is that HepQuant tests will reproducibly report liver function in healthy controls and patients with all stages of chronic HCV and NASH liver disease and that liver function will decrease as the amount of liver fibrosis increases in the chronic liver disease patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2012
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2012
CompletedFirst Submitted
Initial submission to the registry
February 9, 2012
CompletedFirst Posted
Study publicly available on registry
April 17, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2015
CompletedResults Posted
Study results publicly available
July 15, 2021
CompletedJuly 15, 2021
June 1, 2021
3.2 years
February 9, 2012
April 30, 2021
June 24, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Cholate Shunt Test
The Cholate Shunt Test result is defined as the ratio of the IV Cholate Clearance to the Oral Cholate Clearance and is expressed as a percentage. The higher the SHUNT percentage, the more the blood flow is shunting around the liver, the more severe the liver disease. The average of the SHUNT test results (ratio of IV Cholate Clearance to Oral Cholate Clearance) from all three time points (3 visits within 30 days) for each participant was used in the calculation of the group SHUNT Test results.
Average of all three study visits performed within 30 days
Secondary Outcomes (2)
Intra-individual Reproducibility of the Cholate SHUNT Test Across All Subjects
All three study visits within 30 days
Intra-class Reproducibility of the Disease Severity Index (DSI) by Histological Fibrosis Stage
Average of DSIs obtained from all three study visits within 30 days
Study Arms (5)
Healthy Controls
EXPERIMENTALHealthy controls will be recruited to have approximately equal numbers of men and women. Controls will be of healthy weight as defined by a BMI 18-25 and without liver disease or risk factors for liver disease.
chronic HCV patients with F0-F2 fibrosis
EXPERIMENTALchronic HCV patients with F3-F4 fibrosis
EXPERIMENTALNASH patients with F0-F2 fibrosis
EXPERIMENTALNASH patients with F3-F4 fibrosis
EXPERIMENTALInterventions
The FDA has indicated that liver function diagnostic testing with stable isotope labeled cholates would be considered a drug/device combination product. The drugs administered at each test visit will be: 20 mg Cholate-24-13C, IV (in the vein), dissolved in NaHCO3 and mixed with albumin. 40 mg Cholate-2,2,4,4-d4, oral, dissolved in NaHCO3 and mixed with juice. The 3 test visits will be on separate days within a span of 30 days
Eligibility Criteria
You may qualify if:
- Diagnosis of chronic HCV or NASH
- Liver biopsy within 2 years of enrollment
- Compensated liver disease
You may not qualify if:
- Decompensated liver disease
- Currently being treated with beta blockers, ACE inhibitors, or other agents affecting FMD
- Malignancy diagnosed within 5 years of study enrollment without demonstrated clearance
- History of congestive heart failure
- Renal insufficiency with chronic kidney disease stage 4 or 5 (GFR \< 30 mL/min/1.73m2)
- Crohn's disease or any active intestinal inflammatory condition
- Having an ileal resection
- Diabetic Gastroparesis
- Pregnancy or intent to become pregnant. Urine pregnancy tests will be performed at each visit.
- Inability to consent for one's self
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- HepQuant, LLClead
Study Sites (1)
University of Colorado Hospital
Aurora, Colorado, 80045, United States
Related Publications (4)
Everson GT, Shiffman ML, Hoefs JC, Morgan TR, Sterling RK, Wagner DA, Lauriski S, Curto TM, Stoddard A, Wright EC; HALT-C Trial Group. Quantitative liver function tests improve the prediction of clinical outcomes in chronic hepatitis C: results from the Hepatitis C Antiviral Long-term Treatment Against Cirrhosis Trial. Hepatology. 2012 Apr;55(4):1019-29. doi: 10.1002/hep.24752. Epub 2012 Mar 1.
PMID: 22030902BACKGROUNDEverson GT, Shiffman ML, Hoefs JC, Morgan TR, Sterling RK, Wagner DA, Desanto JL, Curto TM, Wright EC; HALT-C Trial Group. Quantitative tests of liver function measure hepatic improvement after sustained virological response: results from the HALT-C trial. Aliment Pharmacol Ther. 2009 Mar 1;29(5):589-601. doi: 10.1111/j.1365-2036.2008.03908.x. Epub 2008 Dec 1.
PMID: 19053983BACKGROUNDEverson GT, Shiffman ML, Morgan TR, Hoefs JC, Sterling RK, Wagner DA, Kulig CC, Curto TM, Wright EC; Halt-C Trial Group. The spectrum of hepatic functional impairment in compensated chronic hepatitis C: results from the Hepatitis C Anti-viral Long-term Treatment against Cirrhosis Trial. Aliment Pharmacol Ther. 2008 May;27(9):798-809. doi: 10.1111/j.1365-2036.2008.03639.x. Epub 2008 Feb 7.
PMID: 18266997BACKGROUNDEverson GT, Martucci MA, Shiffman ML, Sterling RK, Morgan TR, Hoefs JC; HALT-C trial group. Portal-systemic shunting in patients with fibrosis or cirrhosis due to chronic hepatitis C: the minimal model for measuring cholate clearances and shunt. Aliment Pharmacol Ther. 2007 Aug 1;26(3):401-10. doi: 10.1111/j.1365-2036.2007.03389.x.
PMID: 17635375BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Elyse Handley
- Organization
- HepQuant, LLC
Study Officials
- PRINCIPAL INVESTIGATOR
James R Burton, MD
University of Colorado School of Medicine
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 9, 2012
First Posted
April 17, 2012
Study Start
January 1, 2012
Primary Completion
April 1, 2015
Study Completion
April 1, 2015
Last Updated
July 15, 2021
Results First Posted
July 15, 2021
Record last verified: 2021-06