NCT01579162

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

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
48

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2012

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

February 9, 2012

Completed
2 months until next milestone

First Posted

Study publicly available on registry

April 17, 2012

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2015

Completed
6.3 years until next milestone

Results Posted

Study results publicly available

July 15, 2021

Completed
Last Updated

July 15, 2021

Status Verified

June 1, 2021

Enrollment Period

3.2 years

First QC Date

February 9, 2012

Results QC Date

April 30, 2021

Last Update Submit

June 24, 2021

Conditions

Keywords

HepatitisFatty Liver

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

EXPERIMENTAL

Healthy 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.

Device: Cholate-24-13C (IND 65121) & Cholate-2,2,4,4-d4 (IND 65123)

chronic HCV patients with F0-F2 fibrosis

EXPERIMENTAL
Device: Cholate-24-13C (IND 65121) & Cholate-2,2,4,4-d4 (IND 65123)

chronic HCV patients with F3-F4 fibrosis

EXPERIMENTAL
Device: Cholate-24-13C (IND 65121) & Cholate-2,2,4,4-d4 (IND 65123)

NASH patients with F0-F2 fibrosis

EXPERIMENTAL
Device: Cholate-24-13C (IND 65121) & Cholate-2,2,4,4-d4 (IND 65123)

NASH patients with F3-F4 fibrosis

EXPERIMENTAL
Device: Cholate-24-13C (IND 65121) & Cholate-2,2,4,4-d4 (IND 65123)

Interventions

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

Also known as: Cholic acid-24-13C, Cholic acid-2,2,4,4-d4
Healthy ControlsNASH patients with F0-F2 fibrosisNASH patients with F3-F4 fibrosischronic HCV patients with F0-F2 fibrosischronic HCV patients with F3-F4 fibrosis

Eligibility Criteria

Age22 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (1)

University of Colorado Hospital

Aurora, Colorado, 80045, United States

Location

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: 22030902BACKGROUND
  • Everson 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: 19053983BACKGROUND
  • Everson 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: 18266997BACKGROUND
  • Everson 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

Hepatitis C, ChronicNon-alcoholic Fatty Liver DiseaseHepatitisFatty Liver

Condition Hierarchy (Ancestors)

Hepatitis CBlood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanVirus DiseasesFlaviviridae InfectionsRNA Virus InfectionsHepatitis, ChronicLiver DiseasesDigestive System DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Elyse Handley
Organization
HepQuant, LLC

Study Officials

  • James R Burton, MD

    University of Colorado School of Medicine

    PRINCIPAL INVESTIGATOR

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

Locations