The REPLACE Registry for Cholbam® (Cholic Acid)
A Prospective, Observational, Non-Interventional, Post-Marketing, Patient Registry to Collect Data on Routine Clinical Care in Patients Treated With Cholbam® (Cholic Acid)
A Prospective, Observational, Non-Interventional, Post-Marketing, Patient Registry to Collect Data on Routine Clinical Care in Patients Treated With Cholbam® (Cholic Acid)
Sponsor study identifier
observational
55
1 country
24
Study Start
July 10, 2017
Actual (reported)Primary Completion
July 2038
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
July 2039
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
This is a prospective, observational, non-interventional patient registry study designed to document product safety and effectiveness outcomes for 10 years in patients treated with Cholbam, including those who have been using Cholbam for at least 30 days (existing users) and those who are first-time initiators of Cholbam.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
July 2039
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 10, 2017
Actual (reported)April 14, 2017
Actual (reported)July 10, 2017
Actual (reported)July 2038
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
July 2039
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Number of participants with worsening cholestasis
Worsening cholestasis will be identified by measuring direct total bilirubin concentration in blood and will be defined as a 25% increase from previous measurement if the total bilirubin is \>1mg/dL.
10 Years
Number of participants with new-onset cholestasis
Patients with new-onset cholestasis will be identified by detecting abnormal direct bilirubin concentration \>1mg/dL or direct bilirubin greater than 20% of the total bilirubin if total bilirubin is \>5mg/dL.
10 Years
Number of participants with steatorrhea leading to poor growth
Steatorrhea leading to poor growth in children, which will be defined as a decrease in growth percentiles from the original percentile at enrollment to the registry study.
10 Years
Changes in serum levels of fat-soluble vitamins
Changes in Cholbam dosing regimens and reasons for any dose modifications or treatment discontinuations
10 years
Changes from baseline in weight
10 years
Changes from baseline in length/height
10 years
Changes from baseline in head circumference in infants
10 years
Age-appropriate developmental milestones in infants
10 years
Patients who have been using Cholbam for at least 30 days
First-time initiators of Cholbam
All patients with a diagnosis for which Cholbam is indicated are eligible for inclusion in the Registry.
University of Alabama Birmingham
Birmingham, Alabama, 35233, United States
Stanford School of Medicine
Palo Alto, California, 94305, United States
UC San Francisco
San Francisco, California, 94158, United States
Kidz Pediatric Multispecialty Group
Hollywood, Florida, 33021, United States
Nemours duPont Pediatrics Specialty Clinic
Jacksonville, Florida, 32207, United States
Nicklaus Children's Hospital
Miami, Florida, 33155, United States
Children's Healthcare of Atlanta
Atlanta, Georgia, 30329, United States
Sagar A Vaidya, MD, PhD
Vice President, Clinical Development
First Submitted
January 10, 2017
First Posted
April 14, 2017
Study Start
July 10, 2017
Actual (reported)Primary Completion
July 2038
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study of Bile Acids in Patients With Peroxisomal Disorders
Fat-soluble vitamin (A, D, E, K) deficiencies will be identified by comparing results from serum assays (Vitamin A: Retinol, Vitamin D: 250HD2 + 250HD3, Vitamin K: Serum Vitamin K, Vitamin E: Serum Vitamin E) for each vitamin with standard ranges.
10 Years
Neuropathic signs or symptoms related to fat-soluble vitamin deficiencies
Neuropathic signs or symptoms related to fat-soluble vitamin deficiencies (peripheral neuropathy, cerebellar ataxia) will be assessed by the Investigator.
10 Years
Number of participants with growth failure
Growth failure that the physician judges to be attributable to malabsorption.
10 Years
Death
AEs and SAEs leading to death will be recorded. The relatedness of death to Cholbam or disease progression will be recorded.
10 Years
Adverse effects on pregnancy, pregnancy outcomes, and infant status
Adverse effects on pregnancy, pregnancy outcomes, and infant status will be recorded.
10 Years
All Adverse Events (AEs) and Serious AEs (SAEs)
All other AEs and SAEs will be collected.
10 years
Contact the study team to confirm eligibility.
Children's Center For Digestive Health
Atlanta, Georgia, 30342, United States
The Community Health Clinic
Topeka, Indiana, 46571, United States
Ochsner Hospital for Children
New Orleans, Louisiana, 70121, United States
University of Minnesota
Minneapolis, Minnesota, 55454, United States
Mayo Clinic
Rochester, Minnesota, 55902, United States
Office of Dr. Esperanza Font-Montgomery MD
Columbia, Missouri, 65201, United States
Washington University at St Louis
St Louis, Missouri, 63110, United States
NYU Langone - NYU Grossman School of Medicine
New York, New York, 10016, United States
Icahn School Of Medicine at Mount Sinai
New York, New York, 10029, United States
Montefiore Medical Center
New York, New York, 10032, United States
Golisano Children's Hospital, URMC
Rochester, New York, 14642, United States
UNC Chapel Hill
Chapel Hill, North Carolina, 27599, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
University of Oklahoma
Oklahoma City, Oklahoma, 73104, United States
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Monroe-Carell Jr. Children's Hospital at Vanderbilt
Nashville, Tennessee, 37232, United States
Primary Children's Hospital
Salt Lake City, Utah, 84113, United States
Study Completion
July 2039
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
July 31, 2026
Record last verified: 2026-07
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Source: ClinicalTrials.gov.
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