NCT06861465

Brief Summary

Primary Biliary Cholangitis (PBC) is a chronic liver disease that can cause fatigue, itching, brain fog, and emotional distress, all of which can lower quality of life. While the standard treatment, ursodeoxycholic acid (UDCA), helps slow the disease, it does not relieve these symptoms. Research shows that mind-body practices-such as breathing exercises, meditation, and gentle movement-can help improve mental and physical well-being in people with chronic conditions, but their benefits for PBC are not yet well understood. This study will test a 10-week online wellness program designed for women with PBC. The program will include guided breathing, meditation, and movement exercises, plus optional weekly group sessions and educational videos. Some participants will also receive nutrition guidance on the Mediterranean diet to see if it adds extra benefits. The study will evaluate feasibility via recruitment, adherence, and retention. To assess acceptability, participants will provide feedback through surveys and interviews. The study will also explore early signs of effectiveness by measuring changes in symptoms like anxiety, depression, fatigue, and stress, as well as biological markers, brain activity, physical function, and data from wearable devices. The results will help determine whether an online mind-body program, with or without nutrition support, could be a simple and effective way to help people with PBC manage their symptoms and improve their quality of life.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
1mo left

Started Feb 2025

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress95%
Feb 2025Jun 2026

Study Start

First participant enrolled

February 21, 2025

Completed
3 days until next milestone

First Submitted

Initial submission to the registry

February 24, 2025

Completed
10 days until next milestone

First Posted

Study publicly available on registry

March 6, 2025

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2026

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2026

Expected
Last Updated

March 6, 2025

Status Verified

February 1, 2025

Enrollment Period

12 months

First QC Date

February 24, 2025

Last Update Submit

February 28, 2025

Conditions

Keywords

Mind Body WellnessQuality of LifeFatigueCognitive FunctionPhysical FunctionMental Health

Outcome Measures

Primary Outcomes (2)

  • Feasibility of the Intervention

    Feasibility will be assessed by (i) adherence rate (percentage completing ≥70% of intervention, target ≥70%), and (ii) retention rate (percentage completing baseline and follow-up assessments, target ≥70%).

    Baseline and Week 10

  • Acceptability of the Intervention

    Acceptability will be assessed via participant-reported satisfaction with the intervention using numerical surveys and perceived burden of study measures.

    Baseline and Week 10

Other Outcomes (15)

  • Hospital Anxiety and Depression Scale (HADS)

    Baseline and Week 10

  • Modified Fatigue Impact Scale (MFIS)

    Baseline and Week 10

  • Primary Biliary Cholangitis-40 (PBC-40)

    Baseline and Week 10

  • +12 more other outcomes

Study Arms (2)

Experimental: Online Mind-Body Program

ACTIVE COMPARATOR

Online program (mindful movement, meditation, breathwork)

Behavioral: Online Mind-Body Wellness Program

Experimental: Online Mind-Body Program + Nutritional Counselling

EXPERIMENTAL

Online program (mindful movement, meditation, breathwork) + nutritional counselling

Behavioral: Online Mind-Body Wellness Program + Nutritional Counselling

Interventions

Online program (mindful movement, meditation, breathwork)

Experimental: Online Mind-Body Program

Online program (mindful movement, meditation, breathwork) + nutrition counselling

Experimental: Online Mind-Body Program + Nutritional Counselling

Eligibility Criteria

Age40 Years - 75 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Primary Biliary Cholangitis (PBC) as confirmed by a study Hepatologist using accepted clinical criteria
  • Have been on stable medical therapy for PBC for ≥3 months
  • Score ≥3 on a 1-10 numeric rating scale for two of: depression, anxiety, fatigue, sleep disturbance, cognitive impairment
  • Are able to communicate in English
  • Have access to an Internet-connected device in their home
  • Can commit to up to 60 minutes of study activities 5 days per week

You may not qualify if:

  • Unable to provide informed consent
  • Have decompensated cirrhosis including hepatic encephalopathy
  • Are post-liver transplant
  • Current severe substance use or psychiatric disorder judged to interfere with study testing or program participation
  • Are receiving compassionate care
  • Have a clinical condition that makes the intervention unsafe or infeasible (e.g. unable to follow instruction) or unsafe environment for virtual participation
  • Practices mind-body practices more than the study dose
  • Have contraindications for MRI
  • Have colour blindness
  • Are unable to attend baseline testing

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Alberta

Edmonton, Alberta, T6G 2X8, Canada

RECRUITING

MeSH Terms

Conditions

Liver Cirrhosis, BiliaryFatiguePsychological Well-Being

Condition Hierarchy (Ancestors)

Cholestasis, IntrahepaticCholestasisBile Duct DiseasesBiliary Tract DiseasesDigestive System DiseasesLiver DiseasesLiver CirrhosisFibrosisPathologic ProcessesPathological Conditions, Signs and SymptomsSigns and SymptomsPersonal SatisfactionBehavior

Central Study Contacts

Puneeta Tandon, MD, MSc

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor, Principal Investigator

Study Record Dates

First Submitted

February 24, 2025

First Posted

March 6, 2025

Study Start

February 21, 2025

Primary Completion

February 1, 2026

Study Completion (Estimated)

June 1, 2026

Last Updated

March 6, 2025

Record last verified: 2025-02

Locations