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Study of Tauroursodeoxycholic Acid for Hepatobiliary Disease in Cystic Fibrosis



Study of Tauroursodeoxycholic Acid for Hepatobiliary Disease in Cystic Fibrosis

For Condition: Cystic Fibrosis
Status: Recruiting
Sponsor(s): FDA Office of Orphan Products Development , Children's Hospital Medical Center - Cincinnati
Synopsis: OBJECTIVES: I. Determine the optimum dose of tauroursodeoxycholic acid (TUDCA) required to achieve maximal bioavailability for patients with cystic fibrosis-associated liver disease. II. Compare optimized doses of TUDCA with ursodiol (ursodeoxycholic acid; UDCA) for effects on biliary bile acid composition and metabolism, serum biochemistries, fat absorption, and fat-soluble vitamin status in these patients.
Details: PROTOCOL OUTLINE: Objective I: This part of the study is a dose-response study to determine the optimal dose of tauroursodeoxycholic acid (TUDCA). Twenty-four patients are randomized to receive one of three different doses of TUDCA for 3 months. Objective II: This part of the study is a double-blind crossover study to compare optimized doses of TUDCA with optimized doses of ursodiol in 15 patients stratified according to age (less than 10 vs 10-20 vs more than 20 years). Patients are randomized to receive either TUDCA or ursodiol orally for an initial 3 month period, followed by a 3 month washout period in which no drug is administered. Patients then receive the alternate drug for 3 months.
Eligibility:
Study Type:
  Interventional, Treatment, Efficacy Study
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Cystic fibrosis-associated liver disease, defined by at least one of the following criteria: (1) Documented increase in serum concentrations of any of the liver enzymes (at least once in the preceding year) ALT at least twice normal AST at least 1.5 times normal Alkaline phosphatase at least 1.5 times normal GGT at least 1.5 times normal (2) Persistent hepatomegaly of more than 6 months duration defined by percussed liver span greater than 1 SEM for age (3) Splenomegaly, defined as a palpable spleen greater than 2.0 cm below the left costal margin (4) Abnormalities of ultrasound scan (increased size, dishomogeneous echogenicity, nodular liver, irregular margins, splenomegaly) within 6 months prior to study entry - Patients enrolled in the first part of the study (objective I) are eligible to participate in the second part (objective II) --Prior/Concurrent Therapy-- - At least 3 months since prior ursodiol - At least 3 months since treatment with drug with choleretic properties or effects that influence bile acid metabolism --Patient Characteristics-- - Hepatic: No decompensated cirrhosis No hepatic neoplasm or cholelithiasis - Pulmonary: No significantly impaired pulmonary function with FEV1 less than 50% - Other: At least 15 kg body weight No severely compromised clinical or nutritional state
Total Enrollment: 39

Location and Contact Information:

Overall Study Official:
KennethSetchell,  Study Chair,  Children's Hospital Medical Center - Cincinnati

University of Milan *Recruiting*
Milan,  ,  20122
Italy
Recruiting Carla  Colombo 2-8-912-9975

Children's Hospital Medical Center - Cincinnati *Recruiting*
Cincinnati,  Ohio,  45229-3039
United States
Recruiting Kenneth  Setchell 513-636-4548

Children's Hospital of Denver *Recruiting*
Denver,  Colorado,  80218
United States
Recruiting Michael  Narkowicz 303-861-6669


Additional Information:
Study ID Numbers:
  199/13439;  CHMC-C-001439,CHMC-C-96-1-8,CHMC-C-FDR001439-01
Study Start Date: September 1997
Record last reviewed: July 1998
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004441

Other Cystic Fibrosis Studies:
1. Study of INS37217 Inhalation Solution in Mild to Moderate Cystic Fibrosis Lung Disease

2. Phase II Pilot Study to Compare the Bioavailability of Buffered, Enteric-Coated Ursodiol with Unmodified Ursodiol for Chronic Cholestatic Liver Disease and Cystic Fibrosis-Associated Liver Disease

3. Phase III Randomized Study of the Inhalation of Tobramycin in Patients with Cystic Fibrosis

4. Randomized Study of Alendronate in Adult Patients With Cystic Fibrosis Related Osteoporosis

5. Safety and Efficacy of Recombinant Adeno-Associated Virus containing CFTR in the treatment of Cystic Fibrosis

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Study of Tauroursodeoxycholic Acid for Hepatobiliary Disease in Cystic Fibrosis

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