Identification of Inflammatory and Fibrotic Biomarkers in PBC and NAFLD Patients
NCT02477462 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 124
Last updated 2019-06-11
Summary
Primary biliary cirrhosis (PBC) is a progressive autoimmune disease of biliary epithelial cells resulting in biliary cirrhosis. PBC is characterized by a 90% female predominance, high titers of serum anti-mitochondrial autoantibodies (AMA) directed against the pyruvate dehydrogenase complex E2 subunit and evidence from both human and murine models suggests that T-cells, particularly cluster of differentiation (CD) 8+ T cells, are key to the destruction of bile ducts. However, clinical trials of classic immunosuppressive drugs including corticosteroids, azathioprine, methotrexate, and tacrolimus have been largely unsuccessful in altering the disease course. This is a single center, prospective, non-treatment study of the role of immune responses in PBC patients.
Non-alcoholic fatty liver disease (NAFLD) and its more severe form, non-alcoholic steatohepatitis (NASH) are common, often "silent" liver diseases. NASH resembles alcoholic liver disease, but occurs in people who drink little or no alcohol. The major feature in NASH is fat in the liver, along with inflammation and fibrosis. NASH can be severe and can lead to cirrhosis and hepatocellular carcinoma. Ten to 20 percent of American have NAFLD with NASH affecting 2 to 5 percent of Americans.
Conditions
- Primary Biliary Cirrhosis
Interventions
- OTHER
-
Clinic visit
Blood draw every 3 months; quality of life surveys and imaging annually
- OTHER
-
Baseline visit
Blood draw and quality of life surveys
Sponsors & Collaborators
-
University of California, Davis
lead OTHER
Principal Investigators
-
Christopher L Bowlus, MD · University of California, Davis
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2015-05-31
- Primary Completion
- 2019-06-06
- Completion
- 2019-06-06
Countries
- United States
Study Locations
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