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CompletedNCT00004410Updated Mar 25, 2015

Randomized Study of Tauroursodeoxycholic Acid in Prophylactic Therapy of Total Parenteral Nutrition Associated Cholestasis in Infants

An interventional study of tauroursodeoxycholic acid in Cholestasis, sponsored by Children's Hospital Medical Center, Cincinnati. Completed at 3 sites in United States. Open to participants aged Up to 20 Days. Per ClinicalTrials.gov, last updated 2015-03-25.

Sponsored by Children's Hospital Medical Center, Cincinnati · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
Up to 20 Days
Sex
All
01

Study summary

OBJECTIVES: I. Determine whether infants treated with tauroursodeoxycholic acid (TUDCA) have a lower peak direct bilirubin, ALT, AST, glutamyltranspeptidase levels and a reduced duration of cholestasis compared to the nontreatment arm.

II. Determine the significance of lower birth weight and longer duration of total parenteral nutrition (TPN) on increasing risk of TPN associated cholestasis and increasing benefit from TUDCA therapy.

III. Determine whether TUDCA therapy leads to significant reduction in the appearance of biliary tract sludge and/or stone formation in these infants.

IV. Determine whether TUDCA therapy leads to reduced urinary excretion of potentially hepatotoxic bile acids as compared to the untreated arm matched for birth weight and duration of TPN.

Read the detailed description

PROTOCOL OUTLINE: This is a randomized study. Patients are stratified by birth weight.

Patients are randomized in pairs by birth weight to receive either a placebo in arm I or tauroursodeoxycholic acid (TUDCA) in arm II. TUDCA is administered by mouth, nasogastric tube, or gastrostomy tube twice daily. After 2 weeks of therapy, a bile sample is obtained via a duodenal tube. An ultrasound examination of the liver and biliary tract is performed after 2 weeks and every 3 weeks thereafter until discontinuation of therapy or until presence of biliary tract sludge is noted on 2 consecutive examinations.

Completion date provided represents the completion date of the grant per OOPD records

02

Conditions studied

  • Cholestasis

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Keywords

  • cholestasis
  • gastrointestinal disorders
  • rare disease
03

In context

Cholestasis

220 studies on the registry are indexed under Cholestasis; 37 are open to participants now.

This study's planned enrollment of 50 is close to the median of 55 across 135 interventional studies indexed under Cholestasis.

Browse Cholestasis studies →

Lead sponsor

Children's Hospital Medical Center, Cincinnati is the lead sponsor of 661 studies on the registry; 134 are open to participants now.

Of its 54 completed or terminated interventional studies of FDA-regulated products, 30 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 20 Days
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

  • Hospitalized infants who are anticipated to require total parenteral nutrition for greater than 2 weeks and have: Major gastrointestinal anomalies (gastroschisis, ruptured omphalocele) OR Resection (necrotizing enterocolitis, volvulus)
  • No evidence of biliary tract abnormalities
  • No evidence of other forms of cholestatic liver disease

--Patient Characteristics--

  • Renal: No life threatening renal disease
  • Cardiovascular: No life threatening cardiovascular disease
  • Other: No multiple congenital abnormalities
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Enrollment
50 participants (estimated)

Interventions

  • Drugtauroursodeoxycholic acid
06

Study locations

3 sites
  • Children's Hospitals and Clinics - Minneapolis
    Minneapolis, Minnesota 55404, United States
  • University of Mississippi Medical Center
    Jackson, Mississippi 39216-4505, United States
  • Children's Hospital Medical Center - Cincinnati
    Cincinnati, Ohio 45229-3039, United States
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 25, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00004410
Lead sponsor
Children's Hospital Medical Center, Cincinnati
First posted
Oct 19, 1999
Start date
Jun 1998
Completion
Mar 2002
Last update
Mar 25, 2015

Study contacts

James Heubi
study chair · Children's Hospital Medical Center, Cincinnati
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 1998. You cannot join it, but the record below documents what was studied.

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