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CompletedNCT05011370THRIVE-1Updated Oct 3, 2023

Prevalence of Liver Disease in Patients Dependent on Parenteral Nutrition

An observational study in Intestinal Failure-associated Liver Disease, sponsored by Protara Therapeutics. Completed at 15 sites in 4 countries. Open to participants aged 12 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-10-03.

Sponsored by Protara Therapeutics · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
80
Ages
12 Years to 80 Years
Sex
All
01

Study summary

This is a multi-center prospective cross-sectional observational study that will assess the prevalence of liver disease in patients dependent on parenteral nutrition (PN) for 4 or more days per week. Liver disease will be determined by the presence of choline deficiency, cholestasis (confirmed by elevated serum alkaline phosphatase (ALP) liver isoenzyme level), and steatosis (confirmed by magnetic resonance imaging-derived proton density fat fraction (MRI-PDFF).

The objective of this study is to investigate the presence/prevalence of liver disease in patients dependent on PN (≥4 days a week).

Read the detailed description

Eligible participants will provide blood samples at Visit 1 to determine choline deficiency, elevated serum ALP liver isoenzyme level and liver dysfunction, and complete one imaging study (MRI-PDFF) at Visit 1 to assess steatosis.

The purpose of this study is to understand and document critical epidemiological data related to choline deficiency and the incidence of liver disease in patients dependent on PN (≥ 4 days a week) and to better understand this patient population to help determine who might benefit from innovative treatments including IV Choline Chloride treatment.

02

Conditions studied

  • Intestinal Failure-associated Liver Disease

Keywords

  • Intestinal failure-associated liver disease (IFALD)
  • IFALD
  • Liver disease
  • Parenteral nutrition
  • Choline deficiency
  • Hepatic steatosis
  • Cholestasis
  • parenteral nutrition-associated liver disease
03

In context

Liver Diseases

824 studies on the registry are indexed under Liver Diseases; 152 are open to participants now.

This study's enrollment of 80 is below the median of 200 across 262 observational studies indexed under Liver Diseases.

Browse Liver Diseases studies →

Lead sponsor

Protara Therapeutics is the lead sponsor of 7 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This study will enroll male and female adults and adolescent participants 12 years and older who are dependent on PN (≥ 4 days a week) in the primary care clinic setting.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The participant and/or their parent/Legally Authorized Representative is willing and able to provide signed or assent as appropriate
  • Male or female adults 18 to 80 years of age, or adolescents 12 to 17 years of age
  • Patients dependent on parenteral nutrition (PN) that receive PN for an average ≥ 4 days a week for 10 weeks or longer prior to screening to meet nutritional, caloric, fluid, and/or electrolyte needs
  • The Investigator expects no changes in the lipid, dextrose, amino acid, or vitamin regimen to be medically necessary during the participant's participation in the study
  • Willingness of participant to maintain his/her current habitual oral diet and fluids regimen for the study duration

Exclusion criteria

Exclusion Criteria:

  • Participants taking steatogenic medications for ≥12 weeks in the past 12 months (e.g., amiodarone, tamoxifen, methotrexate, tetracycline, , anabolic steroids, over the usual dose of estrogen for hormone replacement therapy, and valproate); those taking any medicine (e.g., metformin, thiazolidinediones, ursodeoxycholic acid, pentoxifylline, S-adenosyl-L-Methionine, and betaine) that could affect the measurement of IFALD within 12 weeks prior to study entry
  • Participants taking potential hepatotoxic medications that in the judgement of the Investigator is causing hepatic abnormalities
  • Participants with a cardiac pacemaker, intravascular stents, other metallic devices, and claustrophobia which are to magnetic resonance imaging
  • Participants who took choline supplements or choline-containing multivitamins within 14 days of screening
  • History of major organ transplant (e.g., heart, kidney, liver, etc.)

For more information on eligibility criteria, please contact the sponsor.

Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
80 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Percentage of patients with choline deficiency

    Choline deficiency is defined as plasma-free choline concentration less than 7 nmol/mL.

    Time frame: Day 1

  2. Percentage of patients with choline deficiency, elevated serum ALP liver isoenzyme level and MRI-PDFF ≥8%

    Choline deficiency is defined as plasma-free choline concentration less than 7 nmol/mL. Elevated serum ALP liver isoenzyme level is defined as \>1.5x upper limit of normal. MRI-PDFF ≥8 %

    Time frame: Day 1

Secondary outcomes

  1. Percentage of patients with MRI-PDFF ≥8%

    Assessment of liver tests all patients and patients with choline deficiency. Choline deficiency is defined as plasma-free choline concentration less than 7 nmol/mL;

    Time frame: Day 1

  2. Percentage of patients with elevated serum ALP liver isoenzyme level (defined as ≥ 1.5x upper limit of normal)

    Assessment of liver tests all patients and patients with choline deficiency. Choline deficiency is defined as plasma-free choline concentration less than 7 nmol/mL;

    Time frame: Day 1

  3. Percentage of patients with abnormal liver tests including serum direct bilirubin, AST, ALT and GGT

    Assessment of liver tests all patients and patients with choline deficiency. Choline deficiency is defined as plasma-free choline concentration less than 7 nmol/mL; AST = aspartate aminotransferase; ALT = alanine transaminase; GGT = gamma-glutamyl transferase.

    Time frame: Day 1

07

Study locations

15 sites
  • Ronald Reagan Medical Center of UCLA
    Los Angeles, California 90095, United States
  • IHS Health
    Kissimmee, Florida 34741, United States
  • The University of Chicago
    Chicago, Illinois 60637, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Cincinnati Children's Hospital
    Cincinnati, Ohio 45229, United States
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • UPMC Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15224, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
  • Seattle Children's
    Seattle, Washington 98105, United States
  • Rigshospitalet
    Copenhagen, Denmark
  • Center for Chronic Intestinal Failure, St. Orsola Hospital Dept of Medical and Surgical Sciences, University of Bologna
    Bologna, Italy
  • St. Mark's Hospital
    Harrow, England HA1 3UJ, United Kingdom
  • University College London Hospitals
    London, England NW1 2BU, United Kingdom
  • Northern Care Alliance NHS Foundation
    Salford, England, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 3, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05011370
Lead sponsor
Protara Therapeutics
Responsible party
Sponsor
First posted
Aug 18, 2021
Start date
Aug 23, 2021
Primary completion
Jun 29, 2023
Completion
Jun 29, 2023
Last update
Oct 3, 2023

Study contacts

Chief Scientific Operations Officer
study director · Protara Therapeutics

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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