ClinicalTrials.gg
RecruitingNCT05750498ALINKUpdated Aug 19, 2026

A-LiNK: Improving Outcomes in Autoimmune Liver Disease

An observational study in Autoimmune Hepatitis and Primary Sclerosing Cholangitis, sponsored by Children's Hospital Medical Center, Cincinnati. Recruiting at 8 sites in United States. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Children's Hospital Medical Center, Cincinnati · Observational

From the registry’s dates

  • Started Apr 2022; still recruiting 4 years 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
800
Sex
All
01

Study summary

The Autoimmune Liver disease Network for Kids (A-LiNK) is a multi-institutional group with the mission to deliver the best care to kids with pediatric autoimmune liver disease (AILD).

This study will establish a shared clinical registry and a learning health network for the participating sites focusing on collecting and transmitting clinical measurement data, information about processes, and participation in an improvement collaborative.

Pediatric Autoimmune Hepatitis (AIH) and Primary Sclerosing Cholangitis (PSC), represent a spectrum of AILD which present unique diagnostic and therapeutic challenges.A lack of accepted guidelines for disease monitoring or symptom management results in wide treatment variation with liver transplants indicated in refractory, progressive disease.

The aims of A-LiNK are to:

1.) Create a learning health network focused on patient-centered outcomes research characterized by transparent sharing among centers, common priorities, and feasible plans for implementing new practices; 2) shift from traditional investigator-driven study to a patient and family-centered approach, and 3.) improve clinical outcomes and quality of life for pediatric AILD patients.

02

Conditions studied

  • Autoimmune Hepatitis
  • Primary Sclerosing Cholangitis

Keywords

  • Pediatrics
  • Autoimmune Hepatitis
  • Primary Sclerosing Cholangitis
  • Autoimmune Sclerosing Cholangitis
  • Chronic Liver Disease
  • End-stage Liver Disease
  • Clinical Registry
  • Research Registry
  • Quality Improvement
  • Outcomes Research
  • Comparative Effectiveness Research
  • Patient Reported Outcomes
  • Health Services Research
03

In context

Hepatitis, Autoimmune

82 studies on the registry are indexed under Hepatitis, Autoimmune; 24 are open to participants now.

This study's planned enrollment of 800 is above the median of 273 across 36 observational studies indexed under Hepatitis, Autoimmune.

Browse Hepatitis, Autoimmune studies →

Lead sponsor

Children's Hospital Medical Center, Cincinnati is the lead sponsor of 673 studies on the registry; 130 are open to participants now.

Of its 57 completed or terminated interventional studies of FDA-regulated products, 31 (54%) have results posted.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All patients with a clinical diagnosis of Autoimmune Hepatitis (AIH), Primary Sclerosing Cholangitis (PSC), and Autoimmune Sclerosing Cholangitis (ASC).

Patient recruitment will be conducted by the care centers participating in the registry.

This also includes the recruitment of Spanish and other language-speaking patients.

Participants who are enrolled in ImproveCareNow and who are eligible for A-LiNK will be separately consented to this study.

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

  • Clinical diagnosis of hepatitis (AIH)
  • Clinical diagnosis of primary sclerosing cholangitis (PSC)
  • Clinical diagnosis of autoimmune sclerosing cholangitis (ASC)

Exclusion criteria

Exclusion Criteria:

  • History of liver transplant
Terms in these criteria, in plain language(1)

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
800 participants (estimated)
Target follow-up
10 Years
Patient registry
Yes

Groups and cohorts

  • Children and adolescents with Autoimmune Liver Disease

    Pediatric patients with a diagnosis of autoimmune hepatitis, or primary sclerosing cholangitis.

    Other: No interventions

Interventions

  • OtherNo interventions

    There are no interventions

06

What researchers measure

Primary outcomes

  1. Baseline disease characteristics in the population

    Time frame: 2034

  2. Disease relapse and biochemical remission rates

    Biochemical remission = transaminases (ALT/AST) within the upper limit of normal for age

    Time frame: 2034

  3. Complications of disease

    Including ascites, esophageal variceal bleeding, cholangitis, hepatic encephalopathy, listed for liver transplant, hepatocellular carcinoma, or cholangiocarcinoma

    Time frame: 2034

  4. Side-effects of steroids

    Including hypertension, diabetes mellitus, low bone mineral density, glaucoma, cataract, overweight, obesity

    Time frame: 2034

  5. Pediatric Quality of Life Inventory (PedsQL 4.0) Generic Core Scales Short Form 15

    Health-related quality of life

    Time frame: 2034

  6. Racial and ethnic disparities

    Time frame: 2034

07

Study locations

8 of 8 sites recruiting
08

References and documents

Publications

  • Farr R, Rojas CC, Alquraish M, Hommel K, Sahay R, Weymann A, Saarela K, Kulkarni S, Ayers M, Squires J, Taylor A, Kalkwarf HJ, Miethke A. Longitudinal, Multicenter Study of Clinical Factors Impacting Health-Related Quality of Life in Paediatric Autoimmune Liver Disease. Liver Int. 2026 Apr;46(4):e70581. doi: 10.1111/liv.70581. PubMed 41804276 ↗

Individual participant data

Plan to share: Yes — To expand the possibilities for conducting outcomes research beyond the A-LiNK network of investigators, data will be shared, following an internal review process, with qualified investigators external to the network who are employed at, or affiliated with, institutions that are interested in conducting health services or comparative effectiveness research. Following a merit review and legal agreement, a de-identified data set will be shared with investigators following a workflow documented in the data-sharing procedure. To share data with investigators in and outside the network, the A-LiNK Leadership Committee will ensure that any requests that constitute research involving human subjects have received appropriate institutional review board (IRB) review and approval prior the sharing of data.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2022 (actual). Primary completion is estimated for Dec 2032, 128 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 13, 2023
First posted
Mar 1, 2023
StartActual
Apr 28, 2022
Primary completionEst.
Dec 31, 2032
CompletionEst.
Jun 30, 2033
Last update
Aug 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05750498
Responsible party
Sponsor
First posted
Mar 1, 2023
Start date
Apr 28, 2022
Primary completion
Dec 31, 2032 (estimated)
Completion
Jun 30, 2033 (estimated)
Last update
Aug 19, 2026

Study contacts

Amy E Taylor, MD
Contact
amy.taylor@cchmc.org
513-636-4415
Cyd M Castro-Rojas, PhD
Contact
cyd.castrorojas@cchmc.org
5135170580
Amy E Taylor, MD
principal investigator · Children's Hospital Medical Center, Cincinnati

Oversight

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

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