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Enrolling by invitationNCT07631442Updated Jun 11, 2026

Using Digital Health Technology to Monitor Patients With Primary Biliary Cholangitis (PBC)

An observational study in Primary Biliary Cholangitis (PBC), sponsored by Stanford University. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-11.

Sponsored by Stanford University · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
30
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to explore the use of digital health technology for measuring symptoms and daily health in people with primary biliary cholangitis (PBC). Biometric data captured with a wearable device will be compared to questionnaire responses (patient-reported outcomes, or PROs) and laboratory test results to test the hypothesis that changes in biometrics can be correlated to changes in disease activity.

Read the detailed description

Patients enrolled are intended to start a second-line therapy (2L) for control of their PBC - the choice of therapy will be at the discretion of the treating hepatologist. Once 2L therapy is initiated, the study will assess for correlations between changes in biochemistries (alkaline phosphatase, or ALP) with biometrics and PRO results.

02

Conditions studied

  • Primary Biliary Cholangitis (PBC)

Keywords

  • liver disease
  • pruritis
  • fatigue
  • poor sleep
  • brain fog
  • digital health technology
  • biometrics
  • Oura ring
  • primary biliary cholangitis
  • PBC
03

In context

Liver Cirrhosis, Biliary

214 studies on the registry are indexed under Liver Cirrhosis, Biliary; 48 are open to participants now.

This study's planned enrollment of 30 is below the median of 380 across 54 observational studies indexed under Liver Cirrhosis, Biliary.

Browse Liver Cirrhosis, Biliary studies →

Lead sponsor

Stanford University is the lead sponsor of 2,168 studies on the registry; 431 are open to participants now.

Of its 267 completed or terminated interventional studies of FDA-regulated products, 207 (78%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

30 adult patients, diagnosed with PBC and with abnormal alkaline phosphatase (ALP)

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

  1. PBC diagnosis based on meeting 2 of 3 criteria:

    1. Cholestatic liver biochemistry at disease outset (defined as elevation in the serum ALP level or GGT).
    2. Associated autoantibody (AMA or PBC-associated antinuclear antibody by immune fluorescence or anti-PDC, anti-Gp210, or anti-Sp100) at a titer of greater than or equal to 1:40.
    3. Diagnostic or compatible liver .
    1. Ability to provide
    2. Ability to complete digital questionnaires
    3. Elevated alkaline phosphatase
  • Abbreviations:

alkaline phosphatase [ALP] gamma-glutamyl-transferase [GGT] antimitochondrial antibody [AMA] Primary Biliary Cholangitis [PBC] Plasmacytoid dendritic cells [PDC] glycoprotein 210 [Gp210] Scleroderma 100 [Sp100]

Exclusion criteria

Exclusion Criteria:

  1. Uncontrolled chronic inflammatory condition that is likely to contribute to symptoms of poor fatigue and sleep and confound results.
  2. Active requiring treatment
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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
30 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients with Primary Biliary Cholangitis (PBC) and an abnormal alkaline phosphatase (ALP)

    Patients with an ALP \>1.67x ULN will be preferentially enrolled, but all patients with an elevated ALP can be considered.

06

What researchers measure

Primary outcomes

  1. Sleep scores to assess sleep quality will be measured in PBC patients using a wearable device

    Sleep Score 0 - 100 where 0 is worst sleep experience and 100 is best sleep experience

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  2. SpO2 (saturation of peripheral oxygen) levels to assess sleep quality

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  3. Total time in bed, to assess sleep quality

    Number of hours per day spent in bed

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  4. Total sleep, to assess sleep quality

    Number of hours per day spent asleep

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  5. Sleep stage time series (REM), to assess sleep quality

    Number of hours per day spent in REM (Rapid Eye Movement) sleep

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  6. Sleep stage time series (deep), to assess sleep quality

    Number of hours per day spent in deep sleep

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  7. Sleep stage time series (light), to assess sleep quality

    Number of hours per day spent in light sleep

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  8. Number of "get ups" during sleep, to assess sleep quality

    Number of times "getting up" during the night while trying to sleep

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  9. Temperature deviation from baseline, to assess sleep quality

    change in temperature over time during sleep cycle

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  10. Heart rate

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  11. Respiratory rate

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  12. Calories burned during exercise to assess daily activity

    Number of calories burned during each exercise session

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  13. Calories burned throughout the day to assess daily activity

    total number of calories burned each day

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  14. Distance traveled during exercise to assess daily activity

    Number of miles traveled during each exercise session

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  15. Number of steps to assess daily activity

    total number of steps taken each day

    Time frame: 7 months (1 month of screening and 6 months wearing device)

  16. Change in PBC-40 fatigue domain score in patients with PBC

    The PBC-40 fatigue domain allows a potential value range of 11 to 55 with higher values denoting worse fatigue. A score of \>33 identifies patients with moderate-severe fatigue and a mean change in this score by 5 points after 3 months has been used in other studies to denote clinically meaningful significance.

    Time frame: 7 months (1 month screening and 6 months wearing the device)

Secondary outcomes

  1. Change in alkaline phosphatase (ALP) levels

    ALP levels (where lower levels reflect better control of PBC disease) will be measured in patients both before and after a second-line therapy (2L) is started.

    Time frame: Baseline and following 2L therapy (at doctor's discretion, within 7 month timeline)

  2. Changes in Daily Fatigue Impact Scale.

    The Daily Fatigue Impact Scale measures how fatigue interferes with daily functioning. Scores range from 0 to 32, with higher numbers indicating a greater severity of fatigue.

    Time frame: 7 months (1 month screening and 6 months wearing the device)

  3. Change in Epworth Sleepiness Scale (ESS) score

    The ESS score (the sum of 8 item scores, 0-3) can range from 0 to 24. A result from 11 to 24 indicates excessive (abnormal) daytime sleepiness.

    Time frame: 7 months (1 month screening and 6 months wearing the device)

07

Study locations

1 site
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 Jun 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07631442
Collaborators
Gilead Sciences
Responsible party
Aparna Goel (Clinical Associate Professor in Medicine, Stanford University) — Principal investigator
First posted
Jun 8, 2026
Start date
Jul 2026 (estimated)
Primary completion
Oct 2027 (estimated)
Completion
Apr 2028 (estimated)
Last update
Jun 11, 2026

Study contacts

Aparna Goel, MD
principal investigator · Stanford University

Oversight

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

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