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Biliary AtresiaPROBENCT00061828

A Prospective Database of Infants With Cholestasis

An observational study of Biliary Atresia, run by Arbor Research Collaborative for Health at 16 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Biliary atresia, idiopathic neonatal hepatitis, and specific genetic cholestatic conditions are the most common causes of jaundice and hyperbilirubinemia that continue beyond the newborn period. Read more about this study

Who is it for?
Ages Up to 6 months
Conditions the study is for
Biliary Atresia
How many people
1,000 participants
Where
16 sitesin 2 countries
Study dates
21 Apr 2004to 31 May 2029
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 6 months
  • All sexes
  • No healthy volunteers
  • Child

Study population: This study population will be selected from the patient base of participating specialty care clinics.

Who may be able to join

  • Infant's age less than or equal to 180 days at initial presentation at the ChiLDReN clinical site.
  • Diagnosis of cholestasis defined by serum direct or conjugated bilirubin greater than or equal to 2 mg/dl and suspected biliary atresia.
  • The subject's parent(s)/guardian(s) willing to provide informed written consent.

Who cannot join

  • Acute liver failure.
  • Previous hepatobiliary surgery with dissection or excision of biliary tissue.
  • Diagnoses of bacterial or fungal sepsis (except where associated with metabolic liver disease)
  • Diagnoses of hypoxia, shock or ischemic hepatopathy within the past two weeks (If the cholestasis persists beyond two weeks of the initiating event, the infant can be enrolled).
  • Diagnosis of any malignancy.
  • Presence of any primary hemolytic disease (except when diagnosed with biliary atresia or another cholestatic disease being studied by ChiLDREN).
Show all 9Show fewer
  • Diagnosis of any drug or Total parenteral nutrition (TPN)-associated cholestasis (except when diagnosed with biliary atresia or another cholestatic disease being studied by ChiLDREN).
  • Diagnosis with Extracorporeal membrane oxygenation (ECMO)-associated cholestasis.
  • Birth weight less than 1500g (except when diagnosed with biliary atresia).

Trial locations and contacts

16 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Melissa Sexton, BBA, CCRP contact

734-693-3811

melissa.sexton@arborresearch.org

16 sites in 2 countries

United States15 sites, 9 recruiting
  • Children's Healthcare of Atlanta - Emory University

    Atlanta, Georgia, 30322

    Katelynn Harris, 404-785-0421, katelynn.harris@choa.org

    Jordyn Turner, 404-785-3690, jordyn.turner@choa.org

    Recruiting
  • Children's Hospital Colorado

    Aurora, Colorado, 80045

    Cynthia Castanon, 720-777-0587, Cynthia.castanon@childrenscolorado.org

    Michelle Landis, 720-777-8884, michelle.landis@childrenscolorado.org

    Recruiting
  • Johns Hopkins School of Medicine

    Baltimore, Maryland, 21287

    Completed
  • Ann & Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60614

    Jacqueline Alexander, 312-227-3523, jaalexander@luriechildrens.org

    Angela Anthony, 312-227-4559, aanthony@luriechildrens.org

    Recruiting
  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

    Jennifer Hawkins, MS, 513-636-7818, jennifer.hawkins@cchmc.org

    Erin Chapman, BAS, 513-803-7482, erin.chapman@cchmc.org

    Recruiting
  • Baylor College of Medicine

    Houston, Texas, 77030

    Laurel Cavallo, 832-822-1053, children.network@bcm.edu

    Cynthia Tsai, MPH, 832-822-3634, children.network@bcm.edu

    Recruiting
  • Riley Hospital for Children

    Indianapolis, Indiana, 46202

    Completed
  • Children's Hospital Los Angeles

    Los Angeles, California, 90027

    Sirikorn Boonsawat, 323-361-2181, sboonsawat@chla.usc.edu

    Rohit Kohli, MD

    Recruiting
  • Mount Sinai Medical Center

    New York, New York, 10029

    Completed
  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

    Caitlin Griffiths, 267-577-9888, griffithc2@chop.edu

    Jordan Moreno, 267-425-1614, morenoj@chop.edu

    Recruiting
  • UPMC Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania, 15224

    Completed
  • University of Utah

    Salt Lake City, Utah, 84113

    Ann Rutherford, 801-585-9495, ann.rutherford@hsc.utah.edu

    Natalie Fillerup, 801-587-5670, natalie.fillerup@hsc.utah.edu

    Recruiting
  • University of California

    San Francisco, California, 94143

    Completed
  • Seattle Children's Hospital

    Seattle, Washington, 98105

    Melissa Young, 206-987-1037, melissa.young@seattlechildrens.org

    Teresa Chen, 206-987-6649, teresa.chen@seattlechildrens.org

    Recruiting
  • Washington University School of Medicine

    St Louis, Missouri, 63110

    Completed

Other trials in United States

Canada1 site
  • The Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

    Completed

Other trials in Canada

About this study

Official title: Childhood Liver Disease Research Network (ChiLDReN): A Prospective Database of Infants With Cholestasis

Biliary atresia, idiopathic neonatal hepatitis, and specific genetic cholestatic conditions are the most common causes of jaundice and hyperbilirubinemia that continue beyond the newborn period. The long term goal of the Childhood Liver Disease Research Network (ChiLDReN) is to establish a database of clinical information and plasma, serum, and tissue samples from cholestatic children to facilitate research and to perform clinical, epidemiological and therapeutic trials in these important pediatric liver diseases.

Read the detailed description

This is a multi-center project to establish a prospective database of clinical information and a repository of blood, from children with diagnosis of neonatal liver disease, such as biliary atresia (BA), in order to perform research in this important liver problem. Children (diagnosed with BA or suspicious for BA) will be screened and enrolled at presentation at the participating pediatric liver sites. Participants diagnosed with BA will be followed intensively for the first year, at 18 months of age, and then annually up to 10 years of age, and then biannually, or liver transplantation. Other participants (Non-BA) diagnosed with cholestasis will be exited from the study at the time of diagnosis determination.

Detailed clinical data, laboratory investigations, liver and biliary specimens, and long-term follow-up of outcomes are part of the normal standard of care with respect to the diagnosis and treatment of the subjects with liver problems. This research involves the collection of diagnostic, clinical and outcome data concerning the subject, which is kept without identification (coded) in a national research database of infants with liver disease. Samples of blood will be obtained for later research analysis, whenever possible, at the time of clinically indicated blood draws or when there is IV access for a clinical procedure. All data from this study will be kept in a secure research database at the Scientific Data Coordinating Center (SDCC) and transferred to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) data repository after the study ends.

Conditions
Biliary Atresia
Medical subject headings
Biliary Atresia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT00061828
Study groupRoleWhat they receive
Biliary AtresiaInfants presenting with cholestasis who are diagnosed with biliary atresia.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in disease severity over time (disease progression)

    disease progression defined by transplant date, date of death, worsening liver function, and complications related to worsening liver function

    Measured: Measured at baseline, 1 month, 2 months, 3, 6 months post-baseline, 12 and 18 months of age, annually through year 10 and then biannually through year 20.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jun 2003 (estimated)
  2. Study start21 Apr 2004
  3. Primary completion31 May 2029 (estimated)
  4. Study completion31 May 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00061828
Sponsor's protocol ID
PROBE Study - ChiLDReN Network
Other IDs
U01DK103149, U01DK103140, U01DK103135, U01DK084575, U01DK084538, U01DK084536, U01DK062503, U01DK062500
Acronym
PROBE
Status last verified
Jun 2026
First submitted
5 Jun 2003
Last updated
4 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The data will be transferred to NIDDK at the end of the study.

Publications

  • Tessier MEM, Schraw JM, Beer S, Harpavat S, Kyle Jensen M, Magee JC, Ng V, Scheurer ME, Taylor SA, Shneider BL. The association of human milk intake and outcomes in biliary atresia. J Pediatr Gastroenterol Nutr. 2025 Jan;80(1):163-173. doi: 10.1002/jpn3.12403. Epub 2024 Nov 11.

    PubMed 39526563
  • Teckman J, Rosenthal P, Ignacio RV, Spino C, Bass LM, Horslen S, Wang K, Magee JC, Karpen S, Asai A, Molleston JP, Squires RH, Kamath BM, Guthery SL, Loomes KM, Shneider BL, Sokol RJ; ChiLDReN (Childhood Liver Disease Research Network). Neonatal cholestasis in children with Alpha-1-AT deficiency is a risk for earlier severe liver disease with male predominance. Hepatol Commun. 2023 Dec 7;7(12):e0345. doi: 10.1097/HC9.0000000000000345. eCollection 2023 Dec 1.

    PubMed 38055647
  • Kemme S, Canniff JD, Feldman AG, Garth KM, Li S, Pan Z, Sokol RJ, Weinberg A, Mack CL. Cytomegalovirus in biliary atresia is associated with increased pretransplant death, but not decreased native liver survival. Hepatol Commun. 2023 Jul 17;7(8):e0175. doi: 10.1097/HC9.0000000000000175. eCollection 2023 Aug 1.

    PubMed 37471052
  • Hertel PM, Hawthorne K, Kim S, Finegold MJ, Shneider BL, Squires JE, Gupta NA, Bull LN, Murray KF, Kerkar N, Ng VL, Molleston JP, Bezerra JA, Loomes KM, Taylor SA, Schwarz KB, Turmelle YP, Rosenthal P, Magee JC, Sokol RJ; Childhood Liver Disease Research Network (ChiLDReN). Presentation and Outcomes of Infants With Idiopathic Cholestasis: A Multicenter Prospective Study. J Pediatr Gastroenterol Nutr. 2021 Oct 1;73(4):478-484. doi: 10.1097/MPG.0000000000003248.

    PubMed 34310436
  • Ng VL, Sorensen LG, Alonso EM, Fredericks EM, Ye W, Moore J, Karpen SJ, Shneider BL, Molleston JP, Bezerra JA, Murray KF, Loomes KM, Rosenthal P, Squires RH, Wang K, Arnon R, Schwarz KB, Turmelle YP, Haber BH, Sherker AH, Magee JC, Sokol RJ; Childhood Liver Disease Research Network (ChiLDReN). Neurodevelopmental Outcome of Young Children with Biliary Atresia and Native Liver: Results from the ChiLDReN Study. J Pediatr. 2018 May;196:139-147.e3. doi: 10.1016/j.jpeds.2017.12.048. Epub 2018 Mar 5.

    PubMed 29519540
  • Shneider BL, Magee JC, Karpen SJ, Rand EB, Narkewicz MR, Bass LM, Schwarz K, Whitington PF, Bezerra JA, Kerkar N, Haber B, Rosenthal P, Turmelle YP, Molleston JP, Murray KF, Ng VL, Wang KS, Romero R, Squires RH, Arnon R, Sherker AH, Moore J, Ye W, Sokol RJ; Childhood Liver Disease Research Network (ChiLDReN). Total Serum Bilirubin within 3 Months of Hepatoportoenterostomy Predicts Short-Term Outcomes in Biliary Atresia. J Pediatr. 2016 Mar;170:211-7.e1-2. doi: 10.1016/j.jpeds.2015.11.058. Epub 2015 Dec 24.

    PubMed 26725209
  • Ye W, Rosenthal P, Magee JC, Whitington PF; Childhood Liver Disease Research and Education Network. Factors Determining delta-Bilirubin Levels in Infants With Biliary Atresia. J Pediatr Gastroenterol Nutr. 2015 May;60(5):659-63. doi: 10.1097/MPG.0000000000000690.

    PubMed 25564820
  • Bessho K, Mourya R, Shivakumar P, Walters S, Magee JC, Rao M, Jegga AG, Bezerra JA. Gene expression signature for biliary atresia and a role for interleukin-8 in pathogenesis of experimental disease. Hepatology. 2014 Jul;60(1):211-23. doi: 10.1002/hep.27045. Epub 2014 May 27.

    PubMed 24493287
  • Shneider BL, Abel B, Haber B, Karpen SJ, Magee JC, Romero R, Schwarz K, Bass LM, Kerkar N, Miethke AG, Rosenthal P, Turmelle Y, Robuck PR, Sokol RJ; Childhood Liver Disease Research and Education Network. Portal hypertension in children and young adults with biliary atresia. J Pediatr Gastroenterol Nutr. 2012 Nov;55(5):567-73. doi: 10.1097/MPG.0b013e31826eb0cf.

    PubMed 22903006
  • Zahm AM, Hand NJ, Boateng LA, Friedman JR. Circulating microRNA is a biomarker of biliary atresia. J Pediatr Gastroenterol Nutr. 2012 Oct;55(4):366-9. doi: 10.1097/MPG.0b013e318264e648.

    PubMed 22732895

Questions about this trial

What is this clinical trial studying?

An observational study of Biliary Atresia, run by Arbor Research Collaborative for Health at 16 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 4 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Melissa Sexton, BBA, CCRP (734-693-3811, melissa.sexton@arborresearch.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in disease severity over time (disease progression) (time frame: Measured at baseline, 1 month, 2 months, 3, 6 months post-baseline, 12 and 18 months of age, annually through year 10 and then biannually through year 20.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00061828, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Jun 2026.

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