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PBCPBC-CohortNCT04076527

Prospective, Multicenter Cohort Study on Primary Biliary Cholangitis

An observational study of PBC and Primary Biliary Cholangitis, run by University of Leipzig at 50 sites in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The German PBC Cohort is a multi-centric, observational (non-interventional) study with three parallel groups. The main objective of this observational study is to describe the course of Primary biliary cholangitis (PBC) in patients in Germany under routine treatment with approved drugs. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
PBC, Primary Biliary Cholangitis
What is being tested?
UDCA and Ocaliva
How many people
1,200 participants
Where
50 sitesGermany
Study dates
19 Sep 2019to Mar 2024
Phase
Observational
Are there results?
None posted in the registry

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The patients will be recruited in gastroenterology specialized practices and outpatient clinics which provide routine treatment for PBC patients.

Who may be able to join

  • Age ≥ 18 years
  • Diagnosis of PBC PBC diagnosis (consistent with AASLD and EASL practice guidelines), as demonstrated by the presence of at least two of the following three diagnostic factors:
  • History of elevated ALP levels for 6 months.
  • Positive anti-mitochondrial antibody (AMA) titer or if AMA negative or in low titer (<1:80) => PBC-specific antibodies:
  • anti-GP210 and/or
  • anti-SP100 and/or
Show all 17Show fewer
  • antibodies against the major M2 components [PDC-E2, 2-oxo-glutaric acid dehydrogenase complex (OADC-E2), branched-chain-2-oxo-acid-dehydrogenase complex, (BCOADC-E2)].
  • Liver biopsy consistent with PBC.
  • Medication-based treatment with at least one drug approved in Germany for the treatment of PBC
  • Availability of all following essential parameters at the initial diagnosis of PBC prior to the initiation of treatment with UDCA, 12 months after initiation of UDCA and if applicable at time point of secondary incomplete response:
  • Platelet count
  • Alkaline Phosphatase (ALP)
  • Total Bilirubin
  • Aspartate aminotransferase (AST/GOT)
  • Age at initial diagnosis of PBC
  • Patients must meet criteria of one of the cohorts (group 1/2/3) within this NIS according to design
  • written statement of informed consent

Who cannot join

  • Current participation in a phase I to IV interventional clinical trial for PBC or participation in another PBC registry.

Trial locations and contacts

50 sites in 1 country.

50 sites in 1 country

Germany50 sites, 40 recruiting
  • University Hospital Aachen

    Aachen

    Christian Trautwein, Prof.Dr.

    Recruiting
  • Charité - Campus Benjamin Franklin

    Berlin

    Marion Muche, Dr.

    Recruiting
  • Charité-Campus Virchow-Klinikum

    Berlin

    Tobias Müller, Dr.

    Recruiting
  • Internal Practice

    Berlin

    Uwe Naumann, Dr.

    Recruiting
  • Liver Center Checkpoint

    Berlin

    Renate Heyne, Dr.

    Not yet recruiting
  • MVZ Gastroenterology

    Berlin

    Wolf Peter Hofmann, Prof. Dr.

    Recruiting
  • Hospital Chemnitz

    Chemnitz

    Ulrich Stölzel, Prof. Dr.

    Recruiting
  • University Hospital Cologne

    Cologne

    Withdrawn
  • Internal Practice

    Dornstadt

    Nektarios Dikopoulos, Prof. Dr.

    Recruiting
  • MVZ Düsseldorf

    Düsseldorf

    Withdrawn
  • University hospital Düsseldorf

    Düsseldorf

    Hans Bock, Prof.

    Not yet recruiting
  • University Hospital Erlangen

    Erlangen

    Andreas Kremer, Dr. Dr.

    Recruiting
  • St. Josef- Hospital Kupferdreh

    Essen

    Susanne Beckebaum, Prof. Dr.

    Recruiting
  • University Hospital Essen

    Essen

    Sandra Christoph, Dr

    Not yet recruiting
  • Internal Practice

    Frankfurt

    Withdrawn
  • University Hospital J.W. Goethe- Universität

    Frankfurt am Main

    Stefan Zeuzem, Prof. Dr.

    Recruiting
  • University Hospital Freiburg

    Freiburg im Breisgau

    Christoph Neumann-Haefelin, Dr.

    Recruiting
  • University Hospital Gießen

    Giessen

    Elke Roeb, Prof. Dr.

    Recruiting
  • Gastroenerological-Oncological Practice

    Halle

    Rüdiger Behrens, Dr

    Recruiting
  • University Hospital Halle

    Halle

    Greinert, Dr.

    Recruiting
  • Liver Center Hamburg - Asklepios Clinic St. Georg

    Hamburg

    Withdrawn
  • Internal Practice

    Hamelin

    Withdrawn
  • MHH

    Hanover

    Heike Bantel, Prof. Dr.

    Recruiting
  • University Hospital Heidelberg

    Heidelberg

    Theresa Hippchen, Dr.

    Recruiting
  • Gastroenerological Practice

    Herne

    Matthias Hinz, Dr.

    Recruiting
  • University hospital Saarland

    Homburg

    Marcin Krawczyk, Prof. Dr.

    Recruiting
  • University Hospital Jena

    Jena

    Philipp Reuken, Dr.

    Recruiting
  • Gastroenerological Practice

    Kassel

    Withdrawn
  • Center for Gastroenterology and Hepatology Kiel

    Kiel

    Holger Hinrichsen, MD

    Recruiting
  • University Hospital Schleswig-Holstein Campus Kiel

    Kiel

    Rainer Günther, Dr.

    Recruiting
  • Eugastro - Gastroenerological Practice

    Leipzig, 04129

    Ingolf Schiefke, Prof.

    Recruiting
  • University Hospital Leipzig

    Leipzig

    Thomas Berg, Prof. Dr.

    Johannes Wiegand, Prof.Dr.

    Recruiting
  • MVZ Leverkusen

    Leverkusen

    Karl- Georg Simon, Dr.

    Recruiting
  • University hospital Schleswig-Holstein

    Lübeck

    Henrike Dobbermann, Dr.

    Recruiting
  • Internal Practice Hepatology

    Magdeburg

    Kerstin Stein, Dr.

    Recruiting
  • University hospital Magdeburg

    Magdeburg

    Verena Keitel-Anselmino, Prof. Dr.

    Recruiting
  • University Hospital Mainz

    Mainz

    Jörn Schattenberg, PD Dr

    Recruiting
  • University Hospital Mannheim

    Mannheim

    Andreas Teufel, Prof.Dr.Dr.

    Recruiting
  • Hospital LMU

    Munich

    Gerald Denk, PD Dr

    Recruiting
  • Liver Center Munich

    Munich

    Withdrawn
  • Technical University - Klinikum rechts der Isar

    Munich

    Ursula Tanase, Dr.

    Recruiting
  • University Hospital Münster

    Münster

    Hauke Heinzow, Prof. Dr.

    Recruiting
  • Hospital Nuremberg

    Nuremberg

    Andreas Weber, Dr.

    Recruiting
  • Internal Practice

    Potsdam

    Harald Grümmer, Dr.

    Recruiting
  • University Hospital Regensburg

    Regensburg

    Withdrawn
  • Diakonie-Klinikum Schwäbisch Hall

    Schwäbisch Hall

    Withdrawn
  • Internal Practice

    Schwerin

    Withdrawn
  • University Hospital Tübingen

    Tübingen

    Christoph Berg, Prof. Dr.

    Recruiting
  • University Hospital Ulm

    Ulm

    Eugen Zizer, Dr.

    Not yet recruiting
  • St. Josefs-Hospital

    Wiesbaden

    Christoph Sarrazin, Prof. Dr.

    Recruiting

Other trials in Germany

About this study

The German PBC Cohort is a multi-centric, observational (non-interventional) study with three parallel groups. The main objective of this observational study is to describe the course of Primary biliary cholangitis (PBC) in patients in Germany under routine treatment with approved drugs. Therefore, the effectiveness and safety/tolerability of PBC treatment options in a real-life setting will be evaluated.

Read the detailed description

Primary biliary cholangitis (PBC) is a chronic autoimmune cholestatic liver disease. The course of the disease is characterized by a slow destruction of bile ducts, and progressive cholestasis. Prognosis depends on the development of cirrhosis and its complications. Ursodeoxycholic acid (UDCA) has been established as standard therapy for PBC and improves patients' long-term outcome. However, UDCA is not a uniformly effective drug, and the prognosis of PBC patients insufficiently responding to treatment is markedly worse. For patients with suboptimal treatment response to UDCA obeticholic acid (OCA) as newly approved medication (OCALIVA®) is available as second line treatment.

Due to the low prevalence and the slowly progressive course of the disease it is very difficult to investigate the prognosis of subgroups of PBC patients or to evaluate the effectivness of therapeutic interventions on clinical outcomes. Therefore, several national or international registries (UK-PBC Consortium or the Global PBC Study Group) were founded to better characterize the clinical course of PBC patients.

Since in Germany a registry for PBC does not exist, the German PBC Cohort is being implemented as observational study to collect data on treatment progress and success in clinical routine that reflects real world conditions in Germany as closely as possible. The effectiveness and safety/tolerability of PBC treatment options (UDCA as standard therapy and second-line treatment options like OCALIVA in case of inadequate UDCA treatment response) will be evaluated.

In approximatly 40 sites in Germany routine data is collected. There are no specifications for the diagnosis, therapy and monitoring of the PBC patients. The documentation of the routine data is carried out alongside with guideline recommended treatment intervals of the patients.

Furthermore, a critical criterion for the German PBC Cohort study is the involvement of a sufficient number of gastroenterology specialized practices and outpatient clinics that have consciously not been selected based on the strict specifications of a clinical trial and which provide routine treatment for PBC patients. In addition, patient access is designed to be open. Data will be collected on patient groups that represent a majority of the PBC patients in Germany, but who are not being investigated in clinical trials.

Being tested
UDCA, Ocaliva
Keywords
ursodeoxycholic acid, UDCA, obeticholic acid, OCALIVA, Cohort, observational study, Bezafibrat, Budesonide
Medical subject headings
Liver Cirrhosis, Biliary

What participants receive

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

  • UDCADrug

    Also called ursodeoxycholic acid

    Routine data is collected for UDCA therapy.

  • OcalivaDrug

    Also called obeticholic acid

    Routine data is collected for OCA therapy.

Study groups in NCT04076527
Study groupRoleWhat they receive
Group 1 - Incomplete Responder1. Primary Incomplete Responder: PBC patients demonstrating an insufficient response to the standard therapy with ursodeoxycholic acid (UDCA) after a minimum of 12 months of treatment (Paris II criteria). 2. Secondary Incomplete Responder: PBC patients demonstrating a satisfactory initial response to UDCA after a minimum of 12 months of treatment (Paris II criteria) followed by a re-increase of ALP ≥1.5 ULN, or AST ≥1.5 ULN, or bilirubin >1 mg/dl at any later time point during continuous UDCA-treatment.
Receives: Drug: UDCA; Drug: Ocaliva
Group 2 - ResponderPBC patients demonstrating a satisfactory initial and contin-ued response to UDCA after a minimum of 12 months of treatment (Paris II criteria) without a re-increase of ALP ≥1.5 ULN, or AST ≥1.5 ULN, or bilirubin >1 mg/dl at any later time point during continuous UDCA-treatment.
Receives: Drug: UDCA
Group 3Patients newly diagnosed for PBC receiving an approved PBC therapy for the first time. Patients are considered to be newly diagnosed if the initial diagnosis took place no later than six months prior to inclusion into the study.
Receives: Drug: UDCA; Drug: Ocaliva

What is being measured

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

  1. Systematic registry

    A primary outcome measure is not applicable as usual, since this data acquisition is performed to built a newly developed systematic registry which serves to describe - for the first time in Germany - the characteristics and the recent state of usual clinical care of the respective population.

    Within the 18 months of recruitment and 3 years of individual follow-up for every patient regular analyses will be performed and published, based on a statistical analysis plan which may be yearly updated on request to address the main questions of the responsible PBC consortium.

    After the end of data acquisition hepatologic scientists may apply with detailed proposals to further use available data. A scientific consortium will than decided on further analyses of data.

    Measured: from baseline to 36 months after baseline (observational period)

Secondary outcomes (7)
  1. Comprehensive clinical characterization of German PBC patients

    i.e. demographics, biochemical markers, ultrasound, transient elastography, stage of the disease

    Measured: from baseline to 36 months after baseline

  2. Characterization of PBC therapies

    Characterization of UDCA as first line therapy and characterization of approved second-line treatment options such as OCALIVA.

    Furthermore, safety data on the PBC medications used will be systematically gathered and reported on high-level aggregation with regard to any causality with PBC treatment per cohort. The respective results will be reviewed against the known safety profiles.

    Measured: from baseline to 36 months after baseline

  3. Treatment response to PBC therapies after 12 months and during longer courses of application

    To evaluate the natural progression under PBC drug therapy with respect to response to treatment changes in laboratory results (as ratios of the upper/lower limits of normal or differences to BL values) and characteristics of liver function will be described, e.g.:

    1. frequency of hepatic decompensation (occurrence of variceal hemorrhage, ascites, encephalopathy, and/or hepatocellular carcinoma),
    2. frequency of liver transplants,
    3. frequency of deaths in total and from a liver-related cause, and
    4. details on further events of special interest, e.g. for the first time serum bilirubin > ULN and/or alkaline phosphatase > 1.5 ULN, or transient elastography > 9.6 kPa.

    Measured: from baseline to 12 months after baseline and to 36 months after baseline

  4. Application and analyses of existing prognostic PBC scores to provide information on patients' prognosis.

    Details on typical therapeutic measures in treating PBC and patient compliance will be presented. This allows making a statement on quality of PBC treatment in Germany. Effectiveness will be assessed per cohort and compared between physicians' practices and hospital outpatient departments, aggregating data over all participating sites of the respective structure of health care. This refers to GLOBE score and/or Paris II criteria, frequency of hepatic decompensation or frequency of abnormal surrogate parameter (i.e. alkaline phosphatase, bilirubin, ALAT, ASAT or transient elastography). The respective results will be discussed against the results provided from clinical trials to verify everyday suitability of the different PBC therapies.

    Measured: from baseline to 36 months after baseline

  5. Concomitant Medications

    Assessment of selected concomitant medications (e.g. symptomatic treatment of pru-ritus)

    Measured: from baseline to 36 months after baseline

  6. Concomitant Autoimmune Diseases

    Assessment of selected concomitant autoimmune diseases (e.g. overlap syndrome with autoimmune hepatitis)

    Measured: from baseline to 36 months after baseline

  7. Concomitant Non-Autoimmune Diseases

    Assessment of selected concomitant non-autoimmune diseases (i.e. cardiovascular disease, non-alcoholic fatty liver disease, metabolic syndrome, chronic kidney diseases)

    Measured: from baseline to 36 months after baseline

Timeline

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

  1. First posted3 Sep 2019
  2. Study start19 Sep 2019
  3. Primary completionMar 2024 (estimated)
  4. Study completionMar 2024 (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
1,200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04076527
Sponsor's protocol ID
2.0
Acronym
PBC-Cohort
Status last verified
Jun 2023
First submitted
29 Aug 2019
Last updated
7 Jun 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of PBC and Primary Biliary Cholangitis, run by University of Leipzig at 50 sites in Germany.

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 17 inclusion and 1 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: status not confirmed, as of the sponsor's last update on 7 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in Germany. 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?

Results are not available in the source record.

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

Contact Thomas Berg, Prof.Dr. (+49 341 97 12 330, thomas.berg@medizin.uni-leipzig.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Systematic registry (time frame: from baseline to 36 months after baseline (observational period)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 7 Jun 2023.

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