Biliary AtresiaBILACONCT05399745
BILACO Trial: Biliary Atresia - a Severe Complex Congenital Liver Disease
An observational study of Biliary Atresia and Cognitive Impairment, run by Copenhagen University Hospital, Rigshospitalet at 1 site in Denmark.
Trial summary
Biliary atresia is the most severe form of cholestatic liver disease. The children have high morbidity and mortality and get devastating pruritus and fatigue, failure to thrive, progressive hepatic failure and impaired neurodevelopment. The etiology is mostly unknown. Read more about this study
- Who is it for?
- Ages 0 to 18 yearsHealthy volunteers can take part
- Conditions the study is for
- Biliary Atresia, Cognitive Impairment
- What is being tested?
- Neurocognitive monitoring
- How many people
- 100 participants
- Where
- 1 siteDenmark
- Study dates
- 1 Mar 2020to 31 Dec 2040
- 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 0 to 18 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Study population: Children with biliary atresia (BA), children with Tetralogy of Fallot (ToF) and healthy control children between the age of 0-17 years. The BA and ToF children were recruited from their respective outpatient clinics at Rigshospitalet, Denmark, which is the only centre treating these patients. Healthy controls were siblings to BA children, recruited from staffs children and friends or recruited from a general practitioners office in Nivaa, Denmark. The recruitment took place from March 2020 and is ongoing
Who may be able to join
- Biliary atresia
- Tetralogy of Fallot
- Healthy controls
Who cannot join
- Not able to participate in exams
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Denmark1 site, 1 recruiting
- Recruiting
Rigshospitalet
Copenhagen, 2100
Vibeke Brix Christensen, MD, PhD, DMSc, +4535458842, vibeke.brix.christensen@regionh.dk
About this study
Official title: BILACO Trial: Biliary Atresia - a Severe Complex Congenital Liver Disease With High Mortality, Compromised Neurological Development, Severe Malnutrition and Unknown Etiology
Biliary atresia is the most severe form of cholestatic liver disease. The children have high morbidity and mortality and get devastating pruritus and fatigue, failure to thrive, progressive hepatic failure and impaired neurodevelopment. The etiology is mostly unknown. More than half need a new liver from a living or deceased donor during childhood. However, correct timing of the transplantation is extremely difficult because of lack of consensus based on clinical assessment tools. All though the incidence is low, the cost of this disease is tremendous from both a clinical and human perspective. So far, protocolized neurodevelopment tests, genetic profiling, precise malnutrition evaluation based on clinical appearance, biochemical markers and brain MRI-scans, body composition, immunological function, level of physical activity and optimal time of transplantation in cholestatic children are unknown.
The aim is to determine risk factors for neurocognitive impairment in children suffering from severe cholestasis in order to determine optimal time for liver transplantation from a brain perspective.
In a prospective study, the investigators will investigate risk factors related to brain-, heart-, gut- and immunological function in the Danish cohort. This cohort consists of 75 children aged 0-18 years. In addition, 30 aged and gender matched healthy and 20 tetra fallot children will serve as control groups. The children will undergo extensive and advanced liver function evaluation, genetic profiling, nutrition and immunological status, neuro-imaging and neurocognitive evaluation at time of diagnose, 2 years of age, pre-school, pre-teenage, and teenage. In case of a liver transplantation, additional neuro-cognitive tests will be performed
- Conditions
- Biliary Atresia, Cognitive Impairment
- Being tested
- Neurocognitive monitoring
- Medical subject headings
- Biliary Atresia, Cognitive Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Neurocognitive monitoringOther
Neurocognitive tests and MRI of the brain
| Study group | Role | What they receive |
|---|---|---|
| Children with biliary atresia | Not described Receives: Other: Neurocognitive monitoring | |
| Children with Tetralogy of Fallot | Not described Receives: Other: Neurocognitive monitoring | |
| Healthy control children | Not described Receives: Other: Neurocognitive monitoring |
What is being measured
The primary outcome is the main question the study is designed to answer.
MRI of the brain
% of patients with anatomic anomalies on MRI of the brain
Measured: Inclusion
Neurocognitive status: Early movement repertoire (General movement)
Neurocognitive test panel depending on age at inclusion
% of patients with of abnormal movement assessed using early movement repertoire (GM) if inclusion at diagnosis. Early movement repertoire is a measurement tool where abnormal movement is identified.
Measured: Inclusion
Neurocognitive status: Alberta Infant Motor Scale
Neurocognitive test panel depending on age at inclusion:
Alberta Infant Motor Scale if inclusion at diagnosis
Percentile, highest is the best
Measured: Inclusion
Neurocognitive status: Bayley Scales of Development III
Neurocognitive test panel depending on age at inclusion:
Bayley Scales of Development III if inclusion up to 2.5 years:
From 0-200, highest is best
Measured: Inclusion
Neurocognitive status: WIPPSI
Neurocognitive test panel depending on age at inclusion:
WIPPSI if inclusion between 2.5-6 years:
Wechsler Preschool and Primary Scale of Intelligence, from 41 to 160, highest is best
Measured: Inclusion
Neurocognitive status: ABC Movement
Neurocognitive test panel depending on age at inclusion:
ABC Movement if inclusion between 2.5-16 years
Movement Assessment Battery for Children, mean 10 SD 3, highest is best
Measured: Inclusion
Neurocognitive status: WISC-IV
Neurocognitive test panel depending on age at inclusion:
WISC-IV if inclusion between 6-16 years
Wechsler Intelligence Scale for Children, 40 to 160, highest is best
Measured: Inclusion
Neurocognitive status: Auditory Verbal Learning Test/ToMaL
Neurocognitive test panel depending on age at inclusion:
Auditory Verbal Learning Test/ToMaL if inclusion between 6-18 years Mean 10 SD 3, highest is best
Measured: Inclusion
Neurocognitive status: TEA-Ch
Neurocognitive test panel depending on age at inclusion:
TEA-Ch if inclusion between 6-18 years
Test of Everyday Attention for Children, normalized to z-score, highest is best
Measured: Inclusion
Neurocognitive status: BADS-C
Neurocognitive test panel depending on age at inclusion:
BADS-C if inclusion between 6-18 years Behavioural Assessment of the Dysexecutive Syndrome in Children, 0-24, mean 10 SD 3, highest is best
Measured: Inclusion
Neurocognitive status: Test of Visual Perceptual Skills
Neurocognitive test panel depending on age at inclusion:
Test of Visual Perceptual Skills if inclusion between 6-18 years
Percentile, highest is best
Measured: Inclusion
Neurocognitive status: CANTAB
Neurocognitive test panel depending on age at inclusion:
CANTAB if inclusion between 6-18 years Cambridge Neuropsychological Test Automated Battery
Measured: Inclusion
Neurocognitive status: The Beery Visuo-Motor Integration test
Neurocognitive test panel depending on age at inclusion:
The Beery Visuo-Motor Integration test if inclusion between 6-18 years Mean of 100 and standard deviation of 15, highest is best
Measured: Inclusion
Neurocognitive status: WAIS IV
Neurocognitive test panel depending on age at inclusion:
WAIS IV if inclusion from 16 to 18 years Wechsler Adult Intelligence Scale, 40-160, highest is best
Measured: Inclusion
Neurocognitive status: Kiddie-sads
Neurocognitive test panel depending on age at inclusion:
Kiddie-sads if included between 2-18 years Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Measured: Inclusion
Neurocognitive status: BRIEF 1
Neurocognitive test panel depending on age at inclusion:
BRIEF 1 if inclusion up to 6 years Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Measured: Inclusion
Neurocognitive status: BRIEF 2
Neurocognitive test panel depending on age at inclusion:
BRIEF 2 if inclusion between 6-18 years Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Measured: Inclusion
Neurocognitive status: CBCL
Neurocognitive test panel depending on age at inclusion:
CBCL if included between 2-18 years Child Behavior Checklist, percentile, lowest is best
Measured: Inclusion
Neurocognitive status: ADHD screening
Neurocognitive test panel depending on age at inclusion:
ADHD screening if included between 2-18 years Lowest is best, 0-78
Measured: Inclusion
Neurocognitive status: SRS-2
Neurocognitive test panel depending on age at inclusion:
SRS-2 screening if included between 6-18 years
Social Responsiveness Scale, 32-114. lowest is best
Measured: Inclusion
Neurocognitive status: Vineland
Neurocognitive test panel depending on age at inclusion:
Vineland screening if included between 6-18 years Vineland Adaptive Behavior Scales, 20 to 160, highest is best
Measured: Inclusion
MRI of the brain
% of patients with anatomic anomalies on MRI of the brain
Measured: 1 year
Neurocognitive status: Alberta Infant Motor Scale
Alberta Infant Motor Scale Percentile, highest is the best
Measured: 1 year
Neurocognitive status: Bayley Scales of Development III
Bayley Scales of Development III
From 0-200, highest is best
Measured: 1 year
Neurocognitive status: BRIEF 1
BRIEF 1 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Measured: 1 year
Neurocognitive status: CBCL
CBCL Child Behavior Checklist, percentile, lowest is best
Measured: 1 year
Neurocognitive status: Kiddie-Sads
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Measured: 1 year
MRI of the brain
% of patients with anatomic anomalies on MRI of the brain
Measured: 2 years
Neurocognitive status: Bayley Scales of Development III
Bayley Scales of Development III From 0-200, highest is best
Measured: 2 years
Neurocognitive status: BRIEF 1
BRIEF 1 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Measured: 2 years
Neurocognitive status: CBCL
CBCL Child Behavior Checklist, percentile, lowest is best
Measured: 2 years
Neurocognitive status: Kiddie-Sads
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Measured: 2 years
Neurocognitive status: ADHD
ADHD Lowest is best, 0-78
Measured: 2 years
Neurocognitive status: Vineland
Vineland Adaptive Behavior Scales, 20 to 160, highest is best
Measured: 2 years
MRI of the brain
% of patients with anatomic anomalies on MRI of the brain
Measured: 6 years
Neurocognitive: Movement ABC
Neurocognitive test panel depending on age Movement Assessment Battery for Children, mean 10 SD 3, highest is best
Measured: 6 years
Neurocognitive status: WISC-IV
WISC-IV
Wechsler Intelligence Scale for Children, 40 to 160, highest is best
Measured: 6 years
Neurocognitive status: Auditory Verbal Learning Test/ToMaL
Auditory Verbal Learning Test/ToMaL Mean 10 SD 3, highest is best
Measured: 6 years
Neurocognitive status: TEA-Ch
TEA-Ch Test of Everyday Attention for Children, normalized to z-score, highest is best
Measured: 6 years
Neurocognitive status: BADS-C
BADS-C Behavioural Assessment of the Dysexecutive Syndrome in Children, 0-24, mean 10 SD 3, highest is best
Measured: 6 years
Neurocognitive status: Test of Visual Perceptual Skills
Test of Visual Perceptual Skills Percentile, highest is best
Measured: 6 years
Neurocognitive status: The Beery Visuo-Motor Integration test
The Beery Visuo-Motor Integration test Mean of 100 and standard deviation of 15, highest is best
Measured: 6 years
Neurocognitive status: CANTAB
CANTAB Cambridge Neuropsychological Test Automated Battery
Measured: 6 years
Neurocognitive status: BRIEF 2
BRIEF 2 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Measured: 6 years
Neurocognitive status: ADHD screening
ADHD screening Lowest is best, 0-78
Measured: 6 years
Neurocognitive status: SRS-2
SRS-2 Social Responsiveness Scale, 32-114. lowest is best
Measured: 6 years
Neurocognitive status: Kiddie-Sads
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Measured: 6 years
Neurocognitive status: CBCL
CBCL Child Behavior Checklist, percentile, lowest is best
Measured: 6 years
Neurocognitive status: Vineland
Vineland Vineland Adaptive Behavior Scales, 20 to 160, highest is best
Measured: 6 years
MRI of the brain
% of patients with anatomic anomalies on MRI of the brain
Measured: 11 years
Neurocognitive status: Movement ABC
Neurocognitive test panel depending on age at inclusion:
ABC Movement if inclusion between 2.5-16 years
Movement Assessment Battery for Children, mean 10 SD 3, highest is best
Measured: 11 years
Neurocognitive status: WISC-IV
WISC-IV
Wechsler Intelligence Scale for Children, 40 to 160, highest is best
Measured: 11 years
Neurocognitive status: Auditory Verbal Learning Test/ToMaL
Auditory Verbal Learning Test/ToMaL Mean 10 SD 3, highest is best
Measured: 11 years
Neurocognitive status:TEA-Ch
TEA-Ch Test of Everyday Attention for Children, normalized to z-score, highest is best
Measured: 11 years
Neurocognitive status: BADS-C
BADS-C Behavioural Assessment of the Dysexecutive Syndrome in Children, 0-24, mean 10 SD 3, highest is best
Measured: 11 years
Neurocognitive status: Test of Visual Perceptual Skills
Test of Visual Perceptual Skills Percentile, highest is best
Measured: 11 years
Neurocognitive status: The Beery Visuo-Motor Integration test
The Beery Visuo-Motor Integration test Mean of 100 and standard deviation of 15, highest is best
Measured: 11 years
Neurocognitive status: CANTAB
CANTAB Cambridge Neuropsychological Test Automated Battery
Measured: 11 years
Neurocognitive status: BRIEF 2
BRIEF 2 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Measured: 11 years
Neurocognitive status: ADHD screening
ADHD screening Lowest is best, 0-78
Measured: 11 years
Neurocognitive status: SRS-2
SRS-2 Social Responsiveness Scale, 32-114. lowest is best
Measured: 11 years
Neurocognitive status: Kiddie-Sads
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Measured: 11 years
Neurocognitive status: CBCL
CBCL Child Behavior Checklist, percentile, lowest is best
Measured: 11 years
Neurocognitive status: Vineland
Vineland Adaptive Behavior Scales, 20 to 160, highest is best
Measured: 11 years
MRI of the brain
% of patients with anatomic anomalies on MRI of the brain
Measured: 16 years
Neurocognitive status: Movement ABC
Neurocognitive test panel depending on age at inclusion:
ABC Movement if inclusion between 2.5-16 years
Movement Assessment Battery for Children, mean 10 SD 3, highest is best
Measured: 16 years
Neurocognitive status: WISC-IV
WISC-IV Wechsler Adult Intelligence Scale, 40-160, highest is best
Measured: 16 years
Neurocognitive status: Auditory Verbal Learning Test/ToMaL
Auditory Verbal Learning Test/ToMaL Mean 10 SD 3, highest is best
Measured: 16 years
Neurocognitive status: TEA-Ch
TEA-Ch Test of Everyday Attention for Children, normalized to z-score, highest is best
Measured: 16 years
Neurocognitive status: BADS-C
BADS-C Behavioural Assessment of the Dysexecutive Syndrome in Children, 0-24, mean 10 SD 3, highest is best
Measured: 16 years
Neurocognitive status: Test of Visual Perceptual Skills
Test of Visual Perceptual Skills Percentile, highest is best
Measured: 16 years
Neurocognitive status: The Beery Visuo-Motor Integration test
The Beery Visuo-Motor Integration test Mean of 100 and standard deviation of 15, highest is best
Measured: 16 years
Neurocognitive status: CANTAB
CANTAB Cambridge Neuropsychological Test Automated Battery
Measured: 16 years
Neurocognitive status: BRIEF 2
BRIEF 2 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Measured: 16 years
Neurocognitive status: ADHD screening
ADHD screening Lowest is best, 0-78
Measured: 16 years
Neurocognitive status: SRS-2
SRS-2 Social Responsiveness Scale, 32-114. lowest is best
Measured: 16 years
Neurocognitive status: Kiddie-Sads
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Measured: 16 years
Neurocognitive status: CBCL
CBCL Child Behavior Checklist, percentile, lowest is best
Measured: 16 years
Neurocognitive status: Vineland
Vineland Adaptive Behavior Scales, 20 to 160, highest is best
Measured: 16 years
Secondary outcomes (360)
Genetics: Whole genome sequencing of blood
Whole genome sequencing of blood
Measured: Inclusion
Genetics: Whole genome sequencing of liver biopsy
Whole genome sequencing of liver biopsy
Measured: Inclusion
Microbiome: Urine proteomics
Microbiome measurements on urine
Measured: Inclusion
Microbiome: Feces proteomics
Microbiome measurements on feces
Measured: Inclusion
Microbiome: Saliva proteomics
Microbiome measurements on saliva
Measured: Inclusion
Microbiome: Feces Next Generation Sequencing of microbial DNA
Microbiome measurement on feces
Measured: Inclusion
Microbiome: Urine Next Generation Sequencing of microbial DNA
Microbiome measurement on urine
Measured: Inclusion
Microbiome: Saliva Next Generation Sequencing of microbial DNA
Microbiome measurement on saliva
Measured: Inclusion
Microbiome: Feces metabolomics
Microbiome measurements on feces
Measured: Inclusion
Microbiome: Urine metabolomics
Microbiome measurements on urine
Measured: Inclusion
Microbiome: Saliva metabolomics
Microbiome measurements on saliva
Measured: Inclusion
Microbiome: Feces metatranscriptomics
Microbiome measurements on feces
Measured: Inclusion
Microbiome: Urine metatranscriptomics
Microbiome measurements on urine
Measured: Inclusion
Microbiome: Saliva metatranscriptomics
Microbiome measurements on saliva
Measured: Inclusion
Genetics: Whole genome sequencing of blood
Whole genome sequencing of blood
Measured: 1 year
Genetics: Whole genome sequencing of liver biopsy
Whole genome sequencing of liver biopsy
Measured: 1 year
Microbiome: Feces metatranscriptomics
Microbiome measurements on feces
Measured: 1 year
Microbiome: Urine metatranscriptomics
Microbiome measurements on urine
Measured: 1 year
Microbiome: Saliva metatranscriptomics
Microbiome measurements on saliva
Measured: 1 year
Microbiome: Urine Next Generation Sequencing of microbial DNA
Microbiome measurements on urine
Measured: 1 year
Microbiome: Feces Next Generation Sequencing of microbial DNA
Microbiome measurements on feces
Measured: 1 year
Microbiome: Saliva Next Generation Sequencing of microbial DNA
Microbiome measurements on saliva
Measured: 1 year
Microbiome: Saliva metabolomics
Microbiome measurements on saliva
Measured: 1 year
Microbiome: Urine metabolomics
Microbiome measurements on urine
Measured: 1 year
Microbiome: Feces metabolomics
Microbiome measurements on feces
Measured: 1 year
Microbiome: Saliva proteomics
Microbiome measurements on saliva
Measured: 1 year
Microbiome: Urine proteomics
Microbiome measurements on urine
Measured: 1 year
Microbiome: Feces proteomics
Microbiome measurements on feces
Measured: 1 year
Genetics: Whole genome sequencing of blood
Whole genome sequencing of blood
Measured: 2 years
Genetics: Whole genome sequencing of liver biopsy
Whole genome sequencing of liver biopsy
Measured: 2 years
Microbiome: Feces metatranscriptomics
Microbiome measurements on feces
Measured: 2 years
Microbiome: Urine metatranscriptomics
Microbiome measurements on urine
Measured: 2 years
Microbiome: Saliva metatranscriptomics
Microbiome measurements on saliva
Measured: 2 years
Microbiome: Saliva metabolomics
Microbiome measurements on saliva
Measured: 2 years
Microbiome: Feces metabolomics
Microbiome measurements on feces
Measured: 2 years
Microbiome: Urine metabolomics
Microbiome measurements on urine
Measured: 2 years
Microbiome: Urine proteomics
Microbiome measurements on urine
Measured: 2 years
Microbiome: Feces proteomics
Microbiome measurements on feces
Measured: 2 years
Microbiome: Saliva proteomics
Microbiome measurements on saliva
Measured: 2 years
Microbiome: Urine Next Generation Sequencing of microbial DNA
Microbiome measurements on urine
Measured: 2 years
Microbiome: Saliva Next Generation Sequencing of microbial DNA
Microbiome measurements on saliva
Measured: 2 years
Microbiome: Feces Next Generation Sequencing of microbial DNA
Microbiome measurements on feces
Measured: 2 years
Genetics: Whole genome sequencing of blood
Whole genome sequencing of blood
Measured: 6 years
Genetics: Whole genome sequencing of liver biopsy
Whole genome sequencing of liver biopsy
Measured: 6 years
Microbiome: Feces Next Generation Sequencing of microbial DNA
Microbiome measurements on feces
Measured: 6 years
Microbiome: Feces metatranscriptomics
Microbiome measurements on feces
Measured: 6 years
Microbiome: Feces metabolomics
Microbiome measurements on feces
Measured: 6 years
Microbiome: Feces proteomics
Microbiome measurements on feces
Measured: 6 years
Microbiome: Urine Next Generation Sequencing of microbial DNA
Microbiome measurements on urine
Measured: 6 years
Microbiome: Urine metatranscriptomics
Microbiome measurements on urine
Measured: 6 years
Microbiome: Urine metabolomics
Microbiome measurements on urine
Measured: 6 years
Microbiome: Urine proteomics
Microbiome measurements on urine
Measured: 6 years
Microbiome: Saliva Next Generation Sequencing of microbial DNA
Microbiome measurements on saliva
Measured: 6 years
Microbiome: Saliva metatranscriptomics
Microbiome measurements on saliva
Measured: 6 years
Microbiome: Saliva metabolomics
Microbiome measurements on saliva
Measured: 6 years
Microbiome: Saliva proteomics
Microbiome measurements on saliva
Measured: 6 years
Genetics: Whole genome sequencing of blood
Whole genome sequencing of blood
Measured: 11 years
Genetics: Whole genome sequencing of liver biopsy
Whole genome sequencing of liver biopsy
Measured: 11 years
Microbiome: Feces Next Generation Sequencing of microbial DNA
Microbiome measurements on feces
Measured: 11 years
Microbiome: Feces metatranscriptomics
Microbiome measurements on feces
Measured: 11 years
Microbiome: Feces metabolomics
Microbiome measurements on feces
Measured: 11 years
Microbiome: Feces proteomics
Microbiome measurements on feces
Measured: 11 years
Microbiome: Urine Next Generation Sequencing of microbial DNA
Microbiome measurements on urine
Measured: 11 years
Microbiome: Urine metatranscriptomics
Microbiome measurements on urine
Measured: 11 years
Microbiome: Urine metabolomics
Microbiome measurements on urine
Measured: 11 years
Microbiome: Urine proteomics
Microbiome measurements on urine
Measured: 11 years
Microbiome: Saliva Next Generation Sequencing of microbial DNA
Microbiome measurements on saliva
Measured: 11 years
Microbiome: Saliva metatranscriptomics
Microbiome measurements on saliva
Measured: 11 years
Microbiome: Saliva metabolomics
Microbiome measurements on saliva
Measured: 11 years
Microbiome: Saliva proteomics
Microbiome measurements on saliva
Measured: 11 years
Genetics: Whole genome sequencing of blood
Whole genome sequencing of blood
Measured: 16 years
Genetics: Whole genome sequencing of liver biopsy
Whole genome sequencing of liver biopsy
Measured: 16 years
Microbiome: Feces metatranscriptomics
Microbiome measurements on feces
Measured: 16 years
Microbiome: Feces Next Generation Sequencing of microbial DNA
Microbiome measurements on feces
Measured: 16 years
Microbiome: Feces metabolomics
Microbiome measurements on feces
Measured: 16 years
Microbiome: Feces proteomics
Microbiome measurements on feces
Measured: 16 years
Microbiome: Urine metatranscriptomics
Microbiome measurements on urine
Measured: 16 years
Microbiome: Urine Next Generation Sequencing of microbial DNA
Microbiome measurements on urine
Measured: 16 years
Microbiome: Urine metabolomics
Microbiome measurements on urine
Measured: 16 years
Microbiome: Urine proteomics
Microbiome measurements on urine
Measured: 16 years
Microbiome: Saliva metatranscriptomics
Microbiome measurements on saliva
Measured: 16 years
Microbiome: Saliva Next Generation Sequencing of microbial DNA
Microbiome measurements on saliva
Measured: 16 years
Microbiome: Saliva metabolomics
Microbiome measurements on saliva
Measured: 16 years
Microbiome: Saliva proteomics
Microbiome measurements on saliva
Measured: 16 years
Status of the cardiac system: Ultrasound of the heart
% of patients with anatomic anomalies on ultrasound of the heart
Measured: Inclusion
Status of the cardiac system: MRI of the lymph system
% of patients with central lymph system anomaly
Measured: Inclusion
Status of the cardiac system: Near Infrared Fluorescence of the lymph system
Near Infrared Fluorescence of the lymph system
Measured: Inclusion
Status of the cardiac system: Ultrasound of the heart
% of patients with anatomic anomalies on ultrasound of the heart
Measured: 1 year
Status of the cardiac system: MRI of the lymph system
% of patients with central lymph system anomaly
Measured: 1 year
Status of the cardiac system: Near Infrared Fluorescence of the lymph system
Near Infrared Fluorescence of the lymph system
Measured: 1 year
Status of the cardiac system: Ultrasound of the heart
% of patients with anatomic anomalies on ultrasound of the heart
Measured: 2 years
Status of the cardiac system: MRI of the lymph system
% of patients with central lymph system anomaly
Measured: 2 years
Status of the cardiac system: Near Infrared Fluorescence of the lymph system
Near Infrared Fluorescence of the lymph system
Measured: 2 years
Status of the cardiac system: Ultrasound of the heart
% of patients with anatomic anomalies on ultrasound of the heart
Measured: 6 years
Status of the cardiac system: MRI of the lymph system
% of patients with central lymph system anomaly
Measured: 6 years
Status of the cardiac system: Near Infrared Fluorescence of the lymph system
Near Infrared Fluorescence of the lymph system
Measured: 6 years
Status of the cardiac system: Ultrasound of the heart
% of patients with anatomic anomalies on ultrasound of the heart
Measured: 11 years
Status of the cardiac system: MRI of the lymph system
% of patients with central lymph system anomaly
Measured: 11 years
Status of the cardiac system: Near Infrared Fluorescence of the lymph system
Near Infrared Fluorescence of the lymph system
Measured: 11 years
Status of the cardiac system: Ultrasound of the heart
% of patients with anatomic anomalies on ultrasound of the heart
Measured: 16 years
Status of the cardiac system: MRI of the lymph system
% of patients with central lymph system anomaly
Measured: 16 years
Status of the cardiac system: Near Infrared Fluorescence of the lymph system
Near Infrared Fluorescence of the lymph system
Measured: 16 years
Level of Physical activity
Accelerometer measurements
Measured: Inclusion
Level of Physical activity
Accelerometer measurements
Measured: 1 year
Level of Physical activity
Accelerometer measurements
Measured: 2 years
Level of Physical activity
Accelerometer measurements
Measured: 6 years
Level of Physical activity
Accelerometer measurements
Measured: 11 years
Level of Physical activity
Accelerometer measurements
Measured: 16 years
Ultrasound of liver and bile ducts with elastography
% of patients with liver fibrosis measured with ultrasound
Measured: Inclusion
Liver biopsy
Level of liver fibrosis (grade 0-4)
Measured: Inclusion
FGF-19; Fibroblast growth factor 19
Liver fibrosis status
Measured: Inclusion
ELF-score: Enhanced Liver Fibrosis
Liver fibrosis status
Measured: Inclusion
INR: international normalized ratio
Standard liver evaluation
Measured: Inclusion
prothrombin+proconvertin (PP)
Standard liver evaluation
Measured: Inclusion
ALAT: alanine transaminase
Standard liver evaluation
Measured: Inclusion
GGT: Gamma-glutamyl transferase
Standard liver evaluation
Measured: Inclusion
Bilirubin
Standard liver evaluation
Measured: Inclusion
ASAT: Aspartate transaminase
Standard liver evaluation
Measured: Inclusion
Alkaline phosphatase
Standard liver evaluation
Measured: Inclusion
Ammonia
Standard liver evaluation
Measured: Inclusion
Thrombocytes
Standard liver evaluation
Measured: Inclusion
Ultrasound of liver and bile ducts with elastography
% of patients with liver fibrosis measured with ultrasound
Measured: 1 year
FGF-19: Fibroblast growth factor 19
Liver fibrosis status
Measured: 1 year
ELF-score: Enhanced Liver Fibrosis
Liver fibrosis status
Measured: 1 year
INR: international normalized ratio
Standard liver evaluation
Measured: 1 year
prothrombin+proconvertin (PP)
Standard liver evaluation
Measured: 1 year
ALAT: alanine transaminase
Standard liver evaluation
Measured: 1 year
ASAT: Aspartate transaminase
Standard liver evaluation
Measured: 1 year
GGT: Gamma-glutamyl transferase
Standard liver evaluation
Measured: 1 year
Bilirubin
Standard liver evaluation
Measured: 1 year
Alkaline phosphatase
Standard liver evaluation
Measured: 1 year
Ammonia
Standard liver evaluation
Measured: 1 year
Thrombocytes
Standard liver evaluation
Measured: 1 year
Liver biopsy
Level of liver fibrosis (grade 0-4)
Measured: 1 year
Ultrasound of liver and bile ducts with elastography
% of patients with liver fibrosis measured with ultrasound
Measured: 2 years
FGF-19: Fibroblast growth factor 19
Liver fibrosis status
Measured: 2 years
ELF-score: Enhanced Liver Fibrosis
Liver fibrosis status
Measured: 2 years
Liver biopsy
Level of liver fibrosis (grade 0-4)
Measured: 2 years
INR: international normalized ratio
Standard liver evaluation
Measured: 2 years
prothrombin+proconvertin (PP)
Standard liver evaluation
Measured: 2 years
ALAT: alanine transaminase
Standard liver evaluation
Measured: 2 years
ASAT: Aspartate transaminase
Standard liver evaluation
Measured: 2 years
GGT: Gamma-glutamyl transferase
Standard liver evaluation
Measured: 2 years
Alkaline phosphatase
Standard liver evaluation
Measured: 2 years
Bilirubin
Standard liver evaluation
Measured: 2 years
Ammonia
Standard liver evaluation
Measured: 2 years
Thrombocytes
Standard liver evaluation
Measured: 2 years
Ultrasound of liver and bile ducts with elastography
% of patients with liver fibrosis measured with ultrasound
Measured: 6 years
Liver biopsy
Level of liver fibrosis (grade 0-4)
Measured: 6 years
ELF-score: Enhanced Liver Fibrosis
Liver fibrosis status
Measured: 6 years
FGF-19: Fibroblast growth factor 19
Liver fibrosis status
Measured: 6 years
INR: international normalized ratio
Standard liver evaluation
Measured: 6 years
prothrombin+proconvertin (PP)
Standard liver evaluation
Measured: 6 years
ALAT: alanine transaminase
Standard liver evaluation
Measured: 6 years
ASAT: Aspartate transaminase
Standard liver evaluation
Measured: 6 years
GGT: Gamma-glutamyl transferase
Standard liver evaluation
Measured: 6 years
Bilirubin
Standard liver evaluation
Measured: 6 years
Alkaline phosphatase
Standard liver evaluation
Measured: 6 years
Ammonia
Standard liver evaluation
Measured: 6 years
Thrombocytes
Standard liver evaluation
Measured: 6 years
Ultrasound of liver and bile ducts with elastography
% of patients with liver fibrosis measured with ultrasound
Measured: 11 years
Liver biopsy
Level of liver fibrosis (grade 0-4)
Measured: 11 years
FGF-19: Fibroblast growth factor 19
Liver fibrosis status
Measured: 11 years
ELF-score: Enhanced Liver Fibrosis
Liver fibrosis status
Measured: 11 years
INR: international normalized ratio
Standard liver evaluation
Measured: 11 years
prothrombin+proconvertin (PP)
Standard liver evaluation
Measured: 11 years
ALAT: alanine transaminase
Standard liver evaluation
Measured: 11 years
ASAT: Aspartate transaminase
Standard liver evaluation
Measured: 11 years
GGT: Gamma-glutamyl transferase
Standard liver evaluation
Measured: 11 years
Bilirubin
Standard liver evaluation
Measured: 11 years
Alkaline phosphatase
Standard liver evaluation
Measured: 11 years
Ammonia
Standard liver evaluation
Measured: 11 years
Thrombocytes
Standard liver evaluation
Measured: 11 years
Ultrasound of liver and bile ducts with elastography
% of patients with liver fibrosis measured with ultrasound
Measured: 16 years
Liver biopsy
Level of liver fibrosis (grade 0-4)
Measured: 16 years
FGF-19: Fibroblast growth factor 19
Liver fibrosis status
Measured: 16 years
ELF-score: Enhanced Liver Fibrosis
Liver fibrosis status
Measured: 16 years
INR: international normalized ratio
Standard liver evaluation
Measured: 16 years
prothrombin+proconvertin (PP)
Standard liver evaluation
Measured: 16 years
ALAT: alanine transaminase
Standard liver evaluation
Measured: 16 years
ASAT: Aspartate transaminase
Standard liver evaluation
Measured: 16 years
GGT: Gamma-glutamyl transferase
Standard liver evaluation
Measured: 16 years
Bilirubin
Standard liver evaluation
Measured: 16 years
Alkaline phosphatase
Standard liver evaluation
Measured: 16 years
Ammonia
Standard liver evaluation
Measured: 16 years
Thrombocytes
Standard liver evaluation
Measured: 16 years
Clinical examination: Cirrhosis stigmata
Incidence of spider angioma
Measured: Inclusion
Clinical examination: Cirrhosis stigmata
Incidence of spider angioma
Measured: 1 year
Clinical examination: Cirrhosis stigmata
Incidence of spider angioma
Measured: 2 years
Clinical examination: Cirrhosis stigmata
Incidence of spider angioma
Measured: 6 years
Clinical examination: Cirrhosis stigmata
Incidence of spider angioma
Measured: 11 years
Clinical examination: Cirrhosis stigmata
Incidence of spider angioma
Measured: 16 years
Clinical examination: Cirrhosis stigmata
Incidence of ascitis
Measured: Inclusion
Clinical examination: Cirrhosis stigmata
Incidence of ascitis
Measured: 1 year
Clinical examination: Cirrhosis stigmata
Incidence of ascitis
Measured: 2 years
Clinical examination: Cirrhosis stigmata
Incidence of ascitis
Measured: 6 years
Clinical examination: Cirrhosis stigmata
Incidence of ascitis
Measured: 11 years
Clinical examination: Cirrhosis stigmata
Incidence of ascitis
Measured: 16 years
Clinical examination: Cirrhosis stigmata
Incidence of palmar erythema
Measured: Inclusion
Clinical examination: Cirrhosis stigmata
Incidence of palmar erythema
Measured: 1 year
Clinical examination: Cirrhosis stigmata
Incidence of palmar erythema
Measured: 2 years
Clinical examination: Cirrhosis stigmata
Incidence of palmar erythema
Measured: 6 years
Clinical examination: Cirrhosis stigmata
Incidence of palmar erythema
Measured: 11 years
Clinical examination: Cirrhosis stigmata
Incidence of palmar erythema
Measured: 16 years
Anthropometry: Length
cm
Measured: Inclusion
Anthropometry: Length
cm
Measured: 1 year
Anthropometry: Length
cm
Measured: 2 years
Anthropometry: Height
cm
Measured: 6 years
Anthropometry: Height
cm
Measured: 11 years
Anthropometry: Height
cm
Measured: 16 years
Anthropometry: Weight
kg
Measured: Inclusion
Anthropometry: Weight
kg
Measured: 1 year
Anthropometry: Weight
kg
Measured: 2 years
Anthropometry: Weight
kg
Measured: 6 years
Anthropometry: Weight
kg
Measured: 11 years
Anthropometry: Weight
kg
Measured: 16 years
Anthropometry: Mid-upper arm circumference (MUAC)
mm
Measured: Inclusion
Anthropometry: Mid-upper arm circumference (MUAC)
mm
Measured: 1 year
Anthropometry: Mid-upper arm circumference (MUAC)
mm
Measured: 2 years
Anthropometry: Mid-upper arm circumference (MUAC)
mm
Measured: 6 years
Anthropometry: Mid-upper arm circumference (MUAC)
mm
Measured: 11 years
Anthropometry: Mid-upper arm circumference (MUAC)
mm
Measured: 16 years
Anthropometry: Head circumference
cm
Measured: Inclusion
Anthropometry: Head circumference
cm
Measured: 1 year
Anthropometry: Head circumference
cm
Measured: 2 years
Anthropometry: Head circumference
cm
Measured: 6 years
Anthropometry: Head circumference
cm
Measured: 11 years
Anthropometry: Head circumference
cm
Measured: 16 years
Essential fatty acids
Measured: Inclusion
Essential fatty acids
Measured: 1 year
Essential fatty acids
Measured: 2 years
Essential fatty acids
Measured: 6 years
Essential fatty acids
Measured: 11 years
Essential fatty acids
Measured: 16 years
IGF-1
Insulin-like growth factor 1
Measured: Inclusion
IGF-1
Insulin-like growth factor 1
Measured: 1 year
IGF-1
Insulin-like growth factor 1
Measured: 2 years
IGF-1
Insulin-like growth factor 1
Measured: 6 years
IGF-1
Insulin-like growth factor 1
Measured: 11 years
IGF-1
Insulin-like growth factor 1
Measured: 16 years
Meal stimulation measuring incretin
Measured: Inclusion
Meal stimulation measuring incretin
Measured: 1 year
Meal stimulation measuring incretin
Measured: 2 years
Meal stimulation measuring incretin
Measured: 6 years
Meal stimulation measuring incretin
Measured: 11 years
Meal stimulation measuring incretin
Measured: 16 years
Bile acid
Measured: Inclusion
Bile acid
Measured: 1 year
Bile acid
Measured: 2 years
Bile acid
Measured: 6 years
Bile acid
Measured: 11 years
Bile acid
Measured: 16 years
Autotaxin
Measured: Inclusion
Autotaxin
Measured: 1 year
Autotaxin
Measured: 2 years
Autotaxin
Measured: 6 years
Autotaxin
Measured: 11 years
Autotaxin
Measured: 16 years
EDTA clearance
Glomerular Filtration Rate Measured by 51 Cr-EDTA Clearance
Measured: Inclusion
EDTA clearance
Glomerular Filtration Rate Measured by 51 Cr-EDTA Clearance
Measured: 1 year
EDTA clearance
Glomerular Filtration Rate Measured by 51 Cr-EDTA Clearance
Measured: 2 years
EDTA clearance
Glomerular Filtration Rate Measured by 51 Cr-EDTA Clearance
Measured: 6 years
EDTA clearance
Glomerular Filtration Rate Measured by 51 Cr-EDTA Clearance
Measured: 11 years
EDTA clearance
Glomerular Filtration Rate Measured by 51 Cr-EDTA Clearance
Measured: 16 years
Vaccination status
Level of antibodies
Measured: Inclusion
Vaccination status
Level of antibodies
Measured: 1 year
Vaccination status
Level of antibodies
Measured: 2 years
Vaccination status
Level of antibodies
Measured: 6 years
Vaccination status
Level of antibodies
Measured: 11 years
Vaccination status
Level of antibodies
Measured: 16 years
Immunoresponse: RTE
Recent thymic emigrants
Measured: Inclusion
Immunoresponse: RTE
Recent thymic emigrants
Measured: 1 year
Immunoresponse: RTE
Recent thymic emigrants
Measured: 2 years
Immunoresponse: RTE
Recent thymic emigrants
Measured: 6 years
Immunoresponse: RTE
Recent thymic emigrants
Measured: 11 years
Immunoresponse: RTE
Recent thymic emigrants
Measured: 16 years
Immunoresponse: Flow panel
T-cell differentiation
Measured: Inclusion
Immunoresponse: Flow panel
T-cell differentiation
Measured: 1 year
Immunoresponse: Flow panel
T-cell differentiation
Measured: 2 years
Immunoresponse: Flow panel
T-cell differentiation
Measured: 6 years
Immunoresponse: Flow panel
T-cell differentiation
Measured: 11 years
Immunoresponse: Flow panel
T-cell differentiation
Measured: 16 years
Immunoresponse: Immunoglobulin
Measured: Inclusion
Immunoresponse: Immunoglobulin
Measured: 1 year
Immunoresponse: Immunoglobulin
Measured: 2 years
Immunoresponse: Immunoglobulin
Measured: 6 years
Immunoresponse: Immunoglobulin
Measured: 11 years
Immunoresponse: Immunoglobulin
Measured: 16 years
Immunoresponse: Somatic hyper mutation
Measured: Inclusion
Immunoresponse: Somatic hyper mutation
Measured: 1 year
Immunoresponse: Somatic hyper mutation
Measured: 2 years
Immunoresponse: Somatic hyper mutation
Measured: 6 years
Immunoresponse: Somatic hyper mutation
Measured: 11 years
Immunoresponse: Somatic hyper mutation
Measured: 16 years
Epstein-Barr Virus (EBV)
level of EBV DNA present
Measured: Inclusion
Epstein-Barr Virus (EBV)
level of EBV DNA present
Measured: 1 year
Epstein-Barr Virus (EBV)
level of EBV DNA present
Measured: 2 years
Epstein-Barr Virus (EBV)
level of EBV DNA present
Measured: 6 years
Epstein-Barr Virus (EBV)
level of EBV DNA present
Measured: 11 years
Epstein-Barr Virus (EBV)
level of EBV DNA present
Measured: 16 years
Cytomegalovirus (CMV)
level of CMV DNA present
Measured: Inclusion
Cytomegalovirus (CMV)
level of CMV DNA present
Measured: 1 year
Cytomegalovirus (CMV)
level of CMV DNA present
Measured: 2 years
Cytomegalovirus (CMV)
level of CMV DNA present
Measured: 6 years
Cytomegalovirus (CMV)
level of CMV DNA present
Measured: 11 years
Cytomegalovirus (CMV)
level of CMV DNA present
Measured: 16 years
Hepatobiliary scintigraphy
Hepatic extraction fraction
Measured: Inclusion
Hepatobiliary scintigraphy
Hepatic extraction fraction
Measured: 1 year
Hepatobiliary scintigraphy
Hepatic extraction fraction
Measured: 2 years
Hepatobiliary scintigraphy
Hepatic extraction fraction
Measured: 6 years
Hepatobiliary scintigraphy
Hepatic extraction fraction
Measured: 11 years
Hepatobiliary scintigraphy
Hepatic extraction fraction
Measured: 16 years
MRI of liver and bile ducts with elastography
Liver stiffness
Measured: Inclusion
MRI of liver and bile ducts with elastography
Liver stiffness
Measured: 1 year
MRI of liver and bile ducts with elastography
Liver stiffness
Measured: 2 years
MRI of liver and bile ducts with elastography
Liver stiffness
Measured: 6 years
MRI of liver and bile ducts with elastography
Liver stiffness
Measured: 11 years
MRI of liver and bile ducts with elastography
Liver stiffness
Measured: 16 years
Fibroscan
Liver stiffness (number)
Measured: Inclusion
Fibroscan
Liver stiffness (number)
Measured: 1 year
Fibroscan
Liver stiffness (number)
Measured: 2 years
Fibroscan
Liver stiffness (number)
Measured: 6 years
Fibroscan
Liver stiffness (number)
Measured: 11 years
Fibroscan
Liver stiffness (number)
Measured: 16 years
Indocyanine green clearance
Measured: Inclusion
Indocyanine green clearance
Measured: 1 year
Indocyanine green clearance
Measured: 2 years
Indocyanine green clearance
Measured: 6 years
Indocyanine green clearance
Measured: 11 years
Indocyanine green clearance
Measured: 16 years
Fecal fat measurements
Measured: Inclusion
Fecal fat measurements
Measured: 1 year
Fecal fat measurements
Measured: 2 years
Fecal fat measurements
Measured: 6 years
Fecal fat measurements
Measured: 11 years
Fecal fat measurements
Measured: 16 years
Thymus scan with ultrasound
Thymic index (measurement of size)
Measured: Inclusion
Thymus scan with ultrasound
Thymic index (measurement of size)
Measured: 1 year
Thymus scan with ultrasound
Thymic index (measurement of size)
Measured: 2 years
Thymus scan with ultrasound
Thymic index (measurement of size)
Measured: 6 years
Thymus scan with ultrasound
Thymic index (measurement of size)
Measured: 11 years
Thymus scan with ultrasound
Thymic index (measurement of size)
Measured: 16 years
DEXA scan
Dual energy x-ray absorptiometry
Measured: Inclusion
DEXA scan
Dual energy x-ray absorptiometry
Measured: 1 year
DEXA scan
Dual energy x-ray absorptiometry
Measured: 2 years
DEXA scan
Dual energy x-ray absorptiometry
Measured: 6 years
DEXA scan
Dual energy x-ray absorptiometry
Measured: 11 years
DEXA scan
Dual energy x-ray absorptiometry
Measured: 16 years
PEDS-QL
Pediatric Quality of Life Inventory Higher scores indicate better quality of life, from 0-100
Measured: Inclusion
PEDS-QL
Pediatric Quality of Life Inventory Higher scores indicate better quality of life, from 0-100
Measured: 1 year
PEDS-QL
Pediatric Quality of Life Inventory Higher scores indicate better quality of life, from 0-100
Measured: 2 years
PEDS-QL
Pediatric Quality of Life Inventory Higher scores indicate better quality of life, from 0-100
Measured: 6 years
PEDS-QL
Pediatric Quality of Life Inventory Higher scores indicate better quality of life, from 0-100
Measured: 11 years
PEDS-QL
Pediatric Quality of Life Inventory Higher scores indicate better quality of life, from 0-100
Measured: 16 years
Leptin
Measured: Inclusion
Leptin
Measured: 1 year
Leptin
Measured: 2 years
Leptin
Measured: 6 years
Leptin
Measured: 11 years
Leptin
Measured: 16 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jun 2022
- Study start1 Mar 2020
- Primary completion31 Dec 2039 (estimated)
- Study completion31 Dec 2040 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Biliary AtresiaStudies of the same condition, open and under way.
- More trials run by Copenhagen University Hospital, RigshospitaletThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Case-control
- Time perspective
- Prospective
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Copenhagen University Hospital, Rigshospitalet
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Vibeke Brix Christensen, Copenhagen University Hospital, Rigshospitalet
- Investigators
- Vibeke Brix Christensen, MD, PhD, DMSc, Principal investigator, Copenhagen University Hospital, Rigshospitalet
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05399745
- Sponsor's protocol ID
- H-19042934
- Acronym
- BILACO
- Status last verified
- May 2022
- First submitted
- 8 Mar 2022
- Last updated
- 1 Jun 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: No allowed from Danish government
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- BILACO Trial: Biliary Atresia - a Severe Complex Congenital Liver Disease With High Mortality, Compromised Neurological Development, Severe Malnutrition and Unknown Etiology
- ClinicalTrials.gov ID
- NCT05399745
- Acronym / sponsor ID
- BILACO / H-19042934
- Conditions
- Biliary Atresia, Cognitive Impairment
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- Copenhagen University Hospital, RigshospitaletUniversity, hospital or other
- Study start
- 1 Mar 2020 (actual)
- Primary completion
- 31 Dec 2039 (estimated)
- Study completion
- 31 Dec 2040 (estimated)
- First posted
- 1 Jun 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Biliary atresia is the most severe form of cholestatic liver disease. The children have high morbidity and mortality and get devastating pruritus and fatigue, failure to thrive, progressive hepatic failure and impaired neurodevelopment. The etiology is mostly unknown. More than half need a new liver from a living or deceased donor during childhood. However, correct timing of the transplantation is extremely difficult because of lack of consensus based on clinical assessment tools. All though the incidence is low, the cost of this disease is tremendous from both a clinical and human perspective. So far, protocolized neurodevelopment tests, genetic profiling, precise malnutrition evaluation based on clinical appearance, biochemical markers and brain MRI-scans, body composition, immunological function, level of physical activity and optimal time of transplantation in cholestatic children are unknown.
The aim is to determine risk factors for neurocognitive impairment in children suffering from severe cholestasis in order to determine optimal time for liver transplantation from a brain perspective.
In a prospective study, the investigators will investigate risk factors related to brain-, heart-, gut- and immunological function in the Danish cohort. This cohort consists of 75 children aged 0-18 years. In addition, 30 aged and gender matched healthy and 20 tetra fallot children will serve as control groups. The children will undergo extensive and advanced liver function evaluation, genetic profiling, nutrition and immunological status, neuro-imaging and neurocognitive evaluation at time of diagnose, 2 years of age, pre-school, pre-teenage, and teenage. In case of a liver transplantation, additional neuro-cognitive tests will be performed
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Children with biliary atresia | – | Other: Neurocognitive monitoring |
| Children with Tetralogy of Fallot | – | Other: Neurocognitive monitoring |
| Healthy control children | – | Other: Neurocognitive monitoring |
Who may qualify
- Ages
- 0 to 18 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
- Study population
- Children with biliary atresia (BA), children with Tetralogy of Fallot (ToF) and healthy control children between the age of 0-17 years. The BA and ToF children were recruited from their respective outpatient clinics at Rigshospitalet, Denmark, which is the only centre treating these patients. Healthy controls were siblings to BA children, recruited from staffs children and friends or recruited from a general practitioners office in Nivaa, Denmark. The recruitment took place from March 2020 and is ongoing
Key inclusion criteria (3 listed)
- Biliary atresia
- Tetralogy of Fallot
- Healthy controls
Key exclusion criteria (1 listed)
- Not able to participate in exams
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Neurocognitive monitoringNeurocognitive tests and MRI of the brain | Other | Children with Tetralogy of Fallot, Children with biliary atresia, Healthy control children |
Primary outcome
MRI of the brain
Time frame: Inclusion
% of patients with anatomic anomalies on MRI of the brain
Neurocognitive status: Early movement repertoire (General movement)
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion % of patients with of abnormal movement assessed using early movement repertoire (GM) if inclusion at diagnosis. Early movement repertoire is a measurement tool where abnormal movement is identified.
Neurocognitive status: Alberta Infant Motor Scale
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: Alberta Infant Motor Scale if inclusion at diagnosis Percentile, highest is the best
Neurocognitive status: Bayley Scales of Development III
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: Bayley Scales of Development III if inclusion up to 2.5 years: From 0-200, highest is best
Neurocognitive status: WIPPSI
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: WIPPSI if inclusion between 2.5-6 years: Wechsler Preschool and Primary Scale of Intelligence, from 41 to 160, highest is best
Neurocognitive status: ABC Movement
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: ABC Movement if inclusion between 2.5-16 years Movement Assessment Battery for Children, mean 10 SD 3, highest is best
Neurocognitive status: WISC-IV
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: WISC-IV if inclusion between 6-16 years Wechsler Intelligence Scale for Children, 40 to 160, highest is best
Neurocognitive status: Auditory Verbal Learning Test/ToMaL
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: Auditory Verbal Learning Test/ToMaL if inclusion between 6-18 years Mean 10 SD 3, highest is best
Neurocognitive status: TEA-Ch
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: TEA-Ch if inclusion between 6-18 years Test of Everyday Attention for Children, normalized to z-score, highest is best
Neurocognitive status: BADS-C
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: BADS-C if inclusion between 6-18 years Behavioural Assessment of the Dysexecutive Syndrome in Children, 0-24, mean 10 SD 3, highest is best
Neurocognitive status: Test of Visual Perceptual Skills
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: Test of Visual Perceptual Skills if inclusion between 6-18 years Percentile, highest is best
Neurocognitive status: CANTAB
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: CANTAB if inclusion between 6-18 years Cambridge Neuropsychological Test Automated Battery
Neurocognitive status: The Beery Visuo-Motor Integration test
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: The Beery Visuo-Motor Integration test if inclusion between 6-18 years Mean of 100 and standard deviation of 15, highest is best
Neurocognitive status: WAIS IV
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: WAIS IV if inclusion from 16 to 18 years Wechsler Adult Intelligence Scale, 40-160, highest is best
Neurocognitive status: Kiddie-sads
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: Kiddie-sads if included between 2-18 years Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Neurocognitive status: BRIEF 1
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: BRIEF 1 if inclusion up to 6 years Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Neurocognitive status: BRIEF 2
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: BRIEF 2 if inclusion between 6-18 years Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Neurocognitive status: CBCL
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: CBCL if included between 2-18 years Child Behavior Checklist, percentile, lowest is best
Neurocognitive status: ADHD screening
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: ADHD screening if included between 2-18 years Lowest is best, 0-78
Neurocognitive status: SRS-2
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: SRS-2 screening if included between 6-18 years Social Responsiveness Scale, 32-114. lowest is best
Neurocognitive status: Vineland
Time frame: Inclusion
Neurocognitive test panel depending on age at inclusion: Vineland screening if included between 6-18 years Vineland Adaptive Behavior Scales, 20 to 160, highest is best
MRI of the brain
Time frame: 1 year
% of patients with anatomic anomalies on MRI of the brain
Neurocognitive status: Alberta Infant Motor Scale
Time frame: 1 year
Alberta Infant Motor Scale Percentile, highest is the best
Neurocognitive status: Bayley Scales of Development III
Time frame: 1 year
Bayley Scales of Development III From 0-200, highest is best
Neurocognitive status: BRIEF 1
Time frame: 1 year
BRIEF 1 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Neurocognitive status: CBCL
Time frame: 1 year
CBCL Child Behavior Checklist, percentile, lowest is best
Neurocognitive status: Kiddie-Sads
Time frame: 1 year
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
MRI of the brain
Time frame: 2 years
% of patients with anatomic anomalies on MRI of the brain
Neurocognitive status: Bayley Scales of Development III
Time frame: 2 years
Bayley Scales of Development III From 0-200, highest is best
Neurocognitive status: BRIEF 1
Time frame: 2 years
BRIEF 1 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Neurocognitive status: CBCL
Time frame: 2 years
CBCL Child Behavior Checklist, percentile, lowest is best
Neurocognitive status: Kiddie-Sads
Time frame: 2 years
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Neurocognitive status: ADHD
Time frame: 2 years
ADHD Lowest is best, 0-78
Neurocognitive status: Vineland
Time frame: 2 years
Vineland Adaptive Behavior Scales, 20 to 160, highest is best
MRI of the brain
Time frame: 6 years
% of patients with anatomic anomalies on MRI of the brain
Neurocognitive: Movement ABC
Time frame: 6 years
Neurocognitive test panel depending on age Movement Assessment Battery for Children, mean 10 SD 3, highest is best
Neurocognitive status: WISC-IV
Time frame: 6 years
WISC-IV Wechsler Intelligence Scale for Children, 40 to 160, highest is best
Neurocognitive status: Auditory Verbal Learning Test/ToMaL
Time frame: 6 years
Auditory Verbal Learning Test/ToMaL Mean 10 SD 3, highest is best
Neurocognitive status: TEA-Ch
Time frame: 6 years
TEA-Ch Test of Everyday Attention for Children, normalized to z-score, highest is best
Neurocognitive status: BADS-C
Time frame: 6 years
BADS-C Behavioural Assessment of the Dysexecutive Syndrome in Children, 0-24, mean 10 SD 3, highest is best
Neurocognitive status: Test of Visual Perceptual Skills
Time frame: 6 years
Test of Visual Perceptual Skills Percentile, highest is best
Neurocognitive status: The Beery Visuo-Motor Integration test
Time frame: 6 years
The Beery Visuo-Motor Integration test Mean of 100 and standard deviation of 15, highest is best
Neurocognitive status: CANTAB
Time frame: 6 years
CANTAB Cambridge Neuropsychological Test Automated Battery
Neurocognitive status: BRIEF 2
Time frame: 6 years
BRIEF 2 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Neurocognitive status: ADHD screening
Time frame: 6 years
ADHD screening Lowest is best, 0-78
Neurocognitive status: SRS-2
Time frame: 6 years
SRS-2 Social Responsiveness Scale, 32-114. lowest is best
Neurocognitive status: Kiddie-Sads
Time frame: 6 years
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Neurocognitive status: CBCL
Time frame: 6 years
CBCL Child Behavior Checklist, percentile, lowest is best
Neurocognitive status: Vineland
Time frame: 6 years
Vineland Vineland Adaptive Behavior Scales, 20 to 160, highest is best
MRI of the brain
Time frame: 11 years
% of patients with anatomic anomalies on MRI of the brain
Neurocognitive status: Movement ABC
Time frame: 11 years
Neurocognitive test panel depending on age at inclusion: ABC Movement if inclusion between 2.5-16 years Movement Assessment Battery for Children, mean 10 SD 3, highest is best
Neurocognitive status: WISC-IV
Time frame: 11 years
WISC-IV Wechsler Intelligence Scale for Children, 40 to 160, highest is best
Neurocognitive status: Auditory Verbal Learning Test/ToMaL
Time frame: 11 years
Auditory Verbal Learning Test/ToMaL Mean 10 SD 3, highest is best
Neurocognitive status:TEA-Ch
Time frame: 11 years
TEA-Ch Test of Everyday Attention for Children, normalized to z-score, highest is best
Neurocognitive status: BADS-C
Time frame: 11 years
BADS-C Behavioural Assessment of the Dysexecutive Syndrome in Children, 0-24, mean 10 SD 3, highest is best
Neurocognitive status: Test of Visual Perceptual Skills
Time frame: 11 years
Test of Visual Perceptual Skills Percentile, highest is best
Neurocognitive status: The Beery Visuo-Motor Integration test
Time frame: 11 years
The Beery Visuo-Motor Integration test Mean of 100 and standard deviation of 15, highest is best
Neurocognitive status: CANTAB
Time frame: 11 years
CANTAB Cambridge Neuropsychological Test Automated Battery
Neurocognitive status: BRIEF 2
Time frame: 11 years
BRIEF 2 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Neurocognitive status: ADHD screening
Time frame: 11 years
ADHD screening Lowest is best, 0-78
Neurocognitive status: SRS-2
Time frame: 11 years
SRS-2 Social Responsiveness Scale, 32-114. lowest is best
Neurocognitive status: Kiddie-Sads
Time frame: 11 years
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Neurocognitive status: CBCL
Time frame: 11 years
CBCL Child Behavior Checklist, percentile, lowest is best
Neurocognitive status: Vineland
Time frame: 11 years
Vineland Adaptive Behavior Scales, 20 to 160, highest is best
MRI of the brain
Time frame: 16 years
% of patients with anatomic anomalies on MRI of the brain
Neurocognitive status: Movement ABC
Time frame: 16 years
Neurocognitive test panel depending on age at inclusion: ABC Movement if inclusion between 2.5-16 years Movement Assessment Battery for Children, mean 10 SD 3, highest is best
Neurocognitive status: WISC-IV
Time frame: 16 years
WISC-IV Wechsler Adult Intelligence Scale, 40-160, highest is best
Neurocognitive status: Auditory Verbal Learning Test/ToMaL
Time frame: 16 years
Auditory Verbal Learning Test/ToMaL Mean 10 SD 3, highest is best
Neurocognitive status: TEA-Ch
Time frame: 16 years
TEA-Ch Test of Everyday Attention for Children, normalized to z-score, highest is best
Neurocognitive status: BADS-C
Time frame: 16 years
BADS-C Behavioural Assessment of the Dysexecutive Syndrome in Children, 0-24, mean 10 SD 3, highest is best
Neurocognitive status: Test of Visual Perceptual Skills
Time frame: 16 years
Test of Visual Perceptual Skills Percentile, highest is best
Neurocognitive status: The Beery Visuo-Motor Integration test
Time frame: 16 years
The Beery Visuo-Motor Integration test Mean of 100 and standard deviation of 15, highest is best
Neurocognitive status: CANTAB
Time frame: 16 years
CANTAB Cambridge Neuropsychological Test Automated Battery
Neurocognitive status: BRIEF 2
Time frame: 16 years
BRIEF 2 Behaviour Rating Inventory of Executive Function, percentile, lowest is best
Neurocognitive status: ADHD screening
Time frame: 16 years
ADHD screening Lowest is best, 0-78
Neurocognitive status: SRS-2
Time frame: 16 years
SRS-2 Social Responsiveness Scale, 32-114. lowest is best
Neurocognitive status: Kiddie-Sads
Time frame: 16 years
Kiddie-Sads Kiddie Schedule for Affective Disorders and Schizophrenia, 0-61, lowest is best
Neurocognitive status: CBCL
Time frame: 16 years
CBCL Child Behavior Checklist, percentile, lowest is best
Neurocognitive status: Vineland
Time frame: 16 years
Vineland Adaptive Behavior Scales, 20 to 160, highest is best
360 secondary outcomes
Genetics: Whole genome sequencing of blood
Time frame: Inclusion
Genetics: Whole genome sequencing of liver biopsy
Time frame: Inclusion
Microbiome: Urine proteomics
Time frame: Inclusion
Microbiome: Feces proteomics
Time frame: Inclusion
Microbiome: Saliva proteomics
Time frame: Inclusion
Microbiome: Feces Next Generation Sequencing of microbial DNA
Time frame: Inclusion
Microbiome: Urine Next Generation Sequencing of microbial DNA
Time frame: Inclusion
Microbiome: Saliva Next Generation Sequencing of microbial DNA
Time frame: Inclusion
Microbiome: Feces metabolomics
Time frame: Inclusion
Microbiome: Urine metabolomics
Time frame: Inclusion
Microbiome: Saliva metabolomics
Time frame: Inclusion
Microbiome: Feces metatranscriptomics
Time frame: Inclusion
Microbiome: Urine metatranscriptomics
Time frame: Inclusion
Microbiome: Saliva metatranscriptomics
Time frame: Inclusion
Genetics: Whole genome sequencing of blood
Time frame: 1 year
Genetics: Whole genome sequencing of liver biopsy
Time frame: 1 year
Microbiome: Feces metatranscriptomics
Time frame: 1 year
Microbiome: Urine metatranscriptomics
Time frame: 1 year
Microbiome: Saliva metatranscriptomics
Time frame: 1 year
Microbiome: Urine Next Generation Sequencing of microbial DNA
Time frame: 1 year
Microbiome: Feces Next Generation Sequencing of microbial DNA
Time frame: 1 year
Microbiome: Saliva Next Generation Sequencing of microbial DNA
Time frame: 1 year
Microbiome: Saliva metabolomics
Time frame: 1 year
Microbiome: Urine metabolomics
Time frame: 1 year
Microbiome: Feces metabolomics
Time frame: 1 year
Microbiome: Saliva proteomics
Time frame: 1 year
Microbiome: Urine proteomics
Time frame: 1 year
Microbiome: Feces proteomics
Time frame: 1 year
Genetics: Whole genome sequencing of blood
Time frame: 2 years
Genetics: Whole genome sequencing of liver biopsy
Time frame: 2 years
Microbiome: Feces metatranscriptomics
Time frame: 2 years
Microbiome: Urine metatranscriptomics
Time frame: 2 years
Microbiome: Saliva metatranscriptomics
Time frame: 2 years
Microbiome: Saliva metabolomics
Time frame: 2 years
Microbiome: Feces metabolomics
Time frame: 2 years
Microbiome: Urine metabolomics
Time frame: 2 years
Microbiome: Urine proteomics
Time frame: 2 years
Microbiome: Feces proteomics
Time frame: 2 years
Microbiome: Saliva proteomics
Time frame: 2 years
Microbiome: Urine Next Generation Sequencing of microbial DNA
Time frame: 2 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2022.
- Individual participant dataSharing planned: No. No allowed from Danish government
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Vibeke Brix Christensen, MD, PhD, DMSc principal investigator
Copenhagen University Hospital, Rigshospitalet
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Biliary Atresia and Cognitive Impairment, run by Copenhagen University Hospital, Rigshospitalet at 1 site in Denmark.
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 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: looking for participants now, as of the sponsor's last update on 1 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. 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 Vibeke Brix Christensen, MD, PhD, DMSc (+4535458842, vibeke.brix.christensen@regionh.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
MRI of the brain (time frame: Inclusion). The study lists 79 primary outcomes in all. 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 1 Jun 2022.