Actively Recruiting

Age: 2Years +
All Genders
ID00360646

Idiosyncratic Liver Injury Associated With Drugs (ILIAD): A Retrospective Study

Led by Duke University · Updated on 2026-04-08

400

Participants Needed

6

Research Sites

N/A

Total Duration

On this page

Sponsors

D

Duke University

Lead Sponsor

N

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to create a nationwide registry of patients who have experienced severe drug-induced liver injury (DILI) to help understand this condition better. The study focuses on collecting and storing biological samples like serum, DNA, and lymphocytes from these patients. The goal is to build a clinical database and specimen bank to support future research into why some people develop severe DILI. This effort is part of the Drug-Induced Liver Injury Network (DILIN) established by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The study retrospectively identifies individuals who had severe DILI episodes due to drugs or herbal and dietary supplements (HDS/CAM) starting from January 1, 1994. Researchers collect clinical information and biological specimens, including immortalized lymphocytes that provide ongoing access to DNA and living immune cells for analysis. The study maintains a registry with yearly updates to allow recontacting participants for future research. Participants provide medical information and blood samples for genetic and other analyses. Researchers track and update contact details annually to facilitate future studies. The primary outcome is to maintain this registry through July 2028. The study involves no investigational treatments but focuses on gathering data and samples for ongoing and future mechanistic investigations into severe DILI.

CONDITIONS

Brief Title

Drug-Induced Liver Injury (DILI) Network Retrospective

Who Can Participate

Age: 2Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • The treating healthcare professional must believe the subject suffered drug-induced liver injury
  • The subject must be alive with liver injury onset on or after January 1, 1994
  • Evidence of liver injury related to a drug or herbal/dietary supplement
  • The subject is taking only one drug or herbal/dietary supplement before the liver injury onset
  • Clinically important liver injury shown by liver enzyme tests (AST, ALT, alkaline phosphatase)
  • Sufficient documentation for causality assessment
Not Eligible

You will not qualify if you...

  • Not willing to provide medical information and blood samples
  • Unable to give informed consent, including for genetic testing
  • Age under 2 years at study enrollment
  • Presence of other liver diseases like autoimmune hepatitis, primary biliary cirrhosis, or chronic biliary tract disease
  • Liver injury caused primarily by other conditions such as hepatic ischemia
  • History of acetaminophen toxicity, liver transplant, or bone marrow transplant before drug-induced liver injury

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or remote) to confirm eligibility and collect initial information

Diagnostic Evaluation

Duration - One-time data and sample collection

Participants provide medical information and biological specimens to help establish and maintain a clinical database and specimen bank related to drug-induced liver injury.

1 visit (in-person) for medical record review and sample collection

Long-term Monitoring

Duration - Up to several years with yearly updates

Participants are registered and their contact information is updated yearly to allow for future recontact and follow-up studies.

Annual contact updates (remote or in-person) to maintain registry information

Trial Site Locations

Total: 6 locations

1

University of Southen California

Los Angeles, California, United States, 90033

Actively Recruiting

2

Indiana University

Indianapolis, Indiana, United States, 46202-5111

Actively Recruiting

3

NIH Clinical Site

Bethesda, Maryland, United States, 20892

Actively Recruiting

4

University of Michigan

Ann Arbor, Michigan, United States, 48109-0362

Actively Recruiting

5

Univeristy of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States, 27599-7600

Actively Recruiting

6

Thomas Jefferson

Philadelphia, Pennsylvania, United States, 19141

Actively Recruiting

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Research Team

E

Eilene Pham

M

Matt Baum

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Published Research Related To This Trial

Reliability of the Roussel Uclaf Causality Assessment Method for assessing causality in drug-induced liver injury.

James Rochon, Petr Protiva, Leonard B Seeff...

https://pubmed.ncbi.nlm.nih.gov/18798340