Actively Recruiting
Genetic Study of Familial Intrahepatic Cholestasis Genes and Disease Risk in Hepatobiliary Cancers and Cholestatic Liver Diseases
Led by IRCCS Azienda Ospedaliero-Universitaria di Bologna · Updated on 2025-01-16
600
Participants Needed
5
Research Sites
153 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are exploring the presence of genetic mutations linked to cholestatic liver diseases and hepatobiliary cancers. This multicenter, cross-sectional tissue study aims to estimate how common these mutations are in people with these conditions, helping to form hypotheses for future research. It focuses on familial intrahepatic cholestasis-related genes and their possible role in disease susceptibility. The study collects patient medical histories, imaging tests like ultrasound, CT, and MRI, liver function tests, and bile acid levels. Non-invasive liver fibrosis tests and liver biopsies are also performed when applicable. Genetic analysis uses a multiplex PCR NGS panel covering 37 genes, and if needed, Whole Exome Sequencing is done for patients with hepatobiliary cancers on healthy livers or with a family history of related diseases. Tumor tissue is analyzed for somatic mutations to potentially support therapy choices or family screening. Participants provide clinical data, including liver function, response to treatment, fibrosis stage, and family histories. Data from surgeries for liver tumors, such as pre-operative assessments and outcomes, are also collected. Genetic findings are confirmed and counseling is offered. All information is stored electronically and analyzed to better understand the prevalence of pathogenic mutations in these liver conditions over a 3-year period.
CONDITIONS
Official Title
Familial Intrahepatic Cholestasis-related Genes Associated with Disease Susceptibility in Hepato-biliary Cancers
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Diagnosis of primary liver or biliary tumors (hepatocellular carcinoma, cholangiocarcinoma, hepatocholangiocarcinoma) without obvious chronic liver disease or in cryptogenic chronic liver disease
- Curative treatment by surgical tumor removal or liver transplantation
- Cholestatic chronic liver disease with GGT and/or alkaline phosphatase over 1.5 times normal in two or more tests at least 6 months apart
- History of itching combined with bile acid levels over 10 mmol/l for 6 months or longer
- Written informed consent obtained
You will not qualify if you...
- Other documented chronic liver diseases explaining the symptoms, including primary biliary cholangitis, primary sclerosing cholangitis, IgG4-related cholangiopathy
- Obstructive jaundice excluded by normal bile duct anatomy
- Negative tests for hepatitis B, C, and E viruses
- History of alcohol abuse
- Diagnosed hemochromatosis, Wilson's disease, or alpha-1 antitrypsin deficiency
AI-Screening
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Trial Site Locations
Total: 5 locations
1
IRCCS Azienda Ospedaliero-Universitaria di Bologna - Programma Chirurgia addominale nell'insufficienza d'organo terminale e nei pazienti con trapianto d'organo
Bologna, Bologna, Italy, 40138
Actively Recruiting
2
IRCCS Azienda Ospedaliero-Universitaria di Bologna - UO Chirurgia Epatobiliare e dei Trapianti
Bologna, Bologna, Italy, 40138
Actively Recruiting
3
IRCCS Azienda Ospedaliero-Universitaria di Bologna - UO Gastroenterologia
Bologna, Bologna, Italy, 40138
Actively Recruiting
4
IRCCS Azienda Ospedaliero-Universitaria di Bologna - UO Medicina Interna per il trattamento delle gravi insufficienze d'organo
Bologna, Bologna, Italy, 40138
Actively Recruiting
5
IRCCS Azienda Ospedaliero-Universitaria di Bologna - UO Medicina Interna, malattie epatobiliari e immunoallergologiche
Bologna, Bologna, Italy, 40138
Actively Recruiting
Research Team
G
Giovanni Vitale
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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