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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 12 December 2020
Main ID:  NCT01854827
Date of registration: 27/09/2012
Prospective Registration: Yes
Primary sponsor: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Public title: Safety Study of Intravenous Immunoglobulin (IVIG) Post-Portoenterostomy in Infants With Biliary Atresia PRIME
Scientific title: A Phase 1/2A Trial of Intravenous Immunoglobulin (IVIG) Therapy Following Portoenterostomy in Infants With Biliary Atresia
Date of first enrolment: October 2013
Target sample size: 30
Recruitment status: Completed
URL:  https://clinicaltrials.gov/show/NCT01854827
Study type:  Interventional
Study design:  Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label).  
Phase:  Phase 1/Phase 2
Countries of recruitment
Canada United States
Contacts
Name:     Averell Sherker, MD
Address: 
Telephone:
Email:
Affiliation:  National Institute of Diabetes and Digestive and Kidney Disease (NIDDK)
Name:     Ed Doo, MD
Address: 
Telephone:
Email:
Affiliation:  National Institute of Diabetes and Digestive and Kidney Disease (NIDDK)
Name:     Ronald Sokol, MD
Address: 
Telephone:
Email:
Affiliation:  Children's Hospital Colorado
Key inclusion & exclusion criteria

Inclusion Criteria:

- Infant under 120 days old with established diagnosis of BA. Subjects in this trial
must start treatment within 3-5 days of the Kasai procedure and be part of a
prospective study of the natural history of biliary atresia also being conducted by
ChiLDREN (http://www.clinicaltrials.gov/ct/show/NCT00061828?order=3).

- Standard HPE operation has been performed for BA within the previous 3 days

- Post-conception age = 36 weeks at time of enrollment

- Weight at enrolment = 2000 gm

- Written informed consent to participate in the study obtained within 3 days of
completion of HPE.

Exclusion Criteria:

- Laparoscopic HPE or "gall bladder Kasai" (cholecysto-portostomy) surgery was performed

- Biliary atresia splenic malformation syndrome (presence of asplenia, polysplenia or
double spleen)

- History of a hypercoagulable disorder

- Renal Disease defined as serum creatinine > 1.0 mg/dl prior to enrollment or presence
of complex renal anomalies found on imaging

- Evidence of congestive heart failure or fluid overload

- Presence of significant systemic hypertension for age (defined as persistent systolic
blood pressure =112 mmHg measured on at least 3 occasions following HPE)

- Infants whose mother is known to have human immunodeficiency virus infection

- Infants whose mother is known to be serum HBsAg or hepatitis C virus antibody positive

- Previous treatment with intravenous immunoglobulin therapy or corticosteroid therapy

- Previous treatment with any other investigational agent

- History of allergic reaction to any human blood product infusion

- Infants with other severe concurrent illnesses, such as neurological, cardiovascular,
pulmonary, metabolic, endocrine, and renal disorders, that would interfere with the
conduct and results of the study

- Any other clinical condition that is a contraindication to the use of IVIG



Age minimum: N/A
Age maximum: 120 Days
Gender: All
Health Condition(s) or Problem(s) studied
Biliary Atresia
Intervention(s)
Drug: Intravenous immunoglobulin (IVIG)
Primary Outcome(s)
Adverse Events [Time Frame: 360 days post-HPE]
Feasibility of IVIG Treatment [Time Frame: 60 days post-HPE]
Level 3-5 Toxicity [Time Frame: 360 days post-HPE]
Acceptability of IVIG [Time Frame: 60 days post-HPE]
Serious Adverse Events [Time Frame: 360 days post-HPE]
Secondary Outcome(s)
Good Bile Drainage at 180 Days Post-HPE [Time Frame: 180 days post-HPE]
Transplant-free Survival [Time Frame: 360 days post-HPE]
Circulating Regulatory T-Cells, Inflammatory Cytokines, and Specific Autoantibodies. [Time Frame: Over 360 days after HPE]
Good Bile Drainage at 360 Days Post-HPE [Time Frame: 360 days post-HPE]
Good Bile Drainage at 90 Days Post-HPE [Time Frame: 90 days post-HPE]
Secondary ID(s)
U01DK062456
P007 PRIME
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available: Yes
Date Posted: 11/05/2018
Date Completed:
URL: https://clinicaltrials.gov/ct2/show/results/NCT01854827
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