Massive PSC study aims to create blueprint for faster drug trials
NCT ID NCT06297993
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 4 times
Summary
This study is gathering health information from 2,000 adults with primary sclerosing cholangitis (PSC) to build a real-world data comparator group. The goal is to help design and run future drug trials more efficiently by providing a control group from real patient experiences. Participants will share medical history, symptoms, and biomarkers over quarterly and annual visits.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 2,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2024
- Expected to finish
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Jan 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
2000 adult participants with confirmed diagnosis of large duct PSC
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adult patients between 18 and 75 years of age (inclusive) who can comprehend instructions, follow the study procedures and are willing to sign an Informed Consent Form (ICF). 2. Confirmed clinical diagnosis of large duct PSC. Exclusion Criteria: 1. Clinically significant acute or chronic liver disease of an etiology other than PSC (including but not limited to metabolic-dysfunction associated steatohepatitis (MASH), PBC, HCV, HBV, or alcoholic hepatitis, Wilson's disease, alpha-1 antitryp-sin deficiency, acute or chronic drug-induced liver injury) * Patients with PSC and elements of AIH overlap are allowed to enroll * Patients with metabolic dysfunction associated steatotic liver disease (MASLD) or benign steatosis are allowed to enroll 2. Small-Duct PSC. 3. Clinically diagnosed secondary or IgG4-related sclerosing cholangitis. 4. Clinically diagnosed infections (including acute cholangitis) and receiving treatment within the past 7 days; patients on chronic suppressive antibiotics for acute cholangitis will be allowed to enroll 5. Hospitalization in the past 7 days 6. UDCA dose \>28 mg/kg 7. Evidence of current or historical decompensated cirrhosis based on the following clinical events: * Ascites \> Grade 2 and requiring treatment * Esophageal or gastric variceal bleeding requiring hospitalization * Hepatic encephalopathy (as defined by a West Haven score ≥ 2) * Spontaneous bacterial peritonitis defined as ascites absolute neutrophil count \>250/mm3 in the absence of an intra-abdominal source of infection * AKI-HRS according to AASLD Guidelines (Flamm 2021) * Portal hypertension based on a platelet count \< 150 × 109/L and LSM \> 15 kPa with clinical, laboratory, imaging and/or other relevant parameters 8. Prior liver transplantation 9. MELD 3.0 Score \>15. For subjects on anticoagulation medication, baseline INR determination for MELD score calculation should take this use into account. 10. History, evidence, or high suspicion of hepatobiliary malignancies or active colon cancer based on imaging, screening laboratory values, and/or clinical symptoms. Patients with a history of colon cancer who have undergone a colectomy and have no current evidence of colon cancer will be allowed to enroll in the study. 11. Participants with current clinical or laboratory evidence of any severe, progressive, or uncontrolled disease, related or unrelated to PSC and which, in the opinion of the investigator, has an expected survival of less than 52 weeks. 12. Participants who are impaired, incapacitated, or incapable of completing study-related assessments or giving informed consent. 13. Prisoners or participants who are involuntarily incarcerated. 14. Participants who are currently participating in an investigational PSC therapy clinical study or who have participated in such a study within the past 12 weeks 15. Absence of data in medical records to assess inclusion and exclusion criteria.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
18 sites in 6 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Auckland University
RECRUITINGAuckland, New Zealand
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Beth Israel Deaconess Medical Center
RECRUITINGBoston, Massachusetts, 02215, United States
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California Pacific Medical Center
RECRUITINGSan Francisco, California, 94109, United States
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Centre de recherche du centre hospitalier de l'Université de Montréal (CRCHUM)
RECRUITINGMontreal, Quebec, H2X 0A9, Canada
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Indiana University
RECRUITINGIndianapolis, Indiana, 46202, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55901, United States
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Oxford University Hospitals
RECRUITINGOxford, OX3 9DU, United Kingdom
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Schiff Center for Liver Diseases / University of Miami
RECRUITINGMiami, Florida, 33136, United States
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UC Davis
RECRUITINGSacramento, California, 95817, United States
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UT Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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University Health Network
RECRUITINGToronto, Ontario, M5G2C4, Canada
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University Medical Center Hamburg-Eppendorf
RECRUITINGHamburg, Free and Hanseatic City of Hamburg, 20246, Germany
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University of Alberta
RECRUITINGEdmonton, Alberta, T6G 2X8, Canada
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University of California, San Francisco
RECRUITINGSan Francisco, California, 94143, United States
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University of Milano Bicocca
RECRUITINGMilan, Monza (MB), 20900, Italy
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Virginia Commonwealth University
RECRUITINGRichmond, Virginia, 23298, United States
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Yale University
RECRUITINGNew Haven, Connecticut, 06510, United States
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Other studies related to the condition(s) this trial covers.
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