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Ongoing, recruitingPhase III and phase IV (Integrated)Interventional

Long-term safety study of personalized cholic acid treatment in patients with bile acid synthesis defects

This important study is investigating a treatment called cholic acid for people with bile acid synthesis defects. These conditions affect how your body makes and uses bile, which is important for digestion and getting rid of waste products. We are carefully checking the long-term safety of this personalised treatment. Researchers want to see if it successfully reduces harmful substances and increases healthy ones in the body, which could improve overall health. We will also be closely monitoring for any side effects or unwanted reactions to make sure the treatment is well-tolerated. The aim is to gather more information to help make this treatment as safe and effective as possible for patients.

At a glance

Status
Ongoing, recruiting
Phase
Phase III and phase IV (Integrated)
Sponsor
Amsterdam UMC Stichting
Enrolment target
8
Start
25 Nov 2024

What is this study about?

This study is called a 'long-term safety study' and it focuses on a treatment using cholic acid for people who have a condition called bile acid synthesis defects. These conditions mean your body can't properly make the bile acids it needs. Bile acids are really important – they help you digest fats and remove waste products from your body. When they don't work correctly, harmful substances can build up, and you might not absorb nutrients properly. The cholic acid treatment works by giving your body the right kind of bile acid it needs.

The main goal of this study is to look very closely at how safe this cholic acid treatment is over a long period. The doctors want to see if it helps lower the levels of certain 'intermediates' (substances that build up when bile acid production is faulty) and increase normal bile acids in your body. They will also be meticulously tracking any side effects or other health changes to ensure the treatment is well-tolerated. This is crucial for understanding how the treatment affects the body over time.

Beyond safety, the study also aims to understand how the treatment affects other important parts of your health. This includes checking liver function, how well your blood clots, nutrient levels (like vitamins), and even growth in younger individuals, and overall liver health. By collecting all this information, doctors hope to get a complete picture of how cholic acid can help people with bile acid synthesis defects live healthier lives.

Key takeaways

  • The study investigates a personalized cholic acid treatment for bile acid synthesis defects.
  • Main goal is to check the long-term safety and any side effects of the treatment.
  • Researchers will monitor how the treatment changes bile acid levels and other health markers.
  • It aims to improve understanding of this treatment for patients with these conditions.
  • Participation involves regular check-ups and tests.
  • You can withdraw from the study at any time without affecting your normal care.

Who may be eligible?

This study is open to adults aged 18 and older. There is no upper age limit, so people of any adult age can potentially take part. Both men and women are welcome to participate in this research.

To be eligible, you must have a diagnosis of bile acid synthesis defects. This condition means your body has trouble making the correct bile acids, which are important for digestion.

Before joining, the study team will carefully review your medical history and conduct some tests to make sure that taking part is safe and suitable for you.

Quick self-check
  • Are you 18 years old or older?
  • Do you have a diagnosis of bile acid synthesis defects?
  • Are you able to attend regular appointments for check-ups and tests?
  • Are you open to taking a cholic acid treatment as part of the study?

This is a guide only — the research team will confirm whether you can take part.

What does participation involve?

If you decide to join this study, you will be given the cholic acid treatment. The study team will need to see you regularly for check-ups. These appointments will involve tests like blood and urine samples to measure bile acid levels, liver function, and other health markers. We will be looking for specific substances in your blood and urine to see how well the treatment is working and if it's changing your body's chemistry as expected. They will also check your overall health and ask about any new symptoms or side effects you might be experiencing. For some participants, there might be additional tests like a FibroScan (a type of ultrasound for the liver) or tests to check growth or vitamin levels. The exact number of visits and the total duration aren't specified but are designed to monitor you over a long period to understand the long-term safety and effects of the treatment.

Potential risks and benefits

Participating in this study might offer the potential benefit of improving your condition by correcting the levels of bile acids in your body, which could lead to better digestion and overall health. However, like all medications, cholic acid treatment might have side effects. The study team will carefully monitor you for these, and they are important to report. There is also the potential for unknown risks as this is a research study. You are free to withdraw from the study at any time, for any reason, without it affecting your usual medical care.

Locations (1)

  • Netherlands

Common questions

What are bile acid synthesis defects?

These are conditions where your body can't make the right kinds of bile acids, which are crucial for digesting fats and removing waste. This can lead to health problems.

What is cholic acid?

Cholic acid is a type of natural bile acid. In this study, it's used as a treatment to help your body get the bile acids it needs.

Is this a new treatment?

This study is looking at the long-term safety of personalised cholic acid treatment, building on previous research, to understand its effects over time.

Will I get 'cured' by joining this study?

This study aims to understand the treatment's safety and effectiveness in managing the condition. While it may improve your health, 'cure' is a strong word, and research focuses on management and long-term well-being.

How long will I be in the study?

The study focuses on 'long-term safety,' so participation is expected to be over an extended period. The exact duration will be explained by the study team.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Discussion

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