Primary sclerosing cholangitis. PSC. Bile duct disease.
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. PSC diagnosis as defined by the European Association for the Study of the Liver (EASL) Practice Guidelines, including subgroups such as small duct PSC and auto-immune hepatitis *PSC overlap syndromes. There are no prohibited medications. 2. Age > 18 years and
Exclusion criteria
Exclusion criteria: 1. Secondary sclerosing cholangitis (including IgG4-associated cholangitis) 2. Previous liver transplantation 3. Listed for liver transplantation 4. Presence of complication (ascites, encephalopathy, hepato-biliary malignancy) 5. Coexistent conditions that would limit life expectancy to less than 1 year 6. Associated liver disease of other etiology (chronic hepatitis B or C, chronic alcoholic liver disease, nonalcoholic steatohepatitis (NASH), hemochromatosis, Wilson*s disease or other significant liver disease) 7. Known pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Transplant free survival | — |
Secondary
| Measure | Time frame |
|---|---|
| * Prognostic value of Fibroscan on survival without liver transplantation (LT) and without liver complications (ascites, variceal bleeding, hepatic encephalopathy, hepatocellular carcinoma, cholangiocarcinoma, serum bilirubin level above 6 mg/dL for at least 3 months, listing for LT). * Time course of changes in liver stiffness * Correlation of liver stiffness with: o Histologic fibrosis (when liver biopsy available) o Biologic markers of fibrosis : nonproprietary scores (APRI, FIB-4), other markers* * Comparison of fibroscan to established, and to be discovered, alternate biomarkers of prognosis | — |
Countries
Netherlands