Validation of Stimulated ∆FGF19 for Diagnosing Bile Acid Diarrhoea

NCT ID: NCT03059537

Last Updated: 2017-12-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

71 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-13

Study Completion Date

2017-11-27

Brief Summary

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This study aims to validate a possible diagnostic test for bile acid diarrhoea prospectively compared to the SeHCAT scintigraphy. Fasting participants are given a standard meal and 1,250 mg chenodeoxycholic acid. The investigators measure fasting FGF19, bile acids species including 7-alpha-CHO and serial blood samples after the stimulation.

Detailed Description

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Conditions

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Bile Acid Malabsorption

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Stimulation Test

Study meal plus chenodeoxycholic acid: 1,250 mg single dose stimulation

Group Type EXPERIMENTAL

Oral chenodeoxycholic acid stimulation

Intervention Type DRUG

oral intake of chenodeoxycholic acid to stimulate the ileal bile acid transporter and farnesoid X receptor

Interventions

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Oral chenodeoxycholic acid stimulation

oral intake of chenodeoxycholic acid to stimulate the ileal bile acid transporter and farnesoid X receptor

Intervention Type DRUG

Other Intervention Names

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Chenodeoxycolic acid

Eligibility Criteria

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Inclusion Criteria

\- Consecutive patients referred for SeHCAT

Exclusion Criteria

* Treatment with sequestrants within one week before the SeHCAT.
* Treatment with any constipants/laxatives one day before the SeHCAT, with the exception of opioids, if the dosis has been stable in the prior 2 weeks.
* Pregnancy, screening by pregnancy test before inclusion.
* Breastfeeding women.
* Small bowel resection, including right sided hemicolectomy.
* Any ongoing treatment for inflammatory bowel disease with systemic steroids (i.e. budesonide or prednisone) or treatment in the prior 4 weeks.
* Allergies to constituents of Xenbilox: (chenodeoxycholic acid, cornflour, magnesium stearate, highly dispersed silica, gelatine, sodium dodecylsulphate, titanium dioxide (E171), quinolone yellow (E104), erythrosine (E127)
* Chronic or acute cholecystitis.
* Liver cirrhosis,
* Obstructed bile flow causing jaundice or elevated p-bilirubin (\> 1,5 UNL).
* Known disability in gall bladder contractility.
* Bile duct atresia.
* Frequent gallstone attacks (\>2/month).
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lars Kristian Munck

OTHER

Sponsor Role lead

Responsible Party

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Lars Kristian Munck

DMSci

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Christian Borup, MD

Role: PRINCIPAL_INVESTIGATOR

Zealand University Hospital

Locations

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Aalborg University Hospital

Aalborg, , Denmark

Site Status

Aarhus University Hospital

Aarhus, , Denmark

Site Status

Zealand University Hopsital

Holbæk, , Denmark

Site Status

Hvidovre University Hospital

Hvidovre, , Denmark

Site Status

Zealand University Hospital

Køge, , Denmark

Site Status

Countries

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Denmark

References

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Borup C, Wildt S, Rumessen J, Graff J, Bouchelouche PN, Andersen TB, Vinter-Jensen L, Zaremba A, German Jorgensen SP, Gregersen T, Nojgaard C, Timm HB, Rainteau D, Gauliard E, Munck LK. Biochemical Diagnosis of Bile Acid Diarrhea: Prospective Comparison With the 75Seleno-Taurohomocholic Acid Test. Am J Gastroenterol. 2020 Dec;115(12):2086-2094. doi: 10.14309/ajg.0000000000000772.

Reference Type DERIVED
PMID: 32740083 (View on PubMed)

Other Identifiers

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SJ-546

Identifier Type: -

Identifier Source: org_study_id