Determine the Prevalence of Exocrine Pancreatic Insufficiency (EPI) in Pediatric and Adult Partic… (NCT07335523) | Clinical Trial Compass
Not Yet RecruitingNot Applicable
Determine the Prevalence of Exocrine Pancreatic Insufficiency (EPI) in Pediatric and Adult Participants With Alagille Syndrome After Liver Transplantation
30 participantsStarted 2026-05
Plain-language summary
The goal of this clinical trial is to determine the prevalence of exocrine pancreatic insufficiency (EPI) in a population of pediatric and adult participants with Alagille Syndrome (ALGS) post liver transplant. During the study, participants will:
* Consume a high fat diet
* Keep a diary of their abdominal signs and symptoms, and stool frequency and consistency
* Collect stool for laboratory testing
Who can participate
Age range7 Years – 50 Years
SexALL
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Inclusion Criteria:
* Male and female participants ages 7-50 years inclusive.
* Confirmed diagnosis of ALGS
* Status post OLT due to ALGS complications.
* Participants currently managed with pancreatic enzyme products (PEPs) are allowed pending discontinuation of PEPs for 5 days prior to beginning the 72-hour stool collections. Participants must discontinue PEPs for the entire study period until completion.
* Agree to adhere to a high fat diet at least 2 days prior to and during the 72-hour stool collections and monitor dietary consumption through the use of a diet diary.
* Have a consistent caregiver for the duration of the study if applicable for enrollment of a child.
* Capable of giving written informed consent and assent (if age appropriate).
Exclusion Criteria:
* Surgical disruption of the enterohepatic circulation (e.g., biliary diversion).
* Subjects with alternative etiologies of EPI (e.g., chronic panreatitis, pancreatic resection).
* Diets high in medium-chain triglyceride (MCT) oil.
* Use of bile acids, bile acid uptake inhibitors, lipid-binding resins, synthetic fat substitutes (e.g. Olestra), and diaper rash ointments (note that H2 antagonists and proton pump inhibitors \[PPIs\] are permitted if on a stable and consistent regimen throughout the duration of the study).
* History or presence of other concomitant liver diseases such as liver transplant rejection with cholestasis, hepatitis B or C virus infection, HIV, primary sclerosing cholangitis (PSC), alcoho…
What they're measuring
1
Dietary fat absorption
Timeframe: At the completion of the 72-hour stool collection period