Clinical trial Recruiting at 2 sites Observational Ages Any age to 18

Canadian pediatric registry for Alagille syndrome and genetic intrahepatic cholestasis

Official title: PEARL - Pediatric Evaluation and Registry for Liver Cholestasis in Canada

Run by Children's Hospital of Eastern Ontario · NCT07411716 · Data updated 2026-11-12

This registry collects long-term health and genetic information from children in Canada who have Alagille syndrome or genetic intrahepatic cholestasis to better track outcomes and support research.

More Progressive Familial Intrahepatic Cholestasis trials

Quick facts

Study typeObservational
AgesAny age to 18 Years
SexAll
Enrollment220 (estimated)
SponsorChildren's Hospital of Eastern Ontario
Academic / other
Locations13 sites (Calgary, Alberta and 12 other locations)
StatusRecruiting
StartedApril 21, 2026
Main results expectedMarch 2031
Study endsDecember 2031
Registry record updatedOctober 8, 2026
Trial IDNCT07411716 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children under 18 in Canada with a clinical or genetic diagnosis of Alagille syndrome or any subtype of genetic intrahepatic cholestasis who can enroll at a participating pediatric liver center.

Probably not a fit

Adults, children without ALGS or GIC diagnoses, or those unable to access participating Canadian pediatric liver centers are unlikely to receive direct benefit from this registry.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This multicenter Canadian registry enrolls children under 18 with genetically confirmed or clinically diagnosed Alagille syndrome (ALGS) or genetic intrahepatic cholestasis (GIC), including recognized PFIC subtypes and newly identified PFIC-like conditions. Participating pediatric hepatology centers use standardized forms to capture longitudinal clinical, laboratory, genetic, treatment, and outcome data. The protocol enables genotype–phenotype linkage and long-term follow-up, with provisions to add newly described conditions via protocol amendments. Collected data will be used to harmonize care across centers, inform prognosis by genotype, and enable future clinical research and therapeutic trials.

Why it matters

Potential benefit: If successful, the registry could improve understanding of long-term outcomes by genotype and help clinicians tailor care and plan future therapies for affected children.

How similar studies have gone: Other pediatric liver disease registries have improved knowledge of disease course and outcomes, though comprehensive national registries covering the full spectrum of GIC remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Pediatric participants (\<18 years old) with genetically confirmed or clinically diagnosed ALGS or any of the various subtypes of GIC, each associated with a distinct genetic mutation:

A. PFIC Type 1 (FIC1 Deficiency) - Mutation in ATP8B1 gene. B. PFIC Type 2 (BSEP Deficiency) - Mutation in ABCB11 gene. C. PFIC Type 3 (MDR3 Deficiency) - Mutation in ABCB4 gene. D. PFIC Type 4 (TJP2 Deficiency) - Mutation in TJP2 gene. E. PFIC Type 5 (FXR Deficiency) - Mutation in NR1H4 gene. F. PFIC Type 6 (MYO5B-Associated) - Mutation in MYO5B gene. G. Progressive cholestasis of northwestern Quebec (PCNQ)-Mutation in UTP4 gene. Other novel PFIC-like conditions continue to be identified and may be included in the registry. If additional conditions are identified for inclusion in the registry, a protocol amendment will be submitted for REB approval.

* Enrollment within Canadian pediatric liver centers participating in the registry. These include: Children's Hospital of Eastern Ontario (Ottawa, ON, Lead Site), CHU Sainte-Justine (Montreal, QC), McMaster Children's Hospital (Hamilton, ON), Montreal Children's Hospital (Montreal, QC), Alberta Children's Hospital (Calgary, AB), Stollery Children's Hospital (Edmonton, AB), Janeway Children's Health and Rehabilitation Centre (St. John's, NL), Jim Pattison Children's Hospital (Saskatoon, SK), Children's Hospital LHSC (London, ON), Children's Hospital IWK Health Centre (Halifax, NS), BC Children's Hospital (Vancouver, BC), HSC Winnipeg Children's Hospital (Winnipeg, MB), Hôpital de l'Enfant-Jésus (Quebec City, QC)
* Written informed consent obtained from participant if they have the capacity, or parents/guardians, and assent from participants as appropriate.

Exclusion Criteria:

* Inability to comply with follow-up requirements (lost to follow-up)

Where it's running

  • Children's Hospital LHSC
    London, Ontario, Canada
    Recruiting
  • Children's Hospital of Eastern Ontario
    Ottawa, Ontario, Canada
    Recruiting
  • Alberta Children's Hospital
    Calgary, Alberta, Canada
    Not yet recruiting
  • Stollery Children's Hospital
    Edmonton, Alberta, Canada
    Not yet recruiting
  • BC Children's Hospital
    Vancouver, British Columbia, Canada
    Not yet recruiting
  • HSC Winnipeg Children's Hospital
    Winnipeg, Manitoba, Canada
    Not yet recruiting
Show 7 more locations
  • Janeway Children's Health and Rehabilitation Centre
    St. John's, Newfoundland and Labrador, Canada
    Not yet recruiting
  • Children's Hospital IWK Health Centre
    Halifax, Nova Scotia, Canada
    Not yet recruiting
  • McMaster Children's Hospital
    Hamilton, Ontario, Canada
    Not yet recruiting
  • CHU Sainte-Justine
    Montreal, Quebec, Canada
    Not yet recruiting
  • Montreal Children's Hospital
    Montreal, Quebec, Canada
    Not yet recruiting
  • CHU de Quebec - Universite Laval (Centre Mere-Enfant Soleil)
    Qubec City, Quebec, Canada
    Not yet recruiting
  • Jim Pattison Children's Hospital
    Saskatoon, Saskatchewan, Canada
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.