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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | Any age to 18 Years |
| Sex | All |
| Enrollment | 220 (estimated) |
| Sponsor | Children's Hospital of Eastern Ontario Academic / other |
| Locations | 13 sites (Calgary, Alberta and 12 other locations) |
| Status | Recruiting |
| Started | April 21, 2026 |
| Main results expected | March 2031 |
| Study ends | December 2031 |
| Registry record updated | October 8, 2026 |
| Trial ID | NCT07411716 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
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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
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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
- Study coordinator: Mohit Kehar
- Email: MKehar@cheo.on.ca
- Phone: 613-737-7600 x 1516
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Maralixibat (Livmarli) use in Alagille syndrome and PFIC — Japanese database analysis
This project will look at Japanese patients with Alagille syndrome or PFIC who received maralixibat (Livmarli) to see if taking the drug is linked to liver problems.
-
Odevixibat for PFIC in China: Real-world Safety and Effectiveness
This registry collects real-world safety and effectiveness data on children with PFIC who are being treated with odevixibat in China.
-
Finding genetic causes of adult-onset cholestatic liver disease
This study uses whole-genome sequencing to try to find rare genetic causes in adults with unexplained cholestatic liver disease so care can be better tailored.
-
Long-term safety and outcomes of Livmarli for Alagille syndrome in the EU
This study will follow people with Alagille syndrome who take Livmarli to see if it is safe, well tolerated over the long term, and continues to reduce cholestatic itching.
-
Long-term outcomes of odevixibat (Bylvay) for people with PFIC in South Korea
This registry will see how well odevixibat controls symptoms and how safe it is over time for people with Progressive Familial Intrahepatic Cholestasis (PFIC) in South Korea.
-
Observational analysis of Progressive Familial Intrahepatic Cholestasis treatment
This study is looking at how different treatments for Progressive Familial Intrahepatic Cholestasis work and what happens to patients over time to help improve care for those with this rare liver disease.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.