Clinical trial Recruiting at 1 site Interventional Ages 18 to 90

Colangioids to find genetic causes of atypical primary sclerosing cholangitis

Official title: Colangioids to Define the Genetic Factors Involved in Atypical Primary Sclerosing Cholangitis

Run by Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico · NCT06865924 · Data updated 2026-11-12

This project will use lab-grown bile duct organoids (colangioids) to test which genetic changes are linked to atypical primary sclerosing cholangitis in adults with confirmed or suspected PSC or in available liver tissue.

More PSC trials

Quick facts

Study typeInterventional
Ages18 Years to 90 Years
SexAll
Enrollment80 (estimated)
SponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
Academic / other
Locations1 site (Milan, MI)
StatusRecruiting
StartedDecember 1, 2024
Main results expectedDecember 31, 2026
Study endsDecember 31, 2027
Registry record updatedMarch 24, 2026
Trial IDNCT06865924 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–90 with confirmed atypical PSC, patients suspected of PSC undergoing liver biopsy, individuals providing liver tissue from resections, transplant biopsies or cholecystectomy, and previously genotyped patients with relevant ciliopathy variants are eligible.

Probably not a fit

Patients with active chronic viral hepatitis (HBV or HCV) or those unable or unwilling to provide suitable liver or bile duct tissue are unlikely to benefit from participation.

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

What this trial studies

Primary sclerosing cholangitis is a progressive bile-duct disease with no proven drug to halt progression, and this project uses colangioids and assembloids as in vitro models to explore genetic contributors. The study will collect samples from adults with confirmed atypical PSC, patients undergoing biopsy for suspected PSC, surgical liver resections, post-transplant biopsies, and cholecystectomies, and will include previously genotyped patients carrying ciliopathy-associated variants. Researchers will generate patient-derived colangioids/assembloids, perform genetic analyses, and test pharmacological responses in the lab to link specific variants to cellular behavior and drug sensitivity. Results are intended to identify genetic drivers and potential therapeutic targets to guide future personalized approaches.

Why it matters

Potential benefit: If successful, this work could pinpoint genetic drivers of atypical PSC and enable personalized drug testing on patient-derived bile duct models to guide future treatments.

How similar studies have gone: Organoid and colangioid models have been successfully used in laboratory research to model bile duct disease and to test drug responses, so this approach builds on emerging but not yet clinically established methods.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Between 18 and 90 years of age
* Of both sexes
* willingness to sign informed consent for the study; Additional criteria group 1
* Patients with a confirmed aPSC diagnosis Additional criteria group 2
* patients with suspected PSC liver biopsy candidates Additional criteria group 3
* Patients not affected by aPSC listed for the following procedures:
* Liver resection for hepatocellular or other hepatic lesions (including secondary effects from other cancers and benign focal lesions, which will result in healthy liver tissue);
* Post-transplant biopsies of healthy liver;
* cholecystectomies. Additional criteria group 4
* Patients previously genotyped in the study "Impact of complete exoma sequencing on clinical management of patient with non-alcoholic liver steatosis and cryptogenic liver disease project code RF-2016-02364358" results carrying gene variants associated with ciliopathies

Exclusion Criteria:

-Positive for chronic viral hepatitis (HCV-RNA and HBsAg).

Where it's running

  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
    Milan, Mi, Italy
    Recruiting

Study contacts

Similar studies

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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.