Early detection of primary biliary cholangitis in people with positive AMA and normal ALP
Official title: Early Diagnosis of Primary Biliary Cholangitis (PBC) in Patients With Positive Anti-Mitochondrial Antibodies (AMA) and Normal Alkaline Phosphatase (ALP)
Run by Hospital Universitario La Paz · NCT07205874 · Data updated 2026-11-12
This project will test whether clinical features, blood markers, or a liver biopsy can identify early PBC in adults (18-80) who have positive AMA but normal ALP.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Hospital Universitario La Paz Academic / other |
| Locations | 1 site (Madrid) |
| Status | Recruiting |
| Started | September 15, 2025 |
| Main results expected | March 2026 |
| Study ends | May 2026 |
| Registry record updated | October 3, 2025 |
| Trial ID | NCT07205874 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18-80 with positive AMA (≥1:40) and persistently normal ALP who can safely undergo liver biopsy and are not currently treated for PBC or other autoimmune liver diseases.
✕Probably not a fit
People already diagnosed with PBC or other autoimmune liver diseases, those taking ursodeoxycholic acid, fibrates, biologics or immunosuppressants, pregnant people, or anyone who cannot safely have a liver biopsy are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an observational, single-center study enrolling adults 18-80 with positive anti-mitochondrial antibodies (AMA) and persistently normal alkaline phosphatase (ALP). Eligible participants undergo specific blood tests and a liver biopsy to look for histological signs of PBC. Researchers will compare clinical and laboratory features to identify factors that predict histological PBC in this group. Patients already diagnosed with autoimmune liver disease or on relevant treatments are excluded.
Why it matters
Potential benefit: If successful, the findings could enable earlier diagnosis of PBC so treatment can be started sooner to slow disease progression.
How similar studies have gone: Previous observational reports have detected histological PBC in some AMA-positive, ALP-normal individuals, but consistent predictive factors remain unestablished.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Signed informed consent * Positive AMA (≥1:40 titer) * Persistently normal ALP Exclusion Criteria: * Previously diagnosed with PBC, autoimmune hepatitis, or primary sclerosing cholangitis * Under treatment with ursodeoxycholic acid, fibrates, biologics or immunosuppressants including oral steroids * Contraindications for liver biopsy * Concomitant debilitating disease or poor prognosis * Pregnancy
Where it's running
-
Hospital Universitario La Paz
Madrid, Spain Recruiting
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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.