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Study of INT 747 in Combination With URSO in Patients With Primay Biliary Cirrhosis (PBC)

Primary Purpose

Liver Cirrhosis, Biliary

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
INT-747
Ursodeoxycholic Acid (URSO)
Placebo
Sponsored by
Intercept Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Liver Cirrhosis, Biliary focused on measuring PBC, Primary Biliary Cirrhosis, Liver,

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female age 18 to 70 years.
  • Stable dose of ursodeoxycholic acid (URSO, UDCA) for at least 6 months prior to screening.
  • Female patients must be postmenopausal, surgically sterile, or prepared to use 2 methods of contraception with all sexual partners during the study and for 14 days after the end of dosing.
  • Male patients must be prepared to use 2 methods of contraception with all sexual partners during the study and for 14 days after the end of the dosing.
  • Proven or likely PBC, as demonstrated by the patient presenting with at least 2 of the following 3 diagnostic factors:

    1. History of increased AP levels for at least 6 months prior to Day 0
    2. Positive AMA titer (>1:40 titer on immunofluorescence or M2 positive by ELISA) or PBC-specific antinuclear antibodies (antinuclear dot and nuclear rim positive)
    3. Liver biopsy consistent with PBC.
  • Screening AP value between 1.5 and 10 × ULN.

Exclusion Criteria:

  • Administration of the following drugs at any time during the 3 months prior to screening for the study: colchicine, methotrexate, azathioprine, or systemic corticosteroids.
  • Screening conjugated (direct) bilirubin >2 × ULN.
  • Screening ALT or AST >5 × ULN.
  • Screening serum creatinine >1.5 mg/dL (133 mol/L).
  • History or presence of hepatic decompensation (e.g., variceal bleeds, encephalopathy, or poorly controlled ascites).
  • History or presence of other concomitant liver diseases including hepatitis due to hepatitis B or C virus (HCV, HBV) infection, primary sclerosing cholangitis (PSC), alcoholic liver disease, definite autoimmune liver disease or biopsy proven nonalcoholic steatohepatitis (NASH).
  • Pregnancy.

Sites / Locations

  • U Florida Hepatology
  • University of Miami - Center for Liver Diseases
  • Tufts Medical Center
  • Henry Ford Health Center Columbus
  • Mayo Clinic
  • Saint Louis University
  • Beth Israel Medical Center
  • Mt. Sinai School of Medicine
  • Cleveland Clinic
  • UT Southwestern Medical Center
  • Baylor College of Medicine
  • McGuire DVAMC
  • Virginia Mason Medical Center
  • Karls-Franzens University
  • University of Calgary
  • University of Alberta
  • University of Manitoba
  • University of Toronto Western Hospital
  • Centre de Recherche du CHUM / University of Montreal
  • Hopital de l'Hotel Dieu
  • Johann Wolfgang Goethe University
  • University Medical Centre Hamburg-Eppendorf
  • Medical School of Hannover
  • University of Munich
  • AMC University of Amsterdam
  • Erasmus Medical Centre
  • Hospital Clinic i Provincial
  • Queen Elizabeth Medical Center
  • Royal Free Hospital
  • John Radcliffe Hospital
  • Royal Infirmary
  • University Upon Tyne/Newcastle

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

INT-747 10 mg

INT-747 25 mg

INT-747 50 mg

Placebo

Arm Description

INT-747 10 mg once daily in combination with URSO for 12 weeks.

INT-747 25 mg once daily in combination with URSO for 12 weeks.

INT-747 50 mg once daily in combination with URSO for 12 weeks.

Placebo once daily in combination with URSO for 12 weeks.

Outcomes

Primary Outcome Measures

Alkaline Phosphatase (ALP).
The primary efficacy endpoint was the relative (%) change in plasma ALP from pretreatment values. The prestudy consensus opinion of the investigators was that a placebo-substracted ALP fall of ≥ 10% would be clinically significant.

Secondary Outcome Measures

Serum Gamma-Glutamyl Transpeptidase (GGT)
Percent change in serum gamma-glutamyl transpeptidase (GGT) from baseline to Day 85/early termination.
Alanine Aminotransferase (ALT)
Mean percent change in serum alanine aminotransferase (ALT) from baseline to Day 85/early termination.
Plasma Trough Concentrations of INT-747 and Its Major, Known Metabolites

Full Information

First Posted
October 27, 2007
Last Updated
February 10, 2012
Sponsor
Intercept Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00550862
Brief Title
Study of INT 747 in Combination With URSO in Patients With Primay Biliary Cirrhosis (PBC)
Official Title
A Study of INT 747 (6α-ethyl Chenodeoxycholic Acid (6-ECDCA)) in Combination With Ursodeoxycholic Acid (URSO®, UDCA) in Patients With Primary Biliary Cirrhosis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2012
Overall Recruitment Status
Completed
Study Start Date
October 2007 (undefined)
Primary Completion Date
August 2009 (Actual)
Study Completion Date
December 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Intercept Pharmaceuticals

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary hypothesis is that INT-747 will cause a reduction in alkaline phosphatase levels in Primary Biliary Cirrhosis patients, over a 12 week treatment period, as compared to placebo.
Detailed Description
None provided

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Cirrhosis, Biliary
Keywords
PBC, Primary Biliary Cirrhosis, Liver,

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
165 (Actual)

8. Arms, Groups, and Interventions

Arm Title
INT-747 10 mg
Arm Type
Experimental
Arm Description
INT-747 10 mg once daily in combination with URSO for 12 weeks.
Arm Title
INT-747 25 mg
Arm Type
Experimental
Arm Description
INT-747 25 mg once daily in combination with URSO for 12 weeks.
Arm Title
INT-747 50 mg
Arm Type
Experimental
Arm Description
INT-747 50 mg once daily in combination with URSO for 12 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo once daily in combination with URSO for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
INT-747
Other Intervention Name(s)
Obeticholic acid (OCA), 6-ECDCA
Intervention Description
Once a day (QD) by mouth (PO)
Intervention Type
Drug
Intervention Name(s)
Ursodeoxycholic Acid (URSO)
Other Intervention Name(s)
URSO, UDCA
Intervention Description
Stable dose for at least 6 months prior to screening. Dose as prescribed by physician.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Alkaline Phosphatase (ALP).
Description
The primary efficacy endpoint was the relative (%) change in plasma ALP from pretreatment values. The prestudy consensus opinion of the investigators was that a placebo-substracted ALP fall of ≥ 10% would be clinically significant.
Time Frame
Baseline and 12 weeks
Secondary Outcome Measure Information:
Title
Serum Gamma-Glutamyl Transpeptidase (GGT)
Description
Percent change in serum gamma-glutamyl transpeptidase (GGT) from baseline to Day 85/early termination.
Time Frame
Baseline and 12 weeks
Title
Alanine Aminotransferase (ALT)
Description
Mean percent change in serum alanine aminotransferase (ALT) from baseline to Day 85/early termination.
Time Frame
Baseline and 12 weeks
Title
Plasma Trough Concentrations of INT-747 and Its Major, Known Metabolites
Time Frame
12 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female age 18 to 70 years. Stable dose of ursodeoxycholic acid (URSO, UDCA) for at least 6 months prior to screening. Female patients must be postmenopausal, surgically sterile, or prepared to use 2 methods of contraception with all sexual partners during the study and for 14 days after the end of dosing. Male patients must be prepared to use 2 methods of contraception with all sexual partners during the study and for 14 days after the end of the dosing. Proven or likely PBC, as demonstrated by the patient presenting with at least 2 of the following 3 diagnostic factors: History of increased AP levels for at least 6 months prior to Day 0 Positive AMA titer (>1:40 titer on immunofluorescence or M2 positive by ELISA) or PBC-specific antinuclear antibodies (antinuclear dot and nuclear rim positive) Liver biopsy consistent with PBC. Screening AP value between 1.5 and 10 × ULN. Exclusion Criteria: Administration of the following drugs at any time during the 3 months prior to screening for the study: colchicine, methotrexate, azathioprine, or systemic corticosteroids. Screening conjugated (direct) bilirubin >2 × ULN. Screening ALT or AST >5 × ULN. Screening serum creatinine >1.5 mg/dL (133 mol/L). History or presence of hepatic decompensation (e.g., variceal bleeds, encephalopathy, or poorly controlled ascites). History or presence of other concomitant liver diseases including hepatitis due to hepatitis B or C virus (HCV, HBV) infection, primary sclerosing cholangitis (PSC), alcoholic liver disease, definite autoimmune liver disease or biopsy proven nonalcoholic steatohepatitis (NASH). Pregnancy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David A Shapiro, MD
Organizational Affiliation
Intercept Pharmaceuticals - Chief Medical Officer
Official's Role
Study Director
Facility Information:
Facility Name
U Florida Hepatology
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
Facility Name
University of Miami - Center for Liver Diseases
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Tufts Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02111
Country
United States
Facility Name
Henry Ford Health Center Columbus
City
Novi
State/Province
Michigan
ZIP/Postal Code
48377
Country
United States
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
555905
Country
United States
Facility Name
Saint Louis University
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63104
Country
United States
Facility Name
Beth Israel Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10003
Country
United States
Facility Name
Mt. Sinai School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
UT Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
McGuire DVAMC
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23249
Country
United States
Facility Name
Virginia Mason Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98101
Country
United States
Facility Name
Karls-Franzens University
City
Graz
ZIP/Postal Code
A8036
Country
Austria
Facility Name
University of Calgary
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 4N1
Country
Canada
Facility Name
University of Alberta
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T5G 2X8
Country
Canada
Facility Name
University of Manitoba
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3E 3P4
Country
Canada
Facility Name
University of Toronto Western Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5T2S8
Country
Canada
Facility Name
Centre de Recherche du CHUM / University of Montreal
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2X 1P1
Country
Canada
Facility Name
Hopital de l'Hotel Dieu
City
Lyon
ZIP/Postal Code
69288
Country
France
Facility Name
Johann Wolfgang Goethe University
City
Frankfurt
ZIP/Postal Code
60590
Country
Germany
Facility Name
University Medical Centre Hamburg-Eppendorf
City
Hamburg
ZIP/Postal Code
D20246
Country
Germany
Facility Name
Medical School of Hannover
City
Hannover
ZIP/Postal Code
30623
Country
Germany
Facility Name
University of Munich
City
Munich
ZIP/Postal Code
D81377
Country
Germany
Facility Name
AMC University of Amsterdam
City
Amsterdam
ZIP/Postal Code
NL-1100
Country
Netherlands
Facility Name
Erasmus Medical Centre
City
Rotterdam
ZIP/Postal Code
3000
Country
Netherlands
Facility Name
Hospital Clinic i Provincial
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Queen Elizabeth Medical Center
City
Edgbaston
State/Province
Birmingham
ZIP/Postal Code
B15 2TH
Country
United Kingdom
Facility Name
Royal Free Hospital
City
Hampstead
State/Province
London
ZIP/Postal Code
NW3 2QG
Country
United Kingdom
Facility Name
John Radcliffe Hospital
City
Headington
State/Province
Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom
Facility Name
Royal Infirmary
City
Edinburgh
ZIP/Postal Code
EH16 4SA
Country
United Kingdom
Facility Name
University Upon Tyne/Newcastle
City
Newcastle Upon Tyne
ZIP/Postal Code
NE2 4HH
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
25500425
Citation
Hirschfield GM, Mason A, Luketic V, Lindor K, Gordon SC, Mayo M, Kowdley KV, Vincent C, Bodhenheimer HC Jr, Pares A, Trauner M, Marschall HU, Adorini L, Sciacca C, Beecher-Jones T, Castelloe E, Bohm O, Shapiro D. Efficacy of obeticholic acid in patients with primary biliary cirrhosis and inadequate response to ursodeoxycholic acid. Gastroenterology. 2015 Apr;148(4):751-61.e8. doi: 10.1053/j.gastro.2014.12.005. Epub 2014 Dec 11.
Results Reference
derived

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Study of INT 747 in Combination With URSO in Patients With Primay Biliary Cirrhosis (PBC)

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