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Safety and Effectiveness of PRI-724 for Hepatitis C or B Virus Derived Liver Cirrhosis

Primary Purpose

Hepatitis C, Hepatitis B, Liver Cirrhoses

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
PRI-724
Sponsored by
Kiminori Kimura, MD
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C focused on measuring Hepatitis C virus, Hepatitis B virus, liver Cirrhosis

Eligibility Criteria

20 Years - 74 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with liver cirrhosis caused by HCV or HBV that satisfies the following (1) or (2) and satisfies (3)

    1. Patients with serum HCV-RNA positive or HCV antibody positive
    2. Patients with serum HBV-DNA positive or HBs antigen positive
    3. confirmed liver cirrhosis by liver biopsy performed in the screening period patients who received diagnosis
  • Patients with Child-Pugh classification in A or B status
  • Patients who satisfy HCV cirrhosis from (1) to (3), HBV cirrhosis (4) In the case of HCV cirrhosis;

    1. Patients who have not reached SVR * with DAA therapy
    2. Patients who are difficult to implement DAA therapy
    3. Patients who have been over 24 weeks after achieving SVR * with DAA therapy In case of HBV cirrhosis;
    4. Patients who have been at least 24 weeks since the start of administration of Nucleotide analogue * SVR is SVR 12 (sustained virological response at 12 weeks after the end of administration).
  • Patients with Performance Status 0 to 2
  • Patients aged 20 years or over and under 75 when acquiring informed consent
  • Regarding participation in this trial (including liver biopsy), patients who obtained informed consent by their own voluntary intention

Exclusion Criteria:

  • Patients with HCV and HBV co-infection, patients who came to cirrhosis due to causes other than HCV or HBV, or patients whose cause of cirrhosis is unknown
  • Patients with esophageal gastric varices determined to be treated by endoscopic examination at screening
  • Patients with complication or previous history of primary liver cancer (excluding those who have had more than one year of hepatocarcinoma resection / radiofrequency ablation)
  • Merger of malignant tumor or past patients (within 3 years before screening). However, the following diseases are excluded: treated basal cell carcinoma, treated lung intraepithelial carcinoma, treated cervical carcinoma, or control superficial (not invasive) bladder carcinoma
  • Patients who can not be denied HIV, HTLV-1 or syphilis
  • Serum creatinine value: Patients with more than 1.5 times the upper limit of the facility reference value
  • Patients with poor control of diabetes, hypertension or heart failure
  • Patients with psychiatric diseases judged to have the potential to influence the implementation of clinical trials
  • Patients who have severe allergy to or contrast media
  • Patients with HCV who have not passed the following period after treatment for HCV cirrhosis at registration.

    • 12 weeks after the final administration of interferon
    • 16 weeks after final administration of Ribavirin
    • 16 weeks after final administration of DAA
  • Patients whose dosage regimen was changed within 12 weeks prior to enrollment
  • Patients who have history of drug or alcohol intoxication within 5 years before acquiring informed consent or who have history of drug or alcohol abuse within the past year
  • Patients who participated in other clinical trials and clinical trials within 30 days prior to acquisition of consent, patients who used investigational drugs or investigational equipment
  • Patients who received liver transplantation or other organ transplantation (including bone marrow transplantation) and patients who are difficult to intravenously administer
  • Patients whose liver biopsy is expected to be difficult to perform
  • Patients who are pregnant or nursing, or who are likely to become pregnant
  • Male patients who do not obtain consent to contraception from the time of acquiring informed consent until the end of 12 weeks after the administration of investigational drug
  • In addition, patients investigated by investigators or clinical trial doctors as judged unsuitable for this trial

Sites / Locations

  • Kohnodai Hospital, National Center for Global Health and Medicine
  • Tokyo Metropolitan Komagome Hospital
  • Kyushu University Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PRI-724

Arm Description

Dose: 140, 280, 380 mg / m 2/4 hr Administration method: 【Phase I Phase】 (Level 1) 140 mg / m 2/4 hr (Level 2) 280 mg / m 2/4 hr (Level 3) 380 mg / m 2/4 hr Twice weekly, continuous 4-hour intravenous administration (tolerance of administration time: ± 15 minutes). This is one cycle and 12 cycles (12 weeks in total) are carried out. However, in Phase I phase, single dose is administered on Day - 7 (tolerance: - 7 days). 【Phase IIa phase】 Continuous intravenous administration for 4 hours twice a week at the recommended dose determined in Phase I. This is one cycle and 12 cycles (12 weeks in total) are carried out.

Outcomes

Primary Outcome Measures

Serious side effect expression rate
(Phase I)Serious side effect expression rate
liver tissue fibrosis area ratio by liver biopsy
(Phase II) Amount of change from the baseline in liver tissue fibrosis area ratio by liver biopsy at 12 weeks after administration

Secondary Outcome Measures

Adverse Event Expression Ratio
Adverse Event Expression Ratio after PRI-724 treatment
Percentage of occurrence of side effects
Percentage of occurrence of side effects after PRI-724 treatment
Pharmacokinetic parameter
Maximum Plasma Concentration (Cmax)
liver stiffness from Fibro Scan
Amount of change from measurement of liver stiffness by baseline from Fibro Scan at 12 weeks after administration
Child Pugh score
Amount of change from baseline of Child-Pugh Score at 12 weeks after administration Child Pugh score (scale range 5-15) is obtained by adding the score for each parameter (encephalopathy, ascites, bilirubin, albumin, PT or INR).
MELD score
Amount of change from baseline for MELD score at 12 weeks after administration The Model for End-Stage Liver Disease (MELD) is a scoring system for assessing the severity of chronic liver disease and uses the subject's values for total bilirubin, serum creatinine, and the international normalized ratio (INR) for prothrombin time to predict survival. MELD is calculated according to the following formula: MELD = 3.78×ln[serum bilirubin (mg/dL)] + 11.2×ln[INR] + 9.57×ln[serum creatinine (mg/dL)] + 6.43
modified Histological Activity Index (HAI) by liver biopsy
Change amount from baseline of modified Histological Activity Index (HAI) by liver biopsy at 12 weeks after administration

Full Information

First Posted
July 13, 2018
Last Updated
July 4, 2022
Sponsor
Kiminori Kimura, MD
Collaborators
Prism Pharma Co., Ltd., Kyushu University, National Center for Global Health and Medicine, Japan, Japan Agency for Medical Research and Development, Ohara Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03620474
Brief Title
Safety and Effectiveness of PRI-724 for Hepatitis C or B Virus Derived Liver Cirrhosis
Official Title
Phase I / IIa Clinical Trial for Patients With Hepatitis C or B Virus Derived Liver Cirrhosis by CBP / β Catenin Inhibitor PRI-724
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
July 24, 2018 (Actual)
Primary Completion Date
July 13, 2021 (Actual)
Study Completion Date
February 28, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Kiminori Kimura, MD
Collaborators
Prism Pharma Co., Ltd., Kyushu University, National Center for Global Health and Medicine, Japan, Japan Agency for Medical Research and Development, Ohara Pharmaceutical Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To investigate the safety and efficacy of PRI-724 against HCV or HBV liver cirrhosis.
Detailed Description
【Phase I Phase】 To evaluate safety and pharmacokinetics when PRI-724 is administered to patients with HCV or HBV liver cirrhosis , and determine the recommended dose of PRI-724. 【Phase IIa phase】 To evaluate the efficacy and safety of the recommended dose of PRI-724 administered to patients with HCV or HBV liver cirrhosis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C, Hepatitis B, Liver Cirrhoses
Keywords
Hepatitis C virus, Hepatitis B virus, liver Cirrhosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PRI-724
Arm Type
Experimental
Arm Description
Dose: 140, 280, 380 mg / m 2/4 hr Administration method: 【Phase I Phase】 (Level 1) 140 mg / m 2/4 hr (Level 2) 280 mg / m 2/4 hr (Level 3) 380 mg / m 2/4 hr Twice weekly, continuous 4-hour intravenous administration (tolerance of administration time: ± 15 minutes). This is one cycle and 12 cycles (12 weeks in total) are carried out. However, in Phase I phase, single dose is administered on Day - 7 (tolerance: - 7 days). 【Phase IIa phase】 Continuous intravenous administration for 4 hours twice a week at the recommended dose determined in Phase I. This is one cycle and 12 cycles (12 weeks in total) are carried out.
Intervention Type
Drug
Intervention Name(s)
PRI-724
Other Intervention Name(s)
CBP-b-catenin inhibitor
Intervention Description
twice a week for 4 hours continuous intravenous administration of PRI-724
Primary Outcome Measure Information:
Title
Serious side effect expression rate
Description
(Phase I)Serious side effect expression rate
Time Frame
12 weeks after administration
Title
liver tissue fibrosis area ratio by liver biopsy
Description
(Phase II) Amount of change from the baseline in liver tissue fibrosis area ratio by liver biopsy at 12 weeks after administration
Time Frame
12 weeks after administration
Secondary Outcome Measure Information:
Title
Adverse Event Expression Ratio
Description
Adverse Event Expression Ratio after PRI-724 treatment
Time Frame
12 weeks after administration
Title
Percentage of occurrence of side effects
Description
Percentage of occurrence of side effects after PRI-724 treatment
Time Frame
12 weeks after administration
Title
Pharmacokinetic parameter
Description
Maximum Plasma Concentration (Cmax)
Time Frame
12 weeks after administration
Title
liver stiffness from Fibro Scan
Description
Amount of change from measurement of liver stiffness by baseline from Fibro Scan at 12 weeks after administration
Time Frame
12 weeks after administration
Title
Child Pugh score
Description
Amount of change from baseline of Child-Pugh Score at 12 weeks after administration Child Pugh score (scale range 5-15) is obtained by adding the score for each parameter (encephalopathy, ascites, bilirubin, albumin, PT or INR).
Time Frame
12 weeks after administration
Title
MELD score
Description
Amount of change from baseline for MELD score at 12 weeks after administration The Model for End-Stage Liver Disease (MELD) is a scoring system for assessing the severity of chronic liver disease and uses the subject's values for total bilirubin, serum creatinine, and the international normalized ratio (INR) for prothrombin time to predict survival. MELD is calculated according to the following formula: MELD = 3.78×ln[serum bilirubin (mg/dL)] + 11.2×ln[INR] + 9.57×ln[serum creatinine (mg/dL)] + 6.43
Time Frame
12 weeks after administration
Title
modified Histological Activity Index (HAI) by liver biopsy
Description
Change amount from baseline of modified Histological Activity Index (HAI) by liver biopsy at 12 weeks after administration
Time Frame
12 weeks after administration
Other Pre-specified Outcome Measures:
Title
Serum fibrosis marker level(s)
Description
Changes of level
Time Frame
12 weeks after administration
Title
Ascitic fluid level
Description
Changes of level
Time Frame
12 weeks after administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
74 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with liver cirrhosis caused by HCV or HBV that satisfies the following (1) or (2) and satisfies (3) Patients with serum HCV-RNA positive or HCV antibody positive Patients with serum HBV-DNA positive or HBs antigen positive confirmed liver cirrhosis by liver biopsy performed in the screening period patients who received diagnosis Patients with Child-Pugh classification in A or B status Patients who satisfy HCV cirrhosis from (1) to (3), HBV cirrhosis (4) In the case of HCV cirrhosis; Patients who have not reached SVR * with DAA therapy Patients who are difficult to implement DAA therapy Patients who have been over 24 weeks after achieving SVR * with DAA therapy In case of HBV cirrhosis; Patients who have been at least 24 weeks since the start of administration of Nucleotide analogue * SVR is SVR 12 (sustained virological response at 12 weeks after the end of administration). Patients with Performance Status 0 to 2 Patients aged 20 years or over and under 75 when acquiring informed consent Regarding participation in this trial (including liver biopsy), patients who obtained informed consent by their own voluntary intention Exclusion Criteria: Patients with HCV and HBV co-infection, patients who came to cirrhosis due to causes other than HCV or HBV, or patients whose cause of cirrhosis is unknown Patients with esophageal gastric varices determined to be treated by endoscopic examination at screening Patients with complication or previous history of primary liver cancer (excluding those who have had more than one year of hepatocarcinoma resection / radiofrequency ablation) Merger of malignant tumor or past patients (within 3 years before screening). However, the following diseases are excluded: treated basal cell carcinoma, treated lung intraepithelial carcinoma, treated cervical carcinoma, or control superficial (not invasive) bladder carcinoma Patients who can not be denied HIV, HTLV-1 or syphilis Serum creatinine value: Patients with more than 1.5 times the upper limit of the facility reference value Patients with poor control of diabetes, hypertension or heart failure Patients with psychiatric diseases judged to have the potential to influence the implementation of clinical trials Patients who have severe allergy to or contrast media Patients with HCV who have not passed the following period after treatment for HCV cirrhosis at registration. 12 weeks after the final administration of interferon 16 weeks after final administration of Ribavirin 16 weeks after final administration of DAA Patients whose dosage regimen was changed within 12 weeks prior to enrollment Patients who have history of drug or alcohol intoxication within 5 years before acquiring informed consent or who have history of drug or alcohol abuse within the past year Patients who participated in other clinical trials and clinical trials within 30 days prior to acquisition of consent, patients who used investigational drugs or investigational equipment Patients who received liver transplantation or other organ transplantation (including bone marrow transplantation) and patients who are difficult to intravenously administer Patients whose liver biopsy is expected to be difficult to perform Patients who are pregnant or nursing, or who are likely to become pregnant Male patients who do not obtain consent to contraception from the time of acquiring informed consent until the end of 12 weeks after the administration of investigational drug In addition, patients investigated by investigators or clinical trial doctors as judged unsuitable for this trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kiminori Kimura, MD
Organizational Affiliation
Komagome Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kohnodai Hospital, National Center for Global Health and Medicine
City
Ichikawa
State/Province
Chiba
ZIP/Postal Code
272-8516
Country
Japan
Facility Name
Tokyo Metropolitan Komagome Hospital
City
Bunkyō-Ku
State/Province
Tokyo
ZIP/Postal Code
113-8677
Country
Japan
Facility Name
Kyushu University Hospital
City
Fukuoka
ZIP/Postal Code
812-8582
Country
Japan

12. IPD Sharing Statement

Citations:
PubMed Identifier
35605429
Citation
Kimura K, Kanto T, Shimoda S, Harada K, Kimura M, Nishikawa K, Imamura J, Ogawa E, Saio M, Ikura Y, Okusaka T, Inoue K, Ishikawa T, Ieiri I, Kishimoto J, Todaka K, Kamisawa T. Safety, tolerability, and anti-fibrotic efficacy of the CBP/beta-catenin inhibitor PRI-724 in patients with hepatitis C and B virus-induced liver cirrhosis: An investigator-initiated, open-label, non-randomised, multicentre, phase 1/2a study. EBioMedicine. 2022 Jun;80:104069. doi: 10.1016/j.ebiom.2022.104069. Epub 2022 May 20.
Results Reference
derived

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Safety and Effectiveness of PRI-724 for Hepatitis C or B Virus Derived Liver Cirrhosis

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