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A Study of HTD1801 in Adolescents With Primary Sclerosing Cholangitis (PSC)

Primary Purpose

Primary Sclerosing Cholangitis, Cholangitis, Cholangitis, Sclerosing

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
HTD1801
Ursodeoxycholic Acid
Sponsored by
HighTide Biopharma Pty Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Sclerosing Cholangitis

Eligibility Criteria

12 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Weight ≥ 35 kg
  • Previous cholangiographic evidence of PSC by magnetic resonance cholangiopancreatography (MRCP) or direct cholangiography or liver biopsy findings
  • Serum GGT ≥ 2 × upper limit of normal (ULN)
  • On a stable UDCA treatment regimen for ≥ 8 weeks

Exclusion Criteria:

  • Secondary sclerosing cholangitis
  • Percutaneous or endoscopically-placed biliary drain or stent
  • History of cholangiocarcinoma or clinical suspicion of new dominant stricture within 1 year
  • Ascending cholangitis requiring intravenous antibiotic therapy within 60 days prior to Screening
  • Concomitant overlap syndrome with primary biliary cholangitis (PBC)
  • Significant hepatic decompensation
  • Alternative causes of chronic liver disease
  • Hospitalization for colitis within 30 days prior to Screening
  • Serum creatinine > 1.2 x ULN
  • Hemoglobin < 10 g/dL
  • Glucose-6-phosphate dehydrogenase (G6PD) deficiency

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    HTD1801 500 mg BID (twice daily), or 1000 mg/day

    Ursodeoxycholic Acid (UDCA) 250 mg BID, or 500 mg/day

    Arm Description

    HTD1801 tablets in double-blind capsules, 250 mg

    UDCA tablets in double-blind capsules, 250 mg

    Outcomes

    Primary Outcome Measures

    change in gamma-glutamyl transferase (GGT)

    Secondary Outcome Measures

    percentage of patients whose GGT normalizes to <50 units/liter
    change in aspartate aminotransferase (AST)
    change in alanine aminotransferase (ALT)
    change in alkaline phosphatase (ALP)
    change in total bilirubin
    change in C-reactive protein (CRP)
    incidence of adverse events

    Full Information

    First Posted
    September 18, 2018
    Last Updated
    February 10, 2021
    Sponsor
    HighTide Biopharma Pty Ltd
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03678480
    Brief Title
    A Study of HTD1801 in Adolescents With Primary Sclerosing Cholangitis (PSC)
    Official Title
    A Phase 2, Randomized, Double-Blind Study of HTD1801 vs Ursodeoxycholic Acid (UDCA) in Adolescents With Primary Sclerosing Cholangitis (PSC)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2020
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Corporate decision
    Study Start Date
    March 1, 2021 (Anticipated)
    Primary Completion Date
    October 4, 2021 (Anticipated)
    Study Completion Date
    November 4, 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    HighTide Biopharma Pty Ltd

    4. Oversight

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

    5. Study Description

    Brief Summary
    Randomized, double-blind, active-controlled, parallel-group study of HTD1801 in adolescents.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Primary Sclerosing Cholangitis, Cholangitis, Cholangitis, Sclerosing, Bile Duct Diseases, Biliary Tract Diseases, Digestive System Diseases, Adolescent

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    HTD1801 500 mg BID (twice daily), or 1000 mg/day
    Arm Type
    Experimental
    Arm Description
    HTD1801 tablets in double-blind capsules, 250 mg
    Arm Title
    Ursodeoxycholic Acid (UDCA) 250 mg BID, or 500 mg/day
    Arm Type
    Active Comparator
    Arm Description
    UDCA tablets in double-blind capsules, 250 mg
    Intervention Type
    Drug
    Intervention Name(s)
    HTD1801
    Intervention Description
    HTD1801 capsules, 250mg
    Intervention Type
    Drug
    Intervention Name(s)
    Ursodeoxycholic Acid
    Intervention Description
    UDCA capsules, 125mg
    Primary Outcome Measure Information:
    Title
    change in gamma-glutamyl transferase (GGT)
    Time Frame
    18 weeks
    Secondary Outcome Measure Information:
    Title
    percentage of patients whose GGT normalizes to <50 units/liter
    Time Frame
    18 weeks
    Title
    change in aspartate aminotransferase (AST)
    Time Frame
    18 weeks
    Title
    change in alanine aminotransferase (ALT)
    Time Frame
    18 weeks
    Title
    change in alkaline phosphatase (ALP)
    Time Frame
    18 weeks
    Title
    change in total bilirubin
    Time Frame
    18 weeks
    Title
    change in C-reactive protein (CRP)
    Time Frame
    18 weeks
    Title
    incidence of adverse events
    Time Frame
    18 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    12 Years
    Maximum Age & Unit of Time
    17 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Weight ≥ 35 kg Previous cholangiographic evidence of PSC by magnetic resonance cholangiopancreatography (MRCP) or direct cholangiography or liver biopsy findings Serum GGT ≥ 2 × upper limit of normal (ULN) On a stable UDCA treatment regimen for ≥ 8 weeks Exclusion Criteria: Secondary sclerosing cholangitis Percutaneous or endoscopically-placed biliary drain or stent History of cholangiocarcinoma or clinical suspicion of new dominant stricture within 1 year Ascending cholangitis requiring intravenous antibiotic therapy within 60 days prior to Screening Concomitant overlap syndrome with primary biliary cholangitis (PBC) Significant hepatic decompensation Alternative causes of chronic liver disease Hospitalization for colitis within 30 days prior to Screening Serum creatinine > 1.2 x ULN Hemoglobin < 10 g/dL Glucose-6-phosphate dehydrogenase (G6PD) deficiency

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    A Study of HTD1801 in Adolescents With Primary Sclerosing Cholangitis (PSC)

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