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A Study of TQA3526 in the Treatment of Primary Biliary Cirrhosis (PBC)

Primary Purpose

Primary Biliary Cirrhosis

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
TQA3526
Placebo to match TQA3526
Sponsored by
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Biliary Cirrhosis

Eligibility Criteria

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

Inclusion Criteria:

  • 1.18 and 70 years old, male or female. 2.Proven as PBC, as demonstrated by the patient presenting with at least 2 of the following 3 diagnostic factors:

    • History of increased ALP levels for at least 3 months prior to Day 0 in previously treated PBC patients,or ALP levels increased during screening in treatment naive PBC patients; ② Positive AMA titer (>1:40 titer on immunofluorescence or M2 positive by ELISA) or PBC-specific antinuclear antibodies (anti-GP210 and anti-SP100 positive); ③ Liver biopsy consistent with PBC within 24W prior to randomization; 3.ALP value between 1.67 and 10 × ULN; 4.Taking ursodeoxycholic acid (UDCA) for at least 12 months (stable dose for ≥ 3 months) prior to Day 0, or unable to tolerate UDCA (no UDCA for ≥ 3 months) prior to Day 0.

Exclusion Criteria:

  • 1.Has other virus infected ; 2.History or presence of other concomitant liver diseases; 3.Presence of clinical complications of PBC or clinically significant hepatic decompensation; 4.Child-pugh grade B or C in patients with cirrhosis; 5.Creatinine (Cr) ≥1.5 times the upper limit of normal value and serum creatinine clearance rate <60mL/min; 6.ALT or AST>5×ULN;TBil>3×ULN; 7.Patients with a history of severe pruritus within 2 months prior to day 0; 8.History or presence of clinically concerning cardiac arrhythmias, the duration of the study may affect survival; 9.Presence of any other disease or condition that is interfering with the absorption, distribution, metabolism, or excretion of drugs including bile salt metabolism in the intestine; 10.Medical conditions that may cause nonhepatic increases in ALP (e.g., Paget's disease) or which may diminish life expectancy to < 2 years.

Sites / Locations

  • The first hospital of Jilin University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Climbing group

Titration group

Extension group

Arm Description

Outcomes

Primary Outcome Measures

Alkaline phosphatase (ALP)
The reduction of ALP level from baseline to 24 weeks.

Secondary Outcome Measures

Liver function:ALP (excluding 12W/24W), ALT, AST, GGT, TBA and Tbil
The reduction of ALP , ALT, AST, GGT, TBA and Tbil from baseline to each time point.
Fasting lipid:LDL-C、HDL-C、TG and TC
The rate of change of LDL-C、HDL-C、TG and TC from baseline to each time point.
Cmax
Maximum concentration of the analyte in plasma.
tmax
Time from dosing to maximum concentration
AUC0-∞
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity
pharmacodynamics
The rate of change of FGF-19、C4、IgG and IgM from baseline to each time point.
safety and tolerability: incidence of treatment emergent adverse events and serious treatment emergent adverse events
Evaluate safety and tolerability as assessed by the incidence of treatment emergent adverse events and serious treatment emergent adverse events comparing TQA3526 to placebo.

Full Information

First Posted
January 18, 2020
Last Updated
February 18, 2020
Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04278820
Brief Title
A Study of TQA3526 in the Treatment of Primary Biliary Cirrhosis (PBC)
Official Title
A Phase IIa, Randomized, Double-blind, Placebo-controlled Study of TQA3526 in the Treatment of Naive or Previously Treated PBC Patients
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Unknown status
Study Start Date
March 20, 2020 (Anticipated)
Primary Completion Date
November 30, 2022 (Anticipated)
Study Completion Date
November 30, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
TQA3526 is a modified bile acid and FXR agonist. FXR is a key regulator of bile acid synthesis and transport. Bile acids are used by the body to help with digestion. It is hypothesized that regular treatment with TQA3526 will improve liver function in persons with Primary Biliary Cirrhosis (PBC).

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Factorial Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
130 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Climbing group
Arm Type
Experimental
Arm Title
Titration group
Arm Type
Experimental
Arm Title
Extension group
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
TQA3526
Intervention Description
Tablet(s) administered orally once daily
Intervention Type
Drug
Intervention Name(s)
Placebo to match TQA3526
Intervention Description
Tablet(s) administered orally once daily
Primary Outcome Measure Information:
Title
Alkaline phosphatase (ALP)
Description
The reduction of ALP level from baseline to 24 weeks.
Time Frame
Baseline up to 24w
Secondary Outcome Measure Information:
Title
Liver function:ALP (excluding 12W/24W), ALT, AST, GGT, TBA and Tbil
Description
The reduction of ALP , ALT, AST, GGT, TBA and Tbil from baseline to each time point.
Time Frame
Baseline up to 2, 4, 8, 12, 14, 16, 20, 24 weeks
Title
Fasting lipid:LDL-C、HDL-C、TG and TC
Description
The rate of change of LDL-C、HDL-C、TG and TC from baseline to each time point.
Time Frame
Baseline up to 2, 4, 8, 12, 14, 16, 20, 24 weeks
Title
Cmax
Description
Maximum concentration of the analyte in plasma.
Time Frame
predose, Weeks 2, 4, 8, 12, 14, 16, 20, 24 : 0, 1.5, 3.5 hours following drug administration
Title
tmax
Description
Time from dosing to maximum concentration
Time Frame
predose, Weeks 2, 4, 8, 12, 14, 16, 20, 24 : 0, 1.5, 3.5 hours following drug administration
Title
AUC0-∞
Description
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity
Time Frame
predose, Weeks 2, 4, 8, 12, 14, 16, 20, 24 : 0, 1.5, 3.5 hours following drug administration
Title
pharmacodynamics
Description
The rate of change of FGF-19、C4、IgG and IgM from baseline to each time point.
Time Frame
Baseline up to 2, 4, 8, 12, 14, 16, 20, 24 weeks
Title
safety and tolerability: incidence of treatment emergent adverse events and serious treatment emergent adverse events
Description
Evaluate safety and tolerability as assessed by the incidence of treatment emergent adverse events and serious treatment emergent adverse events comparing TQA3526 to placebo.
Time Frame
Baseline up to 2, 4, 8, 12, 14, 16, 20, 24 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: 1.18 and 70 years old, male or female. 2.Proven as PBC, as demonstrated by the patient presenting with at least 2 of the following 3 diagnostic factors: History of increased ALP levels for at least 3 months prior to Day 0 in previously treated PBC patients,or ALP levels increased during screening in treatment naive PBC patients; ② Positive AMA titer (>1:40 titer on immunofluorescence or M2 positive by ELISA) or PBC-specific antinuclear antibodies (anti-GP210 and anti-SP100 positive); ③ Liver biopsy consistent with PBC within 24W prior to randomization; 3.ALP value between 1.67 and 10 × ULN; 4.Taking ursodeoxycholic acid (UDCA) for at least 12 months (stable dose for ≥ 3 months) prior to Day 0, or unable to tolerate UDCA (no UDCA for ≥ 3 months) prior to Day 0. Exclusion Criteria: 1.Has other virus infected ; 2.History or presence of other concomitant liver diseases; 3.Presence of clinical complications of PBC or clinically significant hepatic decompensation; 4.Child-pugh grade B or C in patients with cirrhosis; 5.Creatinine (Cr) ≥1.5 times the upper limit of normal value and serum creatinine clearance rate <60mL/min; 6.ALT or AST>5×ULN;TBil>3×ULN; 7.Patients with a history of severe pruritus within 2 months prior to day 0; 8.History or presence of clinically concerning cardiac arrhythmias, the duration of the study may affect survival; 9.Presence of any other disease or condition that is interfering with the absorption, distribution, metabolism, or excretion of drugs including bile salt metabolism in the intestine; 10.Medical conditions that may cause nonhepatic increases in ALP (e.g., Paget's disease) or which may diminish life expectancy to < 2 years.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Junqi Niu
Phone
13756661205
Email
junqiniu@aliyun.com
Facility Information:
Facility Name
The first hospital of Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130000
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Junqi Niu
Phone
13756661205
Email
junqiniu@aliyun.com
First Name & Middle Initial & Last Name & Degree
Junqi Niu

12. IPD Sharing Statement

Learn more about this trial

A Study of TQA3526 in the Treatment of Primary Biliary Cirrhosis (PBC)

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