Evaluation of the Safety and Efficacy of HK-660S in Patients With Primary Sclerosing Cholangitis

Inclusion Criteria: Male or female subjects aged ≥ 17 years Subjects who have a diagnosis of PSC Subjects who are able to understand the information provided directly or via his/her representative and give voluntary, written consent to participate in the study. Exclusion Criteria: Subjects with an average alcohol intake of more than 20g per day within 2 years prior to screening. Subjects who have a diagnosis of type 1 diabetes or uncontrolled type 2 diabetes (HbA1c ≥ 9%) prior to screening. Subjects who have chronic liver diseases other than PSC Subjects who have a diagnosis of primary biliary cirrhosis or secondary sclerosing cholangitis in MRCP or Endoscopic Retrograde Cholangiopancreatography(ERCP) prior to screening. Subjects who have obstacles to MRCP implementation Subjects who have a positive result of hepatitis B surface antigen (HBsAg test) and/or hepatitis C antibody (HCV-Ab test) Subjects who have Alanine Aminotransferase(ALT) or Aspartate aminotransferase(AST) > 10 x upper limit of normal(ULN) Subjects who have serum creatinine ≥ 2 mg/dl Subjects who have weight changes of 5 kg or more within 6 months prior to screening Subjects who are deemed unsuitable for participation in the study at Screening, at the discretion of the investigator, due to the following: cirrhosis, severe metabolic disease, severe renal failure, severe lung disease, severe neuro/psychiatric disease, muscle disease, etc. Subjects who have any clinically significant cardiovascular diseases Subjects who have thyroid diseases including hyperthyroidism and hypothyroidism Subjects who have a history of immune diseases Subjects who had bariatric surgery within 6 months prior to screening Subjects who had liver transplant surgery Subjects who have a diagnosis of HIV infection Subjects who have a history of chronic infections or have severe or life-threatening infections, or symptoms that may be considered related to infections Subjects diagnosed with a malignant tumor without complete cure within 5 years prior to screening Subjects whose medication history includes any of the following drugs, within a period of 5 times the half-life of the respective drug prior to screening: Therapeutics agents for steatohepatitis: thiazolidinediones, high-dose vitamin E (800 IU/day), pentoxifylline Medications possibly related to PSC: high-dose ursodeoxycholic acid (UDCA; doses smaller than 23 mg/kg/day may be permitted if administered stably without change in dosage from 3 months prior to screening), immunosuppressants, obeticholic acid (OCA), azathioprine, budesonide, docosahexaenoic acid, methotrexate, metronidazole, minocycline, mycophenolate mofetil, nicotine, pentoxifylline, pirfenidone, prednisolone, systemic glucocorticoids, tacrolimus, vancomycin Subjects who administered herbal medicine or folk remedies to improve fatty liver disease within 2 weeks prior to screening Subjects who have a history of alcohol or drug abuse within 5 years prior to screening Subjects who have a hypersensitivity to any excipients of the study drug Subjects who participated in another drug trial within 30 days prior to screening Subjects who are considered inappropriate to participate in clinical trials at the discretion of the investigator