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Study of the Safety and Tolerability of AXA1665 in Subjects With Mild and Moderate Hepatic Insufficiency

Primary Purpose

Hepatic Insufficiency

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
AXA1665
Placebo
Sponsored by
Axcella Health, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hepatic Insufficiency focused on measuring Amino acids, food study

Eligibility Criteria

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

Inclusion Criteria:

  • Willing to participate in the study and provide written informed consent
  • Male and female adults aged > 18 years
  • Child-Pugh score ≤9 (i.e. Child-Pugh class A or B)
  • Liver Frailty Index (LFI) of ≥3.6
  • Willing and able to engage in 30 minutes of walking/physical activity at least 3 days per week

Exclusion Criteria:

  • Hospitalization for any complication of cirrhosis or taking new medications intended to treat hepatic encephalopathy within 2 months prior to Screening or any hospitalization for any cause/reason within 30 days prior to Screening
  • Prior history or presence of a transjugular intrahepatic portal systemic shunt (TIPS)
  • Current or history of significant alcohol consumption
  • Other poorly controlled medical condition [e.g., renal disease with an estimated glomerular filtration rate (GFR) <60 mL/min/1.73m2)
  • Known sensitivity and/or history of clinically significant food intolerance/allergies to proteins (including whey, soy, casein, amino acids, etc.)
  • Any extreme or unbalanced diet such as Ketogenic, Atkins, Paleo, Vegan, etc.
  • Unable or unwilling to adhere to contraception requirements
  • Any contraindications to a MRI scan
  • Any other condition that, in the opinion of the Investigator, renders the subject at risk for compliance, compromises the well-being of the subject, or hinders study completion

Sites / Locations

  • Catalina Research Institute, LLC
  • Orange County Research Center
  • Panax Clinical Research
  • OMEGA Research Maitland, LCC
  • Avita Clinical Research
  • Atlanta Center for Medical Research
  • Indiana University Health
  • Delta Research Partners
  • UPMC Center for Liver Disease
  • Texas Liver Institute
  • Virginia Commonwealth University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

AXA1665 29.4g

AXA1665 53.9 g

Placebo 29.4 g

Arm Description

Dietary Supplement: AXA1665 Amino acids, food study

Dietary Supplement: AXA1665 Amino acids, food study

Dietary Supplement: Placebo

Outcomes

Primary Outcome Measures

Incidence of study product emergent adverse events (AEs) and serious adverse events (SAEs)

Secondary Outcome Measures

Change in muscle mass by MRI
Change in Fischer's ratio [measured by ratio of branched-chain amino acids (leucine, valine, isoleucine) to aromatic amino acids (phenylalanine, tyrosine)]
Change in plasma ammonia
Change in blood urea nitrogen concentration
Change in creatinine concentration
Change in gait speed
Change in Liver Frailty Index
Change in overall physical activity (measured by actigraphy watch)
Change in cognitive function measured by the Psychometric Hepatic Encephalopathy Score (PHES)

Full Information

First Posted
October 21, 2019
Last Updated
September 17, 2020
Sponsor
Axcella Health, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT04147936
Brief Title
Study of the Safety and Tolerability of AXA1665 in Subjects With Mild and Moderate Hepatic Insufficiency
Official Title
A 12-Week, Single-Blind, Placebo-Controlled, Randomized Study to Evaluate the Safety, Tolerability, and Physiological Regulation of an Amino Acid Food Product, AXA1665, in Subjects With Mild and Moderate Hepatic Insufficiency
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
March 30, 2019 (Actual)
Primary Completion Date
May 20, 2020 (Actual)
Study Completion Date
June 24, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Axcella Health, Inc

4. Oversight

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

5. Study Description

Brief Summary
This is a randomized, single blind study to determine whether AXA1665, a composition of naturally occuring amino acids, is well tolerated in subjects with mild and moderate hepatic insufficiency. Study will also examine how the food product may influence the biology in muscle which will be assessed using magnetic resonance imaging (MRI) and other functional assessments such as strength, balance and cognition as part of a comprehensive physical/neurological exam. Changes in blood biomarkers of inflammation will also be assessed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Insufficiency
Keywords
Amino acids, food study

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AXA1665 29.4g
Arm Type
Active Comparator
Arm Description
Dietary Supplement: AXA1665 Amino acids, food study
Arm Title
AXA1665 53.9 g
Arm Type
Active Comparator
Arm Description
Dietary Supplement: AXA1665 Amino acids, food study
Arm Title
Placebo 29.4 g
Arm Type
Placebo Comparator
Arm Description
Dietary Supplement: Placebo
Intervention Type
Dietary Supplement
Intervention Name(s)
AXA1665
Intervention Description
Dietary supplement: AXA1665
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Incidence of study product emergent adverse events (AEs) and serious adverse events (SAEs)
Time Frame
Baseline to Week 12
Secondary Outcome Measure Information:
Title
Change in muscle mass by MRI
Time Frame
Baseline to Week 12
Title
Change in Fischer's ratio [measured by ratio of branched-chain amino acids (leucine, valine, isoleucine) to aromatic amino acids (phenylalanine, tyrosine)]
Time Frame
Baseline to Week 12
Title
Change in plasma ammonia
Time Frame
Baseline to Week 12
Title
Change in blood urea nitrogen concentration
Time Frame
Baseline to Week 12
Title
Change in creatinine concentration
Time Frame
Baseline to Week 12
Title
Change in gait speed
Time Frame
Baseline to Week 12
Title
Change in Liver Frailty Index
Time Frame
Baseline to Week 12
Title
Change in overall physical activity (measured by actigraphy watch)
Time Frame
Baseline to Week 12
Title
Change in cognitive function measured by the Psychometric Hepatic Encephalopathy Score (PHES)
Time Frame
Baseline to Week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing to participate in the study and provide written informed consent Male and female adults aged > 18 years Child-Pugh score ≤9 (i.e. Child-Pugh class A or B) Liver Frailty Index (LFI) of ≥3.6 Willing and able to engage in 30 minutes of walking/physical activity at least 3 days per week Exclusion Criteria: Hospitalization for any complication of cirrhosis or taking new medications intended to treat hepatic encephalopathy within 2 months prior to Screening or any hospitalization for any cause/reason within 30 days prior to Screening Prior history or presence of a transjugular intrahepatic portal systemic shunt (TIPS) Current or history of significant alcohol consumption Other poorly controlled medical condition [e.g., renal disease with an estimated glomerular filtration rate (GFR) <60 mL/min/1.73m2) Known sensitivity and/or history of clinically significant food intolerance/allergies to proteins (including whey, soy, casein, amino acids, etc.) Any extreme or unbalanced diet such as Ketogenic, Atkins, Paleo, Vegan, etc. Unable or unwilling to adhere to contraception requirements Any contraindications to a MRI scan Any other condition that, in the opinion of the Investigator, renders the subject at risk for compliance, compromises the well-being of the subject, or hinders study completion
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Arun J Sanyal, MD
Organizational Affiliation
Virginia Commonwealth University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Catalina Research Institute, LLC
City
Montclair
State/Province
California
ZIP/Postal Code
91762
Country
United States
Facility Name
Orange County Research Center
City
Tustin
State/Province
California
ZIP/Postal Code
92780
Country
United States
Facility Name
Panax Clinical Research
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
OMEGA Research Maitland, LCC
City
Orlando
State/Province
Florida
ZIP/Postal Code
32810
Country
United States
Facility Name
Avita Clinical Research
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Atlanta Center for Medical Research
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30331
Country
United States
Facility Name
Indiana University Health
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Delta Research Partners
City
Bastrop
State/Province
Louisiana
ZIP/Postal Code
71220
Country
United States
Facility Name
UPMC Center for Liver Disease
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Texas Liver Institute
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Facility Name
Virginia Commonwealth University
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23298
Country
United States

12. IPD Sharing Statement

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Study of the Safety and Tolerability of AXA1665 in Subjects With Mild and Moderate Hepatic Insufficiency

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