This is an open-label pilot study to evaluate the safety, tolerability, and efficacy of IDN-6556 in treating portal hypertension in subjects with liver cirrhosis.
Studies in patients with liver disease have demonstrated that cCK18 is elevated in the serum of patients and has been associated with disease severity. Studies have also shown that cCK18 is generally elevated to a higher degree in cirrhosis than in other liver diseases. In addition, increasing stages of cirrhosis from Child-Pugh A, Child-Pugh B to Child-Pugh C are associated with progressively higher levels of caspase cleaved cytokeratin 18. This suggests that apoptosis and caspase activity are associated with the severity of disease. IDN-6556 and its ability to inhibit inflammation and apoptosis may have a beneficial impact on both the dynamic and structural components associated with the pathogenesis of portal hypertension in cirrhosis.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
23
25 mg BID
VA Connecticut Healthcare System
West Haven, Connecticut, United States
Johns Hopkins Sibley Memorial Hospital
Washington D.C., District of Columbia, United States
Hepatic Venous Pressure Gradient (HVPG)
Mean change of HVPG \[mmHg\] from Baseline to Day 28/EOT (end of treatment) for IDN-6556
Time frame: Baseline to Day 28/EOT (end of treatment)
cCK18/M30
Absolute Mean Change of caspase-cleaved cytokeratin serum levels (cCK18/M30); the statistical analysis is based on the mean change in log-transformed cCK18/M30 from Baseline to Day 28/EOT (end of treatment) for IDN-6556
Time frame: Change from Baseline to Day 28/EOT
Change in cCK18/M30
Median change of caspase-cleaved cytokeratin serum levels (cCK18/M30) from Baseline to Day 28/EOT (end of treatment) for IDN-6556
Time frame: Baseline to Day 28/EOT (end of treatment)
Change in Alanine Aminotransferase (ALT)
Median change of ALT from Baseline to Day 28/EOT (end of treatment) for IDN-6556
Time frame: Baseline to 28 days/EOT
Change in Aspartate Aminotransferase (AST)
Median change of AST from Baseline to Day 28/EOT (end of treatment) for IDN-6556
Time frame: Baseline to 28 days/EOT
Concentration of Caspase 3/7 RLU
Median change of concentration of Caspase 3/7 Relative Light Units from Baseline to Day 28/EOT (end of treatment) for IDN-6556
Time frame: Baseline to 28 days/EOT
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