This study is a placebo-controlled, randomized, double-blind, multicenter, parallel-group comparison study in primary biliary cholangitis participants inadequately responding to ursodeoxycholic acid.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
29
Rate of change from Baseline in serum alkaline phosphatase (ALP) values at Week 12
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; Week 12
Number of participants with a decrease in ALP response rates of 15%, 20%, and 40% from Baseline
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Number of participants with an ALP value less than 1.67 times the upper limit normal and a total bilirubin value within normal limits and a greater than or equal to 15% decrease in ALP from Baseline
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean values of serum ALP, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean values of gamma-guanosine-5'-triphosphate (γGTP) at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean values of serum total bilirubin and direct bilirubin at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean values of serum total bile acids at each visit
This assessment will be conducted as a measure of efficacy.
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EA Pharma trial site
Nagoya, Aichi-ken, Japan
EA Pharma trial site
Matsudo, Chiba, Japan
EA Pharma trial site
Touon, Ehime, Japan
EA Pharma trial site
Yoshida, Fukui, Japan
EA Pharma trial site
Kurume, Fukuoka, Japan
EA Pharma trial site
Maebashi, Gunma, Japan
EA Pharma trial site #1
Sapporo, Hokkaido, Japan
EA Pharma trial site #2
Sapporo, Hokkaido, Japan
EA Pharma trial site
Kobe, Hyōgo, Japan
EA Pharma trial site
Nishinomiya, Hyōgo, Japan
...and 36 more locations
Time frame: Baseline; up to Week 64
Mean values of serum albumin at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean change from Baseline in serum ALP, AST, and ALT at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean change from Baseline in serum γGTP at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean change from Baseline in serum total bilirubin and direct bilirubin at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean change from Baseline in serum total bile acids at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean change from Baseline in serum albumin at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean rate of change from Baseline in serum ALP, AST, and ALT at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean rate of change from Baseline in serum γGTP at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean rate of change from Baseline in serum total bilirubin and direct bilirubin at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean rate of change from Baseline in serum total bile acids at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean rate of change from Baseline in serum albumin at each visit
This assessment will be conducted as a measure of efficacy.
Time frame: Baseline; up to Week 64
Mean change from Baseline in individual domain and total primary biliary cholangitis (PBC) version Child-Pugh scores
The Child-Pugh classification is used to assess the prognosis of chronic liver disease. The score employs five clinical measures of liver disease. Each measure is scored from 1 to 3, with 3 indicating most severe derangement. The total score ranges from 5 to 15 and is a sum of the individual domain scores. A higher score indicates a worse prognosis.
Time frame: Screening; up to Week 64
Mean change from Baseline in domain (Symptoms, Itch, Fatigue, Cognitive, Emotional, Social) and total scores on the PBC-40
The PBC-40 is measures quality of life. Participants are asked to respond to 40 questions, each of which is scored on a scale of 0 to 5 (where 0=not applicable; 1=least impact; 5=greatest impact), grouped into six domains (symptoms, itch, fatigue, cognition, social, and emotional). For each domain, scoring involves summing individual question response scores. A higher score indicates a poorer quality of life.
Time frame: Baseline; up to Week 64
Mean change from Baseline in each score (fibrosis, bile duct loss, deposition of orcein-positive granules) and total scores, in the stage based on the total scores, in each score of cholangitis activity and hepatitis activity on Nakanuma classification
Scores for fibrosis, bile duct loss, and chronic cholestasis are combined for staging: stage 1, total score of 0; stage 2, score 1 to 3; stage 3, score 4 to 6; and stage 4, score 7 to 9. Cholangitis activity and hepatitis activity are graded as CA0-3 and HA0-3, respectively. A higher score indicates more severe disease.
Time frame: Screening; Weeks 52 to 60
Mean values of fibrosis marker at each visit
The presence of serum fibrosis markers may be correlated with PBC.
Time frame: Baseline; up to Week 64
Mean change from Baseline in fibrosis marker at each visit
The presence of serum fibrosis markers may be correlated with PBC.
Time frame: Baseline; up to Week 64
Mean rate of change from Baseline in fibrosis marker at each visit
The presence of serum fibrosis markers may be correlated with PBC.
Time frame: Baseline; up to Week 64
Mean values of fibrosis 4 (Fib-4) index at each visit
The presence of serum fibrosis markers may be correlated with PBC.
Time frame: Baseline; up to Week 64
Mean change from Baseline in Fib-4 index at each visit
The presence of serum fibrosis markers may be correlated with PBC.
Time frame: Baseline; up to Week 64
Mean rate of change from Baseline in Fib-4 index at each visit
The presence of serum fibrosis markers may be correlated with PBC.
Time frame: Baseline; up to Week 64