To evaluate the safety and pharmacokinetics of OP-724 and to determine the recommended dose of OP-724 against Primary Biliary Cholangitis patients.
This trial is a phase I trial aimed at examining the safety and tolerability of OP-724 in patients with primary biliary cholangitis and determining the recommended dose. The subjects are patients diagnosed with primary biliary cholangitis and diagnosed as progress of fibrosis (Scheuer stage III or higher) as a result of liver tissue examination. As a dosing schedule, OP-724 is intravenously administered twice a week (4 hours) for 12 weeks. However, once 7 days prior to the first cycle of administration, a dose scheduled for the first cycle will be administered once by continuous intravenous administration for 4 hours, and safety and pharmacokinetics will be evaluated on the day of administration to the next day after administration. The dose level shall be 3 doses (140 mg/m2/4hrs, 280 mg/m2/4hrs \[starting dose\], 380 mg/m2/4hrs), of which 2 doses shall be registered for up to 6 patients each. The safety and pharmacokinetic data after OP-724 administration will be decided comprehensively to determine the recommended dose in the next phase.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
7
Twice a week for 4 hours continuous intravenous administration of OP-724
Tokyo Metropolitan Komagome Hospital
Bunkyō-Ku, Tokyo, Japan
Kyushu University Hospital
Fukuoka, Japan
Occurrence Rate of Serious Adverse Events (Side Effects)
Occurrence Rate of Serious Adverse Events (Side Effects) whose causal relationship with the investigational drug can not be denied. The data will be aggregated by each adverse event and cohort.
Time frame: 28 days after the last administration of OP-724
Expression Ratio of Adverse Events
The data will be aggregated by each adverse event and cohort.
Time frame: 28 days after the last administration of OP-724
Percentage of Occurrence of Side Effects
The data will be aggregated by each side effect and cohort.
Time frame: 28 days after the last administration of OP-724
Drug Concentration (OP-724 and C-82) in Plasma
The data will be aggregated by each cohort.
Time frame: A) Single administration part: pre-dose and post-dose at 0.5, 1, 2, 4, 5, 9 and 24 hours. / B) Continuous administration part: pre-dose and post-dose at 4 hours on Day 1 and 4 in Cycle 1, 5, 9 and 12 (each cycle is 7 days)
Parameters on Pharmacokinetics (OP-724 and C-82) : Maximum Plasma Concentration (Cmax)
The data will be aggregated by each cohort.
Time frame: A) Single administration part: pre-dose and post-dose at 0.5, 1, 2, 4, 5, 9 and 24 hours. / B) Continuous administration part: pre-dose and post-dose at 4 hours on Day 1 and 4 in Cycle 1, 5, 9 and 12 (each cycle is 7 days)
Parameters on Pharmacokinetics (OP-724 and C-82) : Area Under the Curve (AUC 0-24h)
The data will be aggregated by each cohort.
Time frame: A) Single administration part: pre-dose and post-dose at 0.5, 1, 2, 4, 5, 9 and 24 hours. / B) Continuous administration part: pre-dose and post-dose at 4 hours on Day 1 and 4 in Cycle 1, 5, 9 and 12 (each cycle is 7 days)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Liver Tissue Fibrotic Area Ratio by Liver Biopsy
Amount of change from baseline in liver tissue fibrotic area ratio by liver biopsy at 12 weeks after administration. The data will be aggregated by each cohort.
Time frame: 12 weeks after administration of OP-724
Liver Stiffness by Fibro Scan
Amount of change from baseline of liver stiffness by Fibro Scan at 12 weeks after administration. The data will be aggregated by each cohort.
Time frame: 12 weeks after administration of OP-724
Child-Pugh Score
Amount of change from baseline of Child-Pugh Score at 12 weeks after administration. Child Pugh score (scale range 5-15 points, the severity increases sequentially from 5 to 15 points) is obtained by adding the score for each parameter (hepatic encephalopathy, ascites, bilirubin, albumin, PT). Based on the total points score (Child-Pugh Score) of each diagnostic parameter shown above, the severity of the disease is classified into Grades A to C shown below. The data will be aggregated by each cohort and score. * Grade A: 5-6 points -\> Compensated cirrhosis * Grade B: 7-9 points -\> Decompensated cirrhosis * Grade C: 10-15 points -\> Decompensated cirrhosis
Time frame: 12 weeks after administration of OP-724
MELD Score
Amount of change from baseline in MELD score at 12 weeks after administration. The Model for End-Stage Liver Disease (MELD) is a scoring system for assessing the severity of chronic liver disease and uses the subject's values for total bilirubin, serum creatinine, and the international normalized ratio (INR) for prothrombin time to predict survival. MELD is calculated according to the following formula: \* MELD score = 3.78×ln\[serum bilirubin (mg/dL)\] + 11.2×ln\[INR\] + 9.57×ln\[serum creatinine (mg/dL)\] + 6.43 The data will be aggregated by each cohort and score.
Time frame: 12 weeks after administration of OP-724
Modified Histological Activity Index (HAI)
Amount of change from baseline of modified Histological Activity Index (HAI) and classification of Nakanuma et al. by liver biopsy at 12 weeks after administration. The data will be aggregated by each cohort and index
Time frame: 12 weeks after administration of OP-724
Serum Alkaline Phosphatase (ALP) Level
Amount of change from baseline in serum ALP level at 12 weeks after administration. The data will be aggregated by each cohort and Child-Pugh score.
Time frame: 12 weeks after administration of OP-724
Serum Total Bilirubin Value
Amount of change from baseline in serum total bilirubin value at 12 weeks after administration. The data will be aggregated by each cohort and Child-Pugh score.
Time frame: 12 weeks after administration of OP-724
Enhanced Liver Fibrosis Panel (ELF) Score
Amount of change from baseline of ELF score at 12 weeks after administration. Observation items: hyaluronic acid, procollagen III peptide, TIMP-1 \* ELF score = 2.278 + 0.851 ln (hyaluronic acid) + 0.75 ln (P3 NP) + ln (TIMP). The data will be aggregated by each cohort and score.
Time frame: 12 weeks after administration of OP-724