The goal of this randomized, double-blind, placebo controlled, Multicenter Phase II clinical trial is to initially evaluate the Safety and Efficacy of MT2004 Capsule in Cholestatic and Mixed drug induced liver injury (DILI) subjects. The main questions it aims to answer are: 1. The Efficacy of MT2004 Capsule in Cholestatic and Mixed DILI subjects 2. The Safety and Pharmacokinetic characteristic of MT2004 Capsule in Cholestatic and Mixed DILI subjects 3. The mechanism of using MT2004 Capsule on Cholestatic and Mixed DILI subjects
Xi'An Aolitai Pharmaceutical Technology Co Ltd is developing MT2004, a novel investigational synthetic small molecule farnesoid X receptor (FXR) agonist targeted to the liver. The MT2004 was designed as the prodrug and the metabolites MT2004-met1 of MT2004 will act to the FXR receptor to regulate a series of genes expression. It also plays an important role in the metabolism of bile acids, lipids and sugars. The goal of this randomized, double-blind, placebo controlled, Multicenter Phase II clinical trial is to initially evaluate the Safety and Efficacy of MT2004 Capsule in Cholestatic and Mixed drug induced liver injury (DILI) subjects. The whole study will be divied to three stages including screening period (14 Days before the treatment), treatment period (the participants will be randomized to receive MT2004, or placebo orally (BID), for 12 weeks) and follow-up period. The study aims to recruit total of 80 subjects with Cholestatic and Mixed DILI, in which 12 of subjects will be firstly enrolled and allocated to the MT2004 group (Dose level: 25mg) as well as control group with the proportion of 2:1 by using the stratified randomization method. During the whole study, the adjustment of the subjects amount, the dose level as well as randomization proportion will based on the decesion of Independent Data Monitoring Board (IDMC). The highest dose will not exceed the 50mg BID. The placebo will be used in this study, and the researchers will compare the placebo and test article to see the safety and efficacy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
The stratified randomization method will be used in this study. In treatment period, the participants will orally receive the MT2004 (BID) for 12 weeks with the dose level of 25mg. The adjustment of the dose level will base on the decesion of Independent Data Monitoring Board (IDMC). The highest dose will not exceed the 50mg BID.
The stratified randomization method will be used in this study. In treatment period, the participants will orally receive the MT2004 Capsule Placebo (BID) for 12 weeks with the dose level of 25mg. The adjustment of the dose level will base on the decesion of Independent Data Monitoring Board (IDMC). The highest dose will not exceed the 50mg BID.
Shanghai Jiaotong University School of Medicine,Renji Hospital
Shanghai, Shanghai Municipality, China
RECRUITINGPrimary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the decreasing rate on serum ALP compared to baseline.
Time frame: On the week 4 after the administration
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the decreasing rate on ALP compared to baseline.
Time frame: On the week 2,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the percentage of patients whose ALP decreased by more than 15% from baseline.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the recovery rate of ALP.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the decreasing rate on GGT compared to baseline.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the recovery rate of GGT.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the decreasing rate on ALT compared to baseline.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the recovery rate of ALT.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the decreasing rate on AST compared to baseline.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the recovery rate of AST.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the decreasing rate on TBIL compared to baseline.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the decreasing rate on TBA compared to baseline.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the area of serum ALP decreasing rate-time curve.
Time frame: On the week 2,4,8,12 after the administration
Secondary efficacy endpoint
The efficacy of MT2004 will be evaluated based on the percentage of patients developed to DILI level 3-4 after the administration.
Time frame: On the week 2,4,8,12 after the administration and the week 4 follow-up period
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