Clinical trial

Effect of Heavy Alcohol Consumption on Farnesoid X Receptor (FXR) Signaling

Name
TREAT 005
Description
The main purpose of this study is to see whether heavy drinking will interfere with a specific pathway, called FXR signaling in the liver. The abnormality of this pathway may lead to liver injury in some patients who drink heavily.
Trial arms
Trial start
2016-04-01
Estimated PCD
2019-09-01
Trial end
2019-09-01
Status
Completed
Treatment
Placebo
1 tablet of placebo, taken orally daily with water, approximately 30 minutes prior to breakfast for 4 weeks.
Arms:
Placebo
10 mg Obeticholic Acid (OCA)
10 mg Obeticholic Acid (OCA) Study medication will be administered orally, once daily, approximately 30 minutes prior to breakfast for 4 weeks.
Arms:
10 mg Obeticholic Acid (OCA)
Size
30
Primary endpoint
Change in Bile Salt Metabolism (C4 )Levels to Determine Effect of FXR
Baseline to 28 days
Change in FGF19 Levels to Determine Effect of FXR
Baseline to 28 days
Eligibility criteria
Inclusion Criteria: * Individuals ≥ 21 to 65 years old * Able to provide informed consent \& negative urine pregnancy test where appropriate * Healthy controls must have not consumed any alcohol within 3 months prior to the screening visit * Heavy alcohol drinking is defined as \> 40 grams per day on average in women and \> 60 grams per day on average in men for a minimum of 6 months * Women of child bearing potential should be willing to practice contraception throughout the treatment period Exclusion Criteria: * Active infection as evidenced by positive urine culture, blood culture, or pneumonia * Serum creatinine \> 1.5 mg/dL * Known co-existing infection with hepatitis C, hepatitis B, or HIV * Significant systemic or major illness including COPD, CHF and renal failure that in the opinion of the Investigator would preclude the patient from participating in and completing the study. * Participation in another investigational drug, biologic, or medical device trial within 30 days prior to Screening * Previous history of jaundice or signs of liver diseases such as spider angiomata, ascites, or history of esophageal varices or hepatic encephalopathy * Total bilirubin \> 2 mg/dl and INR \> 1.5 Page 20 of 37 * Women who are pregnant or nursing * Presence of any other disease or condition that is interfering with the absorption, distribution, metabolism, or excretion of drugs including bile salt metabolism in the intestine. Patients who have undergone gastric bypass procedures will be excluded (gastric lap band is acceptable). * Subjects who are taking warfarin
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['NA'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'OTHER', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 30, 'type': 'ACTUAL'}}
Updated at
2023-04-25

1 organization

1 product

1 drug

1 indication