Clinical trial

A Multicenter, Double-blind, Randomized, Placebo-controlled Study to Evaluate the Safety and Efficacy of Oral CR845 in Patients With Primary Biliary Cholangitis (PBC) and Moderate-to-Severe Pruritus

Name
CR845-210401
Description
This is a multicenter, randomized, double-blind, placebo-controlled study to evaluate the safety and efficacy of twice-daily (BID) oral CR845 1.0 mg in patients with PBC with moderate-to-severe pruritus. The study includes a 16-week Treatment Period.
Trial arms
Trial start
2019-06-25
Estimated PCD
2022-06-29
Trial end
2022-06-29
Status
Terminated
Phase
Early phase I
Treatment
CR845 1.0 mg
Oral CR845 1.0 mg administered twice daily
Arms:
CR845 1.0 mg
Other names:
CR845, Difelikefalin
Placebo
Oral Placebo administered twice daily
Arms:
Placebo
Size
14
Primary endpoint
Change from baseline to Week 16 with respect to the weekly mean of the daily 24-hour Worst Itching Intensity Numeric Rating Scale (WI-NRS) score.
Baseline, Week 16
Eligibility criteria
Key Inclusion Criteria: To be eligible for inclusion into the study, a patient must meet the following criteria: * Confirmed diagnosis of PBC; * If currently taking ursodeoxycholic acid (UDCA), should be on stable dose for \>12 weeks prior to screening and plan on continuing to take UDCA throughout the study; * If previously taking UDCA, should have discontinued its use \>12 weeks prior to screening; * Self-reports experiencing daily or near-daily pruritus during the month prior to screening; * Prior to randomization has a mean baseline WI-NRS score indicative of moderate to severe pruritus. Key Exclusion Criteria: A patient will be excluded from the study if any of the following criteria are met: * Presence of Child-Pugh Class C decompensated cirrhosis at screening; * Itching secondary to biliary obstruction; * History or presence of hepatocellular carcinoma, hepatic abscess, or acute portal vein thrombosis; * Current placement on liver transplantation list with anticipated liver transplant during the course of the study or current Model for End-stage Liver Disease (MELD) score ≥15; * Alanine aminotransferase or aspartate aminotransferase \>5 × upper limit of normal at screening, or within 2 months prior to screening; * Anticipates receiving an opioid antagonist (eg, naloxone, naltrexone) or opioid-mixed agonist-antagonist (eg, buprenorphine, nalbuphine) from the start of screening through the end of the Treatment Period; * New or change of treatment with antihistamines and corticosteroids (oral, intravenous, or topical), opioids, gabapentin, pregabalin, cholestyramine, rifampicin or fibrates within 14 days prior to screening.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'TRIPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 14, 'type': 'ACTUAL'}}
Updated at
2023-07-03

1 organization

2 products

1 indication

Product
CR845
Indication
Pruritus
Organization
Cara Therapeutics
Product
Placebo