Clinical trial
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety, Tolerability, and Efficacy of Cilofexor in Non-Cirrhotic Subjects With Primary Sclerosing Cholangitis
Name
GS-US-428-4194
Description
The primary objective of this study is to evaluate whether cilofexor reduces the risk of fibrosis progression among non-cirrhotic adults with primary sclerosing cholangitis (PSC).
Trial arms
Trial start
2019-03-27
Estimated PCD
2022-11-10
Trial end
2022-12-23
Status
Terminated
Phase
Early phase I
Treatment
Cilofexor
100 mg tablet administered orally once daily
Arms:
Cilofexor 100 mg (Blinded Phase), Cilofexor From Cilofexor 100 mg (OLE Phase), Cilofexor From Placebo (OLE Phase)
Other names:
GS-9674
Placebo
Tablet administered orally once daily
Arms:
Placebo (Blinded Phase)
Size
419
Primary endpoint
Percentage of Participants With Progression of Liver Fibrosis at Blinded Phase Week 96
Blinded Phase Week 96
Eligibility criteria
Key Inclusion Criteria:
* Diagnosis of large duct PSC
* Liver biopsy at screening that is deemed acceptable for interpretation and demonstrates stage F0 - F3 fibrosis in the opinion of the central reader
* Individual has the following laboratory parameters at the screening visit, as determined by the central laboratory:
* Platelet count ≥ 150,000/mm\^3
* Estimated glomerular filtration rate (eGFR) ≥ 30 milliliter/minute (mL/min), as calculated by the Cockcroft-Gault equation
* Alanine transaminase (ALT) ≤ 8 x upper limit of the normal range (ULN)
* Total bilirubin \< 2 mg/dL, unless the individual is known to have Gilbert's syndrome or hemolytic anemia
* International normalized ratio (INR) ≤ 1.4, unless due to therapeutic anticoagulation
* Negative anti-mitochondrial antibody
Key Exclusion Criteria:
* Current or prior history of any of the following:
* Cirrhosis
* Liver transplantation
* Cholangiocarcinoma or hepatocellular carcinoma (HCC)
* Ascending cholangitis within 30 days of screening
* Presence of a percutaneous drain or biliary stent
* Other causes of liver disease
* Current or prior history of unstable cardiovascular disease
* Current moderate to severe inflammatory bowel disease (IBD) (including ulcerative colitis, Crohn's disease, and indeterminate colitis)
Note: Other protocol defined Inclusion/Exclusion criteria may apply
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 419, 'type': 'ACTUAL'}}
Updated at
2023-11-29
1 organization
2 products
1 indication
Product
CilofexorIndication
Primary Sclerosing CholangitisOrganization
Gilead SciencesProduct
Placebo