Trial Outcomes & Findings for Pentoxifylline Therapy in Biliary Atresia (NCT NCT01774487)

NCT ID: NCT01774487

Last Updated: 2024-01-11

Results Overview

The investigators will track the serum conjugated bilirubin (CB) levels over the course of therapy in patients receiving 90 days of PTX (this laboratory test is drawn as part of routine care). Normal CB is 0.0-0.3 mg/dL, with a higher number of patients meeting this indicating a better outcome.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

17 participants

Primary outcome timeframe

12 weeks after starting therapy

Results posted on

2024-01-11

Participant Flow

All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria (those who received the Kasai portoenterostomy are in Group 1 and those diagnosed too late for the Kasai portoenterostomy are in Group 2)

Participant milestones

Participant milestones
Measure
Pentoxifylline - Group 1 (Treatment Starts 3-5 Days After Kasai Portoenterostomy)
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Pentoxifylline - Group 2 (Patient Diagnosed Too Late for Kasai Portoenterostomy)
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Overall Study
STARTED
12
5
Overall Study
COMPLETED
8
1
Overall Study
NOT COMPLETED
4
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Pentoxifylline - Group 1 (Treatment Starts 3-5 Days After Kasai Portoenterostomy)
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Pentoxifylline - Group 2 (Patient Diagnosed Too Late for Kasai Portoenterostomy)
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Overall Study
Did not tolerate taste
4
4

Baseline Characteristics

Pentoxifylline Therapy in Biliary Atresia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pentoxifylline Group 1
n=12 Participants
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Pentoxifylline Group 2
n=5 Participants
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Total
n=17 Participants
Total of all reporting groups
Age, Categorical
<=18 years
12 Participants
n=5 Participants
5 Participants
n=7 Participants
17 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
49 days
STANDARD_DEVIATION 26 • n=5 Participants
120 days
STANDARD_DEVIATION 30 • n=7 Participants
69 days
STANDARD_DEVIATION 42 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
2 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
3 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
4 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks after starting therapy

The investigators will track the serum conjugated bilirubin (CB) levels over the course of therapy in patients receiving 90 days of PTX (this laboratory test is drawn as part of routine care). Normal CB is 0.0-0.3 mg/dL, with a higher number of patients meeting this indicating a better outcome.

Outcome measures

Outcome measures
Measure
Pentoxifylline - Group 2
n=1 Participants
Infants not receiving the KP will be given PTX for 12 weeks, and platelet levels at 2 years of age will be calculated and reported as average and standard deviation.
Pentoxifylline - Group 1
n=8 Participants
Infants receiving the Kasai portoenterostomy (KP) will be given PTX for 12 weeks, and the number whose CB levels return to normal (0.0-0.3 mg/dL) will be calculated. Historically, \~60% of such infants have normal CB levels after 12 weeks. The study will determine whether PTX improves this percentage.
Number of Participants With Normal Serum Conjugated Bilirubin Levels 12 Weeks After Starting PTX (Pentoxifylline) Therapy
0 Participants
6 Participants

SECONDARY outcome

Timeframe: 12 weeks after starting therapy

The investigators will track the weight of patients over the course of therapy in patients receiving 90 days of PTX (this is recorded as part of routine clinical care). The weight will then be compared to standards to calculate a z-score. Normal weight Z-score is greater than or equal to 0, with a higher number of patients meeting this indicating a better outcome.

Outcome measures

Outcome measures
Measure
Pentoxifylline - Group 2
n=1 Participants
Infants not receiving the KP will be given PTX for 12 weeks, and platelet levels at 2 years of age will be calculated and reported as average and standard deviation.
Pentoxifylline - Group 1
n=8 Participants
Infants receiving the Kasai portoenterostomy (KP) will be given PTX for 12 weeks, and the number whose CB levels return to normal (0.0-0.3 mg/dL) will be calculated. Historically, \~60% of such infants have normal CB levels after 12 weeks. The study will determine whether PTX improves this percentage.
Number of Participants Achieving Zero or Positive Weight Z-scores 12 Weeks After Starting PTX Therapy
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 2 years of age

Population: No patient in Group 2 survived with their native liver to 2 years of age.

The investigators will record the ALT levels at age two years, in patients who had previously been treated with PTX therapy and still have their native liver. Range of normal values: 14-45 U/L, with a higher level indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Pentoxifylline - Group 2
Infants not receiving the KP will be given PTX for 12 weeks, and platelet levels at 2 years of age will be calculated and reported as average and standard deviation.
Pentoxifylline - Group 1
n=6 Participants
Infants receiving the Kasai portoenterostomy (KP) will be given PTX for 12 weeks, and the number whose CB levels return to normal (0.0-0.3 mg/dL) will be calculated. Historically, \~60% of such infants have normal CB levels after 12 weeks. The study will determine whether PTX improves this percentage.
Alanine Amino Transferase (ALT) Levels at 2 Years of Life
160 U/L
Standard Deviation 122

SECONDARY outcome

Timeframe: 2 years of age

Population: No patient in Group 2 survived with their native liver to 2 years of age.

The investigators will measure spleen size by ultrasound at 2 years of age, in patients who had received PTX therapy earlier and still have their native liver. "Normal" spleen size range (10th-90th percentile) at this age is 6.4-8.6 cm, with a value exceeding this range indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Pentoxifylline - Group 2
Infants not receiving the KP will be given PTX for 12 weeks, and platelet levels at 2 years of age will be calculated and reported as average and standard deviation.
Pentoxifylline - Group 1
n=4 Participants
Infants receiving the Kasai portoenterostomy (KP) will be given PTX for 12 weeks, and the number whose CB levels return to normal (0.0-0.3 mg/dL) will be calculated. Historically, \~60% of such infants have normal CB levels after 12 weeks. The study will determine whether PTX improves this percentage.
Spleen Size at 2 Years of Age
10.0 cm
Standard Deviation 1.8

SECONDARY outcome

Timeframe: Baseline and up to two years after therapy finishes

The investigators will track time to liver transplant. The shorter time to liver transplant indicates a worse outcome.

Outcome measures

Outcome measures
Measure
Pentoxifylline - Group 2
n=1 Participants
Infants not receiving the KP will be given PTX for 12 weeks, and platelet levels at 2 years of age will be calculated and reported as average and standard deviation.
Pentoxifylline - Group 1
n=2 Participants
Infants receiving the Kasai portoenterostomy (KP) will be given PTX for 12 weeks, and the number whose CB levels return to normal (0.0-0.3 mg/dL) will be calculated. Historically, \~60% of such infants have normal CB levels after 12 weeks. The study will determine whether PTX improves this percentage.
Time to Liver Transplant
273 days
Standard Deviation NA
The is only 1 patient in Group 2
317 days
Standard Deviation 95

SECONDARY outcome

Timeframe: 2 years of age

Population: No patient in Group 2 survived with their native liver to 2 years of age.

The investigators will record platelet levels at age two years, in patients who had previously been treated with PTX therapy and still have their native liver. Scale 189-403\*10\^3 Platelets/μL, with a lower level indicating a worse outcome.

Outcome measures

Outcome measures
Measure
Pentoxifylline - Group 2
Infants not receiving the KP will be given PTX for 12 weeks, and platelet levels at 2 years of age will be calculated and reported as average and standard deviation.
Pentoxifylline - Group 1
n=6 Participants
Infants receiving the Kasai portoenterostomy (KP) will be given PTX for 12 weeks, and the number whose CB levels return to normal (0.0-0.3 mg/dL) will be calculated. Historically, \~60% of such infants have normal CB levels after 12 weeks. The study will determine whether PTX improves this percentage.
Platelet Levels at 2 Years of Life
208 10^3 Platelets/μL
Standard Deviation 102

Adverse Events

Pentoxifylline - Group 1 (Treatment Starts 3-5 Days After Kasai Portoenterostomy)

Serious events: 6 serious events
Other events: 4 other events
Deaths: 0 deaths

Pentoxifylline - Group 2 (Patient Diagnosed Too Late for Kasai Portoenterostomy)

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pentoxifylline - Group 1 (Treatment Starts 3-5 Days After Kasai Portoenterostomy)
n=8 participants at risk
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Pentoxifylline - Group 2 (Patient Diagnosed Too Late for Kasai Portoenterostomy)
n=1 participants at risk
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Gastrointestinal disorders
Failure to thrive
37.5%
3/8 • Number of events 5 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
100.0%
1/1 • Number of events 5 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
Hepatobiliary disorders
Cholangitis
25.0%
2/8 • Number of events 3 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
0.00%
0/1 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
Hepatobiliary disorders
Ascites
0.00%
0/8 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
100.0%
1/1 • Number of events 2 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
Hepatobiliary disorders
Bile leak
12.5%
1/8 • Number of events 1 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
0.00%
0/1 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.

Other adverse events

Other adverse events
Measure
Pentoxifylline - Group 1 (Treatment Starts 3-5 Days After Kasai Portoenterostomy)
n=8 participants at risk
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Pentoxifylline - Group 2 (Patient Diagnosed Too Late for Kasai Portoenterostomy)
n=1 participants at risk
All newly-diagnosed biliary atresia patients fulfilling the study's inclusion criteria will receive oral pentoxifylline, 20 mg/kg/day divided in three doses for a total of 90 days. The hospital pharmacy will create a 20 mg/ml oral pentoxifylline solution using 400 mg pentoxifylline tablets and established compounding recipes. Pentoxifylline: 20 mg/kg/day divided in 3 doses, given orally for 90 days
Hepatobiliary disorders
ALT >2.5X baseline
12.5%
1/8 • Number of events 1 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
0.00%
0/1 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
Hepatobiliary disorders
Bc >2.5X baseline
0.00%
0/8 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
0.00%
0/1 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
Blood and lymphatic system disorders
Platelets <150,000/ul
37.5%
3/8 • Number of events 3 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
100.0%
1/1 • Number of events 1 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
Gastrointestinal disorders
Vomiting
25.0%
2/8 • Number of events 2 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
100.0%
1/1 • Number of events 5 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
Product Issues
Stopped medication before 12 week period
25.0%
2/8 • Number of events 2 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.
0.00%
0/1 • Adverse event (AE) data was collected for 12 weeks after the Kasai portoenterostomy (duration of time when patient received medication during the study). Note: Some secondary outcomes were collected at age 2 years, but AEs (included all-cause mortality) were collected for 12 weeks after Kasai portoenterostomy to capture those AEs that could possibly be related to treatment.
1. AEs related to the progression of biliary atresia (BA) include (elevated liver function tests, thrombocytopenia, ascites, cholangitis, failure to thrive, bile leak) 2. AEs related to PTX, as previously reported, include: vomiting/spitting out medications, abdominal discomfort, cough, anemia with new heart murmur, rhinorrhea, diaper rash, irritability, and temporary hearing loss. Serious AEs were any AEs requiring hospitalization.

Additional Information

Sanjiv Harpavat

Baylor College of Medicine and Texas Children's Hospital

Phone: 832-824-2099

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place