Trial Outcomes & Findings for Study of IDN-6556 in Patients With Severe Alcoholic Hepatitis and Contraindications to Steroid Therapy (NCT NCT01912404)

NCT ID: NCT01912404

Last Updated: 2016-11-04

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

28 days

Results posted on

2016-11-04

Participant Flow

This was a placebo-controlled, double-blind, multicenter Phase 2 study in patients with alcoholic hepatitis who were contraindicated to receive corticosteroid therapy. The study consisted of a 7-day screening phase, a 28-day treatment phase, and a follow-up of 5 months. Total study duration for a patient was about 6 months.

Eligible patients were randomized in a 2:1 ratio to IDN-6556 25 mg or placebo administered twice daily for 28 days. During the treatment phase, the patients were assessed for safety and efficacy. Following the treatment phase, the patients were asked to return for follow-up visits at 1, 2, and 5 months after completion of study drug treatment.

Participant milestones

Participant milestones
Measure
IDN-6556
IDN-6556 capsules, 25 mg twice daily for 28 days
Placebo
Matching Placebo capsules twice daily for 28 days
Overall Study
STARTED
3
2
Overall Study
COMPLETED
2
2
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
IDN-6556
IDN-6556 capsules, 25 mg twice daily for 28 days
Placebo
Matching Placebo capsules twice daily for 28 days
Overall Study
Due to personal reasons
1
0

Baseline Characteristics

Study of IDN-6556 in Patients With Severe Alcoholic Hepatitis and Contraindications to Steroid Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
IDN-6556
n=3 Participants
IDN-6556 capsules, 25 mg twice daily for 28 days
Placebo
n=2 Participants
Matching Placebo capsules twice daily for 28 days
Total
n=5 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 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
48.7 years
STANDARD_DEVIATION 4.93 • n=5 Participants
31 years
STANDARD_DEVIATION 1.41 • n=7 Participants
41.6 years
STANDARD_DEVIATION 10.31 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
2 participants
n=7 Participants
5 participants
n=5 Participants

PRIMARY outcome

Timeframe: 28 days

Population: The study was prematurely stopped due to emerging data from another study showing \~10 to 12-fold higher exposures in patients with severe hepatic impairment compared to those with normal liver function. Since subjects with alcoholic hepatitis would likely have severe hepatic impairment, the study was stopped and survival data was not collected.

Outcome measures

Outcome data not reported

Adverse Events

IDN-6556

Serious events: 3 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
IDN-6556
n=3 participants at risk
IDN-6556 capsules, 25 mg twice daily for 28 days
Placebo
n=2 participants at risk
Matching Placebo capsules twice daily for 28 days
Gastrointestinal disorders
Haematemesis
0.00%
0/3 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Renal and urinary disorders
Renal failure acute
0.00%
0/3 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Gastrointestinal disorders
Abdominal pain
33.3%
1/3 • Number of events 1 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Hepatobiliary disorders
Portal vein thrombosis
0.00%
0/3 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Gastrointestinal disorders
Oesophageal varices haemorrhage
0.00%
0/3 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/3 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Gastrointestinal disorders
Gastrointestinal haemorrhage
33.3%
1/3 • Number of events 1 • 6 Months
100.0%
2/2 • Number of events 2 • 6 Months
Infections and infestations
Pneumonia
33.3%
1/3 • Number of events 1 • 6 Months
0.00%
0/2 • 6 Months
Infections and infestations
Periorbital cellulitis
33.3%
1/3 • Number of events 1 • 6 Months
0.00%
0/2 • 6 Months
Infections and infestations
Cellulitis
33.3%
1/3 • Number of events 1 • 6 Months
0.00%
0/2 • 6 Months

Other adverse events

Other adverse events
Measure
IDN-6556
n=3 participants at risk
IDN-6556 capsules, 25 mg twice daily for 28 days
Placebo
n=2 participants at risk
Matching Placebo capsules twice daily for 28 days
Gastrointestinal disorders
Diarrhoea
66.7%
2/3 • Number of events 2 • 6 Months
100.0%
2/2 • Number of events 2 • 6 Months
Metabolism and nutrition disorders
Hypokalaemia
66.7%
2/3 • Number of events 2 • 6 Months
100.0%
2/2 • Number of events 3 • 6 Months
Gastrointestinal disorders
Constipation
66.7%
2/3 • Number of events 2 • 6 Months
50.0%
1/2 • Number of events 2 • 6 Months
Gastrointestinal disorders
Gastrointestinal haemorrhage
33.3%
1/3 • Number of events 1 • 6 Months
100.0%
2/2 • Number of events 2 • 6 Months
Gastrointestinal disorders
Abdominal pain
33.3%
1/3 • Number of events 2 • 6 Months
50.0%
1/2 • Number of events 4 • 6 Months
Psychiatric disorders
Depression
33.3%
1/3 • Number of events 1 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Nervous system disorders
Hepatic encephalopathy
33.3%
1/3 • Number of events 1 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Metabolism and nutrition disorders
Hyperkalaemia
33.3%
1/3 • Number of events 1 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Metabolism and nutrition disorders
Hypomagnesaemia
0.00%
0/3 • 6 Months
100.0%
2/2 • Number of events 4 • 6 Months
Gastrointestinal disorders
Nausea
33.3%
1/3 • Number of events 1 • 6 Months
50.0%
1/2 • Number of events 3 • 6 Months
Skin and subcutaneous tissue disorders
Pruritus
33.3%
1/3 • Number of events 1 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months
Renal and urinary disorders
Renal failure acute
33.3%
1/3 • Number of events 1 • 6 Months
50.0%
1/2 • Number of events 2 • 6 Months
Metabolism and nutrition disorders
Vitamin D deficiency
33.3%
1/3 • Number of events 1 • 6 Months
50.0%
1/2 • Number of events 1 • 6 Months

Additional Information

Jean L. Chan, MD

Conatus Pharmaceuticals Inc.

Phone: (858) 376-2632

Results disclosure agreements

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

Restriction type: LTE60