Trial Outcomes & Findings for A Study of IDN-6556 in Cirrhotic Subjects With Portal Hypertension (NCT NCT02230683)

NCT ID: NCT02230683

Last Updated: 2016-12-21

Results Overview

Mean change of HVPG \[mmHg\] from Baseline to Day 28/EOT (end of treatment) for IDN-6556

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

Baseline to Day 28/EOT (end of treatment)

Results posted on

2016-12-21

Participant Flow

Participant milestones

Participant milestones
Measure
IDN-6556
IDN-6556 25 mg Dosed twice daily
Overall Study
STARTED
23
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
IDN-6556
IDN-6556 25 mg Dosed twice daily
Overall Study
Adverse Event
1

Baseline Characteristics

A Study of IDN-6556 in Cirrhotic Subjects With Portal Hypertension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
IDN-6556
n=23 Participants
IDN-6556 25 mg Dosed twice daily
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
Gender
Female
7 Participants
n=5 Participants
Gender
Male
16 Participants
n=5 Participants
Region of Enrollment
United States
23 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Day 28/EOT (end of treatment)

Population: 23 subjects were enrolled, of whom 22 were evaluable for the HVPG endpoint. 1 subject discontinued at day 1.

Mean change of HVPG \[mmHg\] from Baseline to Day 28/EOT (end of treatment) for IDN-6556

Outcome measures

Outcome measures
Measure
IDN-6556 - Overall Population
n=22 Participants
Overall evaluable population treated with IDN-6556 25 mg twice daily with HVPG measurement at Baseline and Day 28
IDN-6556 - Subgroup With HVPG < 12 mmHg
n=10 Participants
Subgroup for patients with HVPG \< 12 mmHg that have been treated with IDN-6556 25 mg twice daily
IDN-6556 - Subgroup HVPG ≥ 12 mmHg
n=12 Participants
Subgroup for patients with HVPG ≥ 12 mmHg that have been treated with IDN-6556 25 mg twice daily
Hepatic Venous Pressure Gradient (HVPG)
Baseline
15.2 mmHg
Standard Deviation 7.68
8.05 mmHg
Standard Deviation 1.88
20.62 mmHg
Standard Deviation 5.59
Hepatic Venous Pressure Gradient (HVPG)
Day 28/EOT
14.1 mmHg
Standard Deviation 6.40
10.0 mmHg
Standard Deviation 3.86
17.6 mmHg
Standard Deviation 6.10
Hepatic Venous Pressure Gradient (HVPG)
Change From Baseline
-1.14 mmHg
Standard Deviation 4.57
1.90 mmHg
Standard Deviation 3.15
-3.67 mmHg
Standard Deviation 4.05

PRIMARY outcome

Timeframe: Change from Baseline to Day 28/EOT

Absolute Mean Change of caspase-cleaved cytokeratin serum levels (cCK18/M30); the statistical analysis is based on the mean change in log-transformed cCK18/M30 from Baseline to Day 28/EOT (end of treatment) for IDN-6556

Outcome measures

Outcome measures
Measure
IDN-6556 - Overall Population
n=23 Participants
Overall evaluable population treated with IDN-6556 25 mg twice daily with HVPG measurement at Baseline and Day 28
IDN-6556 - Subgroup With HVPG < 12 mmHg
n=10 Participants
Subgroup for patients with HVPG \< 12 mmHg that have been treated with IDN-6556 25 mg twice daily
IDN-6556 - Subgroup HVPG ≥ 12 mmHg
n=13 Participants
Subgroup for patients with HVPG ≥ 12 mmHg that have been treated with IDN-6556 25 mg twice daily
cCK18/M30
-47.1 U/L
Standard Deviation 122.23
-74.3 U/L
Standard Deviation 99.02
-26.2 U/L
Standard Deviation 137.64

PRIMARY outcome

Timeframe: Baseline to Day 28/EOT (end of treatment)

Median change of caspase-cleaved cytokeratin serum levels (cCK18/M30) from Baseline to Day 28/EOT (end of treatment) for IDN-6556

Outcome measures

Outcome measures
Measure
IDN-6556 - Overall Population
n=23 Participants
Overall evaluable population treated with IDN-6556 25 mg twice daily with HVPG measurement at Baseline and Day 28
IDN-6556 - Subgroup With HVPG < 12 mmHg
n=10 Participants
Subgroup for patients with HVPG \< 12 mmHg that have been treated with IDN-6556 25 mg twice daily
IDN-6556 - Subgroup HVPG ≥ 12 mmHg
n=13 Participants
Subgroup for patients with HVPG ≥ 12 mmHg that have been treated with IDN-6556 25 mg twice daily
Change in cCK18/M30
Baseline
191.0 U/L
Interval 78.0 to 994.0
189.0 U/L
Interval 126.0 to 442.0
221.0 U/L
Interval 78.0 to 994.0
Change in cCK18/M30
Day 28/EOT
143.0 U/L
Interval 48.0 to 548.0
124.5 U/L
Interval 48.0 to 291.0
186.0 U/L
Interval 94.0 to 548.0
Change in cCK18/M30
Change From Baseline at Day 28
-21.0 U/L
Interval -446.0 to 119.0
-52.5 U/L
Interval -323.0 to 45.0
12.0 U/L
Interval -446.0 to 119.0

SECONDARY outcome

Timeframe: Baseline to 28 days/EOT

Median change of ALT from Baseline to Day 28/EOT (end of treatment) for IDN-6556

Outcome measures

Outcome measures
Measure
IDN-6556 - Overall Population
n=23 Participants
Overall evaluable population treated with IDN-6556 25 mg twice daily with HVPG measurement at Baseline and Day 28
IDN-6556 - Subgroup With HVPG < 12 mmHg
Subgroup for patients with HVPG \< 12 mmHg that have been treated with IDN-6556 25 mg twice daily
IDN-6556 - Subgroup HVPG ≥ 12 mmHg
Subgroup for patients with HVPG ≥ 12 mmHg that have been treated with IDN-6556 25 mg twice daily
Change in Alanine Aminotransferase (ALT)
Baseline
25.0 U/L
Interval 10.0 to 99.0
Change in Alanine Aminotransferase (ALT)
Day 28/EOT
23.0 U/L
Interval 9.0 to 124.0
Change in Alanine Aminotransferase (ALT)
Change from Baseline at Day 28
-4.0 U/L
Interval -61.0 to 43.0

SECONDARY outcome

Timeframe: Baseline to 28 days/EOT

Median change of AST from Baseline to Day 28/EOT (end of treatment) for IDN-6556

Outcome measures

Outcome measures
Measure
IDN-6556 - Overall Population
n=23 Participants
Overall evaluable population treated with IDN-6556 25 mg twice daily with HVPG measurement at Baseline and Day 28
IDN-6556 - Subgroup With HVPG < 12 mmHg
Subgroup for patients with HVPG \< 12 mmHg that have been treated with IDN-6556 25 mg twice daily
IDN-6556 - Subgroup HVPG ≥ 12 mmHg
Subgroup for patients with HVPG ≥ 12 mmHg that have been treated with IDN-6556 25 mg twice daily
Change in Aspartate Aminotransferase (AST)
Baseline
35.0 U/L
Interval 16.0 to 83.0
Change in Aspartate Aminotransferase (AST)
Day 28/EOT
27.0 U/L
Interval 13.0 to 139.0
Change in Aspartate Aminotransferase (AST)
Change from Baseline at Day 28
-4.0 U/L
Interval -29.0 to 68.0

SECONDARY outcome

Timeframe: Baseline to 28 days/EOT

Median change of concentration of Caspase 3/7 Relative Light Units from Baseline to Day 28/EOT (end of treatment) for IDN-6556

Outcome measures

Outcome measures
Measure
IDN-6556 - Overall Population
n=23 Participants
Overall evaluable population treated with IDN-6556 25 mg twice daily with HVPG measurement at Baseline and Day 28
IDN-6556 - Subgroup With HVPG < 12 mmHg
Subgroup for patients with HVPG \< 12 mmHg that have been treated with IDN-6556 25 mg twice daily
IDN-6556 - Subgroup HVPG ≥ 12 mmHg
Subgroup for patients with HVPG ≥ 12 mmHg that have been treated with IDN-6556 25 mg twice daily
Concentration of Caspase 3/7 RLU
Baseline
1997 RLU
Interval 750.0 to 37428.0
Concentration of Caspase 3/7 RLU
Day 28/EOT
1518 RLU
Interval 276.0 to 3665.0
Concentration of Caspase 3/7 RLU
Change from Baseline at Day 28
-772 RLU
Interval -34734.0 to 1107.0

Adverse Events

IDN-6556

Serious events: 1 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
IDN-6556
n=23 participants at risk
IDN-6556 25 mg Dosed twice daily
General disorders
Systematic inflammatory response syndrome
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.

Other adverse events

Other adverse events
Measure
IDN-6556
n=23 participants at risk
IDN-6556 25 mg Dosed twice daily
Blood and lymphatic system disorders
Anaemia
4.3%
1/23 • Number of events 2 • Adverse Events were collected for a period of 8 months.
Cardiac disorders
Ventricular extrasystoles
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Ear and labyrinth disorders
Ear congestion
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Gastrointestinal disorders
Abdominal disorders
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Gastrointestinal disorders
Constipation
8.7%
2/23 • Number of events 2 • Adverse Events were collected for a period of 8 months.
Gastrointestinal disorders
Diarrhoea
8.7%
2/23 • Number of events 3 • Adverse Events were collected for a period of 8 months.
Gastrointestinal disorders
Dry mouth
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Gastrointestinal disorders
Mouth ulceration
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Gastrointestinal disorders
Nausea
8.7%
2/23 • Number of events 2 • Adverse Events were collected for a period of 8 months.
Gastrointestinal disorders
Oral pain
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
General disorders
Fatigue
21.7%
5/23 • Number of events 5 • Adverse Events were collected for a period of 8 months.
General disorders
Local swelling
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
General disorders
Oedema peripheral
13.0%
3/23 • Number of events 4 • Adverse Events were collected for a period of 8 months.
General disorders
Pain
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
General disorders
Pyrexia
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
General disorders
Soft tissue inflammation
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
General disorders
Systemic inflammatory response syndrome
4.3%
1/23 • Number of events 2 • Adverse Events were collected for a period of 8 months.
Immune system disorders
Hypersensitivity
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Immune system disorders
Seasonal allergy
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Infections and infestations
Conjunctivitis
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Infections and infestations
Hordeolum
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Infections and infestations
Localised infection
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Infections and infestations
Nasopharyngitis
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Infections and infestations
Urinary tract infection
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Injury, poisoning and procedural complications
Scratch
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Metabolism and nutrition disorders
Decreased appetite
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Metabolism and nutrition disorders
Dehydration
8.7%
2/23 • Number of events 2 • Adverse Events were collected for a period of 8 months.
Musculoskeletal and connective tissue disorders
Connective tissue disorder
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Musculoskeletal and connective tissue disorders
Muscle spasms
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Musculoskeletal and connective tissue disorders
Systemic lupus erythematosus
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Nervous system disorders
Dizziness
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Nervous system disorders
Headache
13.0%
3/23 • Number of events 3 • Adverse Events were collected for a period of 8 months.
Nervous system disorders
Somnolence
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Psychiatric disorders
Anxiety
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Psychiatric disorders
Confusional state
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Psychiatric disorders
Depression
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Renal and urinary disorders
Pollakiuria
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Respiratory, thoracic and mediastinal disorders
Epistaxis
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Respiratory, thoracic and mediastinal disorders
Hypoxia
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Skin and subcutaneous tissue disorders
Hyperkeratosis
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 months.
Eye disorders
Eye discharge
4.3%
1/23 • Number of events 1 • Adverse Events were collected for a period of 8 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