A Research Study to Assess the Safety, Pharmacokinetics and Pharmacodynamics of DUR-928 in Patients With Alcoholic Hepatitis

NCT ID: NCT03432260

Last Updated: 2024-09-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-18

Study Completion Date

2019-09-09

Brief Summary

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This is a research trial testing DUR-928 (an experimental medication). The purpose of this trial is to assess the dose related safety, Pharmacokinetics, and Pharmacodynamics of DUR 928 in patients with moderate and severe alcoholic hepatitis (AH).

Detailed Description

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Conditions

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Alcoholic Hepatitis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Staggered parallel design.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part A (Moderate AH) DUR-928 30 mg

Lowest dose of 3 dose escalation arms: 30mg, 90 mg and 150 mg

Group Type EXPERIMENTAL

DUR-928 30 mg

Intervention Type DRUG

Lowest dose of 3 dose escalation arms.

Part A (Moderate AH) DUR-928 90 mg

Middle dose of 3 dose escalation arms: 30mg, 90 mg and 150 mg

Group Type EXPERIMENTAL

DUR-928 90 mg

Intervention Type DRUG

Middle dose of 3 dose escalation arms.

Part A (Moderate AH) DUR-928 150 mg

Highest dose of dose escalation arms: 30mg, 90 mg and 150 mg

Group Type EXPERIMENTAL

DUR-928 150 mg

Intervention Type DRUG

Highest dose of 3 dose escalation arms.

Part B (Severe AH) DUR-928 30 mg

Lowest dose of dose escalation arms: 30mg, 90 mg and 150 mg

Group Type EXPERIMENTAL

DUR-928 30 mg

Intervention Type DRUG

Lowest dose of 3 dose escalation arms.

Part B (Severe AH) DUR-928 90 mg

Middle dose of dose escalation arms: 30mg, 90 mg and 150 mg

Group Type EXPERIMENTAL

DUR-928 90 mg

Intervention Type DRUG

Middle dose of 3 dose escalation arms.

Part B (Severe AH) DUR-928 150 mg

Highest dose of dose escalation arms: 30mg, 90 mg and 150 mg

Group Type EXPERIMENTAL

DUR-928 150 mg

Intervention Type DRUG

Highest dose of 3 dose escalation arms.

Interventions

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DUR-928 30 mg

Lowest dose of 3 dose escalation arms.

Intervention Type DRUG

DUR-928 90 mg

Middle dose of 3 dose escalation arms.

Intervention Type DRUG

DUR-928 150 mg

Highest dose of 3 dose escalation arms.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Able to provide written informed consent (either from patient or patient's legally acceptable representative)
2. Male or female patients 21 years of age or older with BMI ≥ 20 to ≤ 40 kg/m2
3. Patients with alcoholic hepatitis defined as:

1. History of heavy alcohol abuse: \> 40 g/day in females or \> 60 g/day in males for a minimum period of 6 months, AND
2. Consumed alcohol within 12 weeks of entry into the study, AND
3. Serum bilirubin \> 3 mg/dL AND AST \> ALT, but less than 300 U/L AND
4. MELD score between 11-30, inclusive
4. No evidence of active infection as determined by the investigator.
5. Women of child-bearing potential must utilize appropriate birth control throughout the study duration.
6. Male patients must agree to use a medically acceptable method of contraception/birth control throughout the study duration

Exclusion Criteria

1. Other or concomitant cause(s) of liver disease as a result of:

1. Autoimmune liver disease
2. Wilson disease
3. Vascular liver disease
4. Drug induced liver disease
2. Co-infection with human immunodeficiency virus (HIV) or Hepatitis B
3. Any active malignancies other than curatively treated skin cancer (basal cell or squamous cell carcinomas)
4. If female, known pregnancy, or has a positive serum pregnancy test, or lactating/breastfeeding
5. Serum creatinine \> 2.5 mg/dL
6. Patients who have had organ transplantation (such as liver, kidney, lung, heart, bone marrow, or stem cell etc.), other than cornea transplant
7. Stage 3 or greater encephalopathy by West Haven criteria
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CTI Clinical Trial and Consulting Services

OTHER

Sponsor Role collaborator

Durect

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Gordon, MD

Role: STUDY_DIRECTOR

CTI Clinical Trial and Consulting Services

Locations

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DURECT Study Site 0001

San Diego, California, United States

Site Status

DURECT Study Site 007

Miami, Florida, United States

Site Status

DURECT Study Site 0004

Atlanta, Georgia, United States

Site Status

DURECT Study Site 0002

Chicago, Illinois, United States

Site Status

DURECT Study Site 008

Indianapolis, Indiana, United States

Site Status

DURECT Study Site 0005

Louisville, Kentucky, United States

Site Status

DURECT Study Site 006

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Hassanein T, McClain CJ, Vatsalya V, Stein LL, Flamm SL, Martin P, Cave MC, Mitchell M Jr, Barton B, Nagy L, Szabo G, McCullough A, Dasarathy S, Shah J, Blevins C, Scott D, Krebs W, Brown JE, Lin W. Safety, Pharmacokinetics, and Efficacy Signals of Larsucosterol (DUR-928) in Alcohol-Associated Hepatitis. Am J Gastroenterol. 2024 Jan 1;119(1):107-115. doi: 10.14309/ajg.0000000000002275. Epub 2023 Apr 3.

Reference Type DERIVED
PMID: 37011138 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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C928-010

Identifier Type: -

Identifier Source: org_study_id

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