Trial Outcomes & Findings for Companion Protocol for Methacetin Breath Test (MBT) in Conatus Protocol IDN-6556-17 (NCT NCT03462576)

NCT ID: NCT03462576

Last Updated: 2022-12-20

Results Overview

Binary diagnosis of subjects that are at high risk to develop a deterioration event as determined by the Methacetin Breath Test (MBT) derived from an algorithm developed under other Exalenz clinical studies using a pre-designed cutoff of Percentage Dose Recovery (PDR) peak of \< 5.5%/hour. The data was collected and analyzed agnostic to the intervention.

Recruitment status

TERMINATED

Target enrollment

199 participants

Primary outcome timeframe

1 hour for MBT for assessment of this diagnostic outcome assessed during screening

Results posted on

2022-12-20

Participant Flow

60 subjects were disqualified at baseline before being divided into arms due to screen failure.

Participant milestones

Participant milestones
Measure
Patients With Number of Subjects Experiencing a High Risk Event in 25 mg Treatment Arm
Arm 1. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 25 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in 5 mg Treatment Arm
Arm 2. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 5 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in Placebo Arm
Arm 3. The number of subjects that experience a decompensation event as described in the protocol in the placebo arm .
Overall Study
STARTED
46
48
45
Overall Study
COMPLETED
41
37
37
Overall Study
NOT COMPLETED
5
11
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Patients With Number of Subjects Experiencing a High Risk Event in 25 mg Treatment Arm
Arm 1. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 25 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in 5 mg Treatment Arm
Arm 2. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 5 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in Placebo Arm
Arm 3. The number of subjects that experience a decompensation event as described in the protocol in the placebo arm .
Overall Study
Protocol Violation
5
11
7
Overall Study
Device Malfunction
0
0
1

Baseline Characteristics

1 subject's test was discontinued due to device malfunction.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Number of Subjects Experiencing a High Risk Event in 25 mg Treatment Arm
n=46 Participants
Arm 1. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 25 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in 5 mg Treatment Arm
n=48 Participants
Arm 2. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 5 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in Placebo Arm
n=45 Participants
Arm 3. The number of subjects that experience a decompensation event as described in the protocol in the placebo arm .
Total
n=139 Participants
Total of all reporting groups
Age, Continuous
59.674 years
STANDARD_DEVIATION 9.307 • n=46 Participants • 1 subject's test was discontinued due to device malfunction.
60.875 years
STANDARD_DEVIATION 8.668 • n=48 Participants • 1 subject's test was discontinued due to device malfunction.
62.864 years
STANDARD_DEVIATION 7.135 • n=44 Participants • 1 subject's test was discontinued due to device malfunction.
61.1 years
STANDARD_DEVIATION 8.48 • n=138 Participants • 1 subject's test was discontinued due to device malfunction.
Sex: Female, Male
Female
26 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
19 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
27 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
72 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.
Sex: Female, Male
Male
20 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
29 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
17 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
66 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
0 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
0 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
0 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.
Race (NIH/OMB)
Asian
1 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
1 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
1 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
3 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
0 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
0 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
0 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.
Race (NIH/OMB)
Black or African American
0 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
2 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
1 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
3 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.
Race (NIH/OMB)
White
43 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
43 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
41 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
127 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.
Race (NIH/OMB)
More than one race
1 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
2 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
1 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
4 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
0 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
0 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
1 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.
Region of Enrollment
United States
46 Participants
n=46 Participants • 1 subject test was discontinued due to device malfunction.
48 Participants
n=48 Participants • 1 subject test was discontinued due to device malfunction.
44 Participants
n=44 Participants • 1 subject test was discontinued due to device malfunction.
138 Participants
n=138 Participants • 1 subject test was discontinued due to device malfunction.

PRIMARY outcome

Timeframe: 1 hour for MBT for assessment of this diagnostic outcome assessed during screening

Population: The population analyzed is Intent to Diagnose (ITD)

Binary diagnosis of subjects that are at high risk to develop a deterioration event as determined by the Methacetin Breath Test (MBT) derived from an algorithm developed under other Exalenz clinical studies using a pre-designed cutoff of Percentage Dose Recovery (PDR) peak of \< 5.5%/hour. The data was collected and analyzed agnostic to the intervention.

Outcome measures

Outcome measures
Measure
Number of Subjects Experiencing a High Risk Event in 25 mg Treatment Arm
n=46 Participants
Arm 1. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 25 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in 5 mg Treatment Arm
n=48 Participants
Arm 2. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 5 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in Placebo Arm
n=44 Participants
Arm 3. The number of subjects that experience a decompensation event as described in the protocol in the placebo arm.
Number of Subjects Experiencing a High Risk Event Based on a 5.5%/Hour Cut-off
Events in subjects below cut-off
3 Participants
4 Participants
6 Participants
Number of Subjects Experiencing a High Risk Event Based on a 5.5%/Hour Cut-off
No event recorded in subjects below cut-off
1 Participants
2 Participants
5 Participants
Number of Subjects Experiencing a High Risk Event Based on a 5.5%/Hour Cut-off
Events in subjects above cut-off
15 Participants
14 Participants
11 Participants
Number of Subjects Experiencing a High Risk Event Based on a 5.5%/Hour Cut-off
No event recorded in subjects above cut-off
27 Participants
28 Participants
22 Participants

SECONDARY outcome

Timeframe: 1 hour for MBT for assessment of this diagnostic outcome assessed during screening

Population: The population analyzed is Intent to Diagnose (ITD).

Binary diagnosis of subjects that are at high risk to develop a deterioration event as determined by the Methacetin Breath Test (MBT) derived from an algorithm developed under other Exalenz clinical studies using a pre-designed cutoff of Percentage Dose Recovery (PDR) peak of \< 7.5%/hour.The data was collected and analyzed agnostic to the intervention.

Outcome measures

Outcome measures
Measure
Number of Subjects Experiencing a High Risk Event in 25 mg Treatment Arm
n=46 Participants
Arm 1. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 25 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in 5 mg Treatment Arm
n=48 Participants
Arm 2. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 5 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in Placebo Arm
n=44 Participants
Arm 3. The number of subjects that experience a decompensation event as described in the protocol in the placebo arm.
Number of Subjects Experiencing a High Risk Event Based on a 7.5 %/Hour Cut-off
Events in subjects below cut-off
4 Participants
8 Participants
9 Participants
Number of Subjects Experiencing a High Risk Event Based on a 7.5 %/Hour Cut-off
No event recorded in subjects below cut-off
4 Participants
4 Participants
6 Participants
Number of Subjects Experiencing a High Risk Event Based on a 7.5 %/Hour Cut-off
Events in subjects above cut-off
14 Participants
10 Participants
8 Participants
Number of Subjects Experiencing a High Risk Event Based on a 7.5 %/Hour Cut-off
No event recorded in subjects above cut-off
24 Participants
26 Participants
21 Participants

Adverse Events

Number of Subjects Experiencing a High Risk Event in 25 mg Treatment Arm

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

Number of Subjects Experiencing a High Risk Event in 5 mg Treatment Arm

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

Number of Subjects Experiencing a High Risk Event in Placebo Arm

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Number of Subjects Experiencing a High Risk Event in 25 mg Treatment Arm
n=46 participants at risk
Arm 1. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 25 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in 5 mg Treatment Arm
n=48 participants at risk
Arm 2. The number of subjects that experience a decompensation event as described in the protocol in the arm treated with 5 mg of Emricasan.
Number of Subjects Experiencing a High Risk Event in Placebo Arm
n=45 participants at risk
Arm 3. The number of subjects that experience a decompensation event as described in the protocol in the placebo arm.
Respiratory, thoracic and mediastinal disorders
URI
0.00%
0/46 • Adverse event data was collected for a period of 48 weeks
2.1%
1/48 • Number of events 1 • Adverse event data was collected for a period of 48 weeks
0.00%
0/45 • Adverse event data was collected for a period of 48 weeks
Respiratory, thoracic and mediastinal disorders
Productive cough
2.2%
1/46 • Number of events 1 • Adverse event data was collected for a period of 48 weeks
0.00%
0/48 • Adverse event data was collected for a period of 48 weeks
0.00%
0/45 • Adverse event data was collected for a period of 48 weeks

Additional Information

Avrahm Hershkowitz/ Clinical Trial Manager

Exalenz Bioscience

Phone: 972-8-9737513

Results disclosure agreements

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