Trial Outcomes & Findings for Vidofludimus Calcium for Primary Sclerosing Cholangitis (NCT NCT03722576)

NCT ID: NCT03722576

Last Updated: 2022-10-17

Results Overview

The number of subjects who have both an ALP reduction from baseline to week 24 that is greater or equal to 25% and their AST increase from baseline is less than or equal to 33% at week 24. ALP measured as international units per liter (IU/L). AST measured as international units per liter (IU/L).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

18 participants

Primary outcome timeframe

Baseline to 24 weeks

Results posted on

2022-10-17

Participant Flow

Participant milestones

Participant milestones
Measure
Vidofludimus Calcium (VC)
Daily dosing of Vidofludimus Calcium (VC) over 6 months Vidofludimus calcium: During the 6-month treatment period, subjects received 30 mg VC orally once daily. This was preceded by a lead-in dosing period where subjects received 15 mg VC once daily for 1 week.
Overall Study
STARTED
18
Overall Study
COMPLETED
11
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Vidofludimus Calcium (VC)
Daily dosing of Vidofludimus Calcium (VC) over 6 months Vidofludimus calcium: During the 6-month treatment period, subjects received 30 mg VC orally once daily. This was preceded by a lead-in dosing period where subjects received 15 mg VC once daily for 1 week.
Overall Study
Withdrawal by Subject
3
Overall Study
Adverse Event
2
Overall Study
Physician Decision
1
Overall Study
Lost to Follow-up
1

Baseline Characteristics

Vidofludimus Calcium for Primary Sclerosing Cholangitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vidofludimus Calcium (VC)
n=18 Participants
Daily dosing of VC over 6 months Vidofludimus calcium: During the 6-month treatment period, subjects received 30 mg VC orally once daily. This was preceded by a lead-in dosing period where subjects received 15 mg VC once daily for 1 week.
Age, Continuous
45.7 years
STANDARD_DEVIATION 15.2 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
Race/Ethnicity, Customized
White
18 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
17 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
1 Participants
n=5 Participants
Region of Enrollment
United States
18 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to 24 weeks

Population: Only subjects who completed treatment were analyzed

The number of subjects who have both an ALP reduction from baseline to week 24 that is greater or equal to 25% and their AST increase from baseline is less than or equal to 33% at week 24. ALP measured as international units per liter (IU/L). AST measured as international units per liter (IU/L).

Outcome measures

Outcome measures
Measure
Vidofludimus Calcium (VC)
n=11 Participants
Daily dosing of VC over 6 months Vidofludimus calcium: During the 6-month treatment period, subjects received 30 mg VC orally once daily. This was preceded by a lead-in dosing period where subjects received 15 mg VC once daily for 1 week.
Subjects Who Experience a Positive Outcome as Measured by Combination of Serum Alkaline Phosphatase (ALP) and Aspartate Aminotransferase (AST) Levels.
3 Participants

SECONDARY outcome

Timeframe: Baseline to 24 weeks

Population: Only subjects who completed the lab tests at 24 weeks were analyzed

Number of subjects with abnormal (not within normal range) AST levels. AST is an enzyme found in high amounts in liver, heart, and muscle cells. This test is mainly done along with other tests such as alkaline phosphatase and bilirubin to diagnose and monitor liver disease. This test evaluates hepatocyte integrity, as serum levels of this enzyme rise in response to a variety of forms of injury to hepatic cells. The normal range is 5 to 40 U/L . Units: U/L

Outcome measures

Outcome measures
Measure
Vidofludimus Calcium (VC)
n=10 Participants
Daily dosing of VC over 6 months Vidofludimus calcium: During the 6-month treatment period, subjects received 30 mg VC orally once daily. This was preceded by a lead-in dosing period where subjects received 15 mg VC once daily for 1 week.
Abnormal Aspartate Aminotransferase (AST)
8 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Only subjects who completed the lab tests at 24 weeks were analyzed

Number of subjects with abnormal (not within normal range) ALT levels. An enzyme normally present in liver and heart cells that is released into the bloodstream when the liver or heart is damaged. The blood ALT levels are elevated with liver damage (for example, from viral hepatitis) or with an insult to the heart (for example, from a heart attack). The normal range is 7 to 56 U/L. Units: U/L

Outcome measures

Outcome measures
Measure
Vidofludimus Calcium (VC)
n=10 Participants
Daily dosing of VC over 6 months Vidofludimus calcium: During the 6-month treatment period, subjects received 30 mg VC orally once daily. This was preceded by a lead-in dosing period where subjects received 15 mg VC once daily for 1 week.
Abnormal Alanine Aminotransferase (ALT)
8 Participants

SECONDARY outcome

Timeframe: 24 weeks

Number of subjects with abnormal (not within normal range) Total Bilirubin levels. Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool. The normal range for total bilirubin is 0.3 to 1.2 mg/dL Units: mg/dL

Outcome measures

Outcome measures
Measure
Vidofludimus Calcium (VC)
n=10 Participants
Daily dosing of VC over 6 months Vidofludimus calcium: During the 6-month treatment period, subjects received 30 mg VC orally once daily. This was preceded by a lead-in dosing period where subjects received 15 mg VC once daily for 1 week.
Abnormal Total Bilirubin
3 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Only subjects who completed the lab tests at 24 weeks were analyzed

Number of subjects with abnormal (not within normal range) direct bilirubin levels. In the liver, bilirubin is changed into a form that your body can get rid of. This is called conjugated bilirubin or direct bilirubin. This bilirubin travels from the liver into the small intestine. A very small amount passes into your kidneys and is excreted in your urine. Normal range for direct bilirubin is 0.3 and 1.2 milligrams per deciliter (mg/dL). Units: mg/dL

Outcome measures

Outcome measures
Measure
Vidofludimus Calcium (VC)
n=10 Participants
Daily dosing of VC over 6 months Vidofludimus calcium: During the 6-month treatment period, subjects received 30 mg VC orally once daily. This was preceded by a lead-in dosing period where subjects received 15 mg VC once daily for 1 week.
Abnormal Direct Bilirubin
4 Participants

Adverse Events

Vidofludimus Calcium (VC)

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Vidofludimus Calcium (VC)
n=18 participants at risk
Daily dosing of VC over 6 months Vidofludimus calcium: During the 6-month treatment period, subjects received 30 mg VC orally once daily. This was preceded by a lead-in dosing period where subjects received 15 mg VC once daily for 1 week.
Gastrointestinal disorders
Abdominal Pain
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Investigations
Alkaline phosphatase increase
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Immune system disorders
Allergic reaction
11.1%
2/18 • Number of events 2 • Adverse Events were collected from baseline to end of study, approximately 8 months
Gastrointestinal disorders
Diarrhea
16.7%
3/18 • Number of events 3 • Adverse Events were collected from baseline to end of study, approximately 8 months
General disorders
Fatigue
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
General disorders
Fever Pyrexia
11.1%
2/18 • Number of events 2 • Adverse Events were collected from baseline to end of study, approximately 8 months
Nervous system disorders
Headache
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Renal and urinary disorders
Hematuria
11.1%
2/18 • Number of events 2 • Adverse Events were collected from baseline to end of study, approximately 8 months
Respiratory, thoracic and mediastinal disorders
Nasal congestion
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Gastrointestinal disorders
Nausea
16.7%
3/18 • Number of events 3 • Adverse Events were collected from baseline to end of study, approximately 8 months
Skin and subcutaneous tissue disorders
Pruritus
22.2%
4/18 • Number of events 4 • Adverse Events were collected from baseline to end of study, approximately 8 months
Gastrointestinal disorders
Stomach pain
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Renal and urinary disorders
Urinary Tract Infection
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Musculoskeletal and connective tissue disorders
Achy neck and shoulders
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Gastrointestinal disorders
Bleeding from ileostomy
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Respiratory, thoracic and mediastinal disorders
Cold
11.1%
2/18 • Number of events 2 • Adverse Events were collected from baseline to end of study, approximately 8 months
Gastrointestinal disorders
Discolored Stool
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
General disorders
Flu
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Gastrointestinal disorders
Gatroenteritis
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Skin and subcutaneous tissue disorders
Lipoma on back
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Pregnancy, puerperium and perinatal conditions
Miscarriage
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Gastrointestinal disorders
Upper right abdominal pain
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Gastrointestinal disorders
Worsened loose stools
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Investigations
Worsening liver enzymes
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months
Gastrointestinal disorders
Cholangitis
5.6%
1/18 • Number of events 1 • Adverse Events were collected from baseline to end of study, approximately 8 months

Additional Information

Elizabeth J. Carey, M.D.

Mayo Clinic

Phone: 480-342-1094

Results disclosure agreements

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