Trial Outcomes & Findings for Open-Label Study to Evaluate the Safety, Tolerability, and PK of Aramchol in Subjects With Hepatic Impairment (NCT NCT04480827)

NCT ID: NCT04480827

Last Updated: 2024-08-14

Results Overview

AUC from time 0 to the dosing interval tau measured at steady state. Blood was collected at the following time points: before dosing (0 hour) and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 18, 24, 48, 72, 96, 120, 144, 168, 192, and 240 hours

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

57 participants

Primary outcome timeframe

Day 12

Results posted on

2024-08-14

Participant Flow

Participant milestones

Participant milestones
Measure
Part 1: Mild Hepatic Impairment (Cohort A)
8 mild hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Moderate Hepatic Impairment (Cohort B)
8 moderate hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Severe Hepatic Impairment (Cohort C)
8 severe hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Healthy Volunteers (Cohort D)
15 matched healthy volunteers Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 2: Mild Hepatic Impairment Cohort
4 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2- Moderate Hepatic Impairment Cohort
7 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Healthy Volunteers Cohort
7 matched healthy volunteers Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Overall Study
STARTED
8
8
8
15
4
7
7
Overall Study
COMPLETED
8
8
8
15
4
6
7
Overall Study
NOT COMPLETED
0
0
0
0
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Part 1: Mild Hepatic Impairment (Cohort A)
8 mild hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Moderate Hepatic Impairment (Cohort B)
8 moderate hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Severe Hepatic Impairment (Cohort C)
8 severe hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Healthy Volunteers (Cohort D)
15 matched healthy volunteers Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 2: Mild Hepatic Impairment Cohort
4 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2- Moderate Hepatic Impairment Cohort
7 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Healthy Volunteers Cohort
7 matched healthy volunteers Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Overall Study
Adverse Event
0
0
0
0
0
1
0

Baseline Characteristics

Healthy volunteers don't have any meaningful disease, and thus they don't have any liver disease or liver issues and as a result they don't have a Child-Pugh score

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Part 1: Mild Hepatic Impairment (Cohort A)
n=8 Participants
8 mild hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Moderate Hepatic Impairment (Cohort B)
n=8 Participants
8 moderate hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Severe Hepatic Impairment (Cohort C)
n=8 Participants
8 severe hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Healthy Volunteers (Cohort D)
n=15 Participants
15 matched healthy volunteers Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 2: Mild Hepatic Impairment Cohort
n=4 Participants
4 mild hepatic impaired subjects (mild, moderate or severe) Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Moderate Hepatic Impairment Cohort
n=7 Participants
7 moderate hepatic impaired subjects (mild, moderate or severe) Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Healthy Volunteers Cohort
n=7 Participants
7 matched healthy volunteers Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Total
n=57 Participants
Total of all reporting groups
Region of Enrollment
United States
8 Participants
n=8 Participants
8 Participants
n=8 Participants
8 Participants
n=8 Participants
15 Participants
n=15 Participants
4 Participants
n=4 Participants
7 Participants
n=7 Participants
7 Participants
n=7 Participants
57 Participants
n=57 Participants
Age, Categorical
<=18 years
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=15 Participants
0 Participants
n=4 Participants
0 Participants
n=7 Participants
0 Participants
n=7 Participants
0 Participants
n=57 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=8 Participants
5 Participants
n=8 Participants
5 Participants
n=8 Participants
10 Participants
n=15 Participants
2 Participants
n=4 Participants
4 Participants
n=7 Participants
6 Participants
n=7 Participants
39 Participants
n=57 Participants
Age, Categorical
>=65 years
1 Participants
n=8 Participants
3 Participants
n=8 Participants
3 Participants
n=8 Participants
5 Participants
n=15 Participants
2 Participants
n=4 Participants
3 Participants
n=7 Participants
1 Participants
n=7 Participants
18 Participants
n=57 Participants
Age, Continuous
59.1 Years
STANDARD_DEVIATION 8.10 • n=8 Participants
63.3 Years
STANDARD_DEVIATION 9.02 • n=8 Participants
62.0 Years
STANDARD_DEVIATION 6.35 • n=8 Participants
59.7 Years
STANDARD_DEVIATION 8.50 • n=15 Participants
64.0 Years
STANDARD_DEVIATION 4.16 • n=4 Participants
60.1 Years
STANDARD_DEVIATION 8.47 • n=7 Participants
60.1 Years
STANDARD_DEVIATION 6.82 • n=7 Participants
60.86 Years
STANDARD_DEVIATION 7.63 • n=57 Participants
Sex: Female, Male
Female
1 Participants
n=8 Participants
3 Participants
n=8 Participants
4 Participants
n=8 Participants
4 Participants
n=15 Participants
1 Participants
n=4 Participants
1 Participants
n=7 Participants
2 Participants
n=7 Participants
16 Participants
n=57 Participants
Sex: Female, Male
Male
7 Participants
n=8 Participants
5 Participants
n=8 Participants
4 Participants
n=8 Participants
11 Participants
n=15 Participants
3 Participants
n=4 Participants
6 Participants
n=7 Participants
5 Participants
n=7 Participants
41 Participants
n=57 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=8 Participants
4 Participants
n=8 Participants
1 Participants
n=8 Participants
1 Participants
n=15 Participants
1 Participants
n=4 Participants
3 Participants
n=7 Participants
3 Participants
n=7 Participants
13 Participants
n=57 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=8 Participants
4 Participants
n=8 Participants
7 Participants
n=8 Participants
14 Participants
n=15 Participants
3 Participants
n=4 Participants
4 Participants
n=7 Participants
4 Participants
n=7 Participants
44 Participants
n=57 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=15 Participants
0 Participants
n=4 Participants
0 Participants
n=7 Participants
0 Participants
n=7 Participants
0 Participants
n=57 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
1 Participants
n=15 Participants
0 Participants
n=4 Participants
0 Participants
n=7 Participants
0 Participants
n=7 Participants
1 Participants
n=57 Participants
Race (NIH/OMB)
Asian
1 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=15 Participants
1 Participants
n=4 Participants
0 Participants
n=7 Participants
0 Participants
n=7 Participants
2 Participants
n=57 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=15 Participants
0 Participants
n=4 Participants
0 Participants
n=7 Participants
0 Participants
n=7 Participants
0 Participants
n=57 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
3 Participants
n=15 Participants
1 Participants
n=4 Participants
0 Participants
n=7 Participants
1 Participants
n=7 Participants
7 Participants
n=57 Participants
Race (NIH/OMB)
White
5 Participants
n=8 Participants
8 Participants
n=8 Participants
8 Participants
n=8 Participants
10 Participants
n=15 Participants
2 Participants
n=4 Participants
7 Participants
n=7 Participants
6 Participants
n=7 Participants
46 Participants
n=57 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
1 Participants
n=15 Participants
0 Participants
n=4 Participants
0 Participants
n=7 Participants
0 Participants
n=7 Participants
1 Participants
n=57 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=15 Participants
0 Participants
n=4 Participants
0 Participants
n=7 Participants
0 Participants
n=7 Participants
0 Participants
n=57 Participants
Child-Pugh total scores
5.38 points
STANDARD_DEVIATION 0.518 • n=8 Participants • Healthy volunteers don't have any meaningful disease, and thus they don't have any liver disease or liver issues and as a result they don't have a Child-Pugh score
8.25 points
STANDARD_DEVIATION 0.886 • n=8 Participants • Healthy volunteers don't have any meaningful disease, and thus they don't have any liver disease or liver issues and as a result they don't have a Child-Pugh score
11.50 points
STANDARD_DEVIATION 1.512 • n=8 Participants • Healthy volunteers don't have any meaningful disease, and thus they don't have any liver disease or liver issues and as a result they don't have a Child-Pugh score
5.75 points
STANDARD_DEVIATION 0.5 • n=4 Participants • Healthy volunteers don't have any meaningful disease, and thus they don't have any liver disease or liver issues and as a result they don't have a Child-Pugh score
7.71 points
STANDARD_DEVIATION 0.756 • n=7 Participants • Healthy volunteers don't have any meaningful disease, and thus they don't have any liver disease or liver issues and as a result they don't have a Child-Pugh score
7.94 points
STANDARD_DEVIATION 2.25 • n=35 Participants • Healthy volunteers don't have any meaningful disease, and thus they don't have any liver disease or liver issues and as a result they don't have a Child-Pugh score

PRIMARY outcome

Timeframe: Day 12

AUC from time 0 to the dosing interval tau measured at steady state. Blood was collected at the following time points: before dosing (0 hour) and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 18, 24, 48, 72, 96, 120, 144, 168, 192, and 240 hours

Outcome measures

Outcome measures
Measure
Part 1: Mild Hepatic Impairment (Cohort A)
n=8 Participants
8 mild hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Moderate Hepatic Impairment (Cohort B)
n=8 Participants
8 moderate hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Severe Hepatic Impairment (Cohort C)
n=8 Participants
8 severe hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Healthy Volunteers (Cohort D)
n=15 Participants
15 matched healthy volunteers Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 2: Mild Hepatic Impairment Cohort
n=4 Participants
4 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Moderate Impairment Cohort
n=7 Participants
7 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Healthy Volunteers Cohort
n=7 Participants
7 matched healthy volunteers Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
AUC0-tau, Steady State
96100 h•ng/mL
Geometric Coefficient of Variation 138.29
107000 h•ng/mL
Geometric Coefficient of Variation 154.13
103000 h•ng/mL
Geometric Coefficient of Variation 148.09
69500 h•ng/mL
Geometric Coefficient of Variation 0
63300 h•ng/mL
Geometric Coefficient of Variation 4.3
55900 h•ng/mL
Geometric Coefficient of Variation 31.4
61400 h•ng/mL
Geometric Coefficient of Variation 26

PRIMARY outcome

Timeframe: Day 12

Maximum plasma concentrations (Cmax,ss) Blood was collected at the following time points: before dosing (0 hour) and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 18, 24, 48, 72, 96, 120, 144, 168, 192, and 240 hours

Outcome measures

Outcome measures
Measure
Part 1: Mild Hepatic Impairment (Cohort A)
n=8 Participants
8 mild hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Moderate Hepatic Impairment (Cohort B)
n=8 Participants
8 moderate hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Severe Hepatic Impairment (Cohort C)
n=8 Participants
8 severe hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Healthy Volunteers (Cohort D)
n=15 Participants
15 matched healthy volunteers Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 2: Mild Hepatic Impairment Cohort
n=4 Participants
4 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Moderate Impairment Cohort
n=7 Participants
7 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Healthy Volunteers Cohort
n=7 Participants
7 matched healthy volunteers Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Cmax,ss
1950 ng/mL
Geometric Coefficient of Variation 138.17
1890 ng/mL
Geometric Coefficient of Variation 134.26
1480 ng/mL
Geometric Coefficient of Variation 105.22
1410 ng/mL
Geometric Coefficient of Variation 0
5750 ng/mL
Geometric Coefficient of Variation 5.2
5380 ng/mL
Geometric Coefficient of Variation 26.1
6040 ng/mL
Geometric Coefficient of Variation 21.3

PRIMARY outcome

Timeframe: Day 11

Population: Note that apparent total oral clearance data was analyzed for Part 1 only, where comparison was made between Healthy volunteers and Hepatic impairment patients. Such data was not collected and analyzed for Part 2

CL/F measured after single dose in Part 1 Blood was collected at the following time points: before dosing (0 hour) and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 18, 24, 48, 72, 96, 120, 144, 168, 192, and 240 hours

Outcome measures

Outcome measures
Measure
Part 1: Mild Hepatic Impairment (Cohort A)
n=8 Participants
8 mild hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Moderate Hepatic Impairment (Cohort B)
n=8 Participants
8 moderate hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Severe Hepatic Impairment (Cohort C)
n=8 Participants
8 severe hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Healthy Volunteers (Cohort D)
n=15 Participants
15 matched healthy volunteers Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 2: Mild Hepatic Impairment Cohort
4 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Moderate Impairment Cohort
7 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Healthy Volunteers Cohort
7 matched healthy volunteers Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Apparent Total Oral Clearance, Single Dose
5.96 L/h
Geometric Coefficient of Variation 43.8
5.23 L/h
Geometric Coefficient of Variation 29.2
5.86 L/h
Geometric Coefficient of Variation 52.5
8.01 L/h
Geometric Coefficient of Variation 50.1

SECONDARY outcome

Timeframe: Part 1: up to 22 days; Part 2: up to 27 days

Population: All subjects

The number of significant treatment-related adverse events

Outcome measures

Outcome measures
Measure
Part 1: Mild Hepatic Impairment (Cohort A)
n=8 Participants
8 mild hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Moderate Hepatic Impairment (Cohort B)
n=8 Participants
8 moderate hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Severe Hepatic Impairment (Cohort C)
n=8 Participants
8 severe hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Healthy Volunteers (Cohort D)
n=15 Participants
15 matched healthy volunteers Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 2: Mild Hepatic Impairment Cohort
n=4 Participants
4 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Moderate Impairment Cohort
n=7 Participants
7 hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Healthy Volunteers Cohort
n=7 Participants
7 matched healthy volunteers Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Number of Subjects With Significant TEAEs
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

Part 1: Mild Hepatic Impairment (Cohort A)

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

Part 1: Moderate Hepatic Impairment (Cohort B)

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

Part 1: Severe Hepatic Impairment (Cohort C)

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

Part 1: Healthy Volunteers (Cohort D)

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

Part 2: Mild Hepatic Impairment Cohort

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

Part 2: Moderate Impairment Cohort

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

Part 2: Healthy Volunteers Cohort

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
Part 1: Mild Hepatic Impairment (Cohort A)
n=8 participants at risk
8 mild hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Moderate Hepatic Impairment (Cohort B)
n=8 participants at risk
8 moderate hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Severe Hepatic Impairment (Cohort C)
n=8 participants at risk
8 severe hepatic impaired subjects Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 1: Healthy Volunteers (Cohort D)
n=15 participants at risk
15 matched healthy volunteers Aramchol 600mg single dose: aramchol acid tablet 600mg, single dose
Part 2: Mild Hepatic Impairment Cohort
n=4 participants at risk
4 mild hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Moderate Impairment Cohort
n=7 participants at risk
7 moderate hepatic impaired subjects Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Part 2: Healthy Volunteers Cohort
n=7 participants at risk
7 matched healthy volunteers Aramchol 300mg, bid: aramchol acid tablet 300mg, bid for 12 days
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/8 • Adverse events were assessed from the time the subject signed the informed consent until study completion (i.e., End of study- 30 days).
0.00%
0/8 • Adverse events were assessed from the time the subject signed the informed consent until study completion (i.e., End of study- 30 days).
0.00%
0/8 • Adverse events were assessed from the time the subject signed the informed consent until study completion (i.e., End of study- 30 days).
0.00%
0/15 • Adverse events were assessed from the time the subject signed the informed consent until study completion (i.e., End of study- 30 days).
0.00%
0/4 • Adverse events were assessed from the time the subject signed the informed consent until study completion (i.e., End of study- 30 days).
14.3%
1/7 • Number of events 1 • Adverse events were assessed from the time the subject signed the informed consent until study completion (i.e., End of study- 30 days).
0.00%
0/7 • Adverse events were assessed from the time the subject signed the informed consent until study completion (i.e., End of study- 30 days).

Additional Information

Dr. Yossi Gilgun-Sherki

Galmed Pharmaceuticals

Phone: 972.3.693.8448

Results disclosure agreements

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