Obeticholic Acid in Pediatric Subjects With Biliary Atresia

NCT ID: NCT05321524

Last Updated: 2023-03-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

7 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-01

Study Completion Date

2023-03-09

Brief Summary

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This is a Phase 2, multicenter, open-label, single dose and multi-dose, dose-finding study with an optional open-label extension (OLE) to assess the safety, tolerability, and pharmacokinetics of obeticholic acid (OCA) in pediatric subjects with biliary atresia with successful hepatoportoenterostomy (HPE, also known as a Kasai portoenterosomy). The OLE will continue to evaluate safety, tolerability, pharmacodynamics, and efficacy of OCA. In addition, a change in vitamin A and D levels, and where possible the degree of change in liver stiffness, will be assessed during the OLE.

Detailed Description

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Conditions

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Biliary Atresia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SD (1.5mg adult-equivalent dose of OCA) + MD Low dose (1.5mg adult-equivalent dose of OCA)

At Single Dose (SD) phase, eligible subjects will receive a 1.5 mg adult-equivalent, body weight-based single dose of OCA on Day 1. Enrollment in the Multiple Dose (MD) Phase will occur in a sequential fashion. At Day 28, the first 8 (±1) eligible subjects will be assigned to the Low Dose Cohort and will receive a 1.5 mg adult-equivalent dose of OCA daily for 4 weeks.

The adult-equivalent dose is based on a 70-kg adult. 2 OCA tablet dose strength (0.1mg and 1.5mg) are available in the study and dose will be determined using weight based dosing chart.

Group Type EXPERIMENTAL

OCA 0.1mg

Intervention Type DRUG

Tablets administered orally once daily.

OCA 1.5mg

Intervention Type DRUG

Tablets administered orally once daily.

SD (1.5mg adult-equivalent dose of OCA) + MD Medium dose (5mg adult-equivalent dose of OCA)

At Single Dose (SD) phase, eligible subjects will receive a 1.5 mg adult-equivalent, body weight-based single dose of OCA on Day 1. Upon safety and tolerability assessment in the Low Dose Cohort, 8 (±1) eligible subjects will be assigned to the Medium Dose Cohort and will receive a 5 mg adult-equivalent dose of OCA daily for 4 weeks.

The adult-equivalent dose is based on a 70-kg adult. 3 OCA tablet dose strength (0.1mg, 1.5mg and 5mg tablets) are available in the study and dose will be determined using weight based dosing chart.

Group Type EXPERIMENTAL

OCA 0.1mg

Intervention Type DRUG

Tablets administered orally once daily.

OCA 1.5mg

Intervention Type DRUG

Tablets administered orally once daily.

OCA 5mg

Intervention Type DRUG

Tablets administered orally once daily.

SD (1.5mg adult-equivalent dose of OCA) + MD High dose (10mg adult-equivalent dose of OCA)

At Single Dose (SD) phase, eligible subjects will receive a 1.5 mg adult-equivalent, body weight-based single dose of OCA on Day 1. Upon safety and tolerability assessment in the Medium Dose Cohort, 8 (±1) eligible subjects will be assigned to the High Dose Cohort and will receive a 10 mg adult-equivalent dose of OCA daily for 4 weeks.

The adult-equivalent dose is based on a 70-kg adult. 3 OCA tablet dose strength (0.1mg, 1.5mg and 5mg tablets) are available in the study and dose will be determined using weight based dosing chart.

Group Type EXPERIMENTAL

OCA 0.1mg

Intervention Type DRUG

Tablets administered orally once daily.

OCA 1.5mg

Intervention Type DRUG

Tablets administered orally once daily.

OCA 5mg

Intervention Type DRUG

Tablets administered orally once daily.

Interventions

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OCA 0.1mg

Tablets administered orally once daily.

Intervention Type DRUG

OCA 1.5mg

Tablets administered orally once daily.

Intervention Type DRUG

OCA 5mg

Tablets administered orally once daily.

Intervention Type DRUG

Other Intervention Names

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Obeticholic Acid 6alpha-ethylchenodeoxycholic acid (6-ECDCA) INT-747 6alpha-ethylchenodeoxycholic acid (6-ECDCA) INT-747 6alpha-ethylchenodeoxycholic acid (6-ECDCA) INT-747

Eligibility Criteria

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Inclusion Criteria

1. Male or female pediatric subjects ≥2 to \<18 years old
2. Diagnosis of biliary atresia
3. Demonstrated successful HPE (also known as Kasai portoenterostomy) as defined by total bilirubin \<2 mg/dL (34.2 μmol/L) at least 3 months post-HPE procedure.
4. Able to swallow tablets (ie, tablet or mini-tablet formulation)

Exclusion Criteria

1. Prior liver transplant or active status on transplant list
2. Conjugated (direct) bilirubin ≥ULN of site specific reference range
3. If conjugated bilirubin is not available: total bilirubin ≥2 mg/dL (34.2 μmol/L)
4. Platelets \<150,000/μL
5. INR ≥1.5
6. Current or history of complications of decompensated chronic liver disease including:

1. high-risk gastroesophageal varices and/or variceal bleeding
2. clinically evident ascites related to portal hypertension
3. hepatic encephalopathy
4. prior placement of portosystemic shunt
5. hepatopulmonary syndrome or portopulmonary hypertension
6. hepatorenal syndrome
7. Current intractable pruritus or requires systemic treatment for pruritus within 3 months of Screening (e.g., with bile acid sequestrants or rifampicin)
8. Height and weight Z-score \<-2 per site specific ranges
9. Acholic (pale) stools
10. AST \>4x ULN
11. ALT \>4x ULN
12. GGT \>500 U/L
13. Anticoagulation therapy
14. Albumin \<3.5 g/dL
15. Ongoing current cholangitis
16. Choledochal cystic disease
17. Renal disease defined as serum creatinine \>ULN for subject's age, prior to enrollment
Minimum Eligible Age

2 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Intercept Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lynda Szczech, MD

Role: STUDY_DIRECTOR

Intercept Pharmaceuticals

Locations

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Clinques University Saint-Luc

Brussels, , Belgium

Site Status

CHU Lille

Lille, ME, France

Site Status

Hopital de la Timone

Marseille, PACA, France

Site Status

APHP- Hopital Necker Enfants Malades

Paris, , France

Site Status

CHU de Toulouse Purpan-Hopital des Enfants

Toulouse, , France

Site Status

Hannover Medical School, Children's Hospital, Paediatric Gastroenterology and Hepatology,

Hanover, Lower Saxony, Germany

Site Status

Soroka University Medical Center

Beersheba, , Israel

Site Status

Shaare-Zedek Medical Center

Jerusalem, , Israel

Site Status

Hadassah Medical Center

Jerusalem, , Israel

Site Status

Schneider Children's Medical Center

Petah Tikva, , Israel

Site Status

Centre for Paediatric Hepatology

Bergamo, , Italy

Site Status

Regina Margherita Children's Hospital

Turin, , Italy

Site Status

University Medical Center Gröningen-Beatrix, children's Hospital

Groningen, , Netherlands

Site Status

Instytut Pomnik-Centrum Zdrowia Dziecka

Warsaw, , Poland

Site Status

Passeig Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Materno-Infantil de Malaga

Málaga, , Spain

Site Status

Birmingham Children's Hospital

Birmingham, West Midlands, United Kingdom

Site Status

Countries

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Belgium France Germany Israel Italy Netherlands Poland Spain United Kingdom

Other Identifiers

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747-206

Identifier Type: -

Identifier Source: org_study_id

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