Obeticholic Acid in Pediatric Subjects With Biliary Atresia
NCT ID: NCT05321524
Last Updated: 2023-03-28
Study Results
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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TERMINATED
PHASE2
7 participants
INTERVENTIONAL
2015-07-01
2023-03-09
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
SEQUENTIAL
TREATMENT
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.
OCA 0.1mg
Tablets administered orally once daily.
OCA 1.5mg
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.
OCA 0.1mg
Tablets administered orally once daily.
OCA 1.5mg
Tablets administered orally once daily.
OCA 5mg
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.
OCA 0.1mg
Tablets administered orally once daily.
OCA 1.5mg
Tablets administered orally once daily.
OCA 5mg
Tablets administered orally once daily.
Interventions
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OCA 0.1mg
Tablets administered orally once daily.
OCA 1.5mg
Tablets administered orally once daily.
OCA 5mg
Tablets administered orally once daily.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
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
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
2 Years
17 Years
ALL
No
Sponsors
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Intercept Pharmaceuticals
INDUSTRY
Responsible Party
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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
CHU Lille
Lille, ME, France
Hopital de la Timone
Marseille, PACA, France
APHP- Hopital Necker Enfants Malades
Paris, , France
CHU de Toulouse Purpan-Hopital des Enfants
Toulouse, , France
Hannover Medical School, Children's Hospital, Paediatric Gastroenterology and Hepatology,
Hanover, Lower Saxony, Germany
Soroka University Medical Center
Beersheba, , Israel
Shaare-Zedek Medical Center
Jerusalem, , Israel
Hadassah Medical Center
Jerusalem, , Israel
Schneider Children's Medical Center
Petah Tikva, , Israel
Centre for Paediatric Hepatology
Bergamo, , Italy
Regina Margherita Children's Hospital
Turin, , Italy
University Medical Center Gröningen-Beatrix, children's Hospital
Groningen, , Netherlands
Instytut Pomnik-Centrum Zdrowia Dziecka
Warsaw, , Poland
Passeig Vall d'Hebron
Barcelona, , Spain
Hospital Materno-Infantil de Malaga
Málaga, , Spain
Birmingham Children's Hospital
Birmingham, West Midlands, United Kingdom
Countries
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Other Identifiers
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747-206
Identifier Type: -
Identifier Source: org_study_id
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