CS0159 in Chinese Patients With PSC (Primary Sclerosing Cholangitis)

NCT ID: NCT05896137

Last Updated: 2025-03-14

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-07

Study Completion Date

2025-11-30

Brief Summary

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A phase II Study of CS0159 in Chinese patients with PSC(Primary Sclerosing Cholangitis)

Detailed Description

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A phase II study to evaluate safety, tolerability and efficacy, of CS0159 in patients with Primary Sclerosing Cholangitis, this is a multicenter, randomized, 12-weeks double-blind, placebo-controlled, and 40-week open study.

Conditions

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Primary Sclerosing Cholangitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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2mg CS0159

CS0159 tablet 2mg for 12 weeks

Group Type EXPERIMENTAL

CS0159

Intervention Type DRUG

Oral QD

4mg CS0159

CS0159 tablet 4mg for 12 weeks

Group Type EXPERIMENTAL

CS0159

Intervention Type DRUG

Oral QD

Placebo

Placebo for 12 weeks

Group Type PLACEBO_COMPARATOR

CS0159

Intervention Type DRUG

Oral QD

Interventions

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CS0159

Oral QD

Intervention Type DRUG

Other Intervention Names

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Pleacbo

Eligibility Criteria

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Inclusion Criteria

1. Male or female age≥18 or age≤75 years when sign ICF
2. Within the last year, have a clinical diagnosis of PSC with a consistent magnetic resonance cholangiopancreatography (MRCP) orendoscopic retrograde cholangiopancreatography (ERCP) Prcutaneous Transhepatic Cholangiography(PTC) showing sclerosing cholangitis
3. 1.50×ULN≤ALP≤10×ULN, and TBil≤3×ULN during screen
4. Taken UDCA(≤25mg/kg/d)≥6 months before randomization and stable does≥ 3 months, or not used UDCA≥3 months before randomization
5. For subject with a history of IBD

1. Patients with Crohn's Disease (CD),Must be in remission, CDAI\<150 or CDAI of score ≤4
2. Patients with(Ulcerative Colitis)UC,Must be in remission or only mild activity,Some Mayo scores range from 0 to 4
6. Be able to understand and Comply with the study protocol sign a written informed consent form(ICF)voluntarily

Exclusion Criteria

1. Presence of documented secondary sclerosing cholangitis when screening,or direct evidence IgG4 related sclerosing cholangitis or serum IgG4 ≥ 4 ×ULN
2. Small duct PSC
3. ALT or AST\>5×ULN
4. Taken( ObeticholicAcid) OCA within 3 months before randomization
5. Acute cholangitis was suspected or confirmed within 3 months prior to randomization, Including acute cholangitis being treated during screening
6. Presence of percutaneous drain or bile duct stent at the time of screening or during the study
7. Known concurrent comorbidities with other hepatobiliary diseases including, but not limited to: active hepatitis B virus or hepatitis C virus infection (see Exclusion Criterion 9), primary biliary cholangitis, complete biliary obstruction, acute cholecystitis or gallstones with significant symptoms, Autoimmune Hepatitis (AIH) or overlap with other autoimmune liver diseases, Alcoholic Hepatitis, Non-Alcoholic Steatohepatitis, Suspected or Diagnosed Primary Hepatocellular Cancer, and Bile Duct Cancer;
8. Child-Pugh patients with grade B or C cirrhosis,Present complications related to cirrhosis or End-stage liver disease ,Including history of liver transplantation Preparing for liver transplantation (Model for End-Stage Liver Disease)MELD≥15,Portal hypertension complications,Complications of cirrhosis
9. Patients who are HBsAg-positive, HCVAb-positive, HIVAb-positive or TPAb-positive at screening
10. Cr(Creatinine)≥1.5×ULN also Cr(Creatinine)clearance rate\<60 mL/min
11. PLT(Platelet)\<80×10\^9/L
12. INR(international normalized ratio)\>1.3
13. ALB\<3.5g/dL
14. Severe pruritus may require systemic medication Within 2 months prior to randomization
15. Arrhythmia,male QTc≥450 ms,female QTc≥470 ms, during screening
16. A disease that interferes with the absorption, distribution, metabolism, or excretion of a test drug,such as moderate to severe activity IBD patient, Previous gastric bypass surgery
17. Moderate or intense inhibition of CYP3A4 was performed during 14 days prior to randomization and throughout the trial Preparation or inducer
18. The presence of diseases that may cause non-hepatic elevation of ALP (e.g. Paget's disease) or may cause it Diseases with a life expectancy of less than 2 years
19. History of malignancy within the past 5 years prior to randomization
20. Immunosuppressants, budesonide, and other systemic glucocorticoids were used within 28 days before randomization and throughout the clinical study period;
21. Use of fenofibrate or another fibrate within 28 days prior to randomization and throughout the clinical study period; Hepatotoxic drugs; Hepatoprotective drugs and other hepatoprotective drugs were given stable doses \<28 days before randomization or could not maintain stable doses during the trial; cholagogue
22. Interleukin or other cytokines were used 12 months before randomization and throughout the trial Or antibodies to chemokines or immunotherapy
23. Drug and/or alcohol abuse within the first six months of randomization
24. Poor blood pressure control,systolic pressure\>160 mmHg or dpb \>100 mmHg
25. Poor blood sugar control,Glycated hemoglobin\>9.0%
26. Females who are pregnant or plan to pregnant,Fertile but refusing to sign informed consent, or breastfeed
27. Participated any other study within 30 days prior randomization,and received other experimental medications therapy
28. It is unsuitable to participate for the study or has other diseases by the investigator
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cascade Pharmaceuticals, Inc

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rong Deng

Role: STUDY_DIRECTOR

Cascade Pharmaceuticals, Inc

Locations

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The First Affiliated Hospital of USTC Anhui Provincial Hospital

Hefei, Anhui, China

Site Status RECRUITING

Beijing Friendship Hospital, Captail Medcial University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Beijing YouAn Hostital, Captial Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Wuhan Union Hospital of China

Wuhan, Hubei, China

Site Status RECRUITING

The Seconed Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status RECRUITING

The First Bethune Hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Renji Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shaoyifu Hospital of Zhejiang University Medical

Hangzhou, Zhejiang, China

Site Status RECRUITING

The First Affiliated Hospital,Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Rong Deng

Role: CONTACT

+86-021-68030121

Facility Contacts

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He Hong Liang

Role: primary

You Hong

Role: primary

Zheng Su Jun

Role: primary

Yang Ai Ming

Role: primary

Zhang Wen

Role: primary

Lin Rong

Role: primary

Zhang Min

Role: primary

Wang Kai

Role: primary

Ma Xiong

Role: primary

159 0098 4550

Cao Qian

Role: primary

Liang Tin Bo

Role: primary

Other Identifiers

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PSC-CS0159-003

Identifier Type: -

Identifier Source: org_study_id

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