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Primary Sclerosing Cholangitis (PSC)Phase 2NCT01672853

Simtuzumab (GS-6624) in the Prevention of Progression of Liver Fibrosis in Adults With Primary Sclerosing Cholangitis (PSC)

A Phase 2 study testing Simtuzumab in people with Primary Sclerosing Cholangitis (PSC), run by Gilead Sciences at 75 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate whether simtuzumab (GS-6624) is effective at preventing the progression of liver fibrosis in adults with primary sclerosing cholangitis (PSC). Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Primary Sclerosing Cholangitis (PSC)
What is being tested?
Simtuzumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
235 participants
Where
75 sitesin 10 countries
Study dates
4 Mar 2013to 24 Aug 2016
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult Individuals (aged 18-70) with chronic cholestatic liver disease of at least 6 months.
  • Liver biopsy consistent with PSC: If a liver biopsy has been performed within 3 months of the screening visit, tissue from that biopsy may be used as the screening biopsy. Slides would be re-cut from the existing tissue block and submitted for central reader assessment. Some individuals with PSC may have a normal liver biopsy, in the event of a normal liver biopsy, the individual must have an abnormal magnetic resonance cholangiopancreatography (MRCP).
  • MRCP consistent with PSC: Some individuals with PSC may have a normal MRCP; in the event of a normal MRCP, the individual must have an abnormal liver biopsy.
  • Exclusion of other causes of liver disease including viral hepatitis ,alcoholic liver disease,primary biliary cirrhosis and secondary sclerosing cholangitis
  • Must have aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 10 x the Central Laboratory Upper Limit of Normal (clULN)
  • Must have serum creatinine < 2.0 mg/dL
Show all 10Show fewer
  • A negative serum pregnancy test is required for female individuals of childbearing potential
  • All sexually active female individuals of childbearing potential must agree to use a protocol recommended method of contraception during heterosexual intercourse throughout the study and for 90 days following the last dose of study medication
  • Lactating females must agree to discontinue nursing before starting study treatment
  • Males if not vasectomized, are required to use barrier contraception (condom plus spermicide) during intercourse from the screening through the study completion and for 90 days following the last dose of study drug

Who cannot join

  • Pregnant or breast feeding
  • Evidence of hepatic decompensation present, including ascites, episodes of hepatic encephalopathy, variceal bleeding or a prolonged prothrombin time/international normalized ratio (PT/INR)
  • Positive for hepatitis C virus (HCV) RNA
  • Positive for HBsAg
  • Positive for anti-mitochondrial antibody
  • Alcohol consumption greater than 21oz/week for males or 14oz/week for females
Show all 19Show fewer
  • Moderately active ulcerative colitis (UC) defined as either a partial Mayo score of > 4, bleeding score of >1, or current use of oral corticosteroid therapy and/or any inhibitor of Tumor necrosis factor-α (TNF-α) or α4β7 integrin antagonist
  • Positive urine screen for amphetamines, cocaine or opiates (i.e. heroin, morphine) at screening. Individuals on stable methadone or buprenorphine maintenance treatment for at least 6 months prior to screening may be included in the study. Individuals with a positive urine drug screen due to prescription opioid-based medication are eligible if the prescription and diagnosis are reviewed and approved by the investigator
  • Clinically significant cardiac disease
  • History of cholangiocarcinoma
  • History of other cancers,other than non-melanomatous skin cancer, within 5 years prior to screening
  • Ascending cholangitis within 60 days of screening
  • Presence of a percutaneous drain or bile duct stent
  • Known hypersensitivity to the investigation product or any of its formulation excipients
  • History of bleeding diathesis within 6 months of screening
  • Unavailable for follow-up assessment or concern for individual's compliance with the protocol procedures;
  • Participation in an investigational trial of a drug or device within 30 days prior to screening
  • Major surgical procedure within 30 days prior to screening or the presence of an open wound
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

75 sites in 10 countries.

75 sites in 10 countries

United States43 sites
  • University of Colorado Denver

    Aurora, Colorado, 80045

  • Walter Reed National Military Medical Center

    Bethesda, Maryland, 20889

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 01125

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • University of Virginia Health Center

    Charlottesville, Virginia, 22908

  • Northwestern University

    Chicago, Illinois, 60611

  • Southern California Liver Center

    Chula Vista, California, 91910

  • University Hospitals Case Medical Center

    Cleveland, Ohio, 44106

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Iowa Digestive Disease Center

    Clive, Iowa, 50325

  • Southern California Liver Centers

    Coronado, California, 92118

  • UT Southwestern Medical Center

    Dallas, Texas, 75390

  • Duke Clinical Research Institute

    Durham, North Carolina, 27710

  • Brooke Army Medical Center

    Fort Sam Houston, Texas, 78234

  • St. Luke Episcopal Hospital

    Houston, Texas, 77030

  • Indiana University

    Indianapolis, Indiana, 46202

  • Indianapolis Gastroenterology Research Foundation

    Indianapolis, Indiana, 46237

  • Scripps Clinic

    La Jolla, California, 92037

  • University of Louisville

    Louisville, Kentucky, 40202

  • University of Miami Center for Liver Diseases

    Miami, Florida, 33136

  • Intermountain Medical Center

    Murray, Utah, 84107

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37212

  • Tulane University Health Sciences Center

    New Orleans, Louisiana, 70112

  • Weill Cornell Medical College

    New York, New York, 10021

  • Mount Sinai Hospital

    New York, New York, 10029

  • Liver Institute of Virginia

    Newport News, Virginia, 23603

  • Digestive and Liver Disease Specialists

    Norfolk, Virginia, 23502

  • Verterans Adminstration Hospital

    Palo Alto, California, 94304

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Mayo Clinic Hospital

    Phoenix, Arizona, 85054

  • University Gastroenterology

    Providence, Rhode Island, 02905

  • Bon Secours Richmond Health System

    Richmond, Virginia, 23226

  • Virginia Commonwealth University Health System

    Richmond, Virginia, 23298

  • UC Davis Medical Center

    Sacramento, California, 95817

  • Minnesota Gastroenterology, PA

    Saint Paul, Minnesota, 55114

  • University of Utah

    Salt Lake City, Utah, 84132

  • Alamo Medical Research

    San Antonio, Texas, 78215

  • University of San Diego Medical Center

    San Diego, California, 92103

  • University of California San Francisco

    San Francisco, California, 94143

  • Virginia Mason Medical Center

    Seattle, Washington, 98101

  • University of Washington

    Seattle, Washington, 98103

  • St. Louis University

    St Louis, Missouri, 63104

  • University of Arizona Health Sciences Center

    Tucson, Arizona, 85724

Other trials in United States

Canada6 sites
  • University of Calgary

    Calgary, Alberta, T2N 4Z6

  • University of Alberta

    Edmonton, Alberta, T6G 2X8

  • Dalhousie University

    Halifax, Nova Scotia, B3H 2Y9

  • London Health Science Center

    London, Ontario, N6C 5A5

  • Toronto Liver Centre

    Toronto, Ontario, M6H 3M1

  • University of Manitoba

    Winnepeg, Manitoba, R3E 3P4

Other trials in Canada

United Kingdom6 sites
  • New Queen Elizabeth Hospital

    Birmingham, B15 2WB

  • John Radcliffe Hospital

    Headington, OX3 9DU

  • Imperial College Healthcare NHS Trust- St. Mary's Hospital

    London, W2 1NY

  • University College London

    London, WC1E 6HX

  • Norfolk and Norwich University Hospital

    Norwich, NR4 7UY

  • University of Nottingham

    Nottingham, NG7 2UH

Other trials in United Kingdom

Belgium5 sites
  • Hôpital Erasme

    Brussels, 1070

  • Université Catholique de Louvain

    Brussels, 1200

  • UZ Antwerpen

    Edegem, 2650

  • UZ Gent

    Ghent, B-9000

  • UZ Leuven

    Leuven, 3000

Other trials in Belgium

Germany4 sites
  • Klinikum der Johann Wolfgang Goethe Universitat

    Frankfurt, 60590

  • Medizinische Hochschule Hannover

    Hanover, 30625

  • Gastroenterologisch Hepatologisches Zentrum Kiel

    Kiel, 24146

  • EUGASTRO GmbH

    Leipzig, 4103

Other trials in Germany

Denmark3 sites
  • Århus Universitetshospital, Århus Sygehus

    Århus C, DK-8000

  • Hvidovre Hospital

    Hvidovre, DK-2650

  • Rigshospitalet

    København Ø, DK-2100

Other trials in Denmark

Italy3 sites
  • Azienda Ospedaliera San Camillo Forlanini

    Roma, 144

  • Istituto Clinico Humanitas

    Rozzano, Milano, 20089

  • Azienda Ospedaliera Città della Salute e della Scienza di Torino

    Torino, 10126

Other trials in Italy

Spain3 sites
  • Hospital Universitario Vall d'Hebron

    Barcelona, Catalonia, 8035

  • Hospital Donostia

    Donostia / San Sebastian, 20080

  • Hospital Universitario Puerta de Hierro

    Majadahonda, 28222

Other trials in Spain

Netherlands1 site
  • Eramus MC

    Rotterdam, 3015 CE

Other trials in Netherlands

Sweden1 site
  • Avd för invärtesmedicin och klinisk nutrition

    Gothenburg, 413 45

Other trials in Sweden

About this study

Official title: A Phase 2b, Dose-Ranging, Randomized, Double-Blind, Placebo-Controlled Trial Evaluating the Safety and Efficacy of GS-6624, a Monoclonal Antibody Against Lysyl Oxidase Like 2 (LOXL2) in Subjects With Primary Sclerosing Cholangitis (PSC)

The purpose of this study is to evaluate whether simtuzumab (GS-6624) is effective at preventing the progression of liver fibrosis in adults with primary sclerosing cholangitis (PSC).

Being tested
Simtuzumab, Placebo
Keywords
PSC, Sclerosis, Monoclonal antibody, LOXL2, Simtuzumab, Primary sclerosing cholangitis, Liver fibrosis, Liver disease, MRCP, MRE, Liver biopsy
Medical subject headings
Cholangitis, Sclerosing, Sclerosis, Liver Cirrhosis, Liver Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SimtuzumabBiological

    Also called GS-6624

    Subcutaneous injections weekly for a total of 96 injections

  • PlaceboBiological

    Subcutaneous injections weekly for a total of 96 injections

Study groups in NCT01672853
Study groupRoleWhat they receive
Treatment Arm AExperimentalSimtuzumab 75 mg for 96 weeks
Receives: Biological: Simtuzumab
Treatment Arm BExperimentalSimtuzumab 125 mg for 96 weeks
Receives: Biological: Simtuzumab
Treatment Arm CPlacebo comparatorPlacebo for 96 weeks
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in MQC on Liver Biopsy at Week 96

    Measured: Baseline; Week 96

Secondary outcomes (3)
  1. Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event

    Measured: First dose date up to Week 96

  2. Study Drug Exposure

    The average SIM exposure was summarized.

    Measured: First dose date up to Week 96

  3. Percentage of Participants Experiencing Any Treatment-Emergent Laboratory Abnormality

    A treatment-emergent graded laboratory abnormality was defined as an increase of at least 1 abnormality grade from the predose assessment and occurring after the predose visit and on or before the date of the administration of study drug plus 30 days. The most severe graded abnormality from all tests was counted for each participant [Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe); Grade 4 (life-threatening)].

    Measured: First dose date up to Week 96 plus 30 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Aug 2012 (estimated)
  2. Study start4 Mar 2013
  3. Primary completion8 Aug 2016
  4. Study completion24 Aug 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
235 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01672853
Sponsor's protocol ID
GS-US-321-0102
Other IDs
2012-002473-61
Status last verified
Oct 2019
First submitted
22 Aug 2012
Last updated
22 Oct 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Shea P, Hirschfield G, Shiffman M, McColgan B, Goodman Z, Myers, R, et al. Common variation near glial-derived neurotrophic factor is associated with progression of hepatic collagen content in a genome-wide association study of liver fibrosis phenotypes in patients with primary sclerosing cholangitis. J Hepatol 2017; 66 (1): S4-S5.

  • Muir A, Goodman Z, Levy C, Janssen H, Montano-Loza A, Bowlus C, et al. Efficacy and safety of simtuzumab for the treatment of primary sclerosing cholangitis: results of a phase 2b, dose-ranging, randomized, placebo-controlled trial. J Hepatol 2017; 66 (1): S73.

  • Bowlus CL, Patel K, Hirschfield G, Guha I, Chapman R, Chazouilleres O, et al. Prospective validation of the Enhanced Liver Fibrosis test for the prediction of disease progression in a randomized trial of patients with primary sclerosing cholangitis. J Hepatol 2017; 66 (1): S359.

  • Levy C, Eksteen B, Shiffman M, Janssen H, Montano-Loza A, Ding D, et al. Prospective validation of serum alkaline phosphatase for the prediction of disease progression in a randomized trial of patients with primary sclerosing cholangitis. J Hepatol 2017; 66 (1): S360-S361.

  • Levy C, Shiffman M, Caldwell S, Luketic V, Invernizzi P, Minuk G, et al. Serum fibroblast growth factor 19, 7α-Hydroxy-4-Cholesten-3-one, and bile acids and their associations with clinical characteristics in primary sclerosing cholangitis. J Hepatol 2017; 66 (1): S361.

  • French D, Huntzicker EG, Goodman ZD, Shea PR, Ding D, Aguilar Schall, RE, et al. Hepatic expression of lysyl oxidase-like-2 (LOXL2) in primary sclerosing cholangitis (PSC). Hepatol 2016; 64 (1): 194A.

  • Bowlus CL, Montano-Loza AJ, Invernizzi P, Chazouilleres O, Hirschfield G, Metselaar HJ, et al. Liver stiffness measurement by transient elastography for the prediction of fibrosis in patients with primary sclerosing cholangitis in a randomized trial of simtuzumab. J Hepatol 2016; 64 (2): S434.

  • Goodman Z, Patel K, Guha I, Hameed B, Kowdley K, Alaparthi L, et al. Correlations between hepatic morphometric collagen content, histologic fibrosis stage, and serum markers in patients with primary sclerosing cholangitis (PSC). J Hepatol 2016; 64 (2): S652-S653.

  • Muir AJ, Goodman Z, Bowlus CL, Caldwell S, Invernizzi P, Luketic V, et al. Serum lysyl oxidase-like-2 (SLOXL2) levels correlate with disease severity in patients with primary sclerosing cholangitis. J Hepatol 2016; 64 (2): S428.

  • Shea PR, Eksteen B, Hirschfield GM, Shiffman ML, Janssen HLA, Montano-Loza AJ, et al. Genome-wide association study (GWAS) of liver fibrosis phenotypes in patients with primary sclerosing cholangitis (PSC) reveals common genetic variation influencing serum levels of lysyl oxidase-like-2 (LOXL2). J Hepatol 2016; 64 (2): S180-S182.

  • Manns MP, Eksteen B, Shiffman ML, Levy C, Kowdley KV, Montano-Loza AJ, et al. Association between elevated serum IgG4 (sIgG4) concentrations and the phenotype of patients with primary sclerosing cholangitis (PSC). Hepatol 2015; 62 (1): 515A.

  • Bowlus CL, Patel K, Chuha IN, Chapman RW, Chazouilleres O, Chalasani NP, et al. Validation of serum fibrosis marker panels in patients with primary sclerosing cholangitis (PSC) in a randomized trial of simtuzumab. Hepatol 2015; 62 (1): 519A.

  • French D, Goodman ZD, Huntzicker EG, Newstrom D, Karnik S, Smith V, et al. Expression of matrix metalloproteinase 9 (MMP9) and the apoptosis signal-regulating kinase 1 (ASK1) pathway activation marker, phospho-P38 (p-P38), in primary sclerosing cholangitis (PSC). Hepatol 2015; 62 (1): 523A-524A.

  • Laschtowitz A, Lindberg EL, Liebhoff AM, Liebig LA, Casar C, Steinmann S, Guillot A, Xu J, Schwinge D, Trauner M, Lohse AW, Bonn S, Hubner N, Schramm C. Liver transcriptome analysis reveals PSC-attributed gene set associated with fibrosis progression. JHEP Rep. 2024 Nov 12;7(3):101267. doi: 10.1016/j.jhepr.2024.101267. eCollection 2025 Mar.

    PubMed 39996122
  • Thorburn D, Leeming DJ, Barchuk WT, Wang Y, Lu X, Malkov VA, Ito KL, Bowlus CL, Levy C, Goodman Z, Karsdal MA, Muir AJ, Xu J. Serologic extracellular matrix remodeling markers are related to fibrosis stage and prognosis in a phase 2b trial of simtuzumab in patients with primary sclerosing cholangitis. Hepatol Commun. 2024 Jul 5;8(7):e0467. doi: 10.1097/HC9.0000000000000467. eCollection 2024 Jul 1.

    PubMed 38967589

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Simtuzumab in people with Primary Sclerosing Cholangitis (PSC), run by Gilead Sciences at 75 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 75 sites in United States, Canada, United Kingdom, Belgium, Germany and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in MQC on Liver Biopsy at Week 96 (time frame: Baseline; Week 96). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01672853, which also lists 16 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Oct 2019.

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