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Primary Biliary CholangitisPhase 2NCT03092765

Study of E6011 in Japanese Subjects With Primary Biliary Cholangitis Inadequately Responding to Ursodeoxycholic Acid

A Phase 2 study testing E6011 in people with Primary Biliary Cholangitis, run by EA Pharma Co., Ltd. at 46 sites in Japan.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study is a placebo-controlled, randomized, double-blind, multicenter, parallel-group comparison study in primary biliary cholangitis participants inadequately responding to ursodeoxycholic acid. Read more about this study

Who is it for?
Ages 20 to 74 years
Conditions the study is for
Primary Biliary Cholangitis
What is being tested?
E6011
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
29 participants
Where
46 sitesJapan
Study dates
29 May 2017to 22 Oct 2018
Phase
Phase 2
Are there results?
None posted in the registry

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 20 to 74 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with primary biliary cholangitis corresponding to one of the following criteria:
  • Histologically confirmed chronic non-suppurative destructive cholangitis (CNSDC) with laboratory findings compatible with primary biliary cholangitis (PBC)
  • Positivity for antimitochondrial antibodies (AMAs) with histological findings compatible with PBC but in the absence of characteristic histological findings of CNSDC
  • No histological findings available, but positivity for AMAs as well as clinical findings and a course indicative of typical cholestatic PBC
  • Aged ≥20 and <75 years old at the time of informed consent
  • Taking stable dose of ursodeoxycholic acid for at least 6 months (≥600 milligrams [mg]/day) prior to Screening
Show all 9Show fewer
  • Screening and Week 0 alkaline phosphatase (ALP) values between 1.67 and 10 times the upper limit of normal
  • Outpatient
  • Has voluntarily consented, in writing, to participate in this study, and is able to comply with all aspects of the protocol

Who cannot join

  • Received the following drugs within 12 weeks before starting the study treatment:
  • Drugs that suppose the efficacy to PBC:
  • o azathioprine, colchicine, cyclosporine, methotrexate, mycophenolate mofetil, penicillamine, fibrates, and other systemic corticosteroids
  • Potentially hepatotoxic drugs o methyl-dopa, sodium valproic acid, and isoniazide
  • History or current condition of hepatic decompensation with variceal bleeds, encephalopathy ≥ grade 2 and poorly controlled ascites, and history of liver transplantation
  • History or current condition of other concomitant liver diseases including hepatitis due to hepatitis B virus (HBV)/hepatitis C virus (HCV) infection, primary sclerosing cholangitis, alcoholic liver disease (including liver cirrhosis), autoimmune liver disease requiring the treatment of systemic corticosteroids or biopsy proven non-alcoholic steatohepatitis (NASH)
Show all 25Show fewer
  • History or current clinical condition of malignant tumor, lymphoma, leukemia, or lymphoproliferative disease, except for skin carcinoma (epithelial carcinoma or basal cell carcinoma) and cervix carcinoma which has completely excised and without metastasis or recurrence for more than 5 years before informed consent
  • Immunodeficiency or history of human immunodeficiency virus (HIV) infection
  • Infection requiring hospitalization or intravenous administration of antibiotics or disease requiring administration of antivirus drugs (eg, herpes zoster) within 4 weeks before starting the study treatment
  • History of tuberculosis or current complication of active tuberculosis
  • Positive tuberculosis test (QuantiFERON®TB Gold Test or T-SPOT®.TB Test) at Screening
  • History of clinically important vasculitis
  • History of severe allergy (shock or anaphylactoid symptoms)
  • Complication of uncontrolled disorders such as acute cardiac infarction, unstable angina, brain infarct, or symptomatic intracerebral hemorrhage
  • Evidence of clinically significant disease (eg, cardiac, respiratory, gastrointestinal, or renal disease) that could affect the participant's safety or interfere with the study assessments in the opinion of the investigator or subinvestigator
  • Tested positive for any of the following at Screening: HIV, hepatitis B surface (HBs) antigen, HBs antibody, hepatitis B core (HBc) antibody, HBV deoxyribonucleic acid (DNA), HCV antibody, human T-lymphotropic virus type 1 (HTLV-1) antibody, or syphilis
  • Demonstrated prolonged QT interval corrected using Fridericia's formula (QTcF) interval (>450 milliseconds [ms]) in repeated electrocardiogram examinations
  • Received immunoglobulin preparations or blood products within 24 weeks before starting the study treatment
  • Received a live vaccine within 12 weeks before starting the study treatment, or is planning to receive
  • Females who are, or may be pregnant, who are breastfeeding, who wish to become pregnant during the study period, and females or their partners who do not wish to use reliable contraceptive measures.
  • Scheduled for surgery before Week 64
  • Has been treated with investigational drugs in other E6011 study
  • Currently enrolled in another clinical study, including the follow-up
  • Used any investigational drug within 28 days (or 5× the half-life, whichever is longer) before informed consent
  • Judged to be ineligible to participate in this study by the investigator or sub-investigator

Trial locations and contacts

46 sites in 1 country.

46 sites in 1 country

Japan46 sites
  • EA Pharma trial site

    Ageo, Saitama

  • EA Pharma trial site

    Bunkyo, Tokyo

  • EA Pharma trial site #1

    Fukuoka

  • EA Pharma trial site #2

    Fukuoka

  • EA Pharma trial site

    Fukushima

  • EA Pharma trial site

    Hirakata, Osaka

  • EA Pharma trial site #1

    Hiroshima

  • EA Pharma trial site #2

    Hiroshima

  • EA Pharma trial site

    Inashiki, Ibaraki

  • EA Pharma trial site

    Iruma, Saitama

  • EA Pharma trial site

    Kagoshima

  • EA Pharma trial site

    Kashihara, Nara

  • EA Pharma trial site

    Kita, Kagawa-ken

  • EA Pharma trial site

    Kobe, Hyōgo

  • EA Pharma trial site

    Kumamoto

  • EA Pharma trial site

    Kurume, Fukuoka

  • EA Pharma trial site

    Kyoto

  • EA Pharma trial site

    Maebashi, Gunma

  • EA Pharma trial site

    Matsudo, Chiba

  • EA Pharma trial site

    Matsumoto, Nagano

  • EA Pharma trial site #1

    Minato, Tokyo

  • EA Pharma trial site #2

    Minato, Tokyo

  • EA Pharma trial site

    Morioka, Iwate

  • EA Pharma trial site

    Musashino, Tokyo

  • EA Pharma trial site

    Nagoya, Aichi-ken

  • EA Pharma trial site

    Nakagami, Okinawa

  • EA Pharma trial site

    Niigata

  • EA Pharma trial site

    Nishinomiya, Hyōgo

  • EA Pharma trial site

    Okayama

  • EA Pharma trial site

    Oomura, Nagasaki

  • EA Pharma trial site

    Osaka

  • EA Pharma trial site

    Saga

  • EA Pharma trial site #1

    Sapporo, Hokkaido

  • EA Pharma trial site #2

    Sapporo, Hokkaido

  • EA Pharma trial site

    Sendai, Miyagi

  • EA Pharma trial site

    Shimotsuga, Tochigi

  • EA Pharma trial site

    Shinjuku, Tokyo

  • EA Pharma trial site #1

    Suita, Osaka

  • EA Pharma trial site #2

    Suita, Osaka

  • EA Pharma trial site

    tabashi City, Tokyo

  • EA Pharma trial site

    Takamatsu, Kagawa-ken

  • EA Pharma trial site

    Touon, Ehime

  • EA Pharma trial site

    Yamagata

  • EA Pharma trial site #1

    Yokohama, Kanagawa

  • EA Pharma trial site #2

    Yokohama, Kanagawa

  • EA Pharma trial site

    Yoshida, Fukui

Other trials in Japan

About this study

Official title: A Clinical Phase 2 Study of E6011 in Japanese Subjects With Primary Biliary Cholangitis Inadequately Responding to Ursodeoxycholic Acid

This study is a placebo-controlled, randomized, double-blind, multicenter, parallel-group comparison study in primary biliary cholangitis participants inadequately responding to ursodeoxycholic acid.

Being tested
E6011, Placebo
Keywords
E6011, Ursodeoxycholic acid, Japan
Medical subject headings
Liver Cirrhosis, Biliary

What participants receive

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

  • E6011Drug

    Intravenous administration

  • PlaceboDrug

    Intravenous administration

Study groups in NCT03092765
Study groupRoleWhat they receive
low-dose, high-frequency E6011; high-dose, low-frequency E6011ExperimentalParticipants will receive low-dose E6011 at a relatively higher frequency up to approximately Week 12. Participants will then receive high-dose E6011 at a relatively lower frequency from Week 12 to Week 64.
Receives: Drug: E6011
low-dose, high-frequency E6011; low-dose, low-frequency E6011ExperimentalParticipants will receive low-dose E6011 at a relatively higher frequency up to approximately Week 12. Participants will then receive low-dose E6011 at a relatively lower frequency from Week 12 to Week 64.
Receives: Drug: E6011
high-dose, low-frequency E6011; high-dose, low-frequency E6011ExperimentalParticipants will receive high-dose E6011 at a relatively lower frequency up to approximately Week 12. Participants will then receive high-dose E6011 at a relatively lower frequency from Week 12 to Week 64.
Receives: Drug: E6011
high-dose, low-frequency E6011; low-dose, low-frequency E6011ExperimentalParticipants will receive high-dose E6011 at a relatively lower frequency up to approximately Week 12. Participants will then receive low-dose E6011 at a relatively lower frequency from Week 12 to Week 64.
Receives: Drug: E6011
low-dose, low-frequency E6011; high-dose, low-frequency E6011ExperimentalParticipants will receive low-dose E6011 at a relatively lower frequency up to approximately Week 12. Participants will then receive high-dose E6011 at a relatively lower frequency from Week 12 to Week 64.
Receives: Drug: E6011
low-dose, low-frequency E6011; low-dose, low-frequency E6011ExperimentalParticipants will receive low-dose E6011 at a relatively lower frequency up to approximately Week 12. Participants will then receive low-dose E6011 at a relatively lower frequency from Week 12 to Week 64.
Receives: Drug: E6011
Placebo; high-dose, low-frequency E6011ExperimentalParticipants will receive placebo up to approximately Week 12. Participants will then receive high-dose E6011 at a relatively lower frequency from Week 12 to Week 64.
Receives: Drug: E6011; Drug: Placebo
Placebo; low-dose, low-frequency E6011ExperimentalParticipants will receive placebo up to approximately Week 12. Participants will then receive low-dose E6011 at a relatively lower frequency from Week 12 to Week 64.
Receives: Drug: E6011; Drug: Placebo

What is being measured

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

  1. Rate of change from Baseline in serum alkaline phosphatase (ALP) values at Week 12

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; Week 12

Secondary outcomes (26)
  1. Number of participants with a decrease in ALP response rates of 15%, 20%, and 40% from Baseline

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  2. Number of participants with an ALP value less than 1.67 times the upper limit normal and a total bilirubin value within normal limits and a greater than or equal to 15% decrease in ALP from Baseline

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  3. Mean values of serum ALP, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  4. Mean values of gamma-guanosine-5'-triphosphate (γGTP) at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  5. Mean values of serum total bilirubin and direct bilirubin at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  6. Mean values of serum total bile acids at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  7. Mean values of serum albumin at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  8. Mean change from Baseline in serum ALP, AST, and ALT at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  9. Mean change from Baseline in serum γGTP at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  10. Mean change from Baseline in serum total bilirubin and direct bilirubin at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  11. Mean change from Baseline in serum total bile acids at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  12. Mean change from Baseline in serum albumin at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  13. Mean rate of change from Baseline in serum ALP, AST, and ALT at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  14. Mean rate of change from Baseline in serum γGTP at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  15. Mean rate of change from Baseline in serum total bilirubin and direct bilirubin at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  16. Mean rate of change from Baseline in serum total bile acids at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  17. Mean rate of change from Baseline in serum albumin at each visit

    This assessment will be conducted as a measure of efficacy.

    Measured: Baseline; up to Week 64

  18. Mean change from Baseline in individual domain and total primary biliary cholangitis (PBC) version Child-Pugh scores

    The Child-Pugh classification is used to assess the prognosis of chronic liver disease. The score employs five clinical measures of liver disease. Each measure is scored from 1 to 3, with 3 indicating most severe derangement. The total score ranges from 5 to 15 and is a sum of the individual domain scores. A higher score indicates a worse prognosis.

    Measured: Screening; up to Week 64

  19. Mean change from Baseline in domain (Symptoms, Itch, Fatigue, Cognitive, Emotional, Social) and total scores on the PBC-40

    The PBC-40 is measures quality of life. Participants are asked to respond to 40 questions, each of which is scored on a scale of 0 to 5 (where 0=not applicable; 1=least impact; 5=greatest impact), grouped into six domains (symptoms, itch, fatigue, cognition, social, and emotional). For each domain, scoring involves summing individual question response scores. A higher score indicates a poorer quality of life.

    Measured: Baseline; up to Week 64

  20. Mean change from Baseline in each score (fibrosis, bile duct loss, deposition of orcein-positive granules) and total scores, in the stage based on the total scores, in each score of cholangitis activity and hepatitis activity on Nakanuma classification

    Scores for fibrosis, bile duct loss, and chronic cholestasis are combined for staging: stage 1, total score of 0; stage 2, score 1 to 3; stage 3, score 4 to 6; and stage 4, score 7 to 9. Cholangitis activity and hepatitis activity are graded as CA0-3 and HA0-3, respectively. A higher score indicates more severe disease.

    Measured: Screening; Weeks 52 to 60

  21. Mean values of fibrosis marker at each visit

    The presence of serum fibrosis markers may be correlated with PBC.

    Measured: Baseline; up to Week 64

  22. Mean change from Baseline in fibrosis marker at each visit

    The presence of serum fibrosis markers may be correlated with PBC.

    Measured: Baseline; up to Week 64

  23. Mean rate of change from Baseline in fibrosis marker at each visit

    The presence of serum fibrosis markers may be correlated with PBC.

    Measured: Baseline; up to Week 64

  24. Mean values of fibrosis 4 (Fib-4) index at each visit

    The presence of serum fibrosis markers may be correlated with PBC.

    Measured: Baseline; up to Week 64

  25. Mean change from Baseline in Fib-4 index at each visit

    The presence of serum fibrosis markers may be correlated with PBC.

    Measured: Baseline; up to Week 64

  26. Mean rate of change from Baseline in Fib-4 index at each visit

    The presence of serum fibrosis markers may be correlated with PBC.

    Measured: Baseline; up to Week 64

Timeline

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

  1. First posted28 Mar 2017
  2. Study start29 May 2017
  3. Primary completion27 Aug 2018
  4. Study completion22 Oct 2018

Why it stopped: Sponsor's decision (non-safety related)

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03092765
Sponsor's protocol ID
E6011/ET1
Status last verified
Jul 2018
First submitted
24 Mar 2017
Last updated
4 Jan 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing E6011 in people with Primary Biliary Cholangitis, run by EA Pharma Co., Ltd. at 46 sites in Japan.

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 9 inclusion and 25 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: stopped early, as of the sponsor's last update on 4 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 sites in Japan. 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. 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?

The study was stopped early (reason given: Sponsor's decision (non-safety related)). Results are not available in the source record.

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?

Rate of change from Baseline in serum alkaline phosphatase (ALP) values at Week 12 (time frame: Baseline; Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 4 Jan 2019.

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