A Phase 4, Double-Blind, Randomized, Placebo-Controlled, Multicenter Study Evaluating the Effect of Obeticholic Acid on Clinical Outcomes in Patients With Primary Biliary Cholangitis

Who is this study for? Adult patients with primary biliary cholangitis
What treatments are being studied? Obeticholic Acid 
Status: Terminated
Location: See all (181) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 4
SUMMARY

Primary Biliary Cholangitis (PBC) is a serious, life-threatening, bile acid related liver disease of unknown cause. Without treatment, it frequently progresses to liver fibrosis and eventual cirrhosis requiring liver transplantation or resulting in death. The investigational drug, Obeticholic Acid (OCA) is a modified bile acid and FXR agonist that is derived from the primary human bile acid chenodeoxycholic acid. The key mechanisms of action of OCA, including its choleretic, anti-inflammatory, and anti-fibrotic properties, underlie its hepatoprotective effects and result in attenuation of injury and improved liver function in a cholestatic liver disease such as PBC. The study will assess the effect of OCA compared to placebo, combined with stable standard care, on clinical outcomes in PBC participants.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Definite or probable PBC diagnosis (consistent with American Association for the Study of Liver Diseases \[AASLD\] and the European Association for the Study of the Liver \[EASL\] practice guidelines; Lindor 2009; EASL 2009), as demonstrated by the presence of ≥2 of the following 3 diagnostic factors:

‣ History of elevated Alkaline phosphatase levels for at least 6 months

⁃ Positive antimitochondrial antibody (AMA) titer or if AMA negative or in low titer (\<1:80) PBC-specific antibodies (anti-GP210 and/or anti-SP100 and/or antibodies against the major M2 components \[PDC-E2, 2-oxo-glutaric acid dehydrogenase complex\])

⁃ Liver biopsy consistent with PBC

• A mean total bilirubin \>ULN and ≤5x ULN and/or a mean ALP \>3x ULN

• Either is not taking UDCA (no UDCA dose in the past 3 months) or has been taking UDCA for at least 12 months with a stable dose for ≥3 months prior to Day 0

Locations
United States
Arizona
Mayo Clinic Arizona
Phoenix
California
Cedars-Sinai Medical Center
Los Angeles
Inland Empire Liver Foundation
Rialto
University of California Davis, Davis Medical Center
Sacramento
Stanford University
Stanford
Colorado
University of Colorado Denver and Hospital
Aurora
Florida
UF Hepatology Research at CTRB
Gainesville
Schiff Center for Liver Diseases/University of Miami
Miami
Georgia
Emory University Hospital
Atlanta
Piedmont Atlanta Hospital
Atlanta
Gastrointestinal Specialists of Georgia
Marietta
Illinois
Northwestern University Feinberg School of Medicine
Chicago
University of Chicago Medical Center
Chicago
Indiana
Indiana University
Indianapolis
Indianapolis Gastroenterology Research Foundation
Indianapolis
Kentucky
University of Louisville, Medical Dental Complex
Louisville
Louisiana
Tulane University Medical Center
New Orleans
Massachusetts
UMass Medical School
Worcester
Maryland
Mercy Medical Center
Baltimore
Michigan
Henry Ford Health System
Novi
Minnesota
Minnesota Gastroenterology, P.A.
Saint Paul
Missouri
Kansas City Research Institute
Kansas City
Saint Louis University Gastroenterology & Hepatology
Saint Louis
Mississippi
Southern Therapy and Advanced Research (STAR)
Jackson
New Jersey
Saint Joseph's Regional Medical Center
Paterson
New York
Mount Sinai Beth Israel
New York
Weill Cornell Medical College
New York
University of Rochester Medical Center
Rochester
Pennsylvania
Hospital of the University of Pennsylvania
Philadelphia
Tennessee
Quality Medical Research, PLLC
Nashville
Texas
Baylor University Medical Center
Dallas
Texas Digestive Disease Consultants
Dallas
The Liver Institute at Methodist Dallas Medical Center
Dallas
UT Southwestern Medical Center
Dallas
Brooke Army Medical Center
Fort Sam Houston
Baylor Scott and White Research Institute
Fort Worth
Baylor College of Medicine - Advanced Liver Therapies
Houston
UT Health The University of Texas Health Science Center at Houston
Houston
American Research Corporation at Texas Liver Institute
San Antonio
Texas Digestive Disease Consultants
Southlake
Utah
Clinical Research Centers of America
Murray
Virginia
McGuire DVAMC
Richmond
Washington
Swedish Organ Transplant & Liver Center
Seattle
Other Locations
Argentina
Centrol Integral de Gastroenterologia
Buenos Aires
CIPREC - Centro de Investigacion y Prevencion Cardiovascular S.A.
Buenos Aires
Hospital De Clinicas University Of Buenos Aires
Buenos Aires
Hospital Aleman
Ciudad Autónoma De Buenos Aires
Hospital Britanico De Buenos Aires
Ciudad Autónoma De Buenos Aires
Hospital de Gastroenterologia Dr. Carlos Bonorino Udaondo
Ciudad Autónoma De Buenos Aires
Hospital Italiano de Buenos Aires
Ciudad Autónoma De Buenos Aires
Hospital Privado Universitario de Cordoba S.A.
Córdoba
Centro De Hepatología
La Plata
Hospital Universitario Austral
Presidente Derqui
Dim Clínica Privada
Ramos Mejía
Hospital Provincial del Centenario
Rosario
Australia
Department of Gastroenterology and Hepatology, Royal Adelaide Hospital
Adelaide
Flinders Medical Centre
Adelaide
Box Hill Hospital
Box Hill
Gallipoli Medical Research Foundation
Brisbane
AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital
Camperdown
St. Vincent's Hospital Melbourne
Fitzroy
Austin Hospital
Heidelberg
Department of Gastroenterology & Hepatology, Nepean Hospital
Kingswood
Fiona Stanley Hospital, Gastroenterology Department
Murdoch
Austria
AKH, Medical University of Vienna
Vienna
Belgium
Cub Hôpital Erasme
Bruxelles
University Hospital Antwerp
Edegem
University Hospital Ghent
Ghent
Uz Leuven
Leuven
Brazil
Hospital Universitario Professor Edgard Santos
Bahia
Hospital das Clinicas da Universidade Federal de Minas Gerais (UFMG)
Belo Horizonte,
Instituto Hospital de Base do Distrito Federal-IHBDF
Brasilia
Gastrocentro. Unidad Estadual de CAmpinas UNICAMP
Campinas
Instituto Goiano de Gastroenterologia
Goiânia
Hospital de Clinicas de Porto Alegre
Porto Alegre
Universidade Federal do Estado do Rio de Janeiro - Hospital Universitario Gaffree e Guinle/HUGG/UNIRIO
Rio De Janeiro
Cepec Huufma
Sao Luis
Gastrocentro/ Universidade Estadual de Campinas (UNICAMP)
Sao Paulo
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo-HCFMUSP
Sao Paulo
Hospital Sao Rafael
São Salvador
Bulgaria
St. Ivan Rilsky University Hospital
Sofia
Canada
University of Calgary Liver Unit (Heritage Medical Research Clinic)
Calgary
University of Alberta, Walter C. Mackenzie Health Sciences Centre (WMC)
Edmonton
London Health Sciences Centre-University Hospital
London
Chum
Montreal
University Health Network, Toronto General Hospital
Toronto
University Of Manitoba, Health Sciences Centre
Winnipeg
Chile
Centro De Investigaciones Clínicas Viña Del Mar
Viña Del Mar
Denmark
Aarhus University Hospital Department of Hepatology and Gastroenterology
Aarhus
Medicinsk klinik for mave, tarm-og leversygdomme
København Ø
Odense University Hospital Afdeling for medicinske mave-tarmsygdomme S
Odense
Estonia
East Tallinn Central Hospital Gastroenterology Center
Tallinn
Tartu University Hospital
Tartu
Finland
Helsinki University Central Hospital
Helsinki
Turku University Central Hospital, Gastroenterology Outpatient Clinic
Turku,
France
CHRU Hôpital HURIEZ
Lille
Hospital Saint-Antoine, A.P.-H.P.
Paris Cedex 12
Chu De Bordeaux - Hôpital Haut Lévêque
Pessac Cedex
Germany
CHARITÉ, Campus Virchow Klinikum
Berlin
Friedrich-Alexander-Uniersitat Erlangen
Erlangen
Klinikum der Johann-Wolfgang Goethe, Universitaet Frankfurt am Main
Frankfurt Am Main
Univeritatsklinikum Hamburg Eppendorf, Medizinische Klinik und Poliklinik
Hamburg
Medizinische Hochschule Hannover, Klinik für Gastroenterologie, Hepatologie und Endokrinologie
Hannover
Universitaetsklinikum Heidelberg Medizinische Universitaetsklinik
Heidelberg
Universität Leipzig KöR, Medizinische Fakultät
Leipzig
University of Munich, LMU Klinikum Grosshadern
Munich
Hong Kong Special Administrative Region
Alice Ho Miu Ling Nethersole Hospital
Hong Kong
Humanity & Health Research Centre
Hong Kong
Prince Of Wales Hospital
Hong Kong
Queen Mary Hospital
Hong Kong
Tuen Mun Hospital
Hong Kong
Hungary
Békés Megyei Kozponti Korhaz - Dr. Rethy Pal Tagkorhaz
Bekescsaba
Szent János Hospital
Budapest
University Of Debrecen, Department Of Medicine, Division Of Gastroenterology
Debrecen
Israel
Soroka Medical Center
Beer Sheva
Rambam Health Care Campus
Haifa
Hadassah Hebrew University Medical Center
Jerusalem
Shaare Zedek Medical Center
Jerusalem
Rabin Medical Center
Petach Tikva
Sheba Medical Center
Ramat-gan
Sourasky Tel-Aviv Medical Center
Tel-aviv
Italy
Università Politecnica delle Marche - Azienda Ospedaliero
Ancona
AOU Policlinico Sant' Orsola Malpighi
Bologna
Azienda Ospedaliero Universitaria Sant´ Orsola Malpighi
Bologna
Azienda Ospedaliero Universitaria Careggi Universita di Firenze
Florence
Azienda Socio-Sanitarla Territoriale (ASST) Santi Paolo e Carlo
Milano
AOU Ospedale Civile S. Agostino Estense - UO Medicina Metabolica
Modena
Azienda Ospedaliero - Universitaria di Cagliari - Centro per lo Studio delle Malattie del Fegato
Monserrato
Azienda Socio Sanitaria Territoriale (ASST) di Monza
Monza
Azienda Ospedaliero - Universita di Padova
Padova
AOU Policlinico Paolo Giaccone - Di.Bi.M.I.S
Palermo
Policlinico Universitario Agostino Gemelli - Universita Cattolica del Sacro Cuore
Rome
Lithuania
Hospital of Lithuanian University of Health Sciences, Kauno klinikos
Kaunas
Vilnius University Hospital Santaros klinikos
Vilnius
Mexico
Medica Sur, S.A.B. de C.V.
Ciudad De Mexico
Consultorio Médico de la Dra Alma Laura Ladrón de Guevara Cetina
Mexico City
Departamento De Gastroenterologia. Instituto Nacional De Ciencias Medicas Y Nutricion Salvador Zubiran
Mexico City
Netherlands
Amsterdam University Medical Centre (AMC)
Amsterdam
Vrije Universiteit Medisch Centrum (VUMC)
Amsterdam
Radboud UMC
Nijmegen
Erasmus Mc
Rotterdam
University Medical Center Utrecht
Utrecht
New Zealand
Gastroenterology, Christchurch Hospital
Christchurch
NZ Liver Transplant Unit, Auckland Hospital
Grafton
Poland
Nzoz Vitamed
Bydgoszcz
Oddział Gastr. I Hepat. Uniwersyteckie Centrum Kliniczne Im. Prof. K. Gibińskiego Sum
Katowice
Dep. Of Gastroenterology UM Lublin
Lublin
Centrum Onkologii - Instytut im. Marii Skłodowskiej - Curie, Klinika Gastroenterologii Onkologicznej
Warsaw
Medical University of Warsaw Samodzielny Publiczny Centralny Szpital Kliniczny w Warszawie (SPCSK in Warsaw
Warsaw
Wojewodzki Szpital Specjalistyczny im. J. Gromkowskiego, Pierwszy Oddzial Chorob Zakaznych
Wroclaw
Portugal
Centro Hospitalar Lisboa Norte, EPE - Hospital de Santa Maria
Lisbon
Republic of Korea
Inje University Busan Paik Hospital
Busan
Pusan National University Hospital
Busan
Seoul National University Bundang Hospital
Seongnam-si
Gangnam Severance Hospital
Seoul
Seoul National University Hospital
Seoul
Serbia
Clinic For Gastroenterology And Hepatology Clinical Center Of Serbia
Belgrade
Clinical Hospital Centre Zvezdara
Belgrade
Spain
Hospital Clinic de Barcelona
Barcelona
Hospital Vall d'Hebron
Barcelona
Hospital Universitario Puerta De Hierro Majadahonda
Majadahonda
Virgen De La Victoria University Hospital
Málaga
Hospital Universitario Marqués De Valdecilla
Santander
Hospital Universitario Virgen del Rocio
Sevilla
La Fe, Hospital ( Valence )
Valence
Sweden
Sahlgrenska Universitetssjukhuset
Gothenburg
Karolinska University Hospital
Stockholm
Switzerland
Inselspital, University Of Bern, UVCM, DMLL
Bern
Kantonsspital St. Gallen, Clinic for Gastroeterologie and Hepatologie
St. Gallen
USZ, Klinik für Gastroenterologie und Hepatologie
Zurich
Turkey
Ankara University School of Medicine Gastroenterology Dept.
Ankara
Ege University School of Medicine Gastroenterology Dept.
Izmir
United Kingdom
University Hospitals Birmingham NHS Foundation Trust
Birmingham
University Hospitals Bristol NHS Foundation Trust
Bristol
Cambrigde University Hospitals NHS Foundation Trust
Cambridge
Gartnavel General Hospital
Glasgow
Forth Valley Royal Hospital
Larbert
The Royal Free Hospital
London
Institute of Cellular Medicine
Newcastle Upon Tyne
Nottingham University Hospital Nhs Trust
Nottingham
Plymouth Hospitals NHS Trust, Derriford Hospital
Plymouth
Time Frame
Start Date: 2014-12-26
Completion Date: 2021-12-23
Participants
Target number of participants: 334
Treatments
Experimental: Obeticholic Acid (OCA) 5 mg to 10 mg
Obeticholic Acid (OCA) 5 mg for a minimum 3 months and then titrating up to a maximum 10 mg for the remainder of the trial (based on tolerability and CP Score).
Placebo_comparator: Placebo
Authors
Silvina de los Ángeles Paz, Eric Lawitz, Pankaj Rajvanshi, Aasim Sheikh, Maliha Ahmad, Victor Vargas, Raj Vuppalanchi, Fredric Regenstein, Lisa Forman, Matthew Cave, David Pound, Marlyn Mayo, Raymond Rubin, Sonal Kumar, Gyongyi Szabo, James Trotter, Kris Kowdley, Steven Flamm, John Vierling, Parvez Mantry, Manjushree Gautam, Bradley Freilich, Jacqueline O'Leary, Zeid Kayali, Donald Zogg, Roberto Firpi-Morell, Jonathan Huang, Lars Schmidt, Nora Cazzagon, Eckart Schott, Philippe Mathurin, Victor de Ledinghen, Matthew Edward Cramp, Christian Rupp, Christoph Schramm, Stefan Zeuzem, Douglas Thorburn, Michael Manns, Johannes Wiegand, Andreas Kremer, Peter Bramley, Palak Trivedi, Christophe Corpechot, Niklas Aehling, George Mells, David Orr, Mette Kjaer, Brian Borg, Ammar Barakat, Paul Thuluvath, Hemant Shah, Christopher Bowlus, Raul Eduardo Adrover, Nora Cristina Fernandez, Krzysztof Celinski, Angelo Paredes, Ching Lung Lai, Henk Van Buuren, Maria Reggiardo, Giuseppe Mazzella, Hugo Fainboim, Mariano Cartier, Adrian Narvaez, Edo Savelkoul, Jonas Valantinas, Aric Josun Hui, Francisco Fuster, Yoav Lurie, Jorn Cornelis Goet, Juan Sorda, Daniel Gotthardt, Janine French, Alberto Munoz, Lourianne Nascimento Cavalcante, Lorena Puchades, Florencia Antinucci, Daniel Campos Mazo, Piero Luigi Almasio, Maria Carlota Londono, Federico Tanno, Katherine Stuart, Ella Veitsman, Martin Weltman, Gerald Minuk, Massimo Zuin, Ulus Akarca, Maria Margarita Anders, Sofia Carvalhana, Youn-Jae Lee, Adalgisa de Souza Paiva Ferreira, Alexander Fich, Ziv Ben Ari, Stephen Ryder, Guilherme Lopes, Cihan Yurdaydin, Piotr Milkiewicz, Ramazan Idilman, Martti Farkkila, Jeyamani Ramachandran, Hendrik Vilstrup, Maria Schinoni, Guido Stirnimann, Catherine Stedman, Raymundo Parana, Kate Muller, Michael Trauner, Liliana Sampaio Costa Mendes, Petar Svorcan, Hanns-Ulrich Marschall, Dewkoemar Ramsoekh, Vincenzo Ronca, Albert Pares, Joost Drenth, Maria Rosa Dr Biagini, Salvador Benlloch, Karel J. Van Erpecum, Jeong Heo, Anne McCune, Istvan Tornai, Luis Colombato, Marek Hartleb, Sook-Hyang Jeong, David Semela, Amanda Nicoll, Luchino Chessa, Limas Kupcinskas, Gisela Gualano, Eduardo Fassio, Karin van Nieuwkerk, Juan Francisco Sanchez-Avila, Adriaan van der Meer, Jaroslaw Regula, Manuel Romero-Gomez, Christophe Moreno, Anja Geerts, Maria Letizia Petroni, Frederik Nevens, Oren Shibolet, Gideon Hirschfield, Tarek Saadi, Adrian Gadano, Helena Cortez-Pinto, Sven Francque, Mario Reis Alvares-da-Silva, Staffan Wahlin, Marina Berenguer, Vincent Wai-Sun Wong, Ricardo Mastai, Jose Manuel Sousa, Simone Strasser, Aleksander Krag, Riina Salupere, Manuel Mendizabal, Annarosa Floreani, J. de Bruijne, Beat Müllhaupt, Rifaat Safadi, Raul Andrade, Pietro Andreone, Marco Marzioni, Pietro Invernizzi, Claudia Alves Couto, Andrew Mason, Ulrich Beuers, Catherine Vincent, Marcelo Silva, Carmela Cursaro, Francesco Azzaroli
Sponsors
Leads: Intercept Pharmaceuticals

This content was sourced from clinicaltrials.gov