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Study to Evaluate the Efficacy and Safety of K-808 (Pemafibrate) in Participants With Primary Biliary Cholangitis (PBC) With Inadequate Response to Ursodeoxycholic Acid (UDCA) and/or Obeticholic Acid (OCA) Treatment.
Study to Evaluate the Efficacy and Safety of K-808 (Pemafibrate) in Participants With Primary Biliary Cholangitis (PBC) With Inadequate Response to Ursodeoxycholic Acid (UDCA) and/or Obeticholic Acid (OCA) Treatment.

NCT06247735

Active Not RecruitingPhase 2

Sponsor: Kowa Research Institute, Inc.

Conditions: Primary Biliary Cholangitis

Interventions: K-808 (Dose A), K-808 (Dose B), Placebo

Countries: United States, Canada, Japan

Study to investigate the efficacy and safety of two doses of K-808 (pemafribate) in subjects with PBC.

Eligibility overview

Sex: ALL

Age: 18 Years to

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion Criteria:

* Male or female participant who has a PBC diagnosis as demonstrated by the presence of ≥2 of the following three diagnostic criteria:

  * History of ALP above ULN for at least 6 months
  * History of positive antimitochondrial antibody (AMA) titer or positive PBC-specific antinuclear antibody (ANA) titer
  * Historical liver biopsy consistent with PBC
* Participant has the following qualifying biochemistry value at Screening:

  * ALP ≥1.5 × ULN
* Participant is ≥18 years of age at consent.
* Participant meets all other eligibility criteria outlined in the Clinical Study Protocol.

Exclusion Criteria:

* Participant meets any one of the following criteria at Screening:

  * ALP\>10 × ULN
  * ALT or AST \>5 × ULN
  * Hepatitis C treatment within 5 years of Screening, or active hepatitis C as defined by positive hepatitis C antibody with the presence of hepatitis C virus ribonucleic acid; subjects with active hepatitis B (HBV) infection (hepatitis B surface antigen \[HbsAg\] positive) will be excluded. A subject with resolved hepatitis A at least 3 months prior to the Screening Visit can be screened.
  * Primary sclerosing cholangitis and secondary sclerosing cholangitis (eg, due to cholangiolithiasis, ischemia, telangiectasia, vasculitis, infectious diseases)
  * Alcoholic liver disease
  * History of definite autoimmune hepatitis or PBC/autoimmune hepatitis overlap, defined as both of the following: 1) IgG \>2 × ULN and/or positive anti-smooth muscle antibodies, 2) liver histology revealing moderate or severe periportal or periseptal inflammation
  * Nonalcoholic steatohepatitis (NASH)
  * Gilbert's Syndrome
  * Alpha-1-antitrypsin deficiency, cystic fibrosis, Wilson's disease, hemochromatosis based on historically established diagnosis
  * Drug-induced liver injury (DILI) as defined by typical exposure and history
  * Known condition that involves bile duct obstruction or cholestasis other than PBC, eg, vascular diseases (eg, Budd-Chiari syndrome, sinusoidal obstruction syndrome, congestive hepatopathy), congenital conditions (ductal plate malformations, Caroli syndrome, congenital liver fibrosis), idiopathic ductopenia
  * Hepatocellular carcinoma
* Participant meets any other exclusion criteria outlined in the Clinical Study Protocol.
Locations (38)
  • Tucson, Arizona, United States
  • Coronado, California, United States
  • Los Angeles, California, United States
  • Santa Ana, California, United States
  • Colorado Springs, Colorado, United States
  • Gainesville, Florida, United States
  • Lakewood Rch, Florida, United States
  • Miami, Florida, United States
  • Springfield, Illinois, United States
  • Baltimore, Maryland, United States
  • Omaha, Nebraska, United States
  • New York, New York, United States
  • Winston-Salem, North Carolina, United States
  • Cincinnati, Ohio, United States
  • Philadelphia, Pennsylvania, United States
  • Rapid City, South Dakota, United States
  • Nashville, Tennessee, United States
  • Houston, Texas, United States
  • Charlottesville, Virginia, United States
  • Norfolk, Virginia, United States
  • Seattle, Washington, United States
  • Vancouver, British Columbia, Canada
  • North Bay, Ontario, Canada
  • Toronto, Ontario, Canada
  • Montreal, Quebec, Canada
  • Fukui, Japan
  • Fukuoka, Japan
  • Hamamatsu, Japan
  • Hirakata, Japan
  • Hiroshima, Japan
  • + 8 more on CT.gov