Trial Review

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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT03155932




Registration number
NCT03155932
Ethics application status
Date submitted
11/05/2017
Date registered
16/05/2017
Date last updated
24/03/2022

Titles & IDs
Public title
Safety, Tolerability, and Efficacy of Etrasimod (APD334) in Participants With Primary Biliary Cholangitis
Scientific title
An Open-label, Pilot, Proof of Concept Study to Evaluate the Safety, Tolerability, and Efficacy of Oral Etrasimod (APD334) in Patients With Primary Biliary Cholangitis
Secondary ID [1] 0 0
APD334-010
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Primary Biliary Cholangitis 0 0
Condition category
Condition code
Oral and Gastrointestinal 0 0 0 0
Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
Infection 0 0 0 0
Other infectious diseases

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - APD334

Experimental: APD334 - APD334 active treatment for 24 weeks.


Treatment: Drugs: APD334
APD334 active treatment for 24 weeks.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Change in Serum Alkaline Phosphatase (ALP) Concentration
Timepoint [1] 0 0
Baseline, Week 24
Primary outcome [2] 0 0
Number of Participants With Adverse Events
Timepoint [2] 0 0
Up to Week 26
Secondary outcome [1] 0 0
Change in Serum ALP Concentration
Timepoint [1] 0 0
Baseline, Week 12
Secondary outcome [2] 0 0
Pharmacokinetic Parameters of Etrasimod, and Its Metabolites
Timepoint [2] 0 0
Up to Week 24

Eligibility
Key inclusion criteria
Key

- Males or females aged 18 to 80 years (inclusive) at the time of screening, with
confirmed Primary Biliary Cholangitis (PBC) diagnosis based upon at least 2 of 3
criteria:

- Anti-mitochondrial antibodies (AMA) titer >1:40 on immunofluorescence or M2
positive by enzyme-linked immunosorbent assay (ELISA) or positive PBC-specific
antinuclear antibodies (anti-GP210 and/or anti-SP100)

- Alkaline phosphatase (ALP) >1.5 x upper limit of normal (ULN) for at least 6
months

- Liver biopsy findings consistent with PBC

- Use of ursodeoxycholic acid (UDCA) for at least 6 months prior to screening (stable
dose for at least 3 months immediately prior to screening)

- Participants must have ALP >1.5 x ULN but <10 x ULN, alanine aminotransferase (ALT)
and aspartate aminotransferase (AST) <5 x ULN, and total bilirubin <ULN, at all
screening visits

- AST, ALT, ALP, and total bilirubin must have 2 values at least 4 weeks apart that are
within 20% of each other

Key
Minimum age
18 Years
Maximum age
80 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Chronic liver disease of a non-PBC etiology. However, PBC participants accompanied
with primary Sjögren's syndrome (pSS) are eligible to be enrolled.

- History or evidence of clinically significant hepatic decompensation

- Medical conditions that may cause non-hepatic increases in ALP (e.g., Paget's disease)

- Clinically significant infections within 6 weeks prior to treatment start, or
infection with hepatitis C virus anytime in the past

- Immunosuppressive, immunomodulating, or investigational agents within 30 days prior to
treatment start

- Treatment with obeticholic acid (OCA) within 30 days prior to Day 1

Note: Other protocol defined Inclusion/Exclusion criteria may apply

Study design
Purpose of the study
Treatment
Allocation to intervention
N/A
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Terminated
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
29/12/2017
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
31/01/2019
Sample size
Target
Accrual to date
Final
2
Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
Recruitment hospital [1] 0 0
Royal Prince Alfred Hospital - Camperdown
Recruitment hospital [2] 0 0
Sunshine Coast University Hospital - Birtinya
Recruitment hospital [3] 0 0
Alfred Health - Melbourne
Recruitment postcode(s) [1] 0 0
2050 - Camperdown
Recruitment postcode(s) [2] 0 0
4575 - Birtinya
Recruitment postcode(s) [3] 0 0
3004 - Melbourne
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Texas
Country [3] 0 0
United States of America
State/province [3] 0 0
Washington
Country [4] 0 0
New Zealand
State/province [4] 0 0
Auckland
Country [5] 0 0
New Zealand
State/province [5] 0 0
Christchurch

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Arena Pharmaceuticals
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of this open-label, pilot, proof of concept study is to evaluate the safety,
tolerability, and efficacy of oral etrasimod (APD334) in participants with primary biliary
cholangitis (PBC).
Trial website
https://clinicaltrials.gov/ct2/show/NCT03155932
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Arena CT.gov Administrator
Address 0 0
Arena Pharmaceuticals
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT03155932