Fenofibrate for Compensated Cirrhosis Patients With Primary Biliary Cholangitis
Study Details
Study Description
Brief Summary
The main objectives of the study were to assess the effects of fenofibrate on serum alkaline phosphatase, as a composite endpoint and on safety in participants with primary biliary cholangitis (PBC).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 2/Phase 3 |
Detailed Description
This is a multi-center, randomized, placebo-controlled, parallel-group study that aims to assess the efficacy and safety of fenofibrate in patients with compensated cirrhosis PBC who had an inadequate biochemical response to UDCA. Fenofibrate or placebo 200 mg will be daily administered in combination with UDCA 13-15 mg/kg/d for 12 months.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Placebo Comparator: Placebo-UDCA 1 tablet/ day and UDCA 13-15mg/kg/day for 12 months |
Drug: Placebo
1 tablet/ day
Drug: UDCA
UDCA 13-15mg/kg/day
|
| Experimental: Fenofibrate-UDCA Fenofibrate 200 mg/day and UDCA 13-15mg/kg/day for 12 months |
Drug: Fenofibrate 200mg
Fenofibrate 200mg/day
Drug: UDCA
UDCA 13-15mg/kg/day
|
Outcome Measures
Primary Outcome Measures
- Percentage of patients with biochemical response [48 weeks]
The normalisation of Alkaline Phosphatase
Secondary Outcome Measures
- Percentage of patients having biochemical response [4, 12, 24 and 36weeks]
The normalisation of Alkaline Phosphatase at 4, 12, 24, and 36 weeks.
- Assessment of the pruritus and fatigue [4, 12, 24, 36, and 48 weeks]
Change From Baseline in Fatigue and Pruritus as Assessed by Visual Analogue Scale (VAS) Total Score for Fatigue and Pruritus. (0-10, higher scires mean a worse outcome)
- Percentage of patients having biological or clinical adverse events [4, 12, 24, 36, and 48 weeks]
Increase of creatinine
- Percentage of patients having biological or clinical adverse events [4, 12, 24, 36, and 48 weeks]
Increase Blood urea nitrogen
- Percentage of patients having biological or clinical adverse events [4, 12, 24, 36, and 48 weeks]
Increase of creatine kinase
- Percentage of patients having biological or clinical adverse events [4, 12, 24, 36, and 48 weeks]
Increase ALT and AST.
- Survival without transplantation and hepatic impairment [48 weeks]
Occurrence of ascites, variceal bleeding, hepatic encephalopathy, liver-transplantation, or death.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Must have provided written informed consent
-
Age 18-75 years;
-
BMI 17-28 kg/m2
-
Male or female with a diagnosis of PBC, by at least two of the following criteria:
-
History of AP above ULN for at least six months;
-
Positive AMA titers (>1/40 on immunofluorescence or M2 positive by enzyme linked immunosorbent assay (ELISA) or positive PBC-specific antinuclear antibodies;
-
Documented liver biopsy result consistent with PBC.
- Diagnosis of compensated cirrhosis, as demonstrated by the presence of ≥ 1 of the following 4 diagnostic factor
-
The histology was consistent with the diagnosis of liver cirrhosi;
-
Endoscopy shows esophageal and gastric varices or ectopic varices of digestive tract, excluding non cirrhotic portal hypertension;
-
Ultrasound or CT and other imaging examinations indicate the characteristics of liver cirrhosis or portal hypertension, such as splenomegaly, portal vein ≥ 1.3 cm, or liver stiffness measured by transient elastography>16.9 kPa;
-
Abnormal laboratory inspection indicators (2 out of 4): 1) PLT < 100 × 109/L, and no other reason can be explained; 2) Serum albumin<35 g/L, excluding malnutrition or kidney disease and other causes; 3) INR > 1.3 or PT prolongation (stop thrombolytic or anticoagulant drugs for more than 7 days); 4) AST/PLT (APRI)>2）
-
Incomplete response to UDCA defined by ALP > 1.67 x ULN
-
Taking UDCA for at least 6 months (stable dose for ≥ 3 months) prior to Day 0
Exclusion Criteria:
-
History or presence of other concomitant liver diseases.
-
ALT or AST > 5×ULN, TBIL > 3×ULN.
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If female: known pregnancy, or has a positive urine pregnancy test (confirmed by a positive serum pregnancy test), or lactating.
-
Allergic to fenofibrate or ursodeoxycholic acid.
-
Taking hepatotoxic drugs (e.g., dapsone, erythromycin, fluconazole, ketoconazole, rifampicin) for more than 2 weeks within 6 months, and long-term hormonal users.
-
Recurrent variceal bleeding, poorly controlled hepatic encephalopathy or refractory ascites.
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Patients with a history of severe cardiac, cerebrovascular, renal, respiratory disease or functional failure, and psychiatric disorders (including those due to alcohol and drug abuse).
-
Creatinine >1.5×ULN and creatinine clearance <60 ml/min.
-
Currently using statins (such as pravastatin, fluvastatin, and simvastatin), other fibrates (such as gemfibrozil and bezafibrate), and drugs structurally similar to fenofibrate (like ketoprofen).
-
Planned to receive an organ transplant or an organ transplant recipient.
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Needing Liver transplantation within 1 year according to the Mayo Rick score.
-
Any other condition(s) that would compromise the safety of the subject or compromise
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Xijing Hospital | Xi'an | Shaanxi | China |
Sponsors and Collaborators
- Xijing Hospital of Digestive Diseases
Investigators
- Principal Investigator: Ying Han, Xijing Hospital, Air Force Military Medical Universit
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- KY20222293-C-1