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Study to Evaluate EP547 in Subjects With Cholestatic Pruritus Due to Primary Biliary Cholangitis or Primary Sclerosing Cholangitis

Phase 2
Completed
Conditions
Pruritus
Interventions
Drug: Placebo
Registration Number
NCT05525520
Lead Sponsor
Escient Pharmaceuticals, Inc
Brief Summary

This phase 2 trial will evaluate the effects of EP547 in subjects with cholestatic pruritus due to Primary Biliary Cholangitis (PBC) or Primary Sclerosing Cholangitis (PSC)

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
62
Inclusion Criteria
  • Age 18 to 80 years
  • Documented primary biliary cholangitis (PBC) or primary sclerosing cholangitis (PSC)
  • Presence of consistent moderate to severe pruritus
  • Use of anti-pruritic and anti-cholestatic (including UDCA and obeticholic acid) medication allowed if meeting additional criteria
  • Individuals with concomitant inflammatory bowel disease must meet additional relevant criteria
Exclusion Criteria
  • Pruritus associated with an etiology other than PBC or PSC
  • Prior or planned liver transplantation
  • Evidence of compensated or decompensated cirrhosis
  • Alternative causes of liver disease
  • Presence of documented secondary sclerosing cholangitis
  • Current evidence of clinically significant high-grade strictures or presence of biliary stent
  • History of significant small bowel resection or short bowel syndrome
  • Has exclusionary laboratory or biochemical results at Screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
EP547 100 mgEP547-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Change in Worst Itch Numeric Rating Scale (WI-NRS)Measured from Baseline to Week 6

Pruritus will be measured using a WI-NRS scale to indicate the intensity of itch in the past 24 hours from 0 (No Itching) to 10 (Worst Itching Imaginable)

Secondary Outcome Measures
NameTimeMethod
Proportion of subjects with improvement in pruritus severity from baseline as defined by PGI-SMeasured from Baseline to Week 6

Pruritus will be measured using the PGI-S scale to indicate severity of itch in the past 7 days using a 4-point scale from none to severe

Change in 5-D Itch ScaleMeasured from Baseline to Week 6

The 5-D Itch Scale will be used to measure change in pruritus covering five dimensions: degree, duration, direction, disability, and distribution. The total 5-D Itch Scale score ranges from 5 to 25, with higher scores indicating worse quality of life

Proportion of subjects with a reduction in WI-NRS ≥3 from baselineMeasured from Baseline to Week 6

Pruritus will be measured using a WI-NRS scale to indicate the intensity of itch in the past 24 hours from 0 (No Itching) to 10 (Worst Itching Imaginable)

The incidence of adverse eventsMeasured from Day 1 to End of Study or Early Termination (up to Week 6)

Safety and tolerability of EP547 measured through reporting of adverse events

Proportion of subjects with improvement in pruritus as defined by PGI-CMeasured at Week 6

Change in pruritus will be measured using the PGI-C scale to indicate overall change in pruritus in the past 7 days compared to before treatment using a 7-point scale from much improved to much worse

Proportion of subjects with a reduction in WI-NRS ≥4 from baselineMeasured from Baseline to Week 6

Pruritus will be measured using a WI-NRS scale to indicate the intensity of itch in the past 24 hours from 0 (No Itching) to 10 (Worst Itching Imaginable)

Proportion of subjects with a reduction in WI-NRS ≥2 from baselineMeasured from Baseline to Week 6

Pruritus will be measured using a WI-NRS scale to indicate the intensity of itch in the past 24 hours from 0 (No Itching) to 10 (Worst Itching Imaginable)

Proportion of subjects with WI-NRS <4Measured from Baseline to Week 6

Pruritus will be measured using a WI-NRS scale to indicate the intensity of itch in the past 24 hours from 0 (No Itching) to 10 (Worst Itching Imaginable)

Maximum Plasma Concentration [Cmax]Measured from Day 1 to Week 6

To evaluate the pharmacokinetics of EP547

Trial Locations

Locations (52)

University of Alabama Birmingham Hospital

🇺🇸

Birmingham, Alabama, United States

Dignity Health Center for Clinical Research at St. Joseph Hospital

🇺🇸

Phoenix, Arizona, United States

Southern California Research Center

🇺🇸

Coronado, California, United States

Science 37

🇺🇸

Culver City, California, United States

California Liver Research Institute

🇺🇸

Pasadena, California, United States

University of Miami - Schiff Center for Liver Diseases

🇺🇸

Miami, Florida, United States

University of Iowa Hospitals & Clinics

🇺🇸

Iowa City, Iowa, United States

Tulane University Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

Ochsner Medical Center

🇺🇸

New Orleans, Louisiana, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

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University of Alabama Birmingham Hospital
🇺🇸Birmingham, Alabama, United States

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