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An Open-Label Study Following Oral Dosing of Seladelpar to Subjects With Primary Biliary Cholangitis (PBC) and Hepatic Impairment (HI)

Phase 1
Completed
Conditions
Hepatic Impairment
Primary Biliary Cholangitis
Compensated Cirrhosis
Interventions
Registration Number
NCT04950764
Lead Sponsor
Gilead Sciences
Brief Summary

The Effect of Hepatic Impairment on The Pharmacokinetics of Seladelpar: An Open-Label Study Following Oral Dosing of Seladelpar to Subjects with Primary Biliary Cholangitis (PBC) and Hepatic Impairment (HI)

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  1. Males and females between 18 and 80 years of age (inclusive) who are able to comprehend instructions and follow the study procedures and are willing to sign an Informed Consent Form (ICF)

  2. Females of childbearing potential who are sexually active with a non-sterile male partner (sterile male partners are defined as men vasectomized since at least 6 months) must be willing to use the contraceptive methods throughout the study and for 30 days after study drug administration.

  3. For at least 90 days after study drug administration, non-vasectomized males must not donate sperm, be willing to use contraception with childbearing potential partners and any male subject with a pregnant partner must use a condom.

  4. Willing to abstain from consuming grapefruit, pomelo, star fruit, or Seville orange containing products from 7 days prior to dose of study medication through day of discharge.

  5. Confirmed diagnosis of PBC with evidence of cirrhosis and Child-Pugh classification of CP-A, CP-A + PHT, CP-B or CP-C

  6. Screening laboratory parameters:

    • ALP, ALT and AST < 10 × ULN
    • Total bilirubin ≤ 5 × ULN
  7. Ursodeoxycholic acid (UDCA) for a minimum of 12 weeks of treatment prior to Day 1

  8. At screening confirmed diagnosis of PBC

  9. MELD-Na scores of 6 to 24

Exclusion Criteria
  1. Clinically significant or history of acute or chronic liver disease of an etiology other than PBC
  2. Patients with a diagnosis of overlapping PBC and autoimmune hepatitis
  3. History, evidence, or high suspicion of hepatobiliary malignancy based on imaging, screening laboratory values, and/or clinical symptoms.
  4. Presumptive or diagnosed infection that requires systemic therapy within 12 weeks of Screening and through Day 1
  5. Female subjects who are pregnant or nursing
  6. Screening ECG that demonstrates a QT interval ≥ 500 msec, or any other significant ECG finding with clinically significant abnormalities as determined by the Investigator
  7. Positive for HBsAg, HCV RNA, or anti HIV antibody
  8. Any non-hepatic acute or chronic condition that, in the opinion of the Investigator, would limit the patient's ability to complete and/or participate in the study or compromise the integrity of the data
  9. Has experienced an illness that is considered by the Investigator to be clinically significant within 2 weeks before administration of investigational product
  10. Clinically relevant drug or alcohol abuse within 6 months of Screening. A positive drug screen will exclude subjects unless it can be explained by a prescribed medication
  11. Use of obeticholic acid (OCA), any drug of the same class, or fibrates (e.g., bezafibrate, fenofibrate, elafibranor, lanifibranor, pemafibrate, saroglitizar) within 30 days of Baseline
  12. Use of an experimental or unapproved treatment for PBC within 30 days of Baseline
  13. Clinically evident complication(s) of cirrhosis and portal hypertension that required either emergency room visit, hospital admission or both during the 12 week period prior to investigational product administration

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Seladelpar 10 mgSeladelpar 10 mgPart A: Single oral dose 10 mg
Seladelpar 10 mg or lessSeladelpar 10 mg or lessPart B: Multiple oral dose of 10 mg or less
Primary Outcome Measures
NameTimeMethod
Evaluate maximum concentration (Cmax) of seladelpar and metabolites17 weeks
Evaluate the time to reach Cmax (Tmax) of seladelpar and metabolites17 weeks
Evaluate area under the concentration curve versus time curve of seladelpar and metabolites17 weeks
Evaluate the amount of seladelpar excreted in the urine (Ae)17 weeks
Evaluate safety and tolerability as assessed by the incidence of treatment emergent adverse events and serious treatment emergent adverse events across child pugh treatment groups17 weeks
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (40)

Southern Therapy and Advanced Research LLC

🇺🇸

Jackson, Mississippi, United States

Weill Medical College of Cornell University

🇺🇸

New York, New York, United States

American Research Corporation

🇺🇸

San Antonio, Texas, United States

Pinnacle Clinical Research- SA

🇺🇸

San Antonio, Texas, United States

Kyungpook National University Hospital

🇰🇷

Daegu, Korea, Republic of

Hospital General Universitario Gregorio Maran

🇪🇸

Madrid, Spain

NIHR BRC Centre for Liver and Gastrointestinal Research Birmingham

🇬🇧

Birmingham, United Kingdom

Kings College Hospital

🇬🇧

London, United Kingdom

The Liver Institute at Methodist Dallas Medical Center

🇺🇸

Dallas, Texas, United States

Pusan National University Hospital

🇰🇷

Busan, Korea, Republic of

Inje University Busan Paik Hospital

🇰🇷

Busan, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Severance Hospital Yonsei University Health System

🇰🇷

Seoul, Korea, Republic of

The Royal Free London NHS Foundation Trust

🇬🇧

London, United Kingdom

Arizona Liver Health

🇺🇸

Chandler, Arizona, United States

University of California Davis

🇺🇸

Sacramento, California, United States

University of Colorado Anschutz

🇺🇸

Aurora, Colorado, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Henry Ford Health System

🇺🇸

Novi, Michigan, United States

Mercy Medical Center

🇺🇸

Baltimore, Maryland, United States

Arizona Liver Health

🇺🇸

Chandler, Arizona, United States

University of California Davis

🇺🇸

Sacramento, California, United States

University of Colorado Anschutz

🇺🇸

Aurora, Colorado, United States

Mercy Medical Center

🇺🇸

Baltimore, Maryland, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Henry Ford Health System

🇺🇸

Novi, Michigan, United States

Southern Therapy and Advanced Research LLC

🇺🇸

Jackson, Mississippi, United States

Weill Medical College of Cornell University

🇺🇸

New York, New York, United States

The Liver Institute at Methodist Dallas Medical Center

🇺🇸

Dallas, Texas, United States

American Research Corporation

🇺🇸

San Antonio, Texas, United States

Pinnacle Clinical Research- SA

🇺🇸

San Antonio, Texas, United States

Pusan National University Hospital

🇰🇷

Busan, Korea, Republic of

Inje University Busan Paik Hospital

🇰🇷

Busan, Korea, Republic of

Kyungpook National University Hospital

🇰🇷

Daegu, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Severance Hospital Yonsei University Health System

🇰🇷

Seoul, Korea, Republic of

Hospital General Universitario Gregorio Maran

🇪🇸

Madrid, Spain

NIHR BRC Centre for Liver and Gastrointestinal Research Birmingham

🇬🇧

Birmingham, United Kingdom

The Royal Free London NHS Foundation Trust

🇬🇧

London, United Kingdom

Kings College Hospital

🇬🇧

London, United Kingdom

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