Study of Obeticholic Acid (OCA) Evaluating Pharmacokinetics and Safety in Participants With Primary Biliary Cholangitis (PBC) and Hepatic Impairment
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ClinicalTrials.gov Identifier: NCT03633227 |
Recruitment Status :
Terminated
(Due to Ocaliva (obeticholic acid) US labeling update, the sponsor decided to terminate the study.)
First Posted : August 16, 2018
Results First Posted : September 6, 2022
Last Update Posted : September 6, 2022
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Sponsor:
Intercept Pharmaceuticals
Information provided by (Responsible Party):
Intercept Pharmaceuticals
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Condition |
Liver Cirrhosis, Biliary |
Interventions |
Drug: Obeticholic Acid (OCA) Drug: Placebo |
Enrollment | 22 |
Participant Flow
Recruitment Details | This study was conducted at study sites in the United States, Argentina, Belgium, Spain, Lithuania, Brazil, Australia, Germany, Estonia, Italy, Hungary, and Canada. |
Pre-assignment Details | A total of 31 participants were screened and 22 participants were randomized. |
Arm/Group Title | Placebo | Obeticholic Acid (OCA) |
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Participants received obeticholic acid (OCA) matching placebo tablets orally once weekly or twice weekly for the duration of at least 48 weeks. Participants, who had completed their 48-week treatment, could continue the treatment until all randomized participants had completed their 48-week treatment period and the database for that period was locked (total duration: approximately up to 3 years). | Participants initiated treatment with OCA 5 milligrams (mg) tablets orally once weekly. At Week 12, if there were no safety concerns, the dose was up-titrated to OCA 5 mg twice weekly. Every 6 weeks thereafter, based on tolerability assessments, further up-titration of dose was considered. At each titration visit, the participants started the higher dose regimen no earlier than 2 days after the prior dose. The maximum dose titration was OCA 10 mg twice weekly at least 3 days apart. The minimum treatment duration was 48 weeks. Participants, who had completed their 48-week treatment, could continue the treatment until all randomized participants had completed their 48-week treatment period and the database for that period was locked (total duration: approximately up to 3 years). |
Period Title: Double Blind (DB), up to Week 48 | ||
Started | 12 | 10 |
Completed | 4 | 6 |
Not Completed | 8 | 4 |
Reason Not Completed | ||
Withdrawal by Subject | 1 | 1 |
Death | 2 | 1 |
Adverse Event | 0 | 1 |
Study Terminated by Sponsor | 2 | 1 |
Physician Decision | 1 | 0 |
Liver Transplant During the Course of the Study | 1 | 0 |
Multiple Serious Adverse Events and Drug Interruptions | 1 | 0 |
Period Title: DB Extension, Week 48 up to 3 Years | ||
Started | 4 | 6 |
Completed | 0 | 0 |
Not Completed | 4 | 6 |
Reason Not Completed | ||
Withdrawal by Subject | 0 | 2 |
Death | 0 | 1 |
Study Terminated by Sponsor | 3 | 2 |
Lost to Follow-up | 1 | 0 |
Physician Decision | 0 | 1 |
Baseline Characteristics
Arm/Group Title | Placebo | Obeticholic Acid (OCA) | Total | |
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Participants received OCA matching placebo tablets orally once weekly or twice weekly for the duration of at least 48-weeks. Participants, who had completed their 48-week treatment, could continue the treatment until all randomized participants had completed their 48-week treatment period and the database for that period was locked (total duration: approximately up to 3 years). | Participants initiated treatment with OCA 5 mg tablets orally once weekly. At Week 12, if there were no safety concerns, the dose was up-titrated to OCA 5 mg twice weekly. Every 6 weeks thereafter, based on tolerability assessments, further up-titration of dose was considered. At each titration visit, the participants started the higher dose regimen no earlier than 2 days after the prior dose. The maximum dose titration was OCA 10 mg twice weekly at least 3 days apart. The minimum treatment duration was 48-weeks. Participants, who had completed their 48-week treatment, could continue the treatment until all randomized participants had completed their 48-week treatment period and the database for that period was locked (total duration: approximately up to 3 years). | Total of all reporting groups | |
Overall Number of Baseline Participants | 12 | 10 | 22 | |
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The Intent-to-treat (ITT) population included all randomized participants who received any amount of investigational product (OCA or placebo).
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 12 participants | 10 participants | 22 participants | |
62.5 (9.10) | 60.5 (10.19) | 61.6 (9.43) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 12 participants | 10 participants | 22 participants | |
Female |
10 83.3%
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6 60.0%
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16 72.7%
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Male |
2 16.7%
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4 40.0%
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6 27.3%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 12 participants | 10 participants | 22 participants | |
Hispanic or Latino |
6 50.0%
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4 40.0%
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10 45.5%
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Not Hispanic or Latino |
6 50.0%
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6 60.0%
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12 54.5%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 12 participants | 10 participants | 22 participants | |
American Indian or Alaska Native |
1 8.3%
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0 0.0%
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1 4.5%
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Asian |
0 0.0%
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0 0.0%
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0 0.0%
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Native Hawaiian or Other Pacific Islander |
0 0.0%
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0 0.0%
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0 0.0%
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Black or African American |
0 0.0%
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0 0.0%
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0 0.0%
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White |
11 91.7%
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10 100.0%
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21 95.5%
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More than one race |
0 0.0%
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0 0.0%
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0 0.0%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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