Primary Biliary CholangitisPhase 3NCT04620733
RESPONSE: Response to Seladelpar in Subjects With Primary Biliary Cholangitis (PBC) and an Inadequate Control to or an Intolerance to Ursodeoxycholic Acid (UDCA)
A Phase 3 study testing Seladelpar 10 mg and Seladelpar 5 mg in people with Primary Biliary Cholangitis, run by Gilead Sciences at 134 sites in 26 countries.
Trial summary
The purposes of this study are to evaluate the treatment effect of seladelpar on composite biochemical improvement in cholestasis markers based on ALP and total bilirubin and to evaluate the safety of seladelpar over 12 months of treatment compared to placebo. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Primary Biliary Cholangitis
- What is being tested?
- Seladelpar 10 mg and Seladelpar 5 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 193 participants
- Where
- 134 sitesin 26 countries
- Study dates
- 21 Apr 2021to 11 Aug 2023
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Must have given written informed consent (signed and dated) and any authorizations required by local law.
- Male or female with a definitive diagnosis of primary biliary cholangitis (PBC).
- Ursodeoxycholic acid (UDCA) for the past 12 months (stable dose for >3 months prior to screening) or intolerant to UDCA (last dose of UDCA >3 months prior to screening).
- Laboratory parameters measured by the Central Laboratory at screening:
- Alkaline phosphatase (ALP) ≥1.67× ULN (upper limit of normal)
- Aspartate aminotransferase (AST) ≤3× ULN
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- Alanine aminotransferase (ALT) ≤3× ULN
- Total bilirubin ≤2× ULN
- Estimated glomerular filtration rate (eGFR) >45 mL/min/1.73 m^2 (calculated by the Modification of Diet in Renal Disease study equation).
- International normalized ratio (INR) below 1.1× ULN (For individuals on anticoagulation therapy, INR must be maintained in the range required for prophylaxis for their specific disease).
- Platelet count ≥100 ×10^3/µL.
- Females of reproductive potential must use at least 1 barrier contraceptive and a second effective birth control method during the study and for at least 90 days after the last dose. Male individuals who are sexually active with female partners of reproductive potential must use barrier contraception, and their female partners must use a second effective birth control method during the study and for at least 90 days after the last dose.
Who cannot join
- Previous exposure to seladelpar (MBX-8025).
- A medical condition other than PBC that, in the investigator's opinion, would preclude full participation in the study (e.g., cancer) or confound its results (e.g., Paget's disease, any active infection).
- Advanced PBC as defined by the Rotterdam criteria (albumin below the lower limit of normal and total bilirubin above 1.0 × ULN).
- Presence of clinically important hepatic decompensation, including the following:
- History of liver transplantation, current placement on liver transplantation list, or current Model for End-Stage Liver Disease (MELD) score ≥12. For individuals on anticoagulation medication, evaluation of the baseline INR, in concert with their current dose adjustments of their anticoagulant medication, will be taken into account when calculating the MELD score. This will be done in consultation with the medical monitor.
- Complications of portal hypertension, including known esophageal varices, history of variceal bleeds or related interventions (e.g., transjugular intrahepatic portosystemic shunt placement), ascites, and hepatic encephalopathy.
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- Cirrhosis with complications, including history or presence of spontaneous bacterial peritonitis, hepatocellular carcinoma, or hepatorenal syndrome.
- Other chronic liver diseases:
- Current features of autoimmune hepatitis (AIH) as determined by the investigator based on immunoserology, liver biochemistry, or historic confirmed liver histology.
- PSC determined by the presence of diagnostic cholangiographic findings.
- History or clinical evidence of alcoholic liver disease.
- History or clinical evidence of alpha-1-antitrypsin deficiency.
- History of biopsy confirmed nonalcoholic steatohepatitis (NASH).
- History or evidence of Gilbert's syndrome with elevated total bilirubin.
- History or evidence of hemochromatosis.
- Hepatitis B, defined as the presence of hepatitis B surface antigen.
- Hepatitis C, defined as the presence of hepatitis C virus ribonucleic acid.
- History, evidence, or high suspicion of hepatobiliary malignancy based on imaging, screening laboratory values, and/or clinical symptoms.
- Known history of human immunodeficiency virus (HIV) or positive antibody test at screening
- Clinically important alcohol consumption, defined as more than 2 drink units per day (equivalent to 20 g) in women and 3 drink units per day (equivalent to 30 g) in men, or inability to quantify alcohol intake reliably.
- History of malignancy diagnosed or treated, actively or within 2 years, or ongoing evaluation for malignancy; localized treatment of squamous or noninvasive basal cell skin cancers and cervical carcinoma in situ is allowed if appropriately treated prior to screening.
- Treatment with obeticholic acid (OCA) or fibrates (e.g., bezafibrate, fenofibrate, elafibranor, lanifibranor, pemafibrate, saroglitizar) 6 weeks prior to screening.
- Treatment with colchicine, methotrexate, azathioprine, or long-term systemic corticosteroids (>2 weeks) during 2 months prior to screening
- Treatment with anti-pruritic drugs (e.g., cholestyramine, naltrexone, rifampicin, sertraline, or any experimental approach) must be on a stable dose within 1 month prior to screening
- Treatment with any other investigational therapy or device within 30 days or within 5 half-lives, whichever is longer, prior to screening
- For females, pregnancy or breastfeeding.
- Any other condition(s) that would compromise the safety of the individual or compromise the quality of the clinical study, as judged by the investigator.
- Immunosuppressant therapies.
- Other medications that effect liver or gastrointestinal (GI) functions, such as absorption of medications or the roux-en-y gastric bypass procedure, may be prohibited and should be discussed with the medical monitor on a case-by-case basis.
- Active Coronavirus Disease-2019 (COVID-19) infection during Screening.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
134 sites in 26 countries.
134 sites in 26 countries
United States40 sites
Digestive Healthcare of Georgia
Atlanta, Georgia, 30309
Mercy Medical Center
Baltimore, Maryland, 21202
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
The Institute for Liver Health DBA Arizona Liver Health
Chandler, Arizona, 85224
Galen Hepatology
Chattanooga, Tennessee, 37421
Rush University Medical Center
Chicago, Illinois, 60612
University of Chicago Hospitals
Chicago, Illinois, 60637
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
The Liver Institute at Methodist Dallas Medical Center
Dallas, Texas, 75203
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Texas Digestive Disease Consultants dba GI Alliance
Fort Hood, Texas, 76104
Covenant Metabolic Specialists, LLC
Fort Myers, Florida, 33912
Gastro One
Germantown, Tennessee, 38138
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033
Baylor College of Medicine
Houston, Texas, 77030
Southern Therapy and Advanced Research, LLC (STAR)
Jackson, Mississippi, 39216
Florida Research Institute
Lakewood Rch, Florida, 34211
Arkansas Diagnostic Center
Little Rock, Arkansas, 72205
Care Access Research - Lumberton
Lumberton, North Carolina, 28358
MNGI Digestive Health, P.A.
Maplewood, Minnesota, 55117
Schiff Center for Liver Diseases/University of Miami
Miami, Florida, 33136
Vanderbilt Digestive Disease Center
Nashville, Tennessee, 37212
Tulane University Health Sciences Center
New Orleans, Louisiana, 70112
NYU Langone Health / NYU Grossman School of Medicine
New York, New York, 10016
Weill Cornell Medical College
New York, New York, 10021
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Henry Ford Health System
Novi, Michigan, 48377
Stanford University School of Medicine
Palo Alto, California, 94305
California Liver Research Institute
Pasadena, California, 91105
UPMC Center for Liver Diseases
Pittsburgh, Pennsylvania, 15213
Bon Secours Richmond Community Hospital LLC
Richmond, Virginia, 23226
University of Rochester Medical Center
Rochester, New York, 14642
University of California, Davis Medical Center
Sacramento, California, 95817
American Research Corporation at the Texas Liver Institute
San Antonio, Texas, 78215
Pinnacle Clinical Research, PLLC
San Antonio, Texas, 78229
California Pacific Medical Center - Sutter Pacific Medical Foundation
San Francisco, California, 94109
Covenant Research and Clinics, LLC
Sarasota, Florida, 34240
Liver Institute Northwest
Seattle, Washington, 98105
Saint Louis University
St Louis, Missouri, 63104
South Korea9 sites
Soon Chun Hyang University Hospital Bucheon
Bucheon-si, Gyeonggido, 14584
Inje University Busan Paik Hospital
Busan, Busan Gwangyeogsi, 47392
Pusan National University Hospital
Busan, 49241
Kyungpook National University Hospital
Daegu, 41944
Seoul National University Bundang Hospital
Gyeonggi-do, 13620
Seoul National University Hospital
Seoul, 03080
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Severance Hospital Yonsei University Health System - PPDS
Soeul, 03722
United Kingdom8 sites
University Hospitals Birmingham NHS Foundation Trust, Heritage Building (Queen Elizabeth Hospital)
Birmingham, B15 2TH
Hull Royal Infirmary
Hull, HU3 2JZ
Barts Health NHS Trust, Royal London Hospital, Ambrose King Centre
London, London, City of, E1 1RF
Kings College Hospital
London, SE5 9RS
Queen's Medical Centre
Nottingham, Nottinghamshire, NG7 2UH
Gemini Clinical Trial Unit
Oxford, Oxfordshire, OX4 2LL
University Hospitals Plymouth NHS Trust
Plymouth, Devon, PL6 8DH
Portsmouth Hospitals NHS Trust
Portsmouth, Hampshire, P06 3LY
Germany7 sites
Universitätsklinikum Bonn
Bonn, North Rhine-Westphalia, 53127
Universitatsklinikum Erlangen, Medizinische Klinik I, Gastroenterologie
Erlangen, 91054
Universitatsklinikum Frankfurt. Medizinische Klinik I
Frankfurt am Main, 60590
Ifi-Medizin GmbH
Hamburg, 20099
Gastroenterologische Gemeinschaftspraxis
Herne, 44623
Universitätsklinikum des Saarlandes
Homburg, Saarland, 66421
Universitatsklinikum Leipzig
Leipzig, 04103
Argentina6 sites
CINME (Centro de Investigaciones Metabolicas)
Buenos Aires, C1056ABJ
Hospital Italiano de Buenos Aires
Caba, C1199ABB
Centro Medico Dra. De Salvo
CABA, Buenos Aires, C1426ABP
STAT Research S.A.
Ciudad Autonoma de Buenos Aire, Buenos Aires, C1023AAB
Hospital Italiano de La Plata
La Plata, Buenos Aires, B1900AX
DIM CliniaPrivada
Ramos Mejía, Buenos Aires, B1704ETD
Italy6 sites
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona-Umberto I G.M. Lancisi G. Salesi
Ancona, 60020
Nuovo Ospedale Civile S. Agostino-Estense di Baggiovara
Bologna, 41126
Azienda Ospedaliero Universitaria Careggi
Florence, 50139
ASST di Monza
Monza, MB, 20900
Azienda Ospedaliera Universita Padova
Padova, 35128
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Palermo, 90127
Russia6 sites
State budget institution of healthcare of Moscow city "Moscow Clinical Scientific and Practical Centre n. a. A.S. Loginov" of Moscow City Healthcare, Department, Central Research Institute of Gastroenterology
Moscow, 111123
Federal State Autonomous Educational Institution of Higher Education "Peoples' Friendship University of Russia", Centre of Liver Studies
Moscow, 117198
Clinic of High Medical Technologies n.a. N.I. Pirogov
Saint Petersburg, 199034
LLC Medical Company "Hepatolog"
Samara, 443045
Stavropol state medical university
Stavropol, 355017
Ulyanovsk Regional Clinical Hospital
Ulyanovsk, 432063
Spain6 sites
Hospital Universitario German Trias i Pujol
Badalona, Barcelona, 08916
Hospital Universitario Vall D'Hebron
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario Virgen de la Victoria
Málaga, Malaga, 2910
Hospital Universitario Margues de Valdecilla
Santander, Cantabria, 39008
Belgium5 sites
UZ Antwerpen
Edegem, Antwerpen, 2650
AZ Maria Middelares
Ghent, Oost-Vlaanderen, 9000
Universitair Ziekenhuis Gent
Ghent, Oost-Vlaanderen, 9000
Universitaire Ziekenhuizen Leuven
Leuven, Vlaams-Brabant, 3000
CHU de Liège
Liège, Liège, 4000
Turkey (Türkiye)5 sites
Ankara Gazi University Faculty of Medicine Hospital
Ankara, 06560
Ankara Sehir Hastanesi
Ankara, 06800
Bezmi Alem University
Istanbul, 34093
Marmara University Pendik Training and Research Hospital
Istanbul, 34899
Ege University Medical Faculty
Izmir, 35100
Australia4 sites
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Royal Brisbane & Women's Hospital
Herston, Queensland, 4029
Alfred Hospital
Melbourne, Victoria, 3004
The Royal Melbourne Hospital
Parkville, Victoria, 3050
Mexico4 sites
Consultorio de la Doctora Maria Sarai Gonzalez Huezo
Metepec, 52140
Campeche No. 280, Int. 601 y 602, Col. Hipodromo, Cuauhtemoc
Mexico City, 06100
Consultorio Medico - Distrito Federal
Mexico City, 06700
Hospital Universitario Dr. Jose Eleuterio González
Monterrey, 64460
Canada3 sites
London Health Sciences Centre
London, Ontario, N6A 5A5
University Health Network
Toronto, Ontario, M5G 2C4
Toronto Digestive Disease Associates Inc
Vaughan, Ontario, L4L 4Y7
Chile3 sites
Centro Clinico Mediterraneo
La Serena, Coquimbo Region, 1700000
Clinical Research Chile SpA
Valdivia, Los Ríos Region, 5110683
Centro de Investigaciones Clínicas Vina del Mar
Valparaíso, 2540364
France3 sites
CHU de Grenoble
Grenoble, 38043
Hopital de la Croix-Rousse
Lyon, 69004
Hopital Saint-Antoine - Service d'Hepato-Gastro-Enterologie -184, rue du Faubourg Saint-Antoine
Paris, 75012
Israel3 sites
Liver Unit
Jerusalem, 91120
Liver Disease Center, Sheba Medical Center
Ramat Gan, 52621
Institute for Digestive Tract & Liver Disease
Tel Aviv, 64239
Denmark2 sites
Aalborg Universitetshospital, Ambulatoriet for Medicinske Mave-Tarm Sygdomme
Aalborg, 9000
Hvidovre Hospital
Hvidovre, 2650
Greece2 sites
Ippokrateio General Hospital of Athens
Athens, Attica, 115 27
General University Hospital of Larissa Department of Medicine and Research Laboratory of internal rv1edicine, National Expertise Center of Greece in Autoimmune liver Diseases
Larissa, 41110
Hungary2 sites
Semmelweis Egyetem
Budapest, 1082
Somogy Megyei Kaposi Mor Oktato Korhaz
Kaposvár, 7400
New Zealand2 sites
Gastroenterology, Christchurch Hospital
Christchurch, Canterbury, 8011
Gastroenterology Research Unit Dunedin Hospital
Dunedin, Otago, 9016
Poland2 sites
Uniwersyteckie Centrum Kliniczne Im.
Katowice, 40-752
ID Clinic Akradiusz Pisula
Mysłowice, 41-400
Ukraine2 sites
Municipal Non-profit Enterprise "City Clinical Hospital #13" of Kharkiv City Council
Kharkiv, 61124
Medical Center OK!Clinic+LLC International Institute of Clinical Research
Kyiv, 0291
Austria1 site
Klinikum Wels-Grieskirchen GmbH, Abteilung Fur Innere Medizin I - Gastroenterologie
Wels, 4600
Czechia1 site
Fakultni nemocnice Ostrava- Interni a Kardiologicka Klinika, Oddeleni gastroenterologie, hepatologie a pankreatologie
Ostrava, 708 52
Switzerland1 site
University of Zurich, Gastroenterology and Hepatology
Zurich, 8091
About this study
Official title: RESPONSE: A Placebo-controlled, Randomized, Phase 3 Study to Evaluate the Efficacy and Safety of Seladelpar in Patients With Primary Biliary Cholangitis (PBC) and an Inadequate Response to or an Intolerance to Ursodeoxycholic Acid (UDCA)
The purposes of this study are to evaluate the treatment effect of seladelpar on composite biochemical improvement in cholestasis markers based on ALP and total bilirubin and to evaluate the safety of seladelpar over 12 months of treatment compared to placebo.
The study also checked the effect of treatment on the symptoms of PBC, including pruritus.
- Conditions
- Primary Biliary Cholangitis
- Being tested
- Seladelpar 10 mg, Placebo, Seladelpar 5 mg
- Keywords
- Primary Biliary Cholangitis (PBC), PBC
- Medical subject headings
- Liver Cirrhosis, Biliary
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Seladelpar 10 mgDrug
Seladelpar 10 mg one capsule daily for double-blind period, for a duration of up to 12 months
PlaceboDrug
One capsule daily for double-blind period, for a duration of up to 12 months
Seladelpar 5 mgDrug
If down-titration needed, one capsule daily for double-blind period, for a duration of up to 12 months
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants will receive placebo to match seladelpar, orally, once daily, for a duration of up to 12 months. Receives: Drug: Placebo |
| Seladelpar | Experimental | Participants will receive seladelpar 10 mg (or 5 mg down-titrated, for those participants who met specific safety monitoring criteria or had tolerability issues), orally, once daily, for a duration of up to 12 months. Receives: Drug: Seladelpar 10 mg; Drug: Seladelpar 5 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Response Criteria for the Composite Endpoint of ALP <1.67 × Upper Limit of Normal (ULN), ≥15% Reduction in ALP, and Total Bilirubin ≤ 1.0× ULN at Month 12
Percentages were rounded-off.
Measured: Month 12
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
Percentages were rounded-off.
Measured: First dose date up to last dose plus 30 days (up to 13.4 months)
Percentage of Participants With Shift of ≥ 2 CTCAE Grades From Baseline in Treatment-emergent Laboratory Abnormalities Related to Hematology and Select Liver Biochemistry
Treatment-emergent graded laboratory abnormalities were defined as values that increase at least 2 toxicity grade from baseline at any time post baseline. The laboratory abnormalities were graded using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), where Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: potentially life-threatening laboratory abnormality.
The data is reported for shift of ≥ 2 grades from baseline in values for hematology and select liver biochemistry. Hematology includes parameters like RBCs, (erythrocytes), hemoglobin, hematocrit, platelets, WBC, WBC differentials (absolute and percentage) including basophils, neutrophils, lymphocytes, eosinophils, and monocytes, etc. Biochemistry included select liver function tests like blood bilirubin, gamma-glutamyl transferase (GGT), aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase. Percentages were rounded-off.
Measured: First dose date up to last dose (up to 13.4 months)
Secondary outcomes (2)
Percentage of Participants With ALP ≤1.0× ULN at Month 12
Percentages were rounded-off.
Measured: Month 12
Change From Baseline in Weekly Averaged Pruritus Numerical Rating Scale (NRS) in Participants With NRS ≥ 4 at Month 6
Pruritus NRS is used to rate the intensity of the itching experienced by the participants in the past 24 hours from no itching to worst possible itching by selecting a number from 0 to 10 on Itch Scale. Zero means no itching and 10 means worst imaginable itching.
Measured: Baseline, Month 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2020
- Study start21 Apr 2021
- Primary completion11 Aug 2023
- Study completion11 Aug 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Primary Biliary CholangitisStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 193 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- CymaBay Study Director, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04620733
- Sponsor's protocol ID
- CB8025-32048
- Other IDs
- 2020-004348-27
- Status last verified
- Aug 2024
- First submitted
- 4 Nov 2020
- Last updated
- 5 Sep 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Levy C, Jones DEJ, Mayo MJ, Bowlus CL, Kowdley KV, Hirschfield GM, Liu J, Burk C, Carroll S, Crittenden DB, Kremer AE. Seladelpar Improved Itch, Itch-Related Sleep Disturbance and Measures of Fatigue in Patients With Primary Biliary Cholangitis and Pruritus in the Phase 3 RESPONSE Trial. Aliment Pharmacol Ther. 2026 Jul;64(1):23-35. doi: 10.1111/apt.70630. Epub 2026 Apr 3.
PubMed 41933275Hirschfield GM, Bowlus CL, Mayo MJ, Kremer AE, Vierling JM, Kowdley KV, Levy C, Villamil A, Ladron de Guevara Cetina AL, Janczewska E, Zigmond E, Jeong SH, Yilmaz Y, Kallis Y, Corpechot C, Buggisch P, Invernizzi P, Londono Hurtado MC, Bergheanu S, Yang K, Choi YJ, Crittenden DB, McWherter CA; RESPONSE Study Group. A Phase 3 Trial of Seladelpar in Primary Biliary Cholangitis. N Engl J Med. 2024 Feb 29;390(9):783-794. doi: 10.1056/NEJMoa2312100. Epub 2024 Feb 21.
PubMed 38381664
Study at a glance
From the registry record, last updated by the sponsor on 5 Sep 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- RESPONSE: A Placebo-controlled, Randomized, Phase 3 Study to Evaluate the Efficacy and Safety of Seladelpar in Patients With Primary Biliary Cholangitis (PBC) and an Inadequate Response to or an Intolerance to Ursodeoxycholic Acid (UDCA)
- ClinicalTrials.gov ID
- NCT04620733
- Acronym / sponsor ID
- CB8025-32048
- Conditions
- Primary Biliary Cholangitis
- Keywords
- Primary Biliary Cholangitis (PBC), PBC
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 193 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 21 Apr 2021 (actual)
- Primary completion
- 11 Aug 2023 (actual)
- Study completion
- 11 Aug 2023 (actual)
- First posted
- 9 Nov 2020 (actual)
- Results
- Posted 25 Jul 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purposes of this study are to evaluate the treatment effect of seladelpar on composite biochemical improvement in cholestasis markers based on ALP and total bilirubin and to evaluate the safety of seladelpar over 12 months of treatment compared to placebo.
The study also checked the effect of treatment on the symptoms of PBC, including pruritus.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive placebo to match seladelpar, orally, once daily, for a duration of up to 12 months. |
| Seladelpar | Experimental | Drug: Seladelpar 10 mg, Drug: Seladelpar 5 mgParticipants will receive seladelpar 10 mg (or 5 mg down-titrated, for those participants who met specific safety monitoring criteria or had tolerability issues), orally, once daily, for a duration of up to 12 months. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Must have given written informed consent (signed and dated) and any authorizations required by local law.
- Male or female with a definitive diagnosis of primary biliary cholangitis (PBC).
- Ursodeoxycholic acid (UDCA) for the past 12 months (stable dose for >3 months prior to screening) or intolerant to UDCA (last dose of UDCA >3 months prior to screening).
- Laboratory parameters measured by the Central Laboratory at screening:
- Females of reproductive potential must use at least 1 barrier contraceptive and a second effective birth control method during the study and for at least 90 days after the last dose. Male individuals who are sexually active with female partners of reproductive potential must use barrier contraception, and their female partners must use a second effective birth control method during the study and for at least 90 days after the last dose.
Key exclusion criteria (31 listed)
- Previous exposure to seladelpar (MBX-8025).
- A medical condition other than PBC that, in the investigator's opinion, would preclude full participation in the study (e.g., cancer) or confound its results (e.g., Paget's disease, any active infection).
- Advanced PBC as defined by the Rotterdam criteria (albumin below the lower limit of normal and total bilirubin above 1.0 × ULN).
- Presence of clinically important hepatic decompensation, including the following:
- Other chronic liver diseases:
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Seladelpar 10 mgSeladelpar 10 mg one capsule daily for double-blind period, for a duration of up to 12 months | Drug | Seladelpar |
| PlaceboOne capsule daily for double-blind period, for a duration of up to 12 months | Drug | Placebo |
| Seladelpar 5 mgIf down-titration needed, one capsule daily for double-blind period, for a duration of up to 12 months | Drug | Seladelpar |
Primary outcome
Percentage of Participants With Response Criteria for the Composite Endpoint of ALP <1.67 × Upper Limit of Normal (ULN), ≥15% Reduction in ALP, and Total Bilirubin ≤ 1.0× ULN at Month 12
Time frame: Month 12
Percentages were rounded-off.
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
Time frame: First dose date up to last dose plus 30 days (up to 13.4 months)
Percentages were rounded-off.
Percentage of Participants With Shift of ≥ 2 CTCAE Grades From Baseline in Treatment-emergent Laboratory Abnormalities Related to Hematology and Select Liver Biochemistry
Time frame: First dose date up to last dose (up to 13.4 months)
Treatment-emergent graded laboratory abnormalities were defined as values that increase at least 2 toxicity grade from baseline at any time post baseline. The laboratory abnormalities were graded using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), where Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: potentially life-threatening laboratory abnormality. The data is reported for shift of ≥ 2 grades from baseline in values for hematology and select liver biochemistry. Hematology includes parameters like RBCs, (erythrocytes), hemoglobin, hematocrit, platelets, WBC, WBC differentials (absolute and percentage) including basophils, neutrophils, lymphocytes, eosinophils, and monocytes, etc. Biochemistry included select liver function tests like blood bilirubin, gamma-glutamyl transferase (GGT), aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase. Percentages were rounded-off.
2 secondary outcomes
Percentage of Participants With ALP ≤1.0× ULN at Month 12
Time frame: Month 12
Change From Baseline in Weekly Averaged Pruritus Numerical Rating Scale (NRS) in Participants With NRS ≥ 4 at Month 6
Time frame: Baseline, Month 6
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Sep 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41933275Levy C, Jones DEJ, Mayo MJ, Bowlus CL, Kowdley KV, Hirschfield GM, Liu J, Burk C, Carroll S, Crittenden DB, Kremer AE. Seladelpar Improved Itch, Itch-Related Sleep Disturbance and Measures of Fatigue in Patients With Primary Biliary Cholangitis and Pruritus in the Phase 3 RESPONSE Trial. Aliment Pharmacol Ther. 2026 Jul;64(1):23-35. doi: 10.1111/apt.70630. Epub 2026 Apr 3.
- Derived from this study: PubMed 38381664Hirschfield GM, Bowlus CL, Mayo MJ, Kremer AE, Vierling JM, Kowdley KV, Levy C, Villamil A, Ladron de Guevara Cetina AL, Janczewska E, Zigmond E, Jeong SH, Yilmaz Y, Kallis Y, Corpechot C, Buggisch P, Invernizzi P, Londono Hurtado MC, Bergheanu S, Yang K, Choi YJ, Crittenden DB, McWherter CA; RESPONSE Study Group. A Phase 3 Trial of Seladelpar in Primary Biliary Cholangitis. N Engl J Med. 2024 Feb 29;390(9):783-794. doi: 10.1056/NEJMoa2312100. Epub 2024 Feb 21.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
CymaBay Study Director study director
Gilead Sciences
134 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Seladelpar 10 mg and Seladelpar 5 mg in people with Primary Biliary Cholangitis, run by Gilead Sciences at 134 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 134 sites in United States, South Korea, United Kingdom, Germany, Argentina and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 25 Jul 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Response Criteria for the Composite Endpoint of ALP <1.67 × Upper Limit of Normal (ULN), ≥15% Reduction in ALP, and Total Bilirubin ≤ 1.0× ULN at Month 12 (time frame: Month 12). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04620733, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Sep 2024.