Study of Cilofexor in Adults With Primary Sclerosing Cholangitis
Purpose
The primary objective of this study is to evaluate whether cilofexor reduces the risk of fibrosis progression among non-cirrhotic adults with primary sclerosing cholangitis (PSC).
Condition
- Primary Sclerosing Cholangitis
 
Eligibility
- Eligible Ages
 - Between 18 Years and 75 Years
 - Eligible Sex
 - All
 - Accepts Healthy Volunteers
 - No
 
Inclusion Criteria
- Diagnosis of large duct PSC - Liver biopsy at screening that is deemed acceptable for interpretation and demonstrates stage F0 - F3 fibrosis in the opinion of the central reader - Individual has the following laboratory parameters at the screening visit, as determined by the central laboratory: - Platelet count ≥ 150,000/mm^3 - Estimated glomerular filtration rate (eGFR) ≥ 30 milliliter/minute (mL/min), as calculated by the Cockcroft-Gault equation - Alanine transaminase (ALT) ≤ 8 x upper limit of the normal range (ULN) - Total bilirubin < 2 mg/dL, unless the individual is known to have Gilbert's syndrome or hemolytic anemia - International normalized ratio (INR) ≤ 1.4, unless due to therapeutic anticoagulation - Negative anti-mitochondrial antibody
 
Exclusion Criteria
- Current or prior history of any of the following: - Cirrhosis - Liver transplantation - Cholangiocarcinoma or hepatocellular carcinoma (HCC) - Ascending cholangitis within 30 days of screening - Presence of a percutaneous drain or biliary stent - Other causes of liver disease - Current or prior history of unstable cardiovascular disease - Current moderate to severe inflammatory bowel disease (IBD) (including ulcerative colitis, Crohn's disease, and indeterminate colitis) Note: Other protocol defined Inclusion/Exclusion criteria may apply
 
Study Design
- Phase
 - Phase 3
 - Study Type
 - Interventional
 - Allocation
 - Randomized
 - Intervention Model
 - Parallel Assignment
 - Primary Purpose
 - Treatment
 - Masking
 - Double (Participant, Investigator)
 
Arm Groups
| Arm | Description | Assigned Intervention | 
|---|---|---|
| 
                        Experimental Cilofexor 100 mg (Blinded Phase)  | 
                    Participants received cilofexor 100 mg tablet, orally, once daily for up to 100.3 weeks. | 
                                                
  | 
                
| 
                        Placebo Comparator Placebo (Blinded Phase)  | 
                    Participants received placebo to match cilofexor 100 mg tablet, orally, once daily for up to 98.1 weeks. | 
                                                
  | 
                
| 
                        Experimental Cilofexor From Cilofexor 100 mg (OLE Phase)  | 
                    Participants who received cilofexor in blinded phase and had entered the open-label extension (OLE) phase received open-label cilofexor 100 mg tablet, orally, once daily for up to 44.7 weeks. | 
                                                
  | 
                
| 
                        Experimental Cilofexor From Placebo (OLE Phase)  | 
                    Participants who received placebo in blinded phase and had entered the OLE phase received open-label cilofexor 100 mg tablet, orally, once daily for up to 45.0 weeks. | 
                                                
  | 
                
More Details
- Status
 - Terminated
 - Sponsor
 - Gilead Sciences