Efficacy and Safety of Oltipraz in the Patients With Liver Fibrosis and Cirrhosis

Liver Cirrhosis Clinical Trial

Official title:

A Randomized, Double-Blind, Placebo-Controlled Phase II Multicenter Trial of Oltipraz for the Evaluation of Efficacy and Safety in the Patients With Liver Fibrosis and Cirrhosis Induced by Chronic Hepatitis Type B or C

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00956098
• Other study ID #: CJ-OPZ-201 study
• Status: Completed
• Phase: Phase 2
• First received: August 10, 2009
• Last updated: August 10, 2009
• Start date: February 2006
• Est. completion date: February 2007

Study information

• Verified date: August 2009
• Source: CJ HealthCare Corporation
• Contact: n/a
• Is FDA regulated: No
• Health authority: South Korea: Korea Food and Drug Administration (KFDA)
• Study type: Interventional

Clinical Trial Summary

This study investigated the effectiveness and safety of oltipraz therapy in treating patients with cirrhosis induced by chronic hepatitis type B or C.

Description:

Oltipraz [5-(2-pyrazinyl)-4-methyl-1,2-dithiol-3-thione] has been extensively studied as a cancer chemopreventive agent. Comprehensive mechanistic and phase IIa studies supported the notion that oltipraz exerts chemopreventive effects, as supported by Phase IIa human clinical studies of oltipraz on cancer chemoprevention, conducted in Qidong, China. Hepatic stellate cells cause synthesis of large quantities of extracellular matrix. Transforming growth factor beta1 (TGF-beta1), as a key fibrogenic mediator for fibrogenesis after injuries through deposition of extracellular matrix and inhibition of collagenase activity in the liver, is associated with the regulation of cell growth and differentiation and causes synthesis of extracellular matrix proteins and cellular receptors for matrix proteins. Previously, we reported the effectiveness of oltipraz in regeneration of cirrhotic liver, which includes reduction of the intensities of liver fibrotic and cirrhotic nodules, elimination of accumulated extracellular matrix, and regeneration of cirrhotic liver in animal models. Oltipraz completely resolves fibrosis in the cirrhotic liver, thereby improving viability. TGF-beta1 signaling plays an important role in liver fibrogenesis and cirrhosis as evidenced by receptor knockout experiments. No therapeutic agent that is active in interrupting TGF-beta1 signaling is available, proposing that C/EBP serve as a molecular target for the treatment of liver cirrhosis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 81
• Est. completion date: February 2007
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 25 Years to 65 Years

Eligibility

Inclusion Criteria:

• patients with fibrosis and cirrhosis induced by chronic hepatitis type B or C

• patients with HbsAg, Anti-HCV or HCV RNA positive

Exclusion Criteria:

• treatment with antiviral agents, immunosuppressants, glucocorticoids, within the 6 months or with biphenyl dimethyl dicarboxylate one month

• treatment with any investigational drug (except CJ11555PK or CJ-OPZ-201PK) within one month

• Child-Pugh class C, Use of a mean daily dose of 80 g alcohol with the one month, of enzyme inducers or inhibitors, or of drug abuse that might affect this study

• a known hypersensitivity to oltipraz or its structurally related compounds

• ascites, hemorrhage from varicoses, uncompensated LC with the history of hepatic encephalopathy within the 6 months

• hepatocellular carcinoma (a rising serum level of a-fetoprotein or a suspicious foci on hepatic ultrasonography at screening or), liver transplantation

• pregnancy or lactation, unwillingness of contraception during the study period

• other serious concurrent illness (e.g., severe hemorrhagic GI, renal, pulmonary, neurological, cardiovascular (CHF of class III or above; a history of MI within the past 6 months) diseases, or cancer, autoimmunity or psychological diseases)

• any patients who is inappropriate or has unwillingness of clinical study as judged by participating clinicians

• bilirubin content greater than 2.0 mg/dL, prothrombin time longer than 4 sec, and serum albumin below 2.5 g/dL

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Fibrosis
• Liver Cirrhosis
• Liver Fibrosis

Intervention

Drug:
• oltipraz
60mg bid 90mg qd
• placebo

Locations

Country	Name	City	State
Korea, Republic of	The Catholic University of Korea Seoul St. Mary's Hospital	Banpo-Dong, Seocho-Gu	Seoul
Korea, Republic of	The Catholic University of Korea Holy Family Hospital	Sosa-Dong, Wonmi-Gu	Kyungki-Do

Sponsors (1)

Lead Sponsor	Collaborator
CJ HealthCare Corporation

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Ishak fibrosis score		24 weeks	No
Secondary	The Modified Knodell's HAI score		24 weeks	No
Secondary	Child-Pugh score		24 weeks	No