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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT02823366
Other study ID # KY20151230-5
Secondary ID
Status Recruiting
Phase Phase 3
First received
Last updated
Start date January 2016
Est. completion date December 2023

Study information

Verified date June 2016
Source Xijing Hospital of Digestive Diseases
Contact Ying Han, Ph.D
Phone 86-29-84771539
Email hanying@fmmu.edu.cn
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Ursodeoxycholic acid (UDCA) has been the only treatment for PBC approved by US and European drug administrations. Long-term use of UDCA(13-15 mg/kg/day) in patients with PBC improves serum liver biochemistries and survival free of liver transplantation However, about 40% of patients do not respond to UDCA optimally as assessed by known criteria for biochemical response. Those patients represent the group in need for additional therapies, having increased risk of disease progression and decreased survival free of liver transplantation. Both lab research and some clinical studies suggest that fenofibrate could improve cholestasis in multiple ways including reduce of bile acid synthesis, increase of biliary secretion and anti-inflammation effect. Here we start a random, open and parallel clinical research to explore the effect of fenofibrate in the PBC treatment.


Recruitment information / eligibility

Status Recruiting
Enrollment 104
Est. completion date December 2023
Est. primary completion date December 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years to 70 Years
Eligibility Inclusion Criteria: 1. Signed informed consent 2. Patient with PBC defined by 2 in 3 of the following criteria: a.Positive antimitochondrial antibody type M2; b.Abnormal serum alkaline phosphatases (ALP > 1,5N) and aminotransferase (AST or ALT > 1N) activities; c.Histological hepatic injuries consistent with PBC. 3. Had been treated with UDCA more than 6 months, and failed to achieve a complete biochemical response. Exclusion Criteria: 1. Pregnancy or desire of pregnancy. 2. Breast-feeding. 3. Co-existing liver diseases such as acute or chronic viral hepatitis, alcoholic liver disease, choledocholithiasis, autoimmune hepatitis, biopsy-proven non-alcoholic fatty liver disease, Wilson's disease and hemochromatosis. 4. History or presence of hepatic decompensation (e.g., variceal bleeds, encephalopathy, or poorly controlled ascites). 5. History of urolithiasis, nephritis or renal failure (clearance of creatinine < 60 ml/mn). 6. Hepatotoxic drugs use before recruiting. 7. Fenofibrate anaphylaxis.

Study Design


Intervention

Drug:
Fenofibrate

UDCA


Locations

Country Name City State
China Xijing Hosipital Xi'an Shaanxi

Sponsors (1)

Lead Sponsor Collaborator
Xijing Hospital of Digestive Diseases

Country where clinical trial is conducted

China, 

Outcome

Type Measure Description Time frame Safety issue
Other Change in symptom-pruritus. The symptom of pruritus will be evaluated by questionnaire before enrolment and at the end of the study. Week 24
Other Change in symptom-fatigue. The symptom of fatigue will be evaluated by Fatigue Impact Scale before enrolment and at the end of the study. Week 24
Other Change in serum Immunoglobulin M Levels. Absolute change in serum levels of Immunoglobulin M compared to the baseline. Week 24
Primary Rate of patients with complete biochemical response Normalization of alkaline phosphatase (ALP) or decrease of ALP by more than 40% compared to the baseline. Week 24
Secondary Change in liver biopsy examinations according to conventional Ludwig system. Histological evolution will be checked by liver biopsy at the end of the study to compare with baseline histological status. The Ludwig histological classification schemes will be used, which categorised the disease into four stages. Week 48
Secondary Change in GLOBE risk scores after treatment. The prognostic scores will be calculated at entry and end of study by GLOBE scoring system, which calculated based on serum values of bilirubin, ALP, albumin and platelet count after 1 year of treatment and age at baseline. Week 48
Secondary Change in liver stiffness status measured by magnetic resonance elastography. The change of liver stiffness status at the end of the study compared to baseline checked by magnetic resonance elastography. Week 48
Secondary Change in serum levels of ALP compared to the baseline. Absolute change in serum levels of ALP compared to the baseline. Weeks 0, 4, 8, 12, 24, and 48
Secondary Change in serum levels of bilirubin compared to the baseline. Absolute change in serum levels of bilirubin compared to the baseline. Weeks 0, 4, 8, 12, 24, and 48
Secondary Change in serum levels of transaminase compared to the baseline. Absolute change in serum levels of transaminase compared to the baseline. Weeks 0, 4, 8, 12, 24, and 48
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