Primary Sclerosing Cholangitis Clinical Trial
Official title:
A Single Arm, Two-stage, Multi-centre, Phase II Clinical Trial Investigating the Safety and Activity of the Use of BTT1023 Targeting Vascular Adhesion Protein (VAP-1), in the Treatment of Patients With Primary Sclerosing Cholangitis (PSC).
This is a phase II study to determine the safety and preliminary efficacy of a human monoclonal antibody (BTT1023) which targets the vascular adhesion protein (VAP-1) and its use in the treatment of patients with primary sclerosing cholangitis (PSC).
Primary sclerosing cholangitis is a progressive immune mediated biliary disease characterised
by bile duct inflammation and fibrosis, and accompanying hepatic fibrosis. For patients with
elevated alkaline phosphatase (ALP) in particular, progressive disease is predicted, that
currently results in a need for liver transplantation in the majority. No current medical
therapy has as yet been shown to be effective in altering the natural history of disease. For
this reason patients with PSC with elevated ALP values will be recruited to this study, to
evaluate the impact of Vap-1 blockade by BTT1023, in an early phase study focused on
biochemical efficacy and safety.
This is an early phase study of BTT1023 in immune mediated liver disease, with the rationale
to identify biochemical efficacy of effect (reduction in ALP) and safety, in an orphan
disease indication for PSC that presently lacks any other medical therapy. The study design
therefore focuses on identifying early biochemical efficacy signals to justify larger scale,
randomised controlled studies over longer duration.
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