An Open-Label Study on the Treatment of Patients with Primary Sclerosing Cholangitis (PSC) with Norcholic Acid Tablets
Descrizione riassuntiva dello studio
The study aims to further monitor the safety and efficacy of treatment with Norcholic Acid (NCA) in patients with primary sclerosing cholangitis (PSC). This is an open-label, single-arm study. 'Open-label' means that the label of the study medication is not concealed, and participants in the study know exactly what they are receiving. 'Single-arm' means that all participants receive the same treatment. Only patients who have participated in the previously conducted NUC 5/PSC study can participate. Patients who meet the criteria for participation will be asked if they wish to participate. They will receive the medication NCA at a dose of 1,500 mg per day, in the form of three tablets (each containing 500 mg of NCA). Participants will complete a total of 8 visits over a period of up to 72 weeks.
(BASEC)
Intervento studiato
The study aims to further monitor the safety and efficacy of treatment with Norcholic Acid (NCA) in patients with primary sclerosing cholangitis (PSC).
So far, there are no medications approved for the treatment to slow the progression of PSC. People with PSC have an increased risk of complications such as the occurrence of bile duct cancer or colorectal cancer.
NCA was developed for the treatment of PSC and has shown good results in previous studies. In these studies, the medication was safe (non-harmful) and showed a good benefit-risk ratio. The dose of 1500 mg NCA was most effective in slowing the progression of PSC.
(BASEC)
Malattie studiate
Primary Sclerosing Cholangitis (PSC)
(BASEC)
Patients aged ≥ 18 years with PSC who have participated in the NUC-5/PSC study. (BASEC)
Criteri di esclusione
Patients who discontinued the NUC-5/PSC study due to adverse drug reactions (side effects of the study medication) cannot participate. Other exclusion criteria include chronic alcohol consumption (regular alcohol consumption over an extended period) and advanced liver cirrhosis. (BASEC)
Luogo dello studio
Basilea, Berna, Lugano, San Gallo
(BASEC)
Sponsor
Dr. Falk Pharma GmbH (sponsor) Dr. Falk Pharma AG (sponsor’s representative in Switzerland)
(BASEC)
Contatto per ulteriori informazioni sullo studio
Persona di contatto in Svizzera
Dr. Falk Pharma GmbH, Clinical Research and Development
+49 761 1514 0
zentrale@clutterdrfalkpharma.deDr. Falk Pharma GmbH
(BASEC)
Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)
Commissione d'etica Berna
(BASEC)
Data di approvazione del comitato etico
05.03.2025
(BASEC)
ID di studio ICTRP
CTIS2024-514292-18-00 (ICTRP)
Titolo ufficiale (approvato dal comitato etico)
An open-label study of patients with primary sclerosing cholangitis (PSC) treated with norucholic acid tablets (BASEC)
Titolo accademico
An Open-label study of patients with primary sclerosing cholangitis (PSC) treated with norucholic acid tablets - NUT-022/PSC (ICTRP)
Titolo pubblico
An Open-label study of patients with primary sclerosing cholangitis (PSC) treated with norucholic acid tablets (ICTRP)
Malattie studiate
Primary Sclerosing Cholangitis (PSC)
MedDRA version: 20.1Level: LLTClassification code: 10036732Term: Primary sclerosing cholangitis Class: 10019805Therapeutic area: Diseases [C] - Digestive System Diseases [C06] (ICTRP)
Intervento studiato
Product Name: NUT01, Product Code:PRD6821878, Pharmaceutical Form: FILM-COATED TABLET, Other descriptive name: , Strength: (ICTRP)
Tipo di studio
Interventional clinical trial of medicinal product (ICTRP)
Disegno dello studio
Controlled: no Randomised: no Open: no Single blind: no Double blind: no Parallel group: no Cross over: no Other: no If controlled, specify comparator, Other Medicinial Product: no Placebo: no Number of treatment arms in the trial: (ICTRP)
Criteri di inclusione/esclusione
Inclusion criteria: Signed informed consent., Males or females = 18 years., Patient has previously been diagnosed with PSC, has participated in the previous NUC 5/PSC trial and has completed the DBE phase with Visit 22, or has prematurely terminated the DBE phase before this trial has been started, or has prematurely terminated the DBE phase after this trial has been started, under the condition that the premature termination was due to lack of efficacy* *Lack of efficacy as defined in the NUC-5/PSC trial, Women of childbearing potential, i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile, who are sexually active have to apply a highly effective method of birth control with a low failure rate (i.e., less than 1 % per year) when used constantly and correctly such as combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable), intrauterine device (IUD), intrauterine hormone-releasing system (IUS), bilateral tubal occlusion, vasectomized partner, or sexual abstinence (only accepted as a highly effective contraceptive measure if it is the usual and preferred lifestyle of the patient), throughout the treatment period and for four weeks following the last dose of study treatment. Women of non-childbearing potential may be included if surgically sterile or post-menopausal for at least 2 years. The investigator is responsible for determining whether the patient has this adequate birth control for study participation. (ICTRP)
Exclusion criteria: History or presence of chronic alcoholic consumption (daily consumption > 30 g in men, > 20 g in women)., Abnormal renal function at screening, Thyroid-stimulating hormone (TSH) > ULN at screening (elevated levels [4.2-10 U/mL] are acceptable if fT4 is measured and within the normal range)., Any severe concomitant cardiovascular, renal, endocrine, or psychiatric disorder, which in the opinion of the investigator might have an influence on the patients compliance, or any disorder which in the opinion of the investigator may affect the patients safety., Any active malignant disease., Known intolerance/hypersensitivity to study drug, or drugs of similar chemical structure or pharmacological profile., Well-founded doubt about the patients cooperation, e.g., because of addiction to alcohol or drugs., Existing or intended pregnancy or breast-feeding., Participation in another clinical trial (other than the NUC-5/PSC trial) within the last 30 days prior to screening visit, simultaneous participation in another clinical trial, or previous enrolment in this trial and intake of Investigational Medicinal Product (IMP) within this trial, Imprisoned persons, persons admitted to nursing homes, persons under legal guardianship, and persons not able to express their consent (e.g. due to mental impairment)., Patients who discontinued study participation in NUC-5/PSC due to an AE possibly caused by the study drug., Liver Cirrhosis or any cirrhosis-related symptoms which in the opinion of the investigator may affect the patients safety., Any known relevant infectious disease (e.g., active tuberculosis, AIDS defining diseases).
Endpoint primari e secondari
Main Objective: To evaluate safety and tolerability of norucholic acid (NCA) film-coated tablets in the treatment of Primary Sclerosing Cholangitis (PSC).;Secondary Objective: To assess the efficacy of NCA in patients with PSC.;Primary end point(s): Occurrence of Treatment emergent adverse events (TEAEs), Occurrence of Serious TEAEs, Occurrence of Severe TEAEs, Occurrence of Adverse Drug reactions (ADRs), Occurrence of Unexpected TEAEs (ICTRP)
Secondary end point(s):(Safety) Changes from baseline in vital signs (blood pressure, heart rate) and body weight;Secondary end point(s):(Safety) Changes from baseline in hematology, serum chemistry (other than efficacy variables) and urinalysis;Secondary end point(s):(Efficacy) Course of liver stiffness;Secondary end point(s):(Efficacy) s-ALP in categories from baseline to EoT (ICTRP)
Data di registrazione
08.11.2024 (ICTRP)
Inclusione del primo partecipante
15.04.2025 (ICTRP)
Sponsor secondari
non disponibile
Contatti aggiuntivi
Clinical Research and Development, zentrale@drfalkpharma.de, +4976115140, Dr. Falk Pharma GmbH (ICTRP)
ID secondari
non disponibile
Risultati-Dati individuali dei partecipanti
NoIt is not yet decided which data will be made available. Neither can a time frame be indicated yet. Nevertheless, study results will be published independently from sharing other supportive information. (ICTRP)
Ulteriori informazioni sullo studio
https://euclinicaltrials.eu/search-for-clinical-trials/?lang=en&EUCT=2024-514292-18-00 (ICTRP)
Risultati dello studio
Riepilogo dei risultati
non disponibile
Link ai risultati nel registro primario
non disponibile