Clinical Trial Results:
            A Safety Pilot Study of Px-104 in non alcoholic fatty liver disease (NAFLD) patients
    
|     Summary | |
|     EudraCT number | 2013-002984-24 | 
|     Trial protocol | AT | 
|     Global end of trial date | 
                                    07 Jan 2015
                             | 
|     Results information | |
|     Results version number | v1(current) | 
|     This version publication date | 
                                    23 Jun 2016
                             | 
|     First version publication date | 
                                    23 Jun 2016
                             | 
|     Other versions | |
        Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
    
    
    Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
| 
 | |||
|     Trial identification | |||
|     Sponsor protocol code | 
                                    PHS-Px-104-II-01
                             | ||
|     Additional study identifiers | |||
|     ISRCTN number | - | ||
|     US NCT number | - | ||
|     WHO universal trial number (UTN) | - | ||
|     Sponsors | |||
|     Sponsor organisation name | 
                                    Phenex Pharmaceuticals AG
                             | ||
|     Sponsor organisation address | 
                                    Waldhofer Straße 104, Heidelberg, Germany, 69123
                             | ||
|     Public contact | 
                                    Sponsor, Phenex Pharmaceuticals AG, +49 06221-65282-13, manfred.birkel@phenex-pharma.com
                             | ||
|     Scientific contact | 
                                    Sponsor, Phenex Pharmaceuticals AG, +49 06221-65282-13, manfred.birkel@phenex-pharma.com
                             | ||
|     Paediatric regulatory details | |||
|     Is trial part of an agreed paediatric investigation plan (PIP) | 
                                        No
                                 | ||
|     Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? | 
                                        No
                                 | ||
|     Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? | 
                                        No
                                 | ||
|     Results analysis stage | |||
|     Analysis stage | 
                                    Final
                             | ||
|     Date of interim/final analysis | 
                                    07 Jan 2015
                             | ||
|     Is this the analysis of the primary completion data? | 
                                        Yes
                                 | ||
|     Primary completion date | 
                                    07 Jan 2015
                             | ||
|     Global end of trial reached? | 
                                        Yes
                                 | ||
|     Global end of trial date | 
                                    07 Jan 2015
                             | ||
|     Was the trial ended prematurely? | 
                                        No
                                 | ||
|     General information about the trial | |||
|     Main objective of the trial | 
                                    Safety and tolerability assessment will be made by monitoring the subjects for adverse events and by interpreting the results of the ECGs, various laboratory tests (changes in ALT/AST) and the subjects’ diaries.
                             | ||
|     Protection of trial subjects | 
                                    The following safety assessments were done to protect trial subjects:
- Cardiovascular monitoring
12-lead ECG, continuous ECG monitoring 20–24 hours prior to the first dose administration and on Days 7, 14, 21 and 26 (+1) for 23–25 hours, measurement of blood pressure and pulse rate
- Laboratory monitoring
Hematology, coagulation, clinical chemistry, serology, urinanalysis
                             | ||
|     Background therapy | - | ||
|     Evidence for comparator | - | ||
|     Actual start date of recruitment | 
                                    02 Sep 2013
                             | ||
|     Long term follow-up planned | 
                                        No
                                 | ||
|     Independent data monitoring committee (IDMC) involvement? | 
                                        No
                                 | ||
|     Population of trial subjects | |||
|     Number of subjects enrolled per country | |||
|     Country: Number of subjects enrolled | 
                                    Austria: 12
                             | ||
|     Worldwide total number of subjects | 
                                    12
                             | ||
|     EEA total number of subjects | 
                                    12
                             | ||
|     Number of subjects enrolled per age group | |||
|     In utero | 
                                    0
                             | ||
|     Preterm newborn - gestational age < 37 wk | 
                                    0
                             | ||
|     Newborns (0-27 days) | 
                                    0
                             | ||
|     Infants and toddlers (28 days-23 months) | 
                                    0
                             | ||
|     Children (2-11 years) | 
                                    0
                             | ||
|     Adolescents (12-17 years) | 
                                    0
                             | ||
|     Adults (18-64 years) | 
                                    10
                             | ||
|     From 65 to 84 years | 
                                    2
                             | ||
|     85 years and over | 
                                    0
                             | ||
| 
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|     Recruitment | |||||||||||||||||
|     Recruitment details | Recruitment of patients was done at the Department for Gastroenterology and Hepatology, General Hospital of Vienna, from 25.10.2013 (first patient in) until 12.11.2014 (last patient in). Adult patients with non-alcoholic fatty liver disease (NAFLD) were screened for eligibility after giving their written informed consent to the clinifal trial. | ||||||||||||||||
|     Pre-assignment | |||||||||||||||||
|     Screening details | 21 patients were screened for eligibility. 6 patients were considered as screening failures (according to inclusion/exclusion criteria). 7 patients were considered as drop outs during the conduct of the study. 3 of the 7 drop outs occured before receiving study drug. All in all 12 patients received study drug. | ||||||||||||||||
|     Pre-assignment period milestones         | |||||||||||||||||
|     Number of subjects started | 21 [1] | ||||||||||||||||
|     Number of subjects completed | 12 | ||||||||||||||||
|     Pre-assignment subject non-completion reasons | |||||||||||||||||
|     Reason: Number of subjects | In-/Exclusion criteria not fulfilled/fulfilled: 6 | ||||||||||||||||
|     Reason: Number of subjects | Organizational reasons: 3 | ||||||||||||||||
| Notes [1] - The number of subjects reported to have started the pre-assignment period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: According to the clinical study protocol, 12 patients in 1 group were planned. Study participants who voluntarily withdraw consent (due to any other reason than an AE) or study drop-outs were replaced. Therefore 21 patients were screened but only 12 patients were enrolled in the study (= received study medication). | |||||||||||||||||
| Period 1 | |||||||||||||||||
| Period 1 title | 
                                    Treatment period (overall period)
                             | ||||||||||||||||
|     Is this the baseline period? | Yes | ||||||||||||||||
|     Allocation method | 
                                    Not applicable
                             | ||||||||||||||||
|     Blinding used | Not blinded | ||||||||||||||||
|     Arms | |||||||||||||||||
|     Arm title | Treatment arm | ||||||||||||||||
|     Arm description | All patients enrolled in this study received the study medication; there was no randomization or blinding done. | ||||||||||||||||
|     Arm type | Experimental | ||||||||||||||||
|     Investigational medicinal product name | 
                                    Px104
                             | ||||||||||||||||
|     Investigational medicinal product code | |||||||||||||||||
|     Other name | |||||||||||||||||
|     Pharmaceutical forms | 
                                    Capsule
                             | ||||||||||||||||
|     Routes of administration | 
                                    Oral use
                             | ||||||||||||||||
|     Dosage and administration details | 
                                    5 mg Px-104 capsules were taken by the patients once a day for 28 days.
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| 
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| 
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|     Baseline characteristics reporting groups     | |||||||||||||||||||||||||||||||
|     Reporting group title | 
                                    Treatment period
                             | ||||||||||||||||||||||||||||||
|     Reporting group description | - | ||||||||||||||||||||||||||||||
| 
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| 
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|     End points reporting groups | |||
|     Reporting group title | 
                                    Treatment arm
                             | ||
|     Reporting group description | All patients enrolled in this study received the study medication; there was no randomization or blinding done. | ||
| 
 | |||||||
|     End point title | Number of AEs, SAEs, TEAEs [1] | ||||||
|     End point description | |||||||
|     End point type | 
                                    Primary
                             | ||||||
|     End point timeframe | 
                                    From Baseline to End of Study Visit.
                             | ||||||
| Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||
| 
 | |||||||
| No statistical analyses for this end point | |||||||
| 
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|     End point title | Changes in blood pressure (systolic) from baseline [2] | ||||||||
|     End point description | |||||||||
|     End point type | 
                                    Primary
                             | ||||||||
|     End point timeframe | 
                                    From baseline to end of study
                             | ||||||||
| Notes [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||||
| 
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| No statistical analyses for this end point | |||||||||
| 
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|     End point title | Changes in blood pressure (diastolic) from baseline [3] | ||||||||
|     End point description | |||||||||
|     End point type | 
                                    Primary
                             | ||||||||
|     End point timeframe | 
                                    From baseline to end of study
                             | ||||||||
| Notes [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||||
| 
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| No statistical analyses for this end point | |||||||||
| 
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|     End point title | Pulse [4] | ||||||||
|     End point description | |||||||||
|     End point type | 
                                    Primary
                             | ||||||||
|     End point timeframe | 
                                    From baseline to end of study
                             | ||||||||
| Notes [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||||
| 
 | |||||||||
| No statistical analyses for this end point | |||||||||
| 
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|     End point title | Body temperature [5] | ||||||||
|     End point description | |||||||||
|     End point type | 
                                    Primary
                             | ||||||||
|     End point timeframe | 
                                    From baseline to end of study
                             | ||||||||
| Notes [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||||
| 
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| No statistical analyses for this end point | |||||||||
| 
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|     End point title | Occurence of VES [6] | ||||||
|     End point description | |||||||
|     End point type | 
                                    Primary
                             | ||||||
|     End point timeframe | 
                                    From screening to end of study
                             | ||||||
| Notes [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||
| 
 | |||||||
| No statistical analyses for this end point | |||||||
| 
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|     End point title | Change in QTc [7] | ||||||||
|     End point description | |||||||||
|     End point type | 
                                    Primary
                             | ||||||||
|     End point timeframe | 
                                    From baseline to end of study
                             | ||||||||
| Notes [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||||
| 
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| No statistical analyses for this end point | |||||||||
| 
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|     End point title | Change of ALT from baseline [8] | ||||||||
|     End point description | |||||||||
|     End point type | 
                                    Primary
                             | ||||||||
|     End point timeframe | 
                                    From baseline to end of study
                             | ||||||||
| Notes [8] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||||
| 
 | |||||||||
| No statistical analyses for this end point | |||||||||
| 
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|     End point title | Change of AST from baseline [9] | ||||||||
|     End point description | |||||||||
|     End point type | 
                                    Primary
                             | ||||||||
|     End point timeframe | 
                                    From baseline to end of study
                             | ||||||||
| Notes [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||||
| 
 | |||||||||
| No statistical analyses for this end point | |||||||||
| 
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|     End point title | Change of Bilirubin from baseline [10] | ||||||||
|     End point description | |||||||||
|     End point type | 
                                    Primary
                             | ||||||||
|     End point timeframe | 
                                    From baseline to end of study
                             | ||||||||
| Notes [10] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: All variables were presented using descriptive statistical techniques. | |||||||||
| 
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| No statistical analyses for this end point | |||||||||
| 
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|     Adverse events information     | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Timeframe for reporting adverse events | 
                                    From baseline to end of study.
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|     Assessment type | Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Dictionary used for adverse event reporting | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Dictionary name | MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Dictionary version | 
                                    18
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|     Reporting groups | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Reporting group title | 
                                    Overall trial
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|     Reporting group description | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 
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| Frequency threshold for reporting non-serious adverse events: 0% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 
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| 
 | |||
| Substantial protocol amendments (globally) | |||
| Were there any global substantial amendments to the protocol? Yes | |||
|     Date |     Amendment | ||
| 22 Jan 2014 | The conduct of another 24h-ECG is optional at the screening visit; On days 1, 7, 14, 21 and 28 an additional urin test is done; Body weight will also be measured on days 1, 7, 14, 21 and 28. | ||
| 12 Mar 2014 | Additional exclusion criterion: Monomorphic or polymorphic ventricular ectopic beats ≥ 30 beats/ hours calculated as mean over the continuous ECG recording period; Additional stop criterion: ≥2 subjects experiencing premature ventricular ectopic beats ≥ 30 beats/hour calculated as mean over the continuous ECG recording period. | ||
| Interruptions (globally) | |||
| Were there any global interruptions to the trial? No | |||
| Limitations and caveats | |||
| Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
| None reported | |||
 
				
