E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Primary Biliary Cholangitis (PBC) in patients with Inadequate Response or who were Unable to Tolerate Ursodeoxycholic Acid |
Colangitis biliar primaria (CBP) en pacientes con una respuesta insuficiente al ácido ursodesoxicólico o que no pudieron tolerarlo |
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E.1.1.1 | Medical condition in easily understood language |
Primary Biliary Cholangitis (PBC) in patients with Inadequate Response or who were Unable to Tolerate Ursodeoxycholic Acid |
Colangitis biliar primaria (CBP) en pacientes con una respuesta insuficiente al ácido ursodesoxicólico o que no pudieron tolerarlo |
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E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10036680 |
E.1.2 | Term | Primary biliary cirrhosis |
E.1.2 | System Organ Class | 100000004871 |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective is to assess the effects of the combination of OCA and BZF on alkaline phosphatase (ALP) in comparison to OCA alone in subjects with PBC who had an inadequate response or who were unable to tolerate ursodeoxycholic acid (UDCA). |
El objetivo principal es evaluar los efectos de la combinación de AOC y BZF en la fosfatasa alcalina (FA) en comparación con AOC solo en sujetos con colangitis biliar primaria (CBP) que tuvieron una respuesta insuficiente al ácido ursodesoxicólico (AUDC) o que no pudieron tolerarlo. |
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E.2.2 | Secondary objectives of the trial |
The secondary objectives are to assess the effects of the combination of OCA and BZF in comparison to OCA alone in subjects with PBC who had an inadequate response or who were unable to tolerate UDCA on the following: - Safety and tolerability - Response and normalization rates of biochemical disease markers - Disease-specific symptoms as assessed by health-related quality of life questionnaires - Biomarkers of bile acid synthesis and homeostasis |
Los objetivos secundarios son evaluar los efectos de la combinación de AOC y BZF en comparación con AOC solo en sujetos con colangitis biliar primaria (CBP) que tuvieron una respuesta insuficiente con el AUDC o que no pudieron tolerarlo con respecto a lo siguiente: • Seguridad y tolerabilidad • Tasas de respuesta y normalización de los marcadores bioquímicos de la enfermedad • Síntomas específicos de la enfermedad mediante evaluación con cuestionarios de calidad de vida relacionada con la salud • Biomarcadores de síntesis de los ácidos biliares y homeostasia |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- A definite or probable diagnosis of PBC (consistent with the European Association for the Study of the Liver [EASL] Practice Guidelines and the American Association for the Study of Liver Diseases; [Lindor 2009a, EASL 2017]) - Qualifying ALP and bilirubin liver biochemistry values - Age ≥18 years - Taking UDCA for at least 12 months (stable dose for ≥3 months) before Day 1 or unable to tolerate or unresponsive to UDCA (no UDCA for ≥3 months) before Day 1 |
-Un diagnóstico claro o probable de CBP (en línea con las directrices prácticas de la Asociación Europea para el Estudio del Hígado [European Association for the Study of the Liver, EASL] y la Asociación Americana para el Estudio de Enfermedades Hepáticas [American Association for the Study of Liver Diseases]; [Lindor 2009a, EASL 2017] -Valores cualificados de FA y bilirubina en bioquímica hepatica -Edad ≥ 18 años. -Tomar AUDC durante al menos 12 meses (dosis estable durante ≥ 3 meses) antes del día 1 o incapacidad para tolerar o no responder a AUDC (sin AUDC durante ≥3 meses) antes del día 1 |
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E.4 | Principal exclusion criteria |
- History or presence of other concomitant liver diseases - Presence of clinical complications of PBC or clinically significant (CS) hepatic decompensation - Current or history of gallbladder disease with or without cholelithiasis - Severe renal failure (serum creatinine >1.5 mg/100 mL (>135 μmol/L); creatinine clearance <60 mL/min) or undergoing dialysis - Severe pruritus, or required systemic treatment for pruritus (eg, with bile acid sequestrants or rifampicin) within 2 months of Day 1 - History of known or suspected CS hypersensitivity to OCA, BZF, or other fibrates or any of their components - Was treated with commercially available OCA or participated in a previous study involving OCA within 1 year before Screening or plans to use commercially available OCA during the study - Is unable to tolerate BZF or other fibrates, was treated with commercially available fibrates or participated in a previous study involving fibrates within 3 months before Screening, or plans to use commercially available fibrates during the study
Note: Other protocol defined Inclusion/Exclusion criteria may apply |
-Antecedentes o presencia de otras hepatopatías concomitantes. -Presencia de complicaciones clínicas de la CBP o descompensación hepática clínicamente significativa -Antecedentes o afectación actual de la vesícula con o sin colelitiasis -Insuficiencia renal grave (creatinina en suero >1,5 mg/100 ml (>135 μmol/l); aclaramiento de la creatinina <60 ml/min) o recibiendo dialysis. -Prurito intenso, como se define en la tabla 10, o tratamiento sistémico requerido para el prurito (p. ej., con secuestrantes de ácidos biliares o rifampicina) en los 2 meses previos al día 1. -Antecedentes de hipersensibilidad clínicamente significativa conocida o sospechada al AOC o a otros fibratos o a cualquiera de sus components. -Tratamiento con AOC disponible comercialmente o participación en un estudio anterior con AOC dentro del año anterior a la selección o planes de usar AOC disponible comercialmente durante el studio. -No puede tolerar BZF u otros fibratos, recibió tratamiento con fibratos disponibles comercialmente o participó en un estudio anterior con fibratos dentro de los 3 meses anteriores a la selección o planea usar ibratos disponibles comercialmente durante el studio.
Nota: Pueden aplicar otros criterios de inclusion/exclusion definidos en el protocolo. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Absolute change in ALP from baseline to Week 12 in the DB Treatment Period |
Cambio absoluto en la FA entre el momento inicial y la semana 12 en el período de tratamiento con DE. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
- Safety and tolerability - Response and normalization rates of biochemical disease markers - Disease-specific symptoms as assessed by health-related quality of life questionnaires - Biomarkers of bile acid synthesis and homeostasis |
-Seguridad y tolerancia -Tasas de respuesta y normalización de los marcadores bioquímicos de la enfermedad -Síntomas específicos de la enfermedad mediante evaluación con cuestionarios de calidad de vida relacionada con la salud -Biomarcadores de síntesis de los ácidos biliares y homeostasia |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Baseline to End of study |
Desde el momento inicial hasta el final del studio. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 38 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Austria |
Belgium |
Croatia |
Czech Republic |
Denmark |
Estonia |
Finland |
France |
Germany |
Greece |
Hungary |
Ireland |
Israel |
Korea, Republic of |
Latvia |
Lithuania |
Netherlands |
Norway |
Poland |
Slovakia |
Slovenia |
Spain |
Sweden |
United Kingdom |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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LVLS |
Última visita del último paciente. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 6 |