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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03301506
Registration number
NCT03301506
Ethics application status
Date submitted
26/09/2017
Date registered
4/10/2017
Date last updated
18/06/2024
Titles & IDs
Public title
Seladelpar in Subjects With Primary Biliary Cholangitis (PBC)
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Scientific title
ASSURE: An Open Label Long-Term Study to Evaluate the Safety and Tolerability of Seladelpar in Subjects With Primary Biliary Cholangitis (PBC)
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Secondary ID [1]
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CB8025-31731-RE
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Primary Biliary Cirrhosis
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Infection
0
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Seladelpar 5 mg Capsule
Treatment: Drugs - Seladelpar 10 mg Capsule
Experimental: Seladelpar 5 mg Capsules -
Experimental: Seladelpar 10 mg Capsule -
Treatment: Drugs: Seladelpar 5 mg Capsule
Subjects will be assigned to a treatment group if tolerability issues noted in the previous study.
Treatment: Drugs: Seladelpar 10 mg Capsule
Subjects will be assigned to a treatment group unless there are tolerability issues.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Treatment emergent adverse events (TEAEs) (National Cancer Institute {NCI} Common Terminology Criteria for Adverse Events {CTCAE} Version 5.0), biochemistry and hematology results
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Assessment method [1]
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Timepoint [1]
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Through study completion, up to 60 Months
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Secondary outcome [1]
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Death
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Assessment method [1]
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Occurrence of overall death
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Timepoint [1]
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60 Months
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Secondary outcome [2]
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Liver transplantation
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Assessment method [2]
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Occurrence of overall liver transplantation
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Timepoint [2]
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60 Months
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Secondary outcome [3]
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Change in MELD
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Assessment method [3]
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MELD score = 15 for at least 2 consecutive visits
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Timepoint [3]
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60 Months
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Secondary outcome [4]
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Ascites
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Assessment method [4]
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Occurrence of overall ascites requiring treatment
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Timepoint [4]
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60 Months
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Secondary outcome [5]
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Hospitalization for variceal bleeding
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Assessment method [5]
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Hospitalization for new onset, or recurrence, of variceal bleeding
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Timepoint [5]
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60 Months
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Secondary outcome [6]
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Hospitalization for hepatic encephalopathy
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Assessment method [6]
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Hospitalization for new onset, or recurrence, hepatic encephalopathy (as defined by a West Haven score = 2)
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Timepoint [6]
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60 Months
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Secondary outcome [7]
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Hospitalization for spontaneous bacterial peritonitis
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Assessment method [7]
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Hospitalization for new onset, or recurrence, spontaneous bacterial peritonitis (confirmed by culture from diagnostic paracentesis)
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Timepoint [7]
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60 Months
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Secondary outcome [8]
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Response on composite endpoint
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Assessment method [8]
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Alkaline phosphate (ALP)
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Timepoint [8]
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60 Months
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Secondary outcome [9]
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Response on composite endpoint
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Assessment method [9]
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Total bilirubin
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Timepoint [9]
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60 Months
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Secondary outcome [10]
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Normalization of ALP
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Assessment method [10]
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Proportion of subjects with normalization of ALP
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Timepoint [10]
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60 Months
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Secondary outcome [11]
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Laboratory Value: Serum Alkaline Phosphatase (ALP)
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Assessment method [11]
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Serum Alkaline Phosphatase (ALP)
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Timepoint [11]
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Through study completion, up to 60 Months
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Secondary outcome [12]
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Laboratory Value: Aspartate Aminotransferase (AST)
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Assessment method [12]
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Aspartate Aminotransferase (AST)
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Timepoint [12]
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Secondary outcome [13]
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Laboratory Value: Alanine Aminotransferase (ALT)
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Assessment method [13]
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Alanine Aminotransferase (ALT)
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Timepoint [13]
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Through study completion, up to 60 Months
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Secondary outcome [14]
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Laboratory Value: Gamma-glutamyl Transferase (GGT)
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Assessment method [14]
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Gamma-glutamyl Transferase (GGT)
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Timepoint [14]
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Through study completion, up to 60 Months
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Secondary outcome [15]
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Laboratory Value: Bilirubin - Total Bilirubin
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Assessment method [15]
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Bilirubin - Total Bilirubin
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Timepoint [15]
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Through study completion, up to 60 Months
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Secondary outcome [16]
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Laboratory Value: Bilirubin - Conjugated Bilirubin
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Assessment method [16]
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Bilirubin - Conjugated Bilirubin
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Timepoint [16]
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Through study completion, up to 60 Months
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Secondary outcome [17]
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Laboratory Value: Bilirubin - Unconjugated Bilirubin
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Assessment method [17]
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Bilirubin - Unconjugated Bilirubin
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Timepoint [17]
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Through study completion, up to 60 Months
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Eligibility
Key inclusion criteria
1. Must have given written informed consent (signed and dated)
2. Participated in a PBC study with seladelpar
3. Females of reproductive potential must use at least one barrier contraceptive and a second effective birth control method during the study and for at least 90 days after the last dose. Male subjects who are sexually active with female partners of reproductive potential must use barrier contraception and their female partners must use a second effective birth control method during the study and for at least 90 days after the last dose
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria are only applicable for subjects with a seladelpar interruption greater than 4 weeks prior to Day 1 of this study and for subjects who participated in CB8025-21838 irrespective of seladelpar interruption.
1. Treatment-related adverse event (AE) leading to seladelpar discontinuation in a previous PBC study with seladelpar (MBX-8025)
2. A medical condition, other than PBC, that in the investigator's opinion would preclude full participation in the study or confound its results (e.g., cancer)
3. AST or ALT above 3 × the upper limit of normal (ULN)
4. Total bilirubin above 2 × ULN
5. MELD score = 12. For subjects on anticoagulation medication, evaluation of the baseline INR, in concert with any current dose adjustments in anti-coagulant medications, will be taken into account when calculating this score. This will be done in consultation with the medical monitor.
6. Evidence of advanced PBC as defined by the Rotterdam criteria: albumin below 1× the lower limit of normal (LLN) AND total bilirubin above 1 × ULN)
7. eGFR =45 mL/min/1.73 m2 (calculated by MDRD formula)
8. Auto-immune hepatitis
9. Primary sclerosing cholangitis
10. Known history of alpha-1-antitrypsin deficiency
11. Known history of chronic viral hepatitis
12. For females, pregnancy or breast-feeding
13. Use of colchicine, methotrexate, azathioprine, or long-term use of systemic steroids (e.g. prednisone, prednisolone, budesonide) (>2 weeks) within 2 months prior to Screening
14. Current use of fibrates or use of fibrates within 3 months prior to Screening
15. Current use of obeticholic acid or use of obeticholic acid within 3 months prior to Screening
16. Use of an experimental or unapproved treatment for PBC within 3 months prior to Screening
17. History of malignancy diagnosed or treated, actively or within 2 years, or active evaluation for malignancy; localized treatment of squamous or non-invasive basal cell skin cancers and cervical carcinoma in-situ is allowed if appropriately treated prior to Screening
18. Treatment with any other investigational therapy or medical device within 30 days or within 5 half-lives, whatever is longer, prior to Screening
19. Any other condition(s) that would compromise the safety of the subject or compromise the quality of the clinical study, as judged by the Investigator
20. Immunosuppressant therapies (e.g., cyclosporine, tacrolimus, anti-TNF or other immunosuppressive biologics)
21. Other medications that effect liver or GI functions such as absorption of medications or the roux-en-y gastric bypass procedure may be prohibited and should be discussed with the medical monitor on a case-by-case basis
22. Positive for:
1. Hepatitis B, defined as the presence of hepatitis B surface antigen
2. Hepatitis C, defined as the presence of hepatitis C virus ribonucleic acid (RNA)
3. Human immunodeficiency virus (HIV) antibody
23. Active COVID-19 infection during screening
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/12/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2025
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Actual
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Sample size
Target
500
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,VIC
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Recruitment hospital [1]
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Royal Brisbane & Women's Hospital - Herston
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Recruitment hospital [2]
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Alfred Hospital - Melbourne
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Recruitment hospital [3]
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Royal Melbourne Hospital - Parkville
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Recruitment postcode(s) [1]
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4029 - Herston
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Recruitment postcode(s) [2]
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3004 - Melbourne
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Recruitment postcode(s) [3]
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3050 - Parkville
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Recruitment outside Australia
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United States of America
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Arkansas
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California
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Colorado
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Connecticut
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Florida
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Georgia
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Illinois
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Louisiana
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Massachusetts
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Tel Aviv
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Modena
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Italy
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Ankara
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Fatih
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Istanbul
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Izmir
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London
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Newcastle Upon Tyne
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United Kingdom
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Newcastle
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
CymaBay Therapeutics, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
An Open Label Long-Term Study to Evaluate the Safety and Tolerability of Seladelpar in Subjects with Primary Biliary Cholangitis (PBC)
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Trial website
https://clinicaltrials.gov/study/NCT03301506
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Phone
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Contact person for public queries
Name
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Barry Crittenden, MD
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Address
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Phone
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510-293-8800
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03301506
Download to PDF