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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04674761
Registration number
NCT04674761
Ethics application status
Date submitted
10/12/2020
Date registered
19/12/2020
Date last updated
2/11/2023
Titles & IDs
Public title
Efficacy and Safety of Odevixibat in Patients With Alagille Syndrome
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Scientific title
A Phase 3 Double-blind, Randomized, Placebo-controlled Study of the Safety and Efficacy of Odevixibat (A4250) in Patients With Alagille Syndrome (ASSERT)
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Secondary ID [1]
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A4250-012
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Universal Trial Number (UTN)
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Trial acronym
ASSERT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Alagille Syndrome
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Cardiovascular
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Other cardiovascular diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Odevixibat
Treatment: Drugs - Placebo
Experimental: Odevixibat (A4250) - Capsules for oral administration once daily for 24 weeks.
Placebo comparator: Placebo - Capsules for oral administration (to match active) once daily for 24 weeks.
Treatment: Drugs: Odevixibat
Odevixibat is a small molecule and selective inhibitor of IBAT.
Treatment: Drugs: Placebo
Placebo identical in appearance to experimental drug (odevixibat).
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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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Change From Baseline in Scratching Score
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Assessment method [1]
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Change from baseline in average AM (measured after waking up) and PM (measured before bedtime) scratching score to Month 6 as measured by the Albireo Observer-Reported Outcome (ObsRO) Instrument. The ObsRO instrument was used to assess severity of observed scratching twice a day (AM and PM) with scores from 0 to 4 where 0 is no scratching and 4 is worst possible scratching.
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Timepoint [1]
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Change from baseline for each four-week average pruritis score to Month 6 (Weeks 21 to 24), in which baseline was calculated based on the 14 days before the start of treatment.
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Secondary outcome [1]
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Serum Bile Acid Levels
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Assessment method [1]
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Change in serum bile acid levels (µmol/L) from baseline to average of week 20 and 24
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Timepoint [1]
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Change from baseline to average of week 20 and 24, where baseline was calculated by averaging the last two values preceding start of treatment, and average of Week 20 and Week 24 was defined as the average of Week 20 and Week 24 values.
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Eligibility
Key inclusion criteria
Key
* Genetically confirmed diagnosis of Alagille syndrome
* History of significant pruritus as measured by the Albireo Observer or Patient Reported Outcome instrument
* Elevated serum bile acid level
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Minimum age
No limit
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Maximum age
No limit
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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
* History or ongoing presence of other types of liver disease (eg. biliary atresia, progressive familial intrahepatic cholestasis, hepatocellular carcinoma)
* History of liver transplant, or a liver transplant is planned within 6 months of randomization
* ALT >10× upper limit of normal (ULN) at screening
* Total bilirubin >15 × ULN at screening
* Patient suffers from uncontrolled, recalcitrant pruritic condition other than Alagille syndrome
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled 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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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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
Completed
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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
19/03/2021
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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
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Actual
9/09/2022
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Sample size
Target
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Accrual to date
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Final
52
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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United States of America
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California
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United States of America
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Maryland
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United States of America
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Massachusetts
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Missouri
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New York
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Oregon
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United States of America
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Pennsylvania
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Belgium
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Brussels
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Canada
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Quebec
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France
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Bron
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France
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Lille
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France
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Marseille
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France
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Paris
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Germany
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Berlin
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Germany
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Hannover
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Germany
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Tübingen
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Israel
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Jerusalem
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Israel
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Petah tikva
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Italy
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Bergamo
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Italy
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Firenze
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Italy
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Padova
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Italy
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Rome
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Malaysia
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Kuala Lumpur
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Netherlands
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Groningen
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Netherlands
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Utrecht
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New Zealand
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Auckland
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Poland
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Warszawa
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Turkey
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Ankara
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Turkey
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Fatih
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Albireo
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
Double-blind, randomized, placebo-controlled, Phase 3 study to investigate the efficacy and safety of odevixibat compared to placebo in Patients with Alagille Syndrome.
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Trial website
https://clinicaltrials.gov/study/NCT04674761
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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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
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/61/NCT04674761/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/61/NCT04674761/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04674761
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