A Study of Zetomipzomib (KZR-616) in Patients With Autoimmune Hepatitis (PORTOLA)

Overview

About this study

The purpose of this study is to evaluate the safety and effectiveness of zetomipzomib in addition to standard-of-care in patients with autoimmune hepatitis (AIH) who have failed standard-of-care treatment, had an incomplete biochemical response to ≥3 months of standard-ofcare treatment, or had a disease flare after standard-of-care treatment.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Key Inclusion Criteria for the Double-blind Treatment Period:

* Must be aged ≥18 years.
* Must have a clinical diagnosis of AIH and signs of active disease despite standard-of-care therapy for ≥3 months or disease flare after experiencing complete remission induced by standard-of-care treatment, including:
* Screening ALT values that are 1.25 to 10 times the upper limit of the normal range (ULN)
* Liver biopsy results with Ishak score (modified HAI) ≥5/18 indicating active AIH, from a biopsy performed at Screening, or within 6 months prior to Screening
* Mild or no hepatic impairment (Child Pugh category A)
* Must be willing to use and taper glucocorticoid therapy.
* Must be willing to use effective contraception.

Key Exclusion Criteria for the Double-blind Treatment Period:

* Have a concomitant diagnosis of primary biliary sclerosis, primary sclerosing cholangitis, IgG 4 related cholangitis, drug related AIH (at Screening) or a history of drug-related AIH.
* Have clinical evidence of significant unstable or uncontrolled diseases other than the disease under study.
* Are receiving oral or injectable immunomodulating treatment for any other autoimmune disease prior to enrollment in the study. Patients who have been using such treatments must follow the specified washout periods.
* Have an active infection (eg, acute hepatitis E, cytomegalovirus, or Epstein-Barr virus) requiring systemic therapy with antibiotic, antiviral, or antifungal treatment, or has had any febrile illness within 7 days prior to Day -1.
* Have a history of thyroiditis, celiac disease, or other autoimmune disorder known to be associated with transaminitis.
* Have liver cirrhosis with significant impairment of liver function (Child Pugh category B or C) or have decompensated cirrhosis.
* Patients with histology confirmed coincident non-alcoholic steatohepatitis.

Key Inclusion Criteria for the Open-label Extension Period:

* Same as Double-blind Treatment Period inclusion criteria, except the following modifications:

* ALT value can be normal or, if elevated, in the range of 1.25 to 10 times the upper limit of normal
* Must have completed the Double-blind Period study visits through Week 24, including all Week 24 Visit assessments.
* Must be willing to maintain glucocorticoid therapy at 5 mg/day or continue to taper glucocorticoid therapy.

Key Exclusion Criteria for the Open-label Extension Period:

* Same as Double-blind Treatment Period except no need to re-test for HIV, HBV, HCV, and TB.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 5/1/2024. Questions regarding updates should be directed to the study team contact.

 

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Jacksonville, Fla.

Mayo Clinic principal investigator

Surakit Pungpapong, M.D.

Closed for enrollment

Contact information:

Clinical Studies Unit

(904) 953-2255

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Hugo Vargas, M.D.

Closed for enrollment

Contact information:

Clinical Studies Unit

(904) 953-2255

More information

Publications

Publications are currently not available