NST-6179 in Adult Subjects with Intestinal Failure-Associated Liver Disease

Overview

About this study

The prupose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of NST-6179 in adult subjects with intestinal failure-associated liver disease (IFALD) receiving parenteral nutrition (PN). 

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:

- Adult persons aged 18 years or older at the time of informed consent.

- Minimum of 6 months on Parenteral supplementation.

- Established clinical diagnosis of IFALD based on a persistent elevation of

1. liver enzymes (ALP, AST, ALT, or GGT ≥1.5 × upper limit of normal [ULN]) for ≥6
months and/or

2. total bilirubin > ULN for ≥6 months.

- Laboratory parameters consistent with stable liver disease without cirrhosis as
defined by:

1. ALT and AST <5 × ULN;

2. Total bilirubin ≤2.0 mg/dL in the absence of Gilbert's Syndrome.

3. Serum albumin ≥3 g/dL;

4. International normalized ratio (INR) ≤1.3 in the absence of anticoagulant
therapy;

5. Platelet count ≥120,000/mm3.

Key Exclusion Criteria:

- Clinical, laboratory, imaging, or histopathologic evidence of other causes of acute or
chronic liver disease, including autoimmune, viral, metabolic, or alcoholic liver
disease.

- Clinical evidence of compensated or decompensated hepatic cirrhosis as assessed by
historical liver histology, ultrasound-based and/or signs and symptoms of hepatic
decompensation (including, but not limited to, jaundice, ascites, variceal hemorrhage,
and/or hepatic encephalopathy).

- Presence of hepatic impairment, end-stage liver disease, and/or a model for end-stage
liver disease (MELD) score >12.

- Transient elastography read >20.0 kPA within 3 months prior to or during the Screening
Period.

- Estimated glomerular filtration rate <45 mL/min based on the 2021 CKD-EPI creatinine
equation.

- Poor nutritional status defined as body mass index (BMI) <17 kg/m2.

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

Eligibility last updated 4/8/2024. 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

Rochester, Minn.

Mayo Clinic principal investigator

Manpreet Mundi, M.D.

Open for enrollment

Contact information:

Manpreet Mundi M.D.

(507) 284-4080

Mundi.Manpreet@mayo.edu

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

John DiBaise, M.D.

Open for enrollment

Contact information:

Christine Bader

(480) 301-6198

Bader.Christine@mayo.edu

More information

Publications

Publications are currently not available