A Study to Evaluate the Safety, Tolerability, and Effectiveness of Cilofexor in Non-Cirrhotic Adults With Primary Sclerosing Cholangitis

Overview

About this study

The primary purpose of this study is to evaluate whether cilofexor reduces the risk of fibrosis progression among non-cirrhotic adults with primary sclerosing cholangitis (PSC).

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.

Inclusion Criteria: 

  • Diagnosis of large duct PSC.
  • Liver biopsy at screening that is deemed acceptable for interpretation and demonstrates stage F0. 
  • F3 fibrosis in the opinion of the central reader. 
  • Individual has the following laboratory parameters at the screening visit, as determined by the central laboratory: 
    • Platelet count ≥ 150,000/mm^3; 
    • Estimated glomerular filtration rate (eGFR) ≥ 30 milliliter/minute (mL/min), as calculated by the Cockcroft-Gault equation;
    • ALT ≤ 8 x upper limit of the normal range (ULN);
    • Total bilirubin < 2 mg/dL, unless the individual is known to have Gilbert's syndrome or hemolytic anemia; 
    • International normalized ratio (INR) ≤ 1.4, unless due to therapeutic anticoagulation;
    • Negative anti-mitochondrial antibody.

Exclusion Criteria:

Current or prior history of any of the following:

  • Cirrhosis; 
  • Liver transplantation; 
  • Cholangiocarcinoma or hepatocellular carcinoma (HCC); 
  • Ascending cholangitis within 30 days of screening; 
  • Presence of a percutaneous drain or biliary stent;
  • Other causes of liver disease; 
  • Current or prior history of unstable cardiovascular disease;
  • Current moderate to severely active inflammatory bowel disease (IBD).

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

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

Rochester, Minn.

Mayo Clinic principal investigator

John Eaton, M.D.

Closed for enrollment

More information

Publications

  • Primary sclerosing cholangitis (PSC) is a chronic progressive liver disease leading to biliary fibrosis and cirrhosis. Cilofexor is a nonsteroidal farnesoid X receptor agonist that demonstrated significant improvements in liver biochemistry and markers of cholestasis in patients with PSC in a phase 2 study. We describe here the rationale, design, and implementation of the phase 3 PRIMIS trial, the largest placebo-controlled trial in PSC. Read More on PubMed
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CLS-20506118

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