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NCT02287779

Safety and Tolerability Study of SHP626 in Overweight and Obese Adults

Completed Phase 1 Results posted Last updated 26 March 2019
What this trial tests

Phase 1 trial testing SHP626 in Non-Alcoholic Steatohepatitis in 84 participants. Completed in 19 June 2015.

Timeline
19 January 2015
Primary endpoint
19 June 2015
19 June 2015

Quick facts

Lead sponsorMirum Pharmaceuticals, Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment84
Start date19 January 2015
Primary completion19 June 2015
Estimated completion19 June 2015
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Mirum Pharmaceuticals, Inc. — full company profile →

Who can join

Adults 18 to 65, any sex, with Non-Alcoholic Steatohepatitis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Standard Hematology Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of investigational medicinal product (IMP) or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An adverse event (AE) that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE. Hematology parameters included evaluation of hemoglobin, hematocrit, red blood cells, platelets, white blood cell count; total and differential, neutrophils (absolute), eosinophils (absolute), monocytes (a

GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Fat Soluble Vitamins (Vitamin A, D, & E) Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE. Fat soluble vitamin included vitamin A (serum retinol), vitamin D (serum 25-hydroxycholecalciferol) and vitamin E (serum alfa-tocopherol).

GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Lipid Panel Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE. Lipid panel parameters included evaluation of total cholesterol, triglycerides, high-density lipoprotein (HDL) cholesterol, very low-density lipoprotein (VLDL) cholesterol and low-density lipoprotein (LDL) cholesterol.

GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Thyroid Hormone Panel Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE. Thyroid hormone panel parameters included evaluation of thyroid hormones (TSH \[thyroid stimulating hormone\]; T3 \[triiodothyronine\] and T4 \[thyroxine\]).

GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Coagulation Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE. Coagulation included international normalized ratio, activated partial thromboplastin time and prothrombin time.

GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Standard Chemistry Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE. Standard chemistry parameters included evaluation of sodium, potassium, glucose, blood urea nitrogen, creatinine, calcium, chloride, thyrotropin, thyroxine, tri-iodothyronine, phosphorus, protein, bicarbonate or carbon dioxide, albumin, aspartate aminotrans

GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD1
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Urinalysis Parameters Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE. Urinalysis parameters included evaluation of pH, glucose, protein, nitrites, leukocyte esterase, occult blood, ketones, bilirubin and specific gravity levels.

GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE. Vital signs parameter included evaluation of orthostatic blood pressure, respiratory rate and body temperature.

Tachycardia
GroupValue95% CI
Placebo0
Volixibat 5 mg BID1
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Pyrexia
GroupValue95% CI
Placebo0
Volixibat 5 mg BID2
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Electrocardiogram (12-lead) Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE. Twelve lead electrocardiogram parameters \[(heart rate (HR), PR, RR, QRS and QT intervals and information on T-wave morphology (normal/abnormal) and U-wave morphology (absent/normal or abnormal)\] were assessed.

GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Treatment-emergent Adverse Events (STEAEs) Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE.

Participants with TEAEs
GroupValue95% CI
Placebo14
Volixibat 5 mg BID9
Volixibat 10 mg QD9
Volixibat 20 mg QD9
Volixibat 2-5-10-20 mg QD9
Volixibat 30 mg QD9
Volixibat 40 mg QD9
Volixibat 80-40-20 mg QD9
Participants with STEAEs
GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Who Discontinued From the Study Primary · From the start of the study drug administration up to 9 days after the last dose of study drug administration

TEAEs were defined as events that either had a start date on or after the first dose of IMP or has a start date before the date of the first dose of IMP, but increased in severity on or after the date of the first dose of IMP. An AE that occurred more than 9 days after the date of the last dose of double-blind IMP was not counted as a TEAE.

GroupValue95% CI
Placebo0
Volixibat 5 mg BID0
Volixibat 10 mg QD0
Volixibat 20 mg QD0
Volixibat 2-5-10-20 mg QD0
Volixibat 30 mg QD0
Volixibat 40 mg QD0
Volixibat 80-40-20 mg QD0
Average Total Fecal Bile Acid (FBA) Concentration Secondary · Day -2 up to Day 14

Stool samples for the determination of total FBA were collected in 48-hour windows from 48 hours before dosing on Day 1 through Day 14. The average of daily total FBA excretion is calculated before (Day -1 and Day -2) as the first pre dose of IMP and after (Day 1-12) as the first post-dose of IMP. The FBA is calculated as Total FBA (micromoles) = FBA (micromol per liter) \* weight (grams) divided by 10\^3. Participants with fecal bile acid concentration and their average pre-first dose and average post-first dose were reported.

Average Pre First Dose
GroupValue95% CI
Placebo183.84± 176.229
Volixibat 5 mg BID166.95± 84.057
Volixibat 10 mg QD172.49± 180.992
Volixibat 20 mg QD238.22± 211.406
Volixibat 2-5-10-20 mg QD364.78± 304.905
Volixibat 30 mg QD408.49± 475.553
Volixibat 40 mg QD335.89± 277.883
Volixibat 80-40-20 mg QD116.73± 91.962
Average Post First Dose
GroupValue95% CI
Placebo224.75± 195.403
Volixibat 5 mg BID941.32± 338.783
Volixibat 10 mg QD668.64± 365.183
Volixibat 20 mg QD1051.86± 554.781
Volixibat 2-5-10-20 mg QD1055.60± 394.246
Volixibat 30 mg QD987.01± 321.184
Volixibat 40 mg QD1172.08± 591.774
Volixibat 80-40-20 mg QD665.82± 539.150

Adverse events — posted to ClinicalTrials.gov

Time frame: From the start of the study drug administration up to 9 days after the last dose of study drug administration. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/21 (0%)
Deaths:
Volixibat 5 mg BID
Serious: 0/9 (0%)
Deaths:
Volixibat 10 mg QD
Serious: 0/9 (0%)
Deaths:
Volixibat 20 mg QD
Serious: 0/9 (0%)
Deaths:
Volixibat 2-5-10-20 mg QD
Serious: 0/9 (0%)
Deaths:
Volixibat 30 mg QD
Serious: 0/9 (0%)
Deaths:
Volixibat 40 mg QD
Serious: 0/9 (0%)
Deaths:
Volixibat 80-40-20 mg QD
Serious: 0/9 (0%)
Deaths:
Other adverse events (26 terms — click to expand)

ReactionSystemPlaceboVolixibat 5 mg BIDVolixibat 10 mg QDVolixibat 20 mg QDVolixibat 2-5-10-20 mg QDVolixibat 30 mg QDVolixibat 40 mg QDVolixibat 80-40-20 mg QD
DiarrhoeaGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Abdominal painGastrointestinal disorders
Anorectal discomfortGastrointestinal disorders
Defaecation urgencyGastrointestinal disorders
PyrexiaGeneral disorders
HeadacheNervous system disorders
TachycardiaCardiac disorders
Abdominal discomfortGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Gastrointestinal sounds abnormalGastrointestinal disorders
HaematocheziaGastrointestinal disorders
NauseaGastrointestinal disorders
ProctalgiaGastrointestinal disorders
VomitingGastrointestinal disorders
Application site irritationGeneral disorders
PainGeneral disorders
Thermal burnInjury, poisoning and procedural complications
Hepatic enzyme increasedInvestigations
Muscle contractureMusculoskeletal and connective tissue disorders
Dizziness posturalNervous system disorders
Erection increasedReproductive system and breast disorders
Dry throatRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Dermatitis allergicSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT02287779 adverse events section.

Sponsor's own description

This study will investigate the safety and tolerability of daily dosing regimens of SHP626 in overweight and obese adults.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. SLC transporters as therapeutic targets: emerging opportunities.
    Lin L, Yee SW, Kim RB, Giacomini KM. · · 2015 · cited 653× · PMID 26111766 · DOI 10.1038/nrd4626
  2. Intestinal microbiome and NAFLD: molecular insights and therapeutic perspectives.
    Hu H, Lin A, Kong M, Yao X, et al · · 2020 · cited 142× · PMID 31845054 · DOI 10.1007/s00535-019-01649-8
  3. Current Options and Future Directions for NAFLD and NASH Treatment.
    Zhang C, Yang M. · · 2021 · cited 66× · PMID 34299189 · DOI 10.3390/ijms22147571
  4. A randomised, double-blind, placebo-controlled phase 1 study of the safety, tolerability and pharmacodynamics of volixibat in overweight and obese but otherwise healthy adults: implications for treatment of non-alcoholic steatohepatitis.
    Palmer M, Jennings L, Silberg DG, Bliss C, et al · · 2018 · cited 25× · PMID 29548345 · DOI 10.1186/s40360-018-0200-y

Verify or expand the search:

Other trials of SHP626

Trials testing the same drug.

Other recruiting trials for Non-Alcoholic Steatohepatitis

Currently open trials in the same condition.

Other Mirum Pharmaceuticals, Inc. trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02287779.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing