Study to Assess Safety and Efficacy of Ifetroban for Treatment of Portal Hypertension in Cirrhotic Patients
A Randomized, Double-blind, Placebo-controlled Pilot Study to Assess the Safety and Efficacy of Ifetroban for the Treatment of Portal Hypertension in Cirrhotic Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Florida
-
Tampa, Florida, United States, 33606
- Tampa General Medical Group
-
-
Indiana
-
Indianapolis, Indiana, United States, 46202
- Indiana University
-
-
Ohio
-
Columbus, Ohio, United States, 43210
- The Ohio State University Wexner Medical Center
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
-
-
Texas
-
Dallas, Texas, United States, 75246
- Baylor University Medical Center
-
-
Virginia
-
Richmond, Virginia, United States, 23114
- Virginia Commonwealth University Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- liver cirrhosis
- baseline hepatic venous pressure gradient (HVPG) >= 8 mmHg and <= 18 mmHg
- stable liver function enzymes
Exclusion Criteria:
- portal or splenic vein thrombosis
- Transjugular intrahepatic portosystemic shunt (TIPS) or portocaval shunt
- variceal bleed in last 2 months
- hemodialysis
- Child-Pugh Score >= 12
- Model for End-stage Liver Disease- Sodium score (MELD-Na) >= 20
- Acute kidney injury, Chronic kidney disease and/or Serum Creatinine >= 2.0 mg/dL
- current alcohol consumption > 2 drinks per day
- Platelet count (PLT) < 60 x 10^3/microliter (uL)
- A change in statin therapy in the last 3 months
- Current Hepatitis Virus B or C (HBV or HCV) therapy; or planned initiation of therapy during the treatment period
- Myocardial infarction within 30 days
- History of bleeding diathesis or current (within previous 14 days) or planned use of anticoagulant or antiplatelet drugs including aspirin
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Ifetroban
90 day course of oral ifetroban following intravenous loading dose
|
thromboxane prostanoid receptor antagonist delivered as infusion and oral capsule
|
|
PLACEBO_COMPARATOR: Placebo
90 day course of placebo following intravenous dose of 5% dextrose in water (D5W)
|
matched placebo delivered as infusion and oral capsule
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety (Incidence and Severity of Adverse Events)
Time Frame: Through 97 days (90 days treatment and 7 days follow-up)
|
Incidence is measured as the total number of adverse events reported during the treatment and follow-up period for each treatment group.
|
Through 97 days (90 days treatment and 7 days follow-up)
|
|
Safety (Severity of Adverse Events)
Time Frame: Through 90 days treatment and 7 days follow-up
|
The severity of each event is reported by the investigator according to the following protocol/CTCAE definitions: Grade 1-Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated; Grade 2-Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living; Grade 3-Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living; Grade 4-Life-threatening consequences; urgent intervention indicated; Grade 5-Death related to adverse event.
|
Through 90 days treatment and 7 days follow-up
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Hepatic Venous Pressure Gradient (HVPG)
Time Frame: Baseline and 90 days
|
The HVPG will be measured through Day 90 and will be compared to baseline
|
Baseline and 90 days
|
|
Change in Aspartate Aminotransferase (AST)
Time Frame: Baseline and 90 days
|
AST values through Day 90 will be compared to baseline
|
Baseline and 90 days
|
|
Alanine Aminotransferase (ALT)
Time Frame: Baseline and 90 days
|
ALT values through Day 90 will be compared to baseline
|
Baseline and 90 days
|
|
Aspartate Aminotransferase/Platelet Ratio (APRI)
Time Frame: Baseline and 90 days
|
The Aspartate Aminotransferase/Platelet Ratio through Day 90 will be compared to baseline
|
Baseline and 90 days
|
|
Variceal Bleeds (Occurrence of Variceal Bleeds)
Time Frame: Through Day 97
|
The number of variceal bleeds during the treatment and follow-up periods will be evaluated
|
Through Day 97
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Don Rockey, MD, Medical University of South Carolina
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CPI-IFE-005
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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