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This study will investigate the safety and tolerability of daily dosing regimens of SHP626 in overweight and obese adults.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SHP626 | Experimental | 9/12 subjects -1x daily dose of 20mg for 12 days 9/12 subjects-1x daily dose of 40mg for 12 days 9/12 subjects-1x daily dose of 80mg for 12 days 9/12 subjects-1x daily dose of 120mg for 12 days or dose lower than 80mg for 12 days 9/12 subjects-1x daily dose of 160mg for 12 days or dose lower than 80mg for 12 days 9/12 subjects-2x daily dose of SHP626 (dose TBD) for 12 days 9/12 subjects-2x daily dose of SHP626 (dose TBD; lower or higher than cohort 6) for 12 days 9/12 subjects-1x or 2x daily dose of SHP626 in an escalating titration (doses TBD). Initial 3 days of SHP626 followed by an increased dose of SHP626 for 3 days and finally a further increase in dose of SHP626 for 6 days 9/12 subjects will take a 1x or 2x daily dose of SHP626 in escalating titration (doses TBD; lower or higher dose than cohort 8). Initial 3 days of SHP626 followed by an increased dose of SHP626 for 3 days and finally a further increase in dose of SHP626 for 6 days |
|
| Placebo | Placebo Comparator | Three subjects per cohort will take a matched placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SHP626 | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Standard Hematology | 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 (absolute), basophils (absolute) and lymphocytes (absolute). | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Fat Soluble Vitamins (Vitamin A, D, & E) | 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). | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Lipid Panel | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Average Total Fecal Bile Acid (FBA) Concentration | 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. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Study Director | Mirum | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New Orleans Center for Clinical Research | Knoxville | Tennessee | 37920 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29548345 | Derived | Palmer M, Jennings L, Silberg DG, Bliss C, Martin P. 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. BMC Pharmacol Toxicol. 2018 Mar 16;19(1):10. doi: 10.1186/s40360-018-0200-y. |
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Overall, 84 participants were randomised and completed the study.
Study was conducted at one study centre in North America, from 19 January 2015 to 19 June 2015.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Participants received placebo matched to volixibat tablet orally for 12 days. |
| FG001 | Volixibat 5 mg BID | Participants received volixibat (SHP626) 5 milligram (mg) capsule orally twice a day (BID) for 12 days. |
| FG002 | Volixibat 10 mg QD | Participants received volixibat (SHP626) 10 mg capsule orally once a day (QD) for 12 days. |
| FG003 | Volixibat 20 mg QD | Participants received volixibat (SHP626) 20 mg capsule orally QD for 12 days. |
| FG004 | Volixibat 2-5-10-20 mg QD | Participants received volixibat (SHP626) 2 mg capsule orally QD on Days 1-3, 5 mg capsule orally QD on Days 4-6, 10 mg capsule QD orally on Days 7-9, and 20 mg capsule QD orally on Days 10-12. |
| FG005 | Volixibat 30 mg QD | Participants received volixibat (SHP626) 30 mg capsule orally QD for 12 days. |
| FG006 | Volixibat 40 mg QD | Participants received volixibat (SHP626) 40 mg capsule orally QD for 12 days. |
| FG007 | Volixibat 80-40-20 mg QD | Participants received volixibat (SHP626) 80 mg capsule orally QD on Day 1, 40 mg capsule orally QD on Day 2, and 20 mg capsule orally QD on Days 3-12. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Safety analysis set included all participants for whom a randomization number was assigned and who had taken greater than equal (>=) 1 dose of investigational medicinal product (IMP).
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Participants received placebo matched to volixibat tablet orally for 12 days |
| BG001 | Volixibat 5 mg BID | Participants received volixibat (SHP626) 5 milligram (mg) capsule orally twice a day (BID) for 12 days. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Standard Hematology | 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 (absolute), basophils (absolute) and lymphocytes (absolute). | Safety analysis set included all participants for whom a randomization number was assigned and who had taken >= 1 dose of IMP. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
From the start of the study drug administration up to 9 days after the last dose of study drug administration
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Participants received placebo matched to volixibat tablet orally for 12 days. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Tachycardia | Cardiac disorders | MedDRA (17.1) | Non-systematic Assessment |
None of the participants in the safety analysis set were included in the pharmacokinetic set because no participant had sufficient and interpretable primary pharmacokinetic data.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Physician | Mirum | 1 650-667-4085 | medinfo@mirumpharma.com |
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| ID | Term |
|---|---|
| D065626 | Non-alcoholic Fatty Liver Disease |
| ID | Term |
|---|---|
| D005234 | Fatty Liver |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| C000627853 | volixibat |
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|
| From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Thyroid Hormone Panel | 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]). | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Coagulation | 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. | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Standard Chemistry | 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 aminotransferase, alanine aminotransferase, gamma-glutamyltransferase, alkaline phosphatase, total bilirubin, urate, beta-human chorionic gonadotropin and follicle-stimulating hormone levels. Participant with TEAE related to standard chemistry were reported with hepatic enzyme increase. | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Urinalysis Parameters | 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. | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs | 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. | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Electrocardiogram (12-lead) | 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. | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Treatment-emergent Adverse Events (STEAEs) | 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. | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) Who Discontinued From the Study | 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. | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
| Day -2 up to Day 14 |
| Mean Serum 7- Alpha-hydroxy-4-cholesten-3-one (C4) Concentration | Serum 7- alpha-hydroxy-4-cholesten-3-one (C4) concentrations were reported. | Day -1 to Day 15 |
| Number of Participants With Stool Hardness Using Bristol Stool Chart | Stool hardness was assessed after each evacuation using the bristol stool chart, a medical aid designed to classify the form of human feces into 7 categories where type 1 is the hardest and type 7 is the softest. | Day -2 to Day 14 |
| Maximum Observed Plasma Concentration (Cmax) of Volixibat | Day 1 to Day 14 |
| Area Under the Plasma Concentration-Time Curve (AUC) of Volixibat (SHP626) | Day 1 to Day 14 |
| BG002 | Volixibat 10 mg QD | Participants received volixibat (SHP626) 10 mg capsule orally once a day (QD) for 12 days. |
| BG003 | Volixibat 20 mg QD | Participants received volixibat (SHP626) 20 mg capsule orally QD for 12 days. |
| BG004 | Volixibat 2-5-10-20 mg QD | Participants received volixibat (SHP626) 2 mg capsule orally QD on Days 1-3, 5 mg capsule orally QD on Days 4-6, 10 mg capsule QD orally on Days 7-9, and 20 mg capsule QD orally on Days 10-12. |
| BG005 | Volixibat 30 mg QD | Participants received volixibat (SHP626) 30 mg capsule orally QD for 12 days. |
| BG006 | Volixibat 40 mg QD | Participants received volixibat (SHP626) 40 mg capsule orally QD for 12 days. |
| BG007 | Volixibat 80-40-20 mg QD | Participants received volixibat (SHP626) 80 mg capsule orally QD on Day 1, 40 mg capsule orally QD on Day 2, and 20 mg capsule orally QD on Days 3-12. |
| BG008 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Placebo |
Participants received placebo matched to volixibat tablet orally for 12 days. |
| OG001 | Volixibat 5 mg BID | Participants received volixibat (SHP626) 5 milligram (mg) capsule orally twice a day (BID) for 12 days. |
| OG002 | Volixibat 10 mg QD | Participants received volixibat (SHP626) 10 mg capsule orally once a day (QD) for 12 days. |
| OG003 | Volixibat 20 mg QD | Participants received volixibat (SHP626) 20 mg capsule orally QD for 12 days. |
| OG004 | Volixibat 2-5-10-20 mg QD | Participants received volixibat (SHP626) 2 mg capsule orally QD on Days 1-3, 5 mg capsule orally QD on Days 4-6, 10 mg capsule QD orally on Days 7-9, and 20 mg capsule QD orally on Days 10-12. |
| OG005 | Volixibat 30 mg QD | Participants received volixibat (SHP626) 30 mg capsule orally QD for 12 days. |
| OG006 | Volixibat 40 mg QD | Participants received volixibat (SHP626) 40 mg capsule orally QD for 12 days. |
| OG007 | Volixibat 80-40-20 mg QD | Participants received volixibat (SHP626) 80 mg capsule orally QD on Day 1, 40 mg capsule orally QD on Day 2, and 20 mg capsule orally QD on Days 3-12. |
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Fat Soluble Vitamins (Vitamin A, D, & E) | 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). | Safety analysis set. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Lipid Panel | 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. | Safety analysis set. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Thyroid Hormone Panel | 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]). | Safety analysis set. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Coagulation | 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. | Safety analysis set. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Standard Chemistry | 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 aminotransferase, alanine aminotransferase, gamma-glutamyltransferase, alkaline phosphatase, total bilirubin, urate, beta-human chorionic gonadotropin and follicle-stimulating hormone levels. Participant with TEAE related to standard chemistry were reported with hepatic enzyme increase. | Safety analysis set | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Urinalysis Parameters | 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. | Safety analysis set. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Vital Signs | 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. | Safety analysis set. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Related to Electrocardiogram (12-lead) | 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. | Safety analysis set. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Treatment-emergent Adverse Events (STEAEs) | 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. | Safety analysis set. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Primary | Number of Participants With Treatment-emergent Adverse Events (TEAEs) Who Discontinued From the Study | 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. | Safety analysis set. | Posted | Number | participants | From the start of the study drug administration up to 9 days after the last dose of study drug administration |
|
|
|
| Secondary | Average Total Fecal Bile Acid (FBA) Concentration | 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. | Pharmacodynamic set consisted of all participant in the safety analysis set for whom the primary pharmacodynamic data were considered sufficient and interpretable. | Posted | Mean | Standard Deviation | nanomoles*gram per liter | Day -2 up to Day 14 |
|
|
|
| Secondary | Mean Serum 7- Alpha-hydroxy-4-cholesten-3-one (C4) Concentration | Serum 7- alpha-hydroxy-4-cholesten-3-one (C4) concentrations were reported. | Pharmacodynamic set. | Posted | Mean | Standard Deviation | nanogram per milliliter | Day -1 to Day 15 |
|
|
|
| Secondary | Number of Participants With Stool Hardness Using Bristol Stool Chart | Stool hardness was assessed after each evacuation using the bristol stool chart, a medical aid designed to classify the form of human feces into 7 categories where type 1 is the hardest and type 7 is the softest. | Pharmacodynamic set. | Posted | Number | participants | Day -2 to Day 14 |
|
|
|
| Secondary | Maximum Observed Plasma Concentration (Cmax) of Volixibat | Pharmacokinetic set consisted of all participants in the safety analysis set for whom the primary pharmacokinetic data were considered sufficient and interpretable. Due to minimal absorption of volixibat no participant had sufficient and interpretable primary pharmacokinetic data. | Posted | Day 1 to Day 14 |
|
|
| Secondary | Area Under the Plasma Concentration-Time Curve (AUC) of Volixibat (SHP626) | Pharmacokinetic set. Due to minimal absorption of volixibat no participant had sufficient and interpretable primary pharmacokinetic data. | Posted | Day 1 to Day 14 |
|
|
| 0 |
| 21 |
| 13 |
| 21 |
| EG001 | Volixibat 5 mg BID | Participants received volixibat (SHP626) 5 mg capsule orally BID for 12 days. | 0 | 9 | 9 | 9 |
| EG002 | Volixibat 10 mg QD | Participants received volixibat (SHP626) 10 mg capsule QD for 12 days. | 0 | 9 | 9 | 9 |
| EG003 | Volixibat 20 mg QD | Participants received volixibat (SHP626) 20 mg capsule orally QD for 12 days. | 0 | 9 | 9 | 9 |
| EG004 | Volixibat 2-5-10-20 mg QD | Participants received volixibat (SHP626) 2 mg capsule orally QD on Days 1-3, 5 mg capsule orally QD on Days 4-6, 10 mg capsule QD orally on Days 7-9, and 20 mg capsule QD orally on Days 10-12. | 0 | 9 | 9 | 9 |
| EG005 | Volixibat 30 mg QD | Participants received volixibat (SHP626) 30 mg capsule orally QD for 12 days. | 0 | 9 | 9 | 9 |
| EG006 | Volixibat 40 mg QD | Participants received volixibat (SHP626) 40 mg capsule orally QD for 12 days. | 0 | 9 | 9 | 9 |
| EG007 | Volixibat 80-40-20 mg QD | Participants received volixibat (SHP626) 80 mg capsule orally QD on Day 1, 40 mg capsule orally QD on Day 2, and 20 mg capsule orally QD on Days 3-12. | 0 | 9 | 9 | 9 |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Anorectal discomfort | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Defaecation urgency | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Gastrointestinal sounds abnormal | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Haematochezia | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Proctalgia | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Application site irritation | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Pain | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Thermal burn | Injury, poisoning and procedural complications | MedDRA (17.1) | Non-systematic Assessment |
|
| Hepatic enzyme increased | Investigations | MedDRA (17.1) | Non-systematic Assessment |
|
| Muscle contracture | Musculoskeletal and connective tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Dizziness postural | Nervous system disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Erection increased | Reproductive system and breast disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Dry throat | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Dermatitis allergic | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA (17.1) | Non-systematic Assessment |
|
If a multicenter publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after Sponsor confirms there shall be no multicenter Study publication, the Institution and/or such Principal Investigator may publish the results from the Institution site individually.
| Pyrexia |
|
| Participants with STEAEs |
|
| Average Post First Dose |
|
| Day -1, 5 Hours Post-Dose |
|
| Day -1, 13 Hours Post-Dose |
|
| Baseline |
|
| Day 1, Pre-Dose |
|
| Day 1, 5 Hours Post-Dose |
|
| Day 1, 13 Hours Post-Dose |
|
| Day 6, Pre-Dose |
|
| Day 6, 5 Hours Post-Dose |
|
| Day 6, 13 Hours Post-Dose |
|
| Day 12, Pre-Dose |
|
| Day 12, 5 Hours Post-Dose |
|
| Day 12, 13 Hours Post-Dose |
|
| Day 13, Pre-Dose |
|
| Day 13, 5 Hours Post-Dose |
|
| Day 13, 13 Hours Post-Dose |
|
| Day 15, Pre-Dose |
|
| Day 15, 5 Hours Post-Dose |
|
| Day 15, 13 Hours Post-Dose |
|
| Day -2: Type 2 |
|
| Day -2: Type 3 |
|
| Day -2: Type 4 |
|
| Day -2: Type 5 |
|
| Day -2: Type 6 |
|
| Day -2: Type 7 |
|
| Day -1: Type 1 |
|
| Day -1: Type 2 |
|
| Day -1: Type 3 |
|
| Day -1: Type 4 |
|
| Day -1: Type 5 |
|
| Day -1: Type 6 |
|
| Day -1: Type 7 |
|
| Day 1: Type 1 |
|
| Day 1: Type 2 |
|
| Day 1: Type 3 |
|
| Day 1: Type 4 |
|
| Day 1: Type 5 |
|
| Day 1: Type 6 |
|
| Day 1: Type 7 |
|
| Day 2: Type 1 |
|
| Day 2: Type 2 |
|
| Day 2: Type 3 |
|
| Day 2: Type 4 |
|
| Day 2: Type 5 |
|
| Day 2: Type 6 |
|
| Day 2: Type 7 |
|
| Day 3: Type 1 |
|
| Day 3: Type 2 |
|
| Day 3: Type 3 |
|
| Day 3: Type 4 |
|
| Day 3: Type 5 |
|
| Day 3: Type 6 |
|
| Day 3: Type 7 |
|
| Day 4: Type 1 |
|
| Day 4: Type 2 |
|
| Day 4: Type 3 |
|
| Day 4: Type 4 |
|
| Day 4: Type 5 |
|
| Day 4: Type 6 |
|
| Day 4: Type 7 |
|
| Day 5: Type 1 |
|
| Day 5: Type 2 |
|
| Day 5: Type 3 |
|
| Day 5: Type 4 |
|
| Day 5: Type 5 |
|
| Day 5: Type 6 |
|
| Day 5: Type 7 |
|
| Day 6: Type 1 |
|
| Day 6: Type 2 |
|
| Day 6: Type 3 |
|
| Day 6: Type 4 |
|
| Day 6: Type 5 |
|
| Day 6: Type 6 |
|
| Day 6: Type 7 |
|
| Day 7: Type 1 |
|
| Day 7: Type 2 |
|
| Day 7: Type 3 |
|
| Day 7: Type 4 |
|
| Day 7: Type 5 |
|
| Day 7: Type 6 |
|
| Day 7: Type 7 |
|
| Day 8: Type 1 |
|
| Day 8: Type 2 |
|
| Day 8: Type 3 |
|
| Day 8: Type 4 |
|
| Day 8: Type 5 |
|
| Day 8: Type 6 |
|
| Day 8: Type 7 |
|
| Day 9: Type 1 |
|
| Day 9: Type 2 |
|
| Day 9: Type 3 |
|
| Day 9: Type 4 |
|
| Day 9: Type 5 |
|
| Day 9: Type 6 |
|
| Day 9: Type 7 |
|
| Day 10: Type 1 |
|
| Day 10: Type 2 |
|
| Day 10: Type 3 |
|
| Day 10: Type 4 |
|
| Day 10: Type 5 |
|
| Day 10: Type 6 |
|
| Day 10: Type 7 |
|
| Day 11: Type 1 |
|
| Day 11: Type 2 |
|
| Day 11: Type 3 |
|
| Day 11: Type 4 |
|
| Day 11: Type 5 |
|
| Day 11: Type 6 |
|
| Day 11: Type 7 |
|
| Day 12: Type 1 |
|
| Day 12: Type 2 |
|
| Day 12: Type 3 |
|
| Day 12: Type 4 |
|
| Day 12: Type 5 |
|
| Day 12: Type 6 |
|
| Day 12: Type 7 |
|
| Day 13: Type 1 |
|
| Day 13: Type 2 |
|
| Day 13: Type 3 |
|
| Day 13: Type 4 |
|
| Day 13: Type 5 |
|
| Day 13: Type 6 |
|
| Day 13: Type 7 |
|
| Day 14: Type 1 |
|
| Day 14: Type 2 |
|
| Day 14: Type 3 |
|
| Day 14: Type 4 |
|
| Day 14: Type 5 |
|
| Day 14: Type 6 |
|
| Day 14: Type 7 |
|