Global Linerixibat Itch Study of Efficacy and Safety in P... | NCT04950127 | Trialant
NCT04950127
Sponsor
GlaxoSmithKline
Status
Completed
Last Update Posted
Jul 22, 2025Actual
Enrollment
238Actual
Phase
Phase 3
Conditions
Pruritus
Interventions
Linerixibat
Placebo
Countries
United States
Argentina
Belgium
Brazil
Bulgaria
Canada
China
Czechia
France
Germany
Greece
Israel
Italy
Japan
Mexico
Poland
Russia
Spain
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT04950127
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
212620
Secondary IDs
Not provided
Brief Title
Global Linerixibat Itch Study of Efficacy and Safety in Primary Biliary Cholangitis (PBC) (GLISTEN)
Official Title
A Two-part, Randomized, Placebo Controlled, Double Blind, Multicenter, Phase 3 Study to Evaluate the Efficacy and Safety of Linerixibat for the Treatment of Cholestatic Pruritus in Participants With Primary Biliary Cholangitis (PBC)
Acronym
Not provided
Organization
GlaxoSmithKlineINDUSTRY
Status Module
Record Verification Date
Jul 2025
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
YesNCT05448170Available
Start Date
Aug 27, 2021Actual
Primary Completion Date
Oct 28, 2024Actual
Completion Date
Dec 20, 2024Actual
First Submitted Date
Jun 25, 2021
First Submission Date that Met QC Criteria
Jun 25, 2021
First Posted Date
Jul 6, 2021Actual
Results Waived
Not provided
Results First Submitted Date
Jul 2, 2025
Results First Submitted that Met QC Criteria
Jul 2, 2025
Results First Posted Date
Jul 22, 2025Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Jul 2, 2025
Last Update Posted Date
Jul 22, 2025Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
GlaxoSmithKlineINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This is a 2-part study in PBC participants with cholestatic pruritus and will evaluate the efficacy, safety and impact on health-related quality of life of linerixibat compared with placebo.
Detailed Description
Not provided
Conditions Module
Conditions
Pruritus
Keywords
Cholestasis
GLISTEN
GSK2330672
Itch
Primary biliary cholangitis
Pruritus
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
238Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Part A: Linerixibat 40 milligrams (mg)
Experimental
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
Drug: Linerixibat
Part A: Placebo
Experimental
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Drug: Linerixibat
Drug: Placebo
Part B: Placebo in Part A and Part B
Placebo Comparator
Participants who were randomized to receive Placebo (up to Week 24) orally twice a day (BID) in Part A, continued to receive Placebo (from Week 24 to Week 32) orally twice a day (BID) in Part B.
Drug: Placebo
Part B: Placebo in Part A and Linerixibat 40 mg in Part B
Experimental
Participants who were randomized to receive Placebo (up to Week 24) orally twice a day (BID) in Part A, switched to receive linerixibat 40 mg tablet orally twice a day (BID) (from Week 24 to Week 32) in Part B.
Drug: Linerixibat
Drug: Placebo
Part B: Linerixibat 40 mg in Part A and Placebo in Part B
Experimental
Participants who were randomized to receive linerixibat 40 mg tablet orally BID (up to Week 24) in Part A, switched to receive Placebo (from Week 24 to Week 32) orally twice a day (BID) in Part B.
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Linerixibat
Drug
Participants will receive linerixibat.
Part A: Linerixibat 40 milligrams (mg)
Part A: Placebo
Part B: Linerixibat 40 mg in Part A and Part B
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Part A: Mean Change From Baseline in Monthly Itch Scores Over 24 Weeks Using Numerical Rating Scale (NRS)
Itch Scores were assessed using a NRS twice daily, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The worst daily itch score was defined as the worst of the two scores recorded daily. The weekly itch score was defined as the average of the worst daily itch scores in one week. The monthly itch score was defined as the worst weekly itch score for the month (4 weeks). Higher monthly itch scores indicate worse itching. Baseline is the worst weekly itch score in the 28 days prior to randomization (Day 1). Change from Baseline is defined as the post dose value minus baseline value. Least-squares (LS) means and the corresponding 95% confidence intervals are reported by taking average of LS means of change from baseline in monthly itch scores obtained over 24 weeks using equal weighting for all time points. Analyzed using Mixed Model Repeated Measures (MMRM) method.
Baseline and up to Week 24
Secondary Outcomes
Measure
Description
Time Frame
Part A: Mean Change From Baseline in Weekly Itch Score at Week 2 Using NRS
Itch Score was assessed using a twice daily NRS, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The worst daily itch score was defined as the worst of the two scores recorded daily. The weekly itch score was defined as the average of the worst daily itch scores in one week. Higher weekly itch scores indicate worse itching. Baseline is the average of the Worst Daily Itch scores in the 7 days prior to randomization (Day 1). Change from Baseline is defined as the Week 2 value minus baseline value. Key secondary endpoints were tested in a step-down/hierarchical approach. Mean Change from Baseline in Weekly Itch Score at Week 2 was the first endpoint tested in the hierarchical analysis. LS mean and the corresponding 95% confidence intervals are reported using Mixed Model Repeated Measures (MMRM) method.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Male and female participants must be between 18 to 80 years of age inclusive, at the time of signing the informed consent.
Participants who have documented PBC.
Participants who have moderate to severe itch.
Exclusion Criteria:
Total bilirubin >2.0 times Upper Limit of Normal (ULN) using the average of two Baseline measures.
Screening Alanine Aminotransferase (ALT) > 6 times ULN in a single Baseline measure or ALT > 5 times ULN using the average of two Baseline measures.
Screening estimated glomerular filtration rate (eGFR) <30 milliliter per minute per 1.73 square meter (mL/min/1.73m^2).
History or presence of hepatic decompensation (e.g., variceal bleeding, hepatic encephalopathy or ascites).
Presence of HBsAg positive hepatitis B or hepatitis C (HCV) (anti-HCV and Ribonucleic acid [RNA] detected) infection, primary sclerosing cholangitis (PSC), alcoholic liver disease and/or confirmed hepatocellular carcinoma or biliary cancer.
Current clinically significant diarrhea or active inflammatory ileal disease according to Investigator´s clinical judgment.
Current symptomatic cholelithiasis or cholecystitis.
Current diagnosis of primary skin disorders with itch as a characteristic feature (e.g., atopic dermatitis, psoriasis).
Primary sleep disorders such as but are not limited to sleep apnea, narcolepsy, hypersomnia.
Initiation, discontinuation or change in dose of ursodeoxycholic acid (UDCA), bezafibrate or fenofibrate in the 8 weeks prior to Screening.
Use of obeticholic acid: within 8 weeks prior to Screening. (Participants may not initiate or restart during the study).
Initiation, discontinuation, or change in dose of any of the following in the 8 weeks prior to Screening: bile acid binding resins, rifampicin, naltrexone, naloxone, nalfurafine, pregabalin, gabapentin, sertraline or other selective serotonin reuptake inhibitor (SSRIs), antihistamines used for the treatment of itching.
Administration of any other human ileal bile acid transporter (IBAT) inhibitor in the 12 weeks prior to screening.
Any planned procedures intended to treat cholestatic pruritus such as nasobiliary drainage or ultraviolet light therapy from Screening and throughout the study.
History of sensitivity or intolerance to the study treatment.
Hirschfield GM, Bowlus CL, Jones DEJ, Kremer AE, Mayo MJ, Tanaka A, Andreone P, Jia J, Jin Q, Macias-Rodriguez RU, Cobitz AR, Currie BM, Gorey C, Lazic I, Podmore D, Ribeiro A, Shannon JB, Swift B, McLaughlin MM, Levy C; GLISTEN Study Group. Linerixibat in patients with primary biliary cholangitis and cholestatic pruritus (GLISTEN): a randomised, multicentre, double-blind, placebo-controlled, phase 3 trial. Lancet Gastroenterol Hepatol. 2026 Jan;11(1):22-33. doi: 10.1016/S2468-1253(25)00192-X. Epub 2025 Oct 28.
IPD for this study will be made available via the Clinical Study Data Request site.
Types
Study Protocol
Statistical Analysis Plan (SAP)
Informed Consent Form (ICF)
Clinical Study Report (CSR)
Time Frame
IPD will be made available within 6 months of publishing the results of the primary endpoints, a key secondary endpoints and safety data of the study.
Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
This study was conducted in 2 parts: Part A and Part B. Participants were randomized in 1:1:1:1 ratio to receive either: linerixibat 40 milligram (mg) twice a day (BID) in Part A and Part B, linerixibat 40mg twice a day (BID) in Part A and placebo in Part B, placebo in Part A and Part B, or placebo in Part A and linerixibat 40mg twice a day (BID) in Part B.
Recruitment Details
A total of 238 participants from Europe, North America, Latin America and Asia were enrolled and randomized.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
FG001
Part A: Placebo
Periods
Title
Milestones
Reasons Not Completed
Part A (Day 1 to Week 24)
Type
Comment
Milestone Data
STARTED
Intent-to-Treat (ITT) Population: All participants randomly assigned to study treatment.
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Nov 20, 2023
Jul 2, 2025
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Switzerland
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
No data available
No data is available for this block.
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Participants will be randomized to receive linerixibat and/or placebo during the study.
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Double
Masking Description
Participants and investigator will be blinded to the study treatment.
Who Masked
ParticipantInvestigator
Drug: Linerixibat
Drug: Placebo
Part B: Linerixibat 40 mg in Part A and Part B
Experimental
Participants who were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) (up to Week 24) in Part A, continued to receive linerixibat 40 mg twice a day (BID) (from Week 24 to Week 32) in Part B.
Drug: Linerixibat
Part B: Linerixibat 40 mg in Part A and Placebo in Part B
Part B: Placebo in Part A and Linerixibat 40 mg in Part B
Placebo
Drug
Participants will receive placebo.
Part A: Placebo
Part B: Linerixibat 40 mg in Part A and Placebo in Part B
Part B: Placebo in Part A and Linerixibat 40 mg in Part B
Part B: Placebo in Part A and Part B
Baseline and at Week 2
Part A: Mean Change From Baseline in Monthly Sleep Score Over 24 Weeks Using NRS
Sleep Scores were assessed using an NRS scale, ranging from 0 to 10, where 0 represents no sleep interference and 10 is complete sleep interference. The weekly sleep scale is the average of the daily sleep scores for each week. The monthly sleep score was defined as the worst weekly sleep score for the month (4 weeks). Higher monthly sleep scores indicate higher impact on sleep. Baseline is the worst Weekly Sleep Score in the 28 days prior to randomization (Day 1). Change from Baseline is defined as the post dose value minus baseline value. LS means and the corresponding 95% confidence intervals are reported by taking average of LS means of change from baseline in monthly sleep scores obtained over 24 weeks using equal weighting for all time points analyzed using Mixed Model Repeated Measures (MMRM) method. Mean Change from Baseline in Monthly Sleep Score over 24 weeks was the second endpoint tested in the hierarchical analysis.
Baseline up to Week 24
Part A: Percentage of Responders Defined as Achieving More Than or Equal to (>=) 2-point Reduction From Baseline in the Monthly Itch Score at Week 24
Monthly Itch Score was assessed using an NRS, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The Monthly Itch Score was determined from the worst weekly itch score for the month (4 weeks). Baseline is the worst weekly itch score in the 28 days prior to randomization (Day 1). Responders were defined as participants achieving >=2-point reduction (improvement) from baseline in the Monthly Itch Score. Percentage of Responders achieving >= 2-point Reduction from Baseline in the Monthly Itch Score at Week 24 was the third endpoint tested in the hierarchical analysis.
At Week 24
Part A: Percentage of Responders Achieving >=3-point Reduction From Baseline in the Monthly Itch Score at Week 24
Monthly Itch Score was assessed using an NRS, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The Monthly Itch Score was determined from the worst weekly itch score for the month (4 weeks). Baseline is the worst weekly itch score in the 28 days prior to randomization. Responders were defined as participants achieving >=3-point reduction (improvement) from baseline in the Monthly Itch Score. Percentage of Responders achieving >= 3-point Reduction from Baseline in the Monthly Itch Score at Week 24 was the fourth endpoint to be tested in the hierarchical analysis.
At Week 24
Part A: Percentage of Responders as Achieving a >=4-point Reduction From Baseline in the Monthly Itch Score at Week 24
Monthly Itch Score was assessed using an NRS, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The Monthly Itch Score was determined from the worst weekly itch score for the month (4 weeks). Baseline is the worst weekly itch score in the 28 days prior to randomization. Responders were defined as participants achieving >=4-point reduction (improvement) from baseline in the Monthly Itch Score. Percentage of Responders achieving >= 4-point Reduction from Baseline in the Monthly Itch Score at Week 24 was the fifth endpoint to be tested in the hierarchical analysis.
At Week 24
Part A: Mean Change From Baseline in Primary Biliary Cholangitis-40 (PBC-40) Domain Scores at Week 24
PBC-40 is a disease-specific health-related quality of life (HRQoL) questionnaire validated for use in participants with PBC. It consists of 40 questions, which are grouped into 6 domains with 3 to 11 questions per domain. Each question is scored from 1 (least impact) to 5 (greatest impact). For all questions, an answer of "Does/Did not apply" was scored 0. All questions within a domain are summed to obtain individual domain score. Domains were: Symptoms (7 questions) with score range 6 to 35, Itch (3 questions) with score range 0 to 15, Fatigue (11 questions) with score range 11 to 55 , Cognitive (6 questions) with score range 6 to 30 , Emotional (3 questions) with score range 3 to 15 and Social (10 questions) with score range 8 to 50 . Higher scores for individual domains represent poorer quality of life. Baseline is the last assessment prior to the first dose of randomized treatment (Day 1). Change from Baseline was calculated as Week 24 value minus Baseline value.
Baseline up to Week 24
Part A: Mean Change From Baseline in Patient's Global Impression of Severity (PGI-S) Over 24 Weeks
The Patient's Global Impression of Severity (PGI-S) is a patient-reported outcome measure used to assess the severity of symptoms from the participant's perspective. The PGI-S asks participant to rate the severity of their itch in the past 7 days on a single item, using a scale ranging from 0 (absent) to 5 (very severe). Higher score indicates higher severity. Baseline is the last assessment prior to the first dose of randomized treatment for Part A (Day 1). Change from Baseline is defined as the post dose value minus baseline value. LS means and the corresponding 95% confidence intervals are reported by taking average of LS means of change from baseline in PGI-S obtained over 24 weeks using equal weighting for all time points, analyzed using Mixed Model Repeated Measures (MMRM) method.
Baseline and up to Week 24
Part A: Patient's Global Impression of Change (PGI-C) Scores Over 24 Weeks
Patient's Global Impression of Change (PGI-C) was assessed using a 7-level response scale, ranging from 1 (very much improved) to 7 (very much worse). Higher score indicates higher level of change. LS means and the corresponding 95% confidence intervals are reported by taking average of LS means of PGI-C obtained over 24 weeks using equal weighting for all timepoints, analyzed using Mixed Model Repeated Measures (MMRM) method.
Week 4 up to Week 24
Part A: Mean Change From Baseline in Alkaline Phosphatase (ALP) at Week 24
Blood samples were collected at indicated time points for evaluation of ALP. Change from Baseline in ALP at Week 24 was evaluated. Baseline was established using an average of two sets of laboratory values obtained at least 4 weeks apart within 56 days prior to randomization (Day 1). Change from Baseline was calculated as Week 24 value minus Baseline value.
Baseline and Week 24
Part A: Mean Change From Baseline in Bilirubin at Week 24
Blood samples were collected at indicated time points for evaluation of Bilirubin. Change from Baseline in total bilirubin at Week 24 was evaluated. Baseline was established using an average of two sets of laboratory values obtained at least 4 weeks apart within 56 days prior to randomization (Day 1). Change from Baseline was calculated as Week 24 value minus Baseline value.
Carreno F, Karatza E, Mehta R, Collins J, Austin D, Swift B. Population Dose-Response-Time Analysis of Itch Reduction and Patient-Reported Tolerability Supports Phase III Dose Selection for Linerixibat. Clin Pharmacol Ther. 2024 Feb;115(2):288-298. doi: 10.1002/cpt.3103. Epub 2023 Dec 3.
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
FG002
Part B: Placebo in Part A and Part B
Participants who were randomized to receive Placebo (up to Week 24) orally twice a day (BID) in Part A, continued to receive Placebo (from Week 24 to Week 32) orally twice a day (BID) in Part B.
FG003
Part B: Placebo in Part A and Linerixibat 40 mg in Part B
Participants who were randomized to receive Placebo (up to Week 24) orally twice a day (BID) in Part A, switched to receive linerixibat 40 mg tablet orally twice a day (BID) (from Week 24 to Week 32) in Part B.
FG004
Part B: Linerixibat 40 mg in Part A and Placebo in Part B
Participants who were randomized to receive linerixibat 40 mg tablet orally BID (up to Week 24) in Part A, switched to receive Placebo (from Week 24 to Week 32) orally twice a day (BID) in Part B.
FG005
Part B: Linerixibat 40 mg in Part A and Part B
Participants who were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) (up to Week 24) in Part A, continued to receive linerixibat 40 mg twice a day (BID) (from Week 24 to Week 32) in Part B.
FG000119 subjects
FG001119 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Safety Population
Safety Population: All randomized participants who take at least 1 dose of study intervention. Participants will be analyzed according to the treatment they actually received.
FG000119 subjects
FG001118 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
COMPLETED
FG000103 subjects
FG001108 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
NOT COMPLETED
FG00016 subjects
FG00111 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Type
Comment
Reasons
Adverse Event
FG0004 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Physician Decision
FG0003 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
FG004
Withdrawal by Subject
FG0009 subjects
FG0017 subjects
FG0020 subjects
FG0030 subjects
FG004
Part B (Week 24 to Week 32)
Type
Comment
Milestone Data
STARTED
ITT Population of Part B included all participants who completed the Part A.
FG0000 subjects
FG0010 subjects
FG00255 subjectsParticipants continued from Part A.
FG00353 subjectsParticipants continued from Part A
FG00449 subjectsParticipants continued from Part A
FG00554 subjectsParticipants continued from Part A
Safety Population
Safety Population: All participants who received at least 1 dose in Part B.
FG0000 subjects
FG0010 subjects
FG00253 subjects
FG003
COMPLETED
All participants who continued from Part A until the End of follow up period.
FG0000 subjects
FG0010 subjects
FG00255 subjects
FG003
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Withdrawal by Subject
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
The analysis was performed on Intent-to Treat (ITT) population which included all randomized participants. Participants were classified according to the treatment as randomized.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
BG001
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
BG002
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000119
BG001119
BG002238
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Customized
Number
Participants
Title
Denominators
Categories
18-49 Years
Title
Measurements
BG00042
BG00130
BG00272
50-64 Years
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG000113
BG001113
BG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
HISPANIC OR LATINO
Title
Measurements
BG00033
BG00121
BG002
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
Part A: Mean Change From Baseline in Monthly Itch Scores Over 24 Weeks Using Numerical Rating Scale (NRS)
Itch Scores were assessed using a NRS twice daily, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The worst daily itch score was defined as the worst of the two scores recorded daily. The weekly itch score was defined as the average of the worst daily itch scores in one week. The monthly itch score was defined as the worst weekly itch score for the month (4 weeks). Higher monthly itch scores indicate worse itching. Baseline is the worst weekly itch score in the 28 days prior to randomization (Day 1). Change from Baseline is defined as the post dose value minus baseline value. Least-squares (LS) means and the corresponding 95% confidence intervals are reported by taking average of LS means of change from baseline in monthly itch scores obtained over 24 weeks using equal weighting for all time points. Analyzed using Mixed Model Repeated Measures (MMRM) method.
The analysis was performed on the Intent to Treat (ITT) set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized.
Posted
Least Squares Mean
95% Confidence Interval
Scores on a scale
Baseline and up to Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Units
Counts
Participants
OG000119
OG001118
Title
Denominators
Categories
Title
Measurements
OG000-2.86(-3.23 to -2.50)
OG001-2.15(-2.51 to -1.78)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline Monthly Itch score (MIS), Visit*Baseline MIS interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
0.001
Mean Difference (Net)
-0.72
2-Sided
95
-1.15
-0.28
Superiority
Secondary
Part A: Mean Change From Baseline in Weekly Itch Score at Week 2 Using NRS
Itch Score was assessed using a twice daily NRS, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The worst daily itch score was defined as the worst of the two scores recorded daily. The weekly itch score was defined as the average of the worst daily itch scores in one week. Higher weekly itch scores indicate worse itching. Baseline is the average of the Worst Daily Itch scores in the 7 days prior to randomization (Day 1). Change from Baseline is defined as the Week 2 value minus baseline value. Key secondary endpoints were tested in a step-down/hierarchical approach. Mean Change from Baseline in Weekly Itch Score at Week 2 was the first endpoint tested in the hierarchical analysis. LS mean and the corresponding 95% confidence intervals are reported using Mixed Model Repeated Measures (MMRM) method.
The analysis was performed on the ITT set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Only participants with data at baseline and at least one post-baseline time point were included
Posted
Least Squares Mean
95% Confidence Interval
Scores on a scale
Baseline and at Week 2
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Part A: Placebo
Secondary
Part A: Mean Change From Baseline in Monthly Sleep Score Over 24 Weeks Using NRS
Sleep Scores were assessed using an NRS scale, ranging from 0 to 10, where 0 represents no sleep interference and 10 is complete sleep interference. The weekly sleep scale is the average of the daily sleep scores for each week. The monthly sleep score was defined as the worst weekly sleep score for the month (4 weeks). Higher monthly sleep scores indicate higher impact on sleep. Baseline is the worst Weekly Sleep Score in the 28 days prior to randomization (Day 1). Change from Baseline is defined as the post dose value minus baseline value. LS means and the corresponding 95% confidence intervals are reported by taking average of LS means of change from baseline in monthly sleep scores obtained over 24 weeks using equal weighting for all time points analyzed using Mixed Model Repeated Measures (MMRM) method. Mean Change from Baseline in Monthly Sleep Score over 24 weeks was the second endpoint tested in the hierarchical analysis.
The analysis was performed on the ITT set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Only participants with data at baseline and at least one post-baseline time point were included.
Posted
Least Squares Mean
95% Confidence Interval
Scores on a scale
Baseline up to Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Secondary
Part A: Percentage of Responders Defined as Achieving More Than or Equal to (>=) 2-point Reduction From Baseline in the Monthly Itch Score at Week 24
Monthly Itch Score was assessed using an NRS, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The Monthly Itch Score was determined from the worst weekly itch score for the month (4 weeks). Baseline is the worst weekly itch score in the 28 days prior to randomization (Day 1). Responders were defined as participants achieving >=2-point reduction (improvement) from baseline in the Monthly Itch Score. Percentage of Responders achieving >= 2-point Reduction from Baseline in the Monthly Itch Score at Week 24 was the third endpoint tested in the hierarchical analysis.
The analysis was performed on the ITT set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Percentage values were rounded to the nearest whole number.
Posted
Number
Percentage of participants
At Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Secondary
Part A: Percentage of Responders Achieving >=3-point Reduction From Baseline in the Monthly Itch Score at Week 24
Monthly Itch Score was assessed using an NRS, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The Monthly Itch Score was determined from the worst weekly itch score for the month (4 weeks). Baseline is the worst weekly itch score in the 28 days prior to randomization. Responders were defined as participants achieving >=3-point reduction (improvement) from baseline in the Monthly Itch Score. Percentage of Responders achieving >= 3-point Reduction from Baseline in the Monthly Itch Score at Week 24 was the fourth endpoint to be tested in the hierarchical analysis.
The analysis was performed on the ITT set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Percentage values were rounded to the nearest whole number.
Posted
Number
Percentage of participants
At Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Secondary
Part A: Percentage of Responders as Achieving a >=4-point Reduction From Baseline in the Monthly Itch Score at Week 24
Monthly Itch Score was assessed using an NRS, ranging from 0 to 10, where 0 represents no itching and 10 the worst imaginable itching. The Monthly Itch Score was determined from the worst weekly itch score for the month (4 weeks). Baseline is the worst weekly itch score in the 28 days prior to randomization. Responders were defined as participants achieving >=4-point reduction (improvement) from baseline in the Monthly Itch Score. Percentage of Responders achieving >= 4-point Reduction from Baseline in the Monthly Itch Score at Week 24 was the fifth endpoint to be tested in the hierarchical analysis.
The analysis was performed on the ITT set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Percentage values were rounded to the nearest whole number.
Posted
Number
Percentage of participants
At Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Secondary
Part A: Mean Change From Baseline in Primary Biliary Cholangitis-40 (PBC-40) Domain Scores at Week 24
PBC-40 is a disease-specific health-related quality of life (HRQoL) questionnaire validated for use in participants with PBC. It consists of 40 questions, which are grouped into 6 domains with 3 to 11 questions per domain. Each question is scored from 1 (least impact) to 5 (greatest impact). For all questions, an answer of "Does/Did not apply" was scored 0. All questions within a domain are summed to obtain individual domain score. Domains were: Symptoms (7 questions) with score range 6 to 35, Itch (3 questions) with score range 0 to 15, Fatigue (11 questions) with score range 11 to 55 , Cognitive (6 questions) with score range 6 to 30 , Emotional (3 questions) with score range 3 to 15 and Social (10 questions) with score range 8 to 50 . Higher scores for individual domains represent poorer quality of life. Baseline is the last assessment prior to the first dose of randomized treatment (Day 1). Change from Baseline was calculated as Week 24 value minus Baseline value.
ITT population set included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Number of Participants Analyzed (N) was the maximum number of participants analyzed for any domain, while Number analyzed (n) was the number of participants included in the model for each domain.
Posted
Least Squares Mean
95% Confidence Interval
Scores on a scale
Baseline up to Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
Secondary
Part A: Mean Change From Baseline in Patient's Global Impression of Severity (PGI-S) Over 24 Weeks
The Patient's Global Impression of Severity (PGI-S) is a patient-reported outcome measure used to assess the severity of symptoms from the participant's perspective. The PGI-S asks participant to rate the severity of their itch in the past 7 days on a single item, using a scale ranging from 0 (absent) to 5 (very severe). Higher score indicates higher severity. Baseline is the last assessment prior to the first dose of randomized treatment for Part A (Day 1). Change from Baseline is defined as the post dose value minus baseline value. LS means and the corresponding 95% confidence intervals are reported by taking average of LS means of change from baseline in PGI-S obtained over 24 weeks using equal weighting for all time points, analyzed using Mixed Model Repeated Measures (MMRM) method.
The analysis was performed on the ITT set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Only participants with data at baseline and at least one post-baseline time point were included.
Posted
Least Squares Mean
95% Confidence Interval
Scores on a scale
Baseline and up to Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Part A: Placebo
Secondary
Part A: Patient's Global Impression of Change (PGI-C) Scores Over 24 Weeks
Patient's Global Impression of Change (PGI-C) was assessed using a 7-level response scale, ranging from 1 (very much improved) to 7 (very much worse). Higher score indicates higher level of change. LS means and the corresponding 95% confidence intervals are reported by taking average of LS means of PGI-C obtained over 24 weeks using equal weighting for all timepoints, analyzed using Mixed Model Repeated Measures (MMRM) method.
The analysis was performed on the ITT set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Only participants with data for at least one time point were included.
Posted
Least Squares Mean
95% Confidence Interval
Scores on a scale
Week 4 up to Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Units
Counts
Secondary
Part A: Mean Change From Baseline in Alkaline Phosphatase (ALP) at Week 24
Blood samples were collected at indicated time points for evaluation of ALP. Change from Baseline in ALP at Week 24 was evaluated. Baseline was established using an average of two sets of laboratory values obtained at least 4 weeks apart within 56 days prior to randomization (Day 1). Change from Baseline was calculated as Week 24 value minus Baseline value.
The analysis was performed on the ITT set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Only participants with data at baseline and at least one post-baseline time point were included.
Posted
Least Squares Mean
95% Confidence Interval
International units per liter (IU/L)
Baseline and Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Units
Counts
Secondary
Part A: Mean Change From Baseline in Bilirubin at Week 24
Blood samples were collected at indicated time points for evaluation of Bilirubin. Change from Baseline in total bilirubin at Week 24 was evaluated. Baseline was established using an average of two sets of laboratory values obtained at least 4 weeks apart within 56 days prior to randomization (Day 1). Change from Baseline was calculated as Week 24 value minus Baseline value.
The analysis was performed on the ITT set that included all randomized participants. Participants in the ITT Population were classified according to the treatment as randomized. Only participants with data at baseline and at least one post-baseline time point were included.
Posted
Least Squares Mean
95% Confidence Interval
Micromoles per Liter (mmol/L)
Baseline and Week 24
ID
Title
Description
OG000
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
OG001
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Units
Counts
Time Frame
SAEs were collected from the signing of informed consent until last visit (Week 32) or follow up phone call. AEs were collected from start of treatment until last visit (Week 32) or follow up phone call.
Description
All randomized participants from ITT population (N=238) were included in Part A. One participant in Part A was not included in Safety population (N=237) and 15 participants from ITT Population (N=211) in Part B were not included in Safety population (N=196) as they did not receive study intervention.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
0
118
4
118
54
118
EG001
Part A: Linerixibat 40 Milligrams (mg)
Participants were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) in Part A (up to Week 24).
0
119
14
119
96
119
EG002
Part B: Placebo in Part A and Part B
Participants who were randomized to receive Placebo (up to Week 24) orally twice a day (BID) in Part A, continued to receive Placebo (from Week 24 to Week 32) orally twice a day (BID) in Part B.
0
53
0
53
5
53
EG003
Part B: Placebo in Part A and Linerixibat 40 mg in Part B
Participants who were randomized to receive Placebo (up to Week 24) orally twice a day (BID) in Part A, switched to receive linerixibat 40 mg tablet orally twice a day (BID) (from Week 24 to Week 32) in Part B.
0
52
0
52
16
52
EG004
Part B: Linerixibat 40 mg in Part A and Placebo in Part B
Participants who were randomized to receive linerixibat 40 mg tablet orally BID (up to Week 24) in Part A, switched to receive Placebo (from Week 24 to Week 32) orally twice a day (BID) in Part B.
0
46
2
46
3
46
EG005
Part B: Linerixibat 40 mg in Part A and Part B
Participants who were randomized to receive linerixibat 40 mg tablet orally twice a day (BID) (up to Week 24) in Part A, continued to receive linerixibat 40 mg twice a day (BID) (from Week 24 to Week 32) in Part B.
0
45
0
45
7
45
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG0030 events0 affected52 at risk
EG0040 events0 affected46 at risk
EG0050 events0 affected45 at risk
Haemorrhagic disorder
Blood and lymphatic system disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Thrombocytosis
Blood and lymphatic system disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0010 events0 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Sinus arrest
Cardiac disorders
MedDRA v27.1
Systematic Assessment
EG0001 events1 affected118 at risk
EG0010 events0 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Ascites
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Gastric haemorrhage
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Gastric mucosal lesion
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Cholecystitis
Hepatobiliary disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Clostridium difficile colitis
Infections and infestations
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Diverticulitis
Infections and infestations
MedDRA v27.1
Systematic Assessment
EG0001 events1 affected118 at risk
EG0010 events0 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Blood pressure increased
Investigations
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Diabetes mellitus
Metabolism and nutrition disorders
MedDRA v27.1
Systematic Assessment
EG0001 events1 affected118 at risk
EG0010 events0 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Arthritis
Musculoskeletal and connective tissue disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Intervertebral disc protrusion
Musculoskeletal and connective tissue disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Malignant melanoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Renal cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0010 events0 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Cerebral infarction
Nervous system disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Cerebrovascular accident
Nervous system disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0011 events1 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Dizziness
Nervous system disorders
MedDRA v27.1
Systematic Assessment
EG0001 events1 affected118 at risk
EG0010 events0 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Syncope
Nervous system disorders
MedDRA v27.1
Systematic Assessment
EG0001 events1 affected118 at risk
EG0010 events0 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Intermenstrual bleeding
Reproductive system and breast disorders
MedDRA v27.1
Systematic Assessment
EG0001 events1 affected118 at risk
EG0010 events0 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA v27.1
Systematic Assessment
EG0008 events7 affected118 at risk
EG0012 events2 affected119 at risk
EG0020 events0 affected53 at risk
EG0030 events0 affected52 at risk
EG0040 events0 affected46 at risk
EG0050 events0 affected45 at risk
Abdominal distension
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG0006 events6 affected118 at risk
EG00110 events8 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG0004 events4 affected118 at risk
EG00127 events22 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Abdominal pain upper
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG0006 events5 affected118 at risk
EG00114 events8 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Constipation
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG00011 events11 affected118 at risk
EG0019 events9 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG00028 events21 affected118 at risk
EG001112 events72 affected119 at risk
EG0023 events3 affected53 at risk
EG003
Dyspepsia
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG0001 events1 affected118 at risk
EG0019 events9 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Gastrooesophageal reflux disease
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG0009 events5 affected118 at risk
EG00113 events8 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA v27.1
Systematic Assessment
EG00013 events11 affected118 at risk
EG00117 events12 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Pyrexia
General disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0010 events0 affected119 at risk
EG0022 events2 affected53 at risk
EG003
COVID-19
Infections and infestations
MedDRA v27.1
Systematic Assessment
EG0003 events3 affected118 at risk
EG0019 events8 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA v27.1
Systematic Assessment
EG0004 events4 affected118 at risk
EG00112 events11 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Aspartate aminotransferase increased
Investigations
MedDRA v27.1
Systematic Assessment
EG0001 events1 affected118 at risk
EG00111 events10 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA v27.1
Systematic Assessment
EG0009 events6 affected118 at risk
EG0018 events7 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Dizziness
Nervous system disorders
MedDRA v27.1
Systematic Assessment
EG0004 events3 affected118 at risk
EG0017 events7 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Headache
Nervous system disorders
MedDRA v27.1
Systematic Assessment
EG0005 events4 affected118 at risk
EG00110 events10 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Cholestatic pruritus
Skin and subcutaneous tissue disorders
MedDRA v27.1
Systematic Assessment
EG0000 events0 affected118 at risk
EG0010 events0 affected119 at risk
EG0020 events0 affected53 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single site data not precede the primary publication of the entire clinical trial.
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Units
Counts
Participants
OG000117
OG001116
Title
Denominators
Categories
Title
Measurements
OG000-1.78(-2.08 to -1.48)
OG001-1.07(-1.37 to -0.77)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Week, Week*Treatment Group interaction, Baseline Weekly Itch score (WIS), Visit*Baseline WIS interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
<0.001
Adjusted for multiplicity as per Statistical Analysis Plan (SAP)
Mean Difference (Net)
-0.71
2-Sided
95
-1.07
-0.34
Superiority
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Units
Counts
Participants
OG000119
OG001118
Title
Denominators
Categories
Title
Measurements
OG000-2.77(-3.15 to -2.38)
OG001-2.24(-2.62 to -1.86)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline Monthly sleep score (MSS), Visit*Baseline MSS interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
0.024
Adjusted for multiplicity as per Statistical Analysis Plan (SAP)
Mean Difference (Net)
-0.53
2-Sided
95
-0.98
-0.07
Superiority
Units
Counts
Participants
OG000119
OG001119
Title
Denominators
Categories
Title
Measurements
OG00068.0
OG00164.0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Cochran-Mantel-Haenszel (CMH) stratified analysis adjusted for baseline factors: Baseline Itch Severity (Moderate: >=4 and less than [<]7, Severe: >=7); Concomitant cholestatic pruritus treatment regimen (Regimen contains Bile Acid Binding Resin [BABR], Regimen does not contain BABR, No defined treatment). Multiple imputation of missing Monthly itch scores was done before deriving responder definitions. Imputed datasets were analyzed using the CMH method and combined.
Cochran-Mantel-Haenszel
0.539
Adjusted for multiplicity as per Statistical Analysis Plan (SAP)
Percentage difference
4.0
95
-9.0
17.0
Superiority
Units
Counts
Participants
OG000119
OG001119
Title
Denominators
Categories
Title
Measurements
OG00056.0
OG00143.0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Cochran-Mantel-Haenszel (CMH) stratified analysis adjusted for baseline factors: Baseline Itch Severity (Moderate: >=4 and <7, Severe: >=7); Concomitant cholestatic pruritus treatment regimen (Regimen contains BABR, Regimen does not contain BABR, No defined treatment). Multiple imputation of missing Monthly itch scores was done before deriving responder definitions. Imputed datasets were analyzed using the CMH method and combined.
Cochran-Mantel-Haenszel
0.043
Adjusted for multiplicity; two-sided p-values <0.05 were considered to be nominally significant as per SAP.
Percentage Difference
13.0
2-Sided
95
0.0
27.0
Superiority
Units
Counts
Participants
OG000119
OG001119
Title
Denominators
Categories
Title
Measurements
OG00041.0
OG00129.0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Cochran-Mantel-Haenszel (CMH) stratified analysis adjusted for baseline factors: Baseline Itch Severity (Moderate: >=4 and <7, Severe: >=7); Concomitant cholestatic pruritus treatment regimen (Regimen contains BABR, Regimen does not contain BABR, No defined treatment). Multiple imputation of missing Monthly itch scores was done before deriving responder definitions. Imputed datasets were analyzed using the CMH method and combined.
Cochran-Mantel-Haenszel
0.058
Adjusted for multiplicity; two-sided p-values <0.05 were considered to be nominally significant as per SAP.
Percentage Difference
12.0
2-Sided
95
-0.0
24.0
Superiority
OG001
Part A: Placebo
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Units
Counts
Participants
OG00095
OG001100
Title
Denominators
Categories
Cognitive (score range: 6 to 30)
ParticipantsOG00095
ParticipantsOG00199
Title
Measurements
OG000-0.71(-1.60 to 0.18)
OG001-1.47(-2.36 to -0.58)
Emotional (score range: 3 to 15)
ParticipantsOG00095
ParticipantsOG00199
Title
Measurements
OG000-1.07(-1.57 to -0.57)
OG001
Fatigue (score range: 11 to 55)
ParticipantsOG00095
ParticipantsOG001100
Title
Measurements
OG000-2.94(-4.63 to -1.26)
OG001
Itch (score range: 0 to 15)
ParticipantsOG00095
ParticipantsOG001100
Title
Measurements
OG000-3.47(-4.08 to -2.86)
OG001
Social (score range: 8 to 50)
ParticipantsOG00095
ParticipantsOG00199
Title
Measurements
OG000-2.57(-3.71 to -1.43)
OG001
Symptoms (score range: 6 to 35)
ParticipantsOG00095
ParticipantsOG001100
Title
Measurements
OG0000.54(-0.18 to 1.25)
OG001
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline PBC-40 domain scores, Visit*Baseline PBC-40 domain scores interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
0.176
Not adjusted for multiplicity; two-sided p- values <0.05 were considered to be nominally significant as per SAP.
Mean Difference (Net)
0.76
2-Sided
95
-0.34
1.86
Superiority
Cognitive
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline PBC-40 domain scores, Visit*Baseline PBC-40 domain scores interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
0.403
Not adjusted for multiplicity; two-sided p- values <0.05 were considered to be nominally significant as per SAP.
Mean Difference (Net)
0.27
2-Sided
95
-0.36
0.89
Superiority
Emotional
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline PBC-40 domain scores, Visit*Baseline PBC-40 domain scores interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
0.132
Not adjusted for multiplicity; two-sided p- values <0.05 were considered to be nominally significant as per SAP.
Mean Difference (Net)
1.59
2-Sided
95
-0.48
3.67
Superiority
Fatigue
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline PBC-40 domain scores, Visit*Baseline PBC-40 domain scores interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
0.132
Not adjusted for multiplicity; two-sided p- values <0.05 were considered to be nominally significant as per SAP.
Mean Difference (Net)
-0.58
2-Sided
95
-1.34
0.18
Superiority
Itch
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline PBC-40 domain scores, Visit*Baseline PBC-40 domain scores interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
0.836
Not adjusted for multiplicity; two-sided p- values <0.05 were considered to be nominally significant as per SAP.
Mean Difference (Net)
-0.15
2-Sided
95
-1.57
1.27
Superiority
Social
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline PBC-40 domain scores, Visit*Baseline PBC-40 domain scores interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
0.318
Not adjusted for multiplicity; two-sided p- values <0.05 were considered to be nominally significant as per SAP.
Mean Difference (Net)
0.45
2-Sided
95
-0.44
1.34
Superiority
Symptoms
Participants were randomized to receive Placebo orally twice a day (BID) in Part A (up to Week 24).
Units
Counts
Participants
OG000114
OG001111
Title
Denominators
Categories
Title
Measurements
OG000-1.22(-1.36 to -1.07)
OG001-0.84(-0.99 to -0.70)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline PGI-S score, Visit*Baseline PGI-S score interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
<0.001
Not adjusted for multiplicity; two-sided p- values <0.05 were considered to be nominally significant as per SAP.
Mean Difference (Net)
-0.37
2-Sided
95
-0.55
-0.20
Superiority
Participants
OG000117
OG001116
Title
Denominators
Categories
Title
Measurements
OG0001.97(1.74 to 2.20)
OG0012.46(2.23 to 2.69)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
The mixed model repeated measures analysis includes Treatment Group, Visit, Visit*Treatment Group interaction, Baseline Concomitant Itch Medication.
Mixed Models Analysis
Mixed Model Repeated Measures Analysis
<0.001
Not adjusted for multiplicity; two-sided p- values <0.05 were considered to be nominally significant as per SAP.