PK of NRL972 in Patients with Nonalcoholic Steatohepatitis (NASH) and Non-Alcoholic Fatty Liver Disease (NAFLD)
Prospective Single-centre, Open-label Study to Assess the Pharmacokinetics of Cholyl-lysl-fluorescein (NRL972) in Patients with Clinical Evidence for NAFLD: Supporting the Disease Staging Into Fatty Liver Disease Versus NASH
1 other identifier
interventional
125
1 country
1
Brief Summary
This study is to evaluate the predictive value of NRL972 pharmacokinetics in the diagnosis of steatohepatitis using fatty liver disease as the comparator group. In addition, the sensitivity and specificity of NRL972 pharmacokinetics as a diagnostic tool will be compared to results from the standard laboratory tests, elastography, tests of metabolic markers and serum fibrosis markers frequently used in the evaluation of clinically predicted NAFLD patients. Patients will be included if they have clinical evidence of fatty liver disease and have been referred to the clinic for a diagnostic work-up, including a liver biopsy, blood tests and scans of the liver.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jun 2008
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2008
CompletedFirst Submitted
Initial submission to the registry
November 19, 2008
CompletedFirst Posted
Study publicly available on registry
November 20, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2011
CompletedSeptember 19, 2024
September 1, 2024
1.7 years
November 19, 2008
September 9, 2024
Conditions
Outcome Measures
Primary Outcomes (3)
C(30)/C(10)
The primary efficacy variable was the NRL972 fractional retention ratio for 10 and 30 minutes post-dose (C30/C10) for different populations with NAFLD.
30 minutes post-dose
Adverse Events
Primary safety assessment: Incidence of treatment-emergent adverse events
Up to 2 hours post-dose
Vital Signs
Primary safety assessment: continuous monitoring on automated cardiovascular systems
Up to 2 hours post-dose
Secondary Outcomes (3)
C(60)
60 minutes post-dose
t1/2
60 minutes post-dose
CL
60 minutes post-dose
Study Arms (1)
NRL972
EXPERIMENTAL2 mg NRL972 IV
Interventions
Single dose of 2 mg NRL972 administered intravenously. Total volume 5mL.
Eligibility Criteria
You may qualify if:
- Subjects meeting the following conditions will be eligible for enrollment:
- Males or females (females of non-child-bearing potential or of child-bearing potential while taking medically appropriate contraception)
- Any ethnicity
- Age: 18 to 80 years of age
- Clinical evidence of non-alcoholic liver disease requiring the conduct of a liver biopsy for the diagnosis of NAFLD and/or staging of disease severity
- Willing and able to provide informed consent
You may not qualify if:
- Subjects fulfilling any of the following criteria will be excluded from enrollment:
- General - all subjects
- Presence of acute or chronic viral hepatitis confirmed by serology
- Clinical signs of significant cholestasis
- Liver impairment due to space-occupying processes (e.g. carcinoma)
- Liver transplant recipient or patient scheduled for liver transplantation
- Clinically evident rapidly deteriorating hepatic function
- Significant bleeding diathesis
- Esophageal bleeding within the 8 weeks prior to study entry
- Presence of any contraindications for the conduct of the planned liver biopsy (e.g. allergy to lidocaine, coagulopathy with \<100 x109/L thrombocytes and/or INR \>1.3
- History of any allergic reaction to fluorescein
- Presence of any acute infection
- Previous participation in this trial
- Having received any investigational drug or treatment within 30 days prior to study entry or requiring a concurrent treatment with any other experimental drug or treatment
- Uncontrolled hypo- or hypertension (treated or untreated) with resting systolic blood pressure \>160 or \< 90 mmHg, diastolic blood pressure \>95 or \< 50 mmHg
- +12 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Norginelead
Study Sites (1)
Duke University Medical Center
Durham, North Carolina, 27710, United States
Related Publications (1)
Glass O, Henao R, Patel K, Guy CD, Gruss HJ, Syn WK, Moylan CA, Streilein R, Hall R, Mae Diehl A, Abdelmalek MF. Serum Interleukin-8, Osteopontin, and Monocyte Chemoattractant Protein 1 Are Associated With Hepatic Fibrosis in Patients With Nonalcoholic Fatty Liver Disease. Hepatol Commun. 2018 Sep 21;2(11):1344-1355. doi: 10.1002/hep4.1237. eCollection 2018 Nov.
PMID: 30411081DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Manal F Abdelmalek, M.D., MPH
Duke University
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 19, 2008
First Posted
November 20, 2008
Study Start
June 1, 2008
Primary Completion
March 1, 2010
Study Completion
November 1, 2011
Last Updated
September 19, 2024
Record last verified: 2024-09