NCT05426733

Brief Summary

An Open-label Extension Study to Evaluate Long-term Efficacy and Safety of Odevixibat (A4250) in Children with Biliary Atresia

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
180

participants targeted

Target at P25-P50 for phase_3

Timeline
28mo left

Started Jul 2022

Longer than P75 for phase_3

Geographic Reach
14 countries

30 active sites

Status
enrolling by invitation

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress62%
Jul 2022Aug 2028

First Submitted

Initial submission to the registry

June 13, 2022

Completed
9 days until next milestone

First Posted

Study publicly available on registry

June 22, 2022

Completed
13 days until next milestone

Study Start

First participant enrolled

July 5, 2022

Completed
6.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2028

Last Updated

April 30, 2026

Status Verified

April 1, 2026

Enrollment Period

6.2 years

First QC Date

June 13, 2022

Last Update Submit

April 29, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Proportion of patients who are alive and have not undergone liver transplant

    From baseline to Week 104

Secondary Outcomes (8)

  • Change in aspartate aminotransferase (AST) to platelet ratio index (APRI) score

    From baseline to Week 104

  • Change in Fibrosis-4 (Fib-4) score

    From baseline to Week 104

  • Change in serum bile acids

    From Baseline to Weeks 26, 52, 78, and 104

  • Change in height

    From Baseline to Weeks 26, 52, 78 and 104

  • Change in weight

    From Baseline to Weeks 26, 52, 78 and 104

  • +3 more secondary outcomes

Study Arms (1)

Odevixibat (A4250)

EXPERIMENTAL

Capsules for oral administration once daily for 104 weeks.

Drug: Odevixibat

Interventions

Odevixibat is a small molecule inhibitor of the ileal bile acid transporter (IBAT).

Also known as: A4250
Odevixibat (A4250)

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Completion of the 104-week Treatment Period of Study A4250-011
  • Signed informed consent by caregiver

You may not qualify if:

  • Patients who were not compliant with study drug treatment or procedures in Study A4250-011 as per the investigator's discretion
  • Any conditions or abnormalities which, in the opinion of the investigator, may compromise the safety of the patient, or interfere with the patient participating in or completing the study
  • Known hypersensitivity to any components of odevixibat
  • Patients who are scheduled for a liver transplant or are likely to require a liver transplant in the immediate future based on the investigator's judgment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (30)

Children's Hospital Colorado

Aurora, Colorado, 80045, United States

Location

Children's Healhcare of Atlanta- Emory University school of medicine

Atlanta, Georgia, 30322, United States

Location

Indiana University school of Medicine

Indianapolis, Indiana, 46202, United States

Location

Boston Children's Hospital

Boston, Massachusetts, 02115, United States

Location

Children's Mercy Hospital and Clinics

Kansas City, Missouri, 64108, United States

Location

Hassenfeld Children's Hospital at NYU Langone

New York, New York, 10016, United States

Location

Columbia University Medical Center New York Presbyterian Morgan Stanley-Komansky Childrens Hospital

New York, New York, 10032, United States

Location

The Childrens Hospital at Montefiore Albert Einstein School of Medicine

The Bronx, New York, 10467, United States

Location

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

Seattle Children's Hospital

Seattle, Washington, 98105, United States

Location

Royal Children's Hospital

Parkville, 3052, Australia

Location

CHU Sainte-Justine

Montreal, Canada

Location

The Hospital for Sick Children

Toronto, Canada

Location

Guangzhou Women And Childrens Medical Center

Guangdong, China

Location

Children's Hospital of Fudan University

Shanghai, China

Location

Bicêtre Hospital

Le Kremlin-Bicêtre, France

Location

Charité - Universitätsmedizin Berlin

Berlin, Germany

Location

University Children´s Hospital Tuebingen

Tübingen, Germany

Location

ASST Papa Giovanni XXIII

Bergamo, Italy

Location

Azienda Ospedaliera di Padova

Padova, Italy

Location

Hospital Raja Perempuan Zainab II

Kota Bharu, Malaysia

Location

University Malaya Medical Centre

Kuala Lumpur, 59100, Malaysia

Location

University Medical Center Groningen

Groningen, Netherlands

Location

Starship Child Health, Te Whatu Ora - Health New Zealand

Auckland, 1023, New Zealand

Location

Instytut Pomnik-Centrum Zdrowia Dziecka

Warsaw, Poland

Location

Seoul National University Childrens Hospital

Seoul, South Korea

Location

Hospital Universitari Vall d'Hebron

Barcelona, Spain

Location

Hacettepe İhsan Doğramacı Children's Hospital

Ankara, Turkey (Türkiye)

Location

Akdeniz University Medical Faculty

Antalya, Turkey (Türkiye)

Location

Istanbul University Istanbul Medical Faculty Hospital

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Biliary Atresia

Interventions

odevixibat

Condition Hierarchy (Ancestors)

Bile Duct DiseasesBiliary Tract DiseasesDigestive System DiseasesDigestive System AbnormalitiesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 13, 2022

First Posted

June 22, 2022

Study Start

July 5, 2022

Primary Completion (Estimated)

August 31, 2028

Study Completion (Estimated)

August 31, 2028

Last Updated

April 30, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants.

Time Frame
Where applicable, data from eligible studies are available 6 months after the studied medicine and indication have been approved in the US and/or EU.
Access Criteria
Further details on Ipsen's sharing criteria and process for sharing are available here (https://www.ipsen.com/science/clinical-trials/clinical-data-transparency/).
More information

Locations