About this trial
Primary objective: To evaluate the efficacy of hymecromone plus standard of care compared with standard of care alone in the treatment of adolescents and adults with primary sclerosing cholangitis (PSC).
Secondary objectives: To evaluate the change in Alkaline Phosphatase (ALP) from baseline to 6 months post-treatment following treatment with hymecromone plus standard of care compared with standard of care.
To evaluate changes in biomarkers of PSC disease during hymecromone treatment, namely: (a) fibrotic effect (FibroScan); (b) inflammatory biomarkers (serum Hyaluronan (HA)); and, (c) T-cell count.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of primary sclerosing cholangitis confirmed by liver biopsy and/or imaging study
If history of endoscopically confirmed inflammatory bowel disease, currently stable based on Mayo Score / Disease Activity Index (DAI) for Ulcerative Colitis Score ≤ 1, normal inflammatory markers (ESR, CRP and fecal calprotectin) and stable non-excluded medical therapy for at least 6 months
Disqualifiers
Currently receiving biologic therapies
Known allergy to hymecromone
Cholangiocarcinoma
Pregnancy
Trial design
Parallel
Treatments tested in this trial
Hymecromone
DrugHymecromone 400 mg 3 times daily by mouth.
Treatment groups
Trial outcomes
Primary outcomes
Change in serum gamma-glutamyltransferase (GGT) levels
Secondary outcomes
Change in serum Alkaline Phosphatase (ALP) levels
Change in serum hyaluronan levels
Change in T-cell count
Change in fibrotic effect based on FibroScan
Fibrotic effect is the amount of liver with fatty change
Sponsors and contacts
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Aparna Goel
Lead sponsor
Stanford University
Sponsor institution