A Phase 2 interventional study of NGM282 and Placebo in Primary Sclerosing Cholangitis, sponsored by NGM Biopharmaceuticals, Inc. Completed at 38 sites in 4 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-06-17.
Sponsored by NGM Biopharmaceuticals, Inc · Phase 2, Interventional, and Treatment
Among 74 studies in Cholangitis, Sclerosing with a site in United States — 18 open to participants now, 21 under way, 2 of them phase 3. Cholangitis, Sclerosing · United States.
Among the 74 studies in Cholangitis, Sclerosing with a site in United States, this one is the 19th largest by enrollment of the 56 interventional ones that give a count, is one of 7 that started in 2016, is one of 25 in phase 2, and was the 30th registered.
149 studies on the registry are indexed under Cholangitis, Sclerosing; 39 are open to participants now.
Browse Cholangitis, Sclerosing studies →18 of the 74 studies in Cholangitis, Sclerosing with a site in United States are open now. Recruiting first, the newest first:
Ipsen · Sites in United States, Argentina, Australia and 22 more countries
Ages 18–75
Takeda · Sites in United States
Ages 18–68 · Healthy volunteers
LISCure Biosciences · Sites in United States
Ages 18–75
Mayo Clinic · Sites in United States
Ages 18–75
Elizabeth C. Verna · Sites in United States
Ages 18+
A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →
Of the 30 Cholangitis, Sclerosing studies recruiting now, 12 (40%) set no upper age limit and 13 (43%) stop at 75 or younger; 9 take children under 18; 9 take healthy volunteers.
This study: 18 Years to 75 Years · all sexes · no healthy volunteers.
The full table on the hub →This tab as a report to print or save as PDF → With an account.
74 studies; the count open now beside each. This study's row is marked.
A study in two phases is counted once above. Listed by phase, each with its combined phases: Phase 1 22 · Phase 2 30 · Phase 3 6
First in 1997; this study’s year is marked. 7 started in 2016.
By drug class, each counting the studies that test any of its medicines:
This study's enrollment of 62 is above the median of 34 across 94 interventional studies indexed under Cholangitis, Sclerosing.
Median enrollment 28 across the 56 interventional studies, 129 across the 18 observational. Of the 48 that completed or were terminated, 25 (52%) have results posted.
This tab as a report to print or save as PDF → With an account.
25 of 74 have an industry lead sponsor. The 10 most frequent:
NGM Biopharmaceuticals, Inc is the lead sponsor of 26 studies on the registry; 1 is open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 4 (44%) have results posted.
NGM Biopharmaceuticals, Inc has 2 studies filed under Cholangitis, Sclerosing — fewer than ten, so there is no comparison to draw.
4 of the studies in Cholangitis, Sclerosing with a site in United States that are under way reach primary completion within a year, 0 of them phase 3. Phase 3 first, then by date:
| Study | Primary completion |
|---|---|
| NCT06197308University of MinnesotaEvaluation of an Oral Microbiota-based Therapeutic as a Treatment Option for PSC | 2027-03-31 |
| NCT05295680Aparna GoelOral Hymecromone to Treat Adolescents and Adults With Primary Sclerosing Cholangitis. | 2027-05 |
| NCT05835505Brigham and Women's HospitalDetoxification of the Liver In PSC (Dolphin) | 2027-05-01 |
| NCT05912387Stanford UniversityStatin Therapy in Primary Sclerosing Cholangitis (PSC): a Multi-omics Study | 2027-05-31 |
Add all 4 to your calendar (.ics) → With an account.
Among the 74 studies in Cholangitis, Sclerosing with a site in United States, from their registry updates:
This tab as a report to print or save as PDF → With an account.
The purpose of this study is to determine the safety, tolerability, and activity of NGM282 in patients with Primary Sclerosing Cholangitis.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Clinically significant
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
NGM282 Dose 1
Biological: NGM282
NGM282 Dose 2
Biological: NGM282
Placebo
Other: Placebo
Mean Change From Baseline in Alkaline Phosphatase in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in alkaline phosphatase levels.
Time frame: Baseline to Week 12
Mean Percent Change From Baseline in Alkaline Phosphatase in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in alkaline phosphatase levels.
Time frame: Baseline to Week 12
Mean Rate of Change in Alkaline Phosphatase in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess rate of change in alkaline phosphatase levels. Serum levels of alkaline phosphatase was measured in a central laboratory using standard enzymatic method. The unit of measure is U/L.
Time frame: Baseline to Week 12
Mean Change From Baseline in Aspartate Aminotransferase and Alanine Aminotransferase in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in aspartate aminotransferase and alanine aminotransferase levels.
Time frame: Baseline to Week 12
Mean Percent Change From Baseline in Aspartate Aminotransferase and Alanine Aminotransferase in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in aspartate aminotransferase and alanine aminotransferase levels.
Time frame: Baseline to Week 12
Mean Change From Baseline in Bilirubin (Direct and Total) in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in bilirubin (direct and total) levels.
Time frame: Baseline to Week 12
Mean Percent Change From Baseline in Bilirubin (Direct and Total) in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in bilirubin (direct and total) levels.
Time frame: Baseline to Week 12
Mean Change From Baseline in Gamma Glutamyl Transferase in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in gamma glutamyl transferase levels.
Time frame: Baseline to Week 12
Mean Percent Change From Baseline in Gamma Glutamyl Transferase in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in gamma glutamyl transferase levels.
Time frame: Baseline to Week 12
Mean Change From Baseline in Cholesterol Levels in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in cholesterol levels.
Time frame: Baseline to Week 12
Mean Percent Change From Baseline in Cholesterol Levels in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in cholesterol levels.
Time frame: Baseline to Week 12
Mean Change From Baseline in 25-Hydroxyvitamin D in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in 25-Hydroxyvitamin D levels.
Time frame: Baseline to Week 12
Mean Percent Change From Baseline in 25-Hydroxyvitamin D in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in 25-Hydroxyvitamin D levels.
Time frame: Baseline to Week 12
Mean Change From Baseline in Prothrombin International Normalized Ratio in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in Prothrombin levels.
Time frame: Baseline to Week 12
Mean Percent Change From Baseline in Prothrombin International Normalized Ratio in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in Prothrombin levels.
Time frame: Baseline to Week 12
Mean Change From Baseline in Calprotectin in Patients With Primary Sclerosing Cholangitis
Blood samples were collected to assess changes in Calprotectin levels.
Time frame: Baseline to Week 12
Mean Change From Baseline in Enhanced Liver Fibrosis Score in Patients With Primary Sclerosing Cholangitis
Enhanced Liver Fibrosis (ELF) score is a non-invasive blood test derived from the measurement of hyaluronic acid (HA), amino terminal propeptide of type III procollagen (PIIINP), and tissue inhibitor of metalloprotease 1 (TIMP1) using a proprietary algorithm (Siemens). ELF score is a laboratory test, is unitless, and is used as a continuous variable. The minimal ELF score is zero, the maximal ELF score is unknown. The higher the ELF score, the worse the disease outcome. ELF is a score on a scale of severity assessment against biopsy-proven fibrosis. A score of \<7.7 is none to mild, \> 7.7-9.8 is moderate, \> 9.8 is severe.
Time frame: Baseline to Week 12
Severity of Inflammatory Bowel Disease-Associated Intestinal Symptoms in Patients With Primary Sclerosing Cholangitis
Severity of inflammatory bowel disease (IBD)-associated symptoms and acute cholangitis are summarized with number and percentage. The partial Mayo IBD scale assesses stool frequency, rectal bleeding, and there is a Physician's global assessment. Each section is summed and remission is defined as a total score of 0-1, mild disease 2-4, moderate disease 5-6, and severe disease 7-9. Higher total scores indicate more severe disease. The number of participants are being presented based on the severity of their IBD symptoms.
Time frame: Baseline to Week 12
A total of 62 participants who met all inclusion criteria and no exclusion criteria were randomized to receive treatment over a 12-week treatment period at 24 clinic sites in the United States, 5 sites in the United Kingdom, 5 sites in the Netherlands, and 1 site in France.
| Milestone | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Started | 21 | 21 | 20 |
| Completed | 19 | 18 | 19 |
| Not completed | 2 | 3 | 1 |
| Withdrew: Adverse event | 1 | 1 | 0 |
| Withdrew: Noncompliance with study drug | 1 | 1 | 0 |
| Withdrew: Other | 0 | 1 | 1 |
Blood samples were collected to assess changes in alkaline phosphatase levels.
| International units/Liter | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Change From Baseline in Alkaline Phosphatase in Patients With Primary Sclerosing Cholangitis | 25.6 ± 100.3 | -9.8 ± 101.3 | -0.6 ± 79.5 |
Blood samples were collected to assess changes in alkaline phosphatase levels.
| percent change | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Percent Change From Baseline in Alkaline Phosphatase in Patients With Primary Sclerosing Cholangitis | 7.1 ± 5.8 | -4.2 ± 5.9 | -3.4 ± 6.0 |
Blood samples were collected to assess rate of change in alkaline phosphatase levels. Serum levels of alkaline phosphatase was measured in a central laboratory using standard enzymatic method. The unit of measure is U/L.
| U/L/Week | NGM282 1.0 mg | NGM282 3.0 mg |
|---|---|---|
| Weeks 1 through 4 | -17.7 ± 6.4 | -2.2 ± 6.1 |
| Weeks 5 through 12 | 11.9 ± 4.5 | -0.2 ± 2.2 |
Blood samples were collected to assess changes in aspartate aminotransferase and alanine aminotransferase levels.
| units/liter | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Aspartate aminotransferase | -0.2 ± 7.0 | -30.9 ± 7.0 | -13.3 ± 7.1 |
| Alanine aminotransferase | 8.5 ± 10.2 | -45.1 ± 10.4 | -12.1 ± 10.5 |
Blood samples were collected to assess changes in aspartate aminotransferase and alanine aminotransferase levels.
| percent change | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Aspartate aminotransferase | 2.6 ± 7.8 | -25.5 ± 7.9 | -7.2 ± 8.0 |
| Alanine aminotransferase | 7.2 ± 8.1 | -29.2 ± 8.2 | -6.1 ± 8.3 |
Blood samples were collected to assess changes in bilirubin (direct and total) levels.
| micromole/liter | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Direct bilirubin | 9.14 ± 5.19 | 0.54 ± 5.30 | 0.55 ± 5.2 |
| Total bilirubin | 9.78 ± 5.88 | 0.04 ± 6.01 | 0.83 ± 6.02 |
Blood samples were collected to assess changes in bilirubin (direct and total) levels.
| percent change | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Direct bilirubin | 36.5 ± 16.7 | 5.7 ± 17.1 | 9.2 ± 17.1 |
| Total bilirubin | 27.2 ± 17.9 | -3.6 ± 18.2 | 6.8 ± 18.2 |
Blood samples were collected to assess changes in gamma glutamyl transferase levels.
| units/liter | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Change From Baseline in Gamma Glutamyl Transferase in Patients With Primary Sclerosing Cholangitis | 156.6 ± 45.7 | -20.3 ± 46.3 | 4.6 ± 46.5 |
Blood samples were collected to assess changes in gamma glutamyl transferase levels.
| percent change | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Percent Change From Baseline in Gamma Glutamyl Transferase in Patients With Primary Sclerosing Cholangitis | 20.9 ± 10.5 | 6.6 ± 10.6 | 7.5 ± 10.6 |
Blood samples were collected to assess changes in cholesterol levels.
| millimole/liter | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Total cholesterol | 0.14 ± 1.01 | 0.26 ± 1.10 | 0.15 ± 0.69 |
| High-density lipoprotein | 0.04 ± 0.46 | -0.05 ± 0.50 | -0.06 ± 0.19 |
| Low-density lipoprotein | 0.07 ± 0.85 | 0.30 ± 0.71 | 0.12 ± 0.54 |
| Triglycerides | 0.01 ± 0.59 | -0.08 ± 0.37 | 0.10 ± 0.34 |
Blood samples were collected to assess changes in cholesterol levels.
| percent change | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Total cholesterol | 1.81 ± 16.45 | 5.67 ± 16.31 | 3.89 ± 12.17 |
| High-density lipoprotein | 0.47 ± 28.94 | -0.36 ± 23.87 | -3.09 ± 10.42 |
| Low-density lipoprotein | 1.36 ± 27.56 | 10.63 ± 19.62 | 6.18 ± 19.15 |
| Triglycerides | 3.47 ± 45.71 | -5.81 ± 27.22 | 11.61 ± 33.32 |
Blood samples were collected to assess changes in 25-Hydroxyvitamin D levels.
| nmol/Liter | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Change From Baseline in 25-Hydroxyvitamin D in Patients With Primary Sclerosing Cholangitis | 6.4 ± 33.9 | 1.1 ± 30.6 | 0.7 ± 21.7 |
Blood samples were collected to assess changes in 25-Hydroxyvitamin D levels.
| percent change | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Percent Change From Baseline in 25-Hydroxyvitamin D in Patients With Primary Sclerosing Cholangitis | 30.5 ± 97.3 | 17.0 ± 64.8 | 4.4 ± 41.6 |
Blood samples were collected to assess changes in Prothrombin levels.
| International normalized ratio | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Change From Baseline in Prothrombin International Normalized Ratio in Patients With Primary Sclerosing Cholangitis | 0.03 ± 0.09 | 0.01 ± 0.07 | 0.00 ± 0.08 |
Blood samples were collected to assess changes in Prothrombin levels.
| percent change | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Percent Change From Baseline in Prothrombin International Normalized Ratio in Patients With Primary Sclerosing Cholangitis | 3.39 ± 8.02 | 0.65 ± 6.67 | 0.47 ± 6.75 |
Blood samples were collected to assess changes in Calprotectin levels.
| microgram/gram | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Change From Baseline in Calprotectin in Patients With Primary Sclerosing Cholangitis | 353.4 ± 839.8 | 211.8 ± 585.8 | -10.3 ± 457.9 |
Enhanced Liver Fibrosis (ELF) score is a non-invasive blood test derived from the measurement of hyaluronic acid (HA), amino terminal propeptide of type III procollagen (PIIINP), and tissue inhibitor of metalloprotease 1 (TIMP1) using a proprietary algorithm (Siemens). ELF score is a laboratory test, is unitless, and is used as a continuous variable. The minimal ELF score is zero, the maximal ELF score is unknown. The higher the ELF score, the worse the disease outcome. ELF is a score on a scale of severity assessment against biopsy-proven fibrosis. A score of \<7.7 is none to mild, \> 7.7-9.8 is moderate, \> 9.8 is severe.
| units on a scale | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Mean Change From Baseline in Enhanced Liver Fibrosis Score in Patients With Primary Sclerosing Cholangitis | -0.22 ± 0.64 | -0.26 ± 0.66 | 0.05 ± 0.52 |
Severity of inflammatory bowel disease (IBD)-associated symptoms and acute cholangitis are summarized with number and percentage. The partial Mayo IBD scale assesses stool frequency, rectal bleeding, and there is a Physician's global assessment. Each section is summed and remission is defined as a total score of 0-1, mild disease 2-4, moderate disease 5-6, and severe disease 7-9. Higher total scores indicate more severe disease. The number of participants are being presented based on the severity of their IBD symptoms.
| Participants | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Remission | 12 | 13 | 17 |
| Mild disease | 8 | 8 | 3 |
| Moderate disease | 1 | 0 | 0 |
| Severe disease | 0 | 0 | 0 |
Collected over Treatment-emergent adverse events were collected from Day 1 up to Week 16.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| NGM282 1.0 mg | 0/21 (0%) | 1/21 (4.8%) | 17/21 (81%) |
| NGM282 3.0 mg | 0/21 (0%) | 2/21 (9.5%) | 20/21 (95.2%) |
| Placebo | 0/20 (0%) | 0/20 (0%) | 18/20 (90%) |
| Event | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Bowel obstructionGastrointestinal disorders | 0/21 | 1/21 | 0/20 |
| Cholangitis sclerosingHepatobiliary disorders | 1/21 | 0/21 | 0/20 |
| Intervertebral discitisInfections and infestations | 0/21 | 1/21 | 0/20 |
| Blood bilirubin increasedInvestigations | 1/21 | 0/21 | 0/20 |
| Event | NGM282 1.0 mg | NGM282 3.0 mg | Placebo |
|---|---|---|---|
| Injection site erythemaGeneral disorders | 2/21 | 11/21 | 1/20 |
| DiarrheaGastrointestinal disorders | 5/21 | 4/21 | 0/20 |
| NasopharyngitisInfections and infestations | 1/21 | 2/21 | 4/20 |
| Loose stoolsGastrointestinal disorders | 4/21 | 2/21 | 1/20 |
| HeadacheNervous system disorders | 0/21 | 4/21 | 3/20 |
| Increased appetiteMetabolism and nutrition disorders | 4/21 | 1/21 | 0/20 |
| NauseaGastrointestinal disorders | 2/21 | 2/21 | 3/20 |
| FatigueGeneral disorders | 1/21 | 3/21 | 3/20 |
| Increased stool frequencyGastrointestinal disorders | 1/21 | 3/21 | 0/20 |
| Vitamin D deficiencyMetabolism and nutrition disorders | 3/21 | 1/21 | 1/20 |
Baseline demographic characteristics were assessed in the Randomized Set.
| Age, Categorical(Participants) | NGM282 1.0 mg | NGM282 3.0 mg | Placebo | Total |
|---|---|---|---|---|
| <=18 years | 0 | 1 | 0 | 1 |
| Between 18 and 65 years | 17 | 20 | 19 | 56 |
| >=65 years | 4 | 0 | 1 | 5 |
| Age, Continuous(years) | NGM282 1.0 mg | NGM282 3.0 mg | Placebo | Total |
|---|---|---|---|---|
| Mean | 46.0 ± 15.9 | 40.2 ± 13.0 | 43.4 ± 12.4 | 43.2 ± 13.8 |
| Sex: Female, Male(Participants) | NGM282 1.0 mg | NGM282 3.0 mg | Placebo | Total |
|---|---|---|---|---|
| Female | 7 | 9 | 8 | 24 |
| Male | 14 | 12 | 12 | 38 |
| Race/Ethnicity, Customized(Participants) | NGM282 1.0 mg | NGM282 3.0 mg | Placebo | Total |
|---|---|---|---|---|
| White | 18 | 18 | 16 | 52 |
| Black or African American | 1 | 2 | 4 | 7 |
| Asian | 1 | 0 | 0 | 1 |
| Other | 1 | 1 | 0 | 2 |
PDFs hosted by the registry, ClinicalTrials.gov.
Ran from Mar 2016 to primary completion in Jun 2017, 15 months.
Results were first posted in Jun 2025, 8 years after primary completion. A results delay was requested in Jul 2018.
Of 23 phase 2 interventional studies under Cholangitis, Sclerosing, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 62. This study's 15 months is below that.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Aldafermin