ClinicalTrials.gg
CompletedNCT03432260AHUpdated Sep 24, 2024Results posted

A Research Study to Assess the Safety, Pharmacokinetics and Pharmacodynamics of DUR-928 in Patients With Alcoholic Hepatitis

A Phase 2 interventional study of DUR-928 30 mg and DUR-928 90 mg in Alcoholic Hepatitis, sponsored by Durect. Completed at 7 sites in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2024-09-24.

Sponsored by Durect (part of Bausch Health Companies Inc.) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
19
Allocation
Non-randomized
Ages
21 Years and older
Sex
All
01

Study summary

This is a research trial testing DUR-928 (an experimental medication). The purpose of this trial is to assess the dose related safety, Pharmacokinetics, and Pharmacodynamics of DUR 928 in patients with moderate and severe alcoholic hepatitis (AH).

02

Conditions studied

  • Alcoholic Hepatitis

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Keywords

  • Alcoholic Hepatitis
  • acute alcoholic liver disease
  • progressive inflammatory liver injury
  • IV infusion
03

In context

Hepatitis, Alcoholic

113 studies on the registry are indexed under Hepatitis, Alcoholic; 24 are open to participants now.

This study's enrollment of 19 is below the median of 60 across 80 interventional studies indexed under Hepatitis, Alcoholic.

Browse Hepatitis, Alcoholic studies →

Lead sponsor

Durect is the lead sponsor of 15 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 5 (83%) have results posted.

First submitted before Durect became part of Bausch Health Companies Inc..

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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.

Inclusion criteria

  1. Able to provide written (either from patient or patient's legally acceptable representative)
  2. Male or female patients 21 years of age or older with ≥ 20 to ≤ 40 kg/m2
  3. Patients with alcoholic hepatitis defined as:

    1. History of heavy alcohol abuse: > 40 g/day in females or > 60 g/day in males for a minimum period of 6 months, AND
    2. Consumed alcohol within 12 weeks of entry into the study, AND
    3. Serum > 3 mg/dL AND > ALT, but less than 300 U/L AND
    4. MELD score between 11-30, inclusive
  4. No evidence of active infection as determined by the investigator.
  5. Women of must utilize appropriate throughout the study duration.
  6. Male patients must agree to use a medically acceptable method of contraception/birth control throughout the study duration

Exclusion criteria

Exclusion Criteria:

  1. Other or concomitant cause(s) of liver disease as a result of:

    1. liver disease
    2. Wilson disease
    3. Vascular liver disease
    4. Drug induced liver disease
  2. Co-infection with (HIV) or
  3. Any active other than curatively treated skin cancer (basal cell or squamous cell carcinomas)
  4. If female, known pregnancy, or has a positive serum pregnancy test, or lactating/breastfeeding
  5. Serum creatinine > 2.5 mg/dL
  6. Patients who have had organ transplantation (such as liver, kidney, lung, heart, bone marrow, or stem cell etc.), other than cornea transplant
  7. Stage 3 or greater encephalopathy by West Haven criteria
Terms in these criteria, in plain language(10)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Part A (Moderate AH) DUR-928 30 mg

    Lowest dose of 3 dose escalation arms: 30mg, 90 mg and 150 mg

    Drug: DUR-928 30 mg

  • Experimental
    Part A (Moderate AH) DUR-928 90 mg

    Middle dose of 3 dose escalation arms: 30mg, 90 mg and 150 mg

    Drug: DUR-928 90 mg

  • Experimental
    Part A (Moderate AH) DUR-928 150 mg

    Highest dose of dose escalation arms: 30mg, 90 mg and 150 mg

    Drug: DUR-928 150 mg

  • Experimental
    Part B (Severe AH) DUR-928 30 mg

    Lowest dose of dose escalation arms: 30mg, 90 mg and 150 mg

    Drug: DUR-928 30 mg

  • Experimental
    Part B (Severe AH) DUR-928 90 mg

    Middle dose of dose escalation arms: 30mg, 90 mg and 150 mg

    Drug: DUR-928 90 mg

  • Experimental
    Part B (Severe AH) DUR-928 150 mg

    Highest dose of dose escalation arms: 30mg, 90 mg and 150 mg

    Drug: DUR-928 150 mg

Interventions

06

What researchers measure

Primary outcomes

  1. Lille Model for Alcoholic Hepatitis Score

    The Lille score predicts response of AH subjects to treatment with glucocorticoids, such as prednisolone. This score is based on age, serum albumin, creatinine, PT, and the difference in bilirubin between pre-treatment and Day 7 post-treatment. The Lille score ranges from 0.01 to 1.00. A score \>0.45 predicts a higher risk of death and the recommendation to stop steroid administration. Lille Score = Exp(-R)/(1 + Exp(-R)) Where: R = \[3.19 - (0.101 x Age in years)\] + (1.47 x Albumin in g/dL) + \[0.28215 x (Bilirubin initial - Bilirubin day 7 in mg/dL)\] - (0.206 x Creatinine in mg/dL) - (0.11115 x Bilirubin initial in mg/dL) - (0.0096 x PT in seconds) NOTE: When calculating Lille, use "baseline" values for ALL parameters EXCEPT bilirubin at Day 7. Baseline would be the Day 1 Pre-dose sample result, if available. If not available, then use the Screening sample result.

    Time frame: Day 7

  2. Model for End Stage Liver Disease (MELD) Score

    The MELD score at enrollment is a good predictor for AH patient prognosis. Laboratory values for international normalized ratio (INR), serum creatinine (sCr) and bilirubin are used to calculate the MELD score. The MELD score ranges from 6.0 to 40.0 (capped) with a higher score predicting a higher risk of death. A sequentially improving MELD score is associated with a better chance of recovery. MELD score will be calculated using the original formula (pre-2016) which does not include serum sodium level. Original MELD Score = (0.957 x Ln(Serum Creatinine in mg/dL) + 0. 378 x Ln(Serum Bilirubin in mg/dL) + 1.120 x Ln (INR) + 0.643) x 10 Note: (1) If patient received two or more dialysis treatments within the prior 7 days, then the value for serum creatinine will be set to 4.0. (2) If any laboratory value is less than 1.0, the value will be set to 1.0 for the MELD score calculation, in order to avoid negative values resulting from taking the natural log of values less than 1.

    Time frame: Baseline (Screening or Day 1 Pre-dose), Day 7 and Day 28

  3. Model for End Stage Liver Disease (MELD) Score - Percent Change From Baseline

    The MELD Score %change from baseline is a %change between 2 time points, baseline and value at a specific time point (Day 7 or Day 28). MELD score is a good predictor of outcome. A declining MELD score suggests disease improvement. Lab values for international normalized ratio (INR), serum creatinine (sCr) and bilirubin are used to calculate the MELD score. MELD score will be calculated using the original formula (pre-2016) which does not include serum sodium level. Original MELD Score = (0.957 x Ln(Serum Creatinine in mg/dL) + 0. 378 x Ln(Serum Bilirubin in mg/dL) + 1.120 x Ln (INR) + 0.643) x 10 Note: (1) If patient received two or more dialysis treatments within the prior 7 days, then the value for serum creatinine will be set to 4.0. (2) If any laboratory value is less than 1.0, the value will be set to 1.0 for the MELD score calculation, in order to avoid negative values resulting from taking the natural log of values less than 1.

    Time frame: Baseline (Screening or Day 1 Pre-dose), Day 7 and Day 28

Secondary outcomes

  1. Serum Cytokeratin 18 (M30)

    Analysis Population Description: Baseline was defined as the last non-missing value prior to study drug administration, at Screening or Day 1 Pre-dose.

    Time frame: Baseline (Screening or Day 1 Pre-dose), Day 7, Day 28

  2. Serum Cytokeratin 18 (M65)

    Analysis Population Description: Baseline was defined as the last non-missing value prior to study drug administration, at Screening or Day 1 Pre-dose.

    Time frame: Baseline (Screening or Day 1 Pre-dose), Day 7, Day 28

  3. International Normalized Ratio (INR) - Percent Change From Baseline

    ITT population. INR (international normalized ratio) is a standardized number based on the prothrombin time and calculated by the clinical lab. INR measures the time it takes for blood to clot in vitro and measures, among other things, liver synthetic function.

    Time frame: Baseline (Screening or Day 1 Pre-dose), Day 7, Day 28

  4. Bilirubin - Percent Change From Baseline

    ITT population

    Time frame: Baseline (Screening or Day 1 Pre-dose), Day 7, Day 28

Other outcomes

  1. Serum Creatinine (sCR)

    Serum Creatinine (sCR) at baseline is provided as part of the calculation for MELD

    Time frame: Baseline (Screening or Day 1 Pre-dose)

07

Results

Posted Dec 14, 2022

Participant flow

Part A (Moderate AH) and Part B (Severe AH) were assigned treatments in a dose escalation, staggered parallel design. Part A (Moderate AH) highest dose of dose escalation arms (150 mg) was not enrolled.

Participant flow — Overall Study
MilestoneModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
Started43444
Completed32443
Not completed11001
Withdrew: Lost to follow-up11001

Outcome measures

PrimaryLille Model for Alcoholic Hepatitis Score

The Lille score predicts response of AH subjects to treatment with glucocorticoids, such as prednisolone. This score is based on age, serum albumin, creatinine, PT, and the difference in bilirubin between pre-treatment and Day 7 post-treatment. The Lille score ranges from 0.01 to 1.00. A score \>0.45 predicts a higher risk of death and the recommendation to stop steroid administration. Lille Score = Exp(-R)/(1 + Exp(-R)) Where: R = \[3.19 - (0.101 x Age in years)\] + (1.47 x Albumin in g/dL) + \[0.28215 x (Bilirubin initial - Bilirubin day 7 in mg/dL)\] - (0.206 x Creatinine in mg/dL) - (0.11115 x Bilirubin initial in mg/dL) - (0.0096 x PT in seconds) NOTE: When calculating Lille, use "baseline" values for ALL parameters EXCEPT bilirubin at Day 7. Baseline would be the Day 1 Pre-dose sample result, if available. If not available, then use the Screening sample result.

Time frame:
Day 7
Reported as:
Median · score on a scale
Lille Model for Alcoholic Hepatitis Score
score on a scaleModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
Lille Model for Alcoholic Hepatitis Score0.020 (0.01 to 0.04)0.050 (0.01 to 0.05)0.155 (0.05 to 0.19)0.195 (0.04 to 0.24)0.420 (0.08 to 0.87)
PrimaryModel for End Stage Liver Disease (MELD) Score

The MELD score at enrollment is a good predictor for AH patient prognosis. Laboratory values for international normalized ratio (INR), serum creatinine (sCr) and bilirubin are used to calculate the MELD score. The MELD score ranges from 6.0 to 40.0 (capped) with a higher score predicting a higher risk of death. A sequentially improving MELD score is associated with a better chance of recovery. MELD score will be calculated using the original formula (pre-2016) which does not include serum sodium level. Original MELD Score = (0.957 x Ln(Serum Creatinine in mg/dL) + 0. 378 x Ln(Serum Bilirubin in mg/dL) + 1.120 x Ln (INR) + 0.643) x 10 Note: (1) If patient received two or more dialysis treatments within the prior 7 days, then the value for serum creatinine will be set to 4.0. (2) If any laboratory value is less than 1.0, the value will be set to 1.0 for the MELD score calculation, in order to avoid negative values resulting from taking the natural log of values less than 1.

Time frame:
Baseline (Screening or Day 1 Pre-dose), Day 7 and Day 28
Reported as:
Median · score on a scale
Model for End Stage Liver Disease (MELD) Score
score on a scaleModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
Screening19.5 (15 to 20)19.0 (14 to 21)24.5 (21 to 28)24.5 (21 to 28)25.0 (23 to 27)
Day 1 Pre-dose—20.0 (20 to 20)23.0 (21 to 26)24.0 (24 to 24)23.0 (21 to 26)
Day 717.0 (16 to 19)17.0 (11 to 19)23.5 (21 to 29)24.0 (21 to 29)24.0 (21 to 28)
Day 2815.0 (12 to 20)11.5 (8 to 15)19.0 (16 to 24)23.5 (17 to 28)23.0 (19 to 29)
PrimaryModel for End Stage Liver Disease (MELD) Score - Percent Change From Baseline

The MELD Score %change from baseline is a %change between 2 time points, baseline and value at a specific time point (Day 7 or Day 28). MELD score is a good predictor of outcome. A declining MELD score suggests disease improvement. Lab values for international normalized ratio (INR), serum creatinine (sCr) and bilirubin are used to calculate the MELD score. MELD score will be calculated using the original formula (pre-2016) which does not include serum sodium level. Original MELD Score = (0.957 x Ln(Serum Creatinine in mg/dL) + 0. 378 x Ln(Serum Bilirubin in mg/dL) + 1.120 x Ln (INR) + 0.643) x 10 Note: (1) If patient received two or more dialysis treatments within the prior 7 days, then the value for serum creatinine will be set to 4.0. (2) If any laboratory value is less than 1.0, the value will be set to 1.0 for the MELD score calculation, in order to avoid negative values resulting from taking the natural log of values less than 1.

Time frame:
Baseline (Screening or Day 1 Pre-dose), Day 7 and Day 28
Reported as:
Median · Percent Change
Model for End Stage Liver Disease (MELD) Score - Percent Change From Baseline
Percent ChangeModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
Day 7-5.00 (-10.5 to 6.7)-10.53 (-21.4 to -5.0)0.00 (-8.7 to 3.6)0.00 (-4.0 to 3.6)0.00 (-4.3 to 3.7)
Day 28-20.00 (-21.1 to 0.00)-33.93 (-42.9 to -25.0)-26.76 (-35.7 to 14.3)-8.00 (-19.0 to 8.3)0.00 (-29.6 to 11.5)
SecondarySerum Cytokeratin 18 (M30)

Analysis Population Description: Baseline was defined as the last non-missing value prior to study drug administration, at Screening or Day 1 Pre-dose.

Time frame:
Baseline (Screening or Day 1 Pre-dose), Day 7, Day 28
Reported as:
Median · U/L
Serum Cytokeratin 18 (M30)
U/LModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
Day 1-Predose723.5 (334 to 2255)737 (467 to 4000)1443.5 (561 to 4000)1946 (292 to 4000)931 (752 to 1766)
Day 7526 (257 to 3150)3112 (2124 to 3440)3305.5 (500 to 4000)1702.0 (323 to 4000)1012.5 (439 to 4000)
Day 28—2205.5 (411 to 4000)1114.0 (612 to 3160)550.5 (243 to 4000)161.0 (108 to 4000)
SecondarySerum Cytokeratin 18 (M65)

Analysis Population Description: Baseline was defined as the last non-missing value prior to study drug administration, at Screening or Day 1 Pre-dose.

Time frame:
Baseline (Screening or Day 1 Pre-dose), Day 7, Day 28
Reported as:
Median · U/L
Serum Cytokeratin 18 (M65)
U/LModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
Day 1-Predose252.5 (217 to 2074)1791.0 (729 to 14208)3033.5 (750 to 20000)4071.5 (225 to 20000)1999.0 (1777 to 2209)
Day 7353.0 (119 to 3029)4697.0 (4416 to 9928)7303.0 (709 to 20000)4397.5 (234 to 20000)3994.5 (502 to 15028)
Day 28—4771.5 (807 to 8736)2426.0 (998 to 7420)1224.5 (224 to 17232)1987.0 (452 to 3246)
SecondaryInternational Normalized Ratio (INR) - Percent Change From Baseline

ITT population. INR (international normalized ratio) is a standardized number based on the prothrombin time and calculated by the clinical lab. INR measures the time it takes for blood to clot in vitro and measures, among other things, liver synthetic function.

Time frame:
Baseline (Screening or Day 1 Pre-dose), Day 7, Day 28
Reported as:
Median · Percent Change
International Normalized Ratio (INR) - Percent Change From Baseline
Percent ChangeModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
Day 7 Percent Change from Baseline-10.000 (-11.11 to 7.35)-3.226 (-8.33 to 7.14)4.768 (-8.88 to 10.53)0.000 (-5.26 to 43.75)0.000 (-8.33 to 6.67)
Day 28 Percent Change from Baseline-3.676 (-22.22 to 0.00)0.000 (0.00 to 0.00)-19.402 (-29.68 to 17.65)-3.180 (-21.05 to 18.75)0.000 (-33.33 to 42.11)
SecondaryBilirubin - Percent Change From Baseline

ITT population

Time frame:
Baseline (Screening or Day 1 Pre-dose), Day 7, Day 28
Reported as:
Median · Percent Change
Bilirubin - Percent Change From Baseline
Percent ChangeModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
Day 7 Percent Change from Baseline-15.69 (-34.5 to 17.1)-31.03 (-43.9 to -29.3)-25.19 (-49.8 to -9.0)-6.48 (-25.1 to 6.6)4.96 (-29.3 to 24.7)
Day 28 Percent Change from Baseline-27.27 (-40.0 to -5.9)-74.27 (-75.6 to -72.9)-56.93 (-74.1 to 34.0)-34.82 (-47.9 to 50.0)-10.04 (-63.6 to 1.5)
Other pre-specifiedSerum Creatinine (sCR)

Serum Creatinine (sCR) at baseline is provided as part of the calculation for MELD

Time frame:
Baseline (Screening or Day 1 Pre-dose)
Reported as:
Median · mg/dL
Serum Creatinine (sCR)
mg/dLModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
Baseline (Screening)0.620 (0.46 to 0.80)0.710 (0.2 to 0.84)0.795 (0.63 to 1.20)0.765 (0.59 to 1.50)0.610 (0.50 to 1.00)
Baseline (Day 1-Pre dose)—0.660 (0.66 to 0.66)0.640 (0.61 to 0.78)0.580 (0.58 to 0.58)0.520 (0.50 to 0.70)

Adverse events

Collected over 28 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Moderate AH DUR-928 30 mg0/4 (0%)2/4 (50%)4/4 (100%)
Moderate AH DUR-928 90 mg0/3 (0%)0/3 (0%)2/3 (66.7%)
Severe AH DUR-928 30 mg0/4 (0%)2/4 (50%)3/4 (75%)
Severe AH DUR-928 90 mg0/4 (0%)1/4 (25%)3/4 (75%)
Severe AH DUR-928 150 mg0/4 (0%)0/4 (0%)3/4 (75%)
Most frequent serious events
Most frequent serious events
EventModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
AnemiaBlood and lymphatic system disorders1/40/30/40/40/4
Abdominal painGastrointestinal disorders0/40/31/40/40/4
AscitesGastrointestinal disorders1/40/30/41/40/4
HematemesisGastrointestinal disorders0/40/31/40/40/4
Fluid overloadMetabolism and nutrition disorders0/40/31/40/40/4
HypokalemiaMetabolism and nutrition disorders0/40/30/41/40/4
HeadacheNervous system disorders0/40/30/41/40/4
Most frequent other events
Showing 10 of 20
Most frequent other events
EventModerate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mg
NauseaGastrointestinal disorders1/40/31/40/42/4
DiarrhoeaGastrointestinal disorders0/40/32/40/40/4
Food poisoningGastrointestinal disorders0/41/30/40/40/4
CoughRespiratory, thoracic and mediastinal disorders0/41/30/40/40/4
RhinorrhoeaRespiratory, thoracic and mediastinal disorders0/41/30/40/40/4
Sinus congestionRespiratory, thoracic and mediastinal disorders0/41/30/40/40/4
DehydrationMetabolism and nutrition disorders0/40/30/41/40/4
HyperglycaemiaMetabolism and nutrition disorders0/40/30/41/40/4
HyperkalaemiaMetabolism and nutrition disorders1/40/30/40/40/4
InsomniaPsychiatric disorders0/40/31/41/41/4

Baseline characteristics

Age, Continuous
Age, Continuous(years)Moderate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mgTotal
Median36.5 (33.0 to 39.5)42.0 (33.0 to 43.0)45.0 (37.5 to 52.5)43.5 (40.0 to 45.0)40.5 (35.5 to 46.0)41.0 (35.0 to 45.0)
Sex: Female, Male
Sex: Female, Male(Participants)Moderate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mgTotal
Female311128
Male1233211
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Moderate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mgTotal
Hispanic or Latino102227
Not Hispanic or Latino3322212
Unknown or Not Reported000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Moderate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mgTotal
American Indian or Alaska Native000000
Asian000000
Native Hawaiian or Other Pacific Islander100001
Black or African American000011
White3344317
More than one race000000
Unknown or Not Reported000000
Region of Enrollment
Region of Enrollment(participants)Moderate AH DUR-928 30 mgModerate AH DUR-928 90 mgSevere AH DUR-928 30 mgSevere AH DUR-928 90 mgSevere AH DUR-928 150 mgTotal
United States4344419
08

Study locations

7 sites
  • DURECT Study Site 0001
    San Diego, California 92118, United States
  • DURECT Study Site 007
    Miami, Florida 33136, United States
  • DURECT Study Site 0004
    Atlanta, Georgia 30309, United States
  • DURECT Study Site 0002
    Chicago, Illinois 60611, United States
  • DURECT Study Site 008
    Indianapolis, Indiana 46202, United States
  • DURECT Study Site 0005
    Louisville, Kentucky 40202, United States
  • DURECT Study Site 006
    San Antonio, Texas 78215, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2018 to primary completion in Sep 2019, 16 months.

Results were first posted in Dec 2022, 3 years 3 months after primary completion. A results delay was requested in Oct 2020.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 1, 2018
First posted
Feb 14, 2018
StartActual
Apr 18, 2018
Primary completionActual
Sep 9, 2019
CompletionActual
Sep 9, 2019
Results delay requested
Oct 1, 2020
Results first posted
Dec 14, 2022
Last update
Sep 24, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03432260
Lead sponsor
Durect
Collaborators
CTI Clinical Trial and Consulting Services
Responsible party
Sponsor
First posted
Feb 14, 2018
Start date
Apr 18, 2018
Primary completion
Sep 9, 2019
Completion
Sep 9, 2019
Results posted
Dec 14, 2022
Last update
Sep 24, 2024

Study contacts

Robert Gordon, MD
study director · CTI Clinical Trial and Consulting Services

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Larsucosterol

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