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RecruitingNCT06699121Updated Oct 24, 2025

A Study to Assess the Safety and Efficacy of LB-P8 in Patients With PSC

A Phase 2 interventional study of LB-P8 low-dose and LB-P8 high-dose in Primary Sclerosing Cholangitis (PSC), sponsored by LISCure Biosciences. Recruiting at 7 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-10-24.

Sponsored by LISCure Biosciences · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
87
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The study is designed to assess the safety and efficacy of LB-P8 in patients with primary sclerosing cholangitis.

Read the detailed description

This is phase 2, randomized, double-blind, placebo-controlled, multicenter study to assess the safety and efficacy of LB-P8 in adult patients with primary sclerosing cholangitis(PSC).

  • Part 1 will evaluate safety and tolerability of 2 pre-selected dose level of LB-P8 (low-dose[1×10\^10 CFU/capsule] and high dose [1×10\^11 CFU/capsule]) in adult patients with PSC. Part 1 plans to enroll a maximum number of 12 patients based on a "3+3" study design.
  • Part 2 will evaluate safety and efficacy in adult patients with PSC. Eligible patients with PSC will be randomized in a 1:1:1 ratio to receive treatment with low-dose LB-P8(1×10\^10 CFU/capsule), high-dose LB-P8(1×10\^11 CFU/capsule) or matched placebo capsule. Part 2 plans to enroll and randomize 75 patients to obtain 60 evaluable patients.
02

Conditions studied

  • Primary Sclerosing Cholangitis (PSC)

Keywords

  • PSC
  • Pruritus
  • Inflammatory bowel disease
  • IBD
  • Itch
  • Cholestasis
03

In context

Cholangitis, Sclerosing

149 studies on the registry are indexed under Cholangitis, Sclerosing; 39 are open to participants now.

This study's planned enrollment of 87 is above the median of 34 across 94 interventional studies indexed under Cholangitis, Sclerosing.

Browse Cholangitis, Sclerosing studies →

Lead sponsor

LISCure Biosciences is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • Age: 18 to 75 years
  • A diagnosis of PSC based on cholangiographic evidence of PSC in accordance with American Association for the Study of Liver Diseases (AASLD) guidelines
  • ALP >1.5 times the at screening
  • PSC with or without IBD, such as ulcerative colitis or Crohn's disease
  • If patients are being administered biologic or advanced therapeutic treatments, , systemic , obeticholic acid, fibrates, or statins, they must be on a stable dose for ≥3 months prior to, and including, Day 0 and plan to remain on a stable dose throughout the study
  • If patients are receiving ursodeoxycholic acid, they must be on a stable dose (not exceeding 23 mg/kg/day) for >3 months prior to screening
  • Patient agrees to stop all probiotics for at least 2weeks prior to treatment
  • Patient is unable to conceive and/or patient who's partner is unable to become pregnant and/or agree to use effective methods of when engaging in heterosexual intercourse

Exclusion criteria

Exclusion Criteria:

  • Treatment with any agents within 3 months or 5 half-lives, whichever is longer prior to treatment or during the study. Gene therapy or other long-lasting investigational agents with unknown half-life is not allowed
  • History of a liver transplant or anticipated need for a liver transplant within 1 year
  • Patients who show evidence of significant worsening of hepatic function will be excluded.
  • Evidence of compensated or decompensated cirrhosis based on histology, relevant medical complications, or laboratory parameters
  • Model for end-stage liver disease (MELD) score as below, unless the MELD is driven by anticoagulant therapy, vitamin deficiency, or kidney disease:
  • MELD Score of >12 (decompensated cirrhosis) for Part 1 of the study
  • MELD Score of >12 for Part 2 of the study
  • Small-duct PSC (in the absence of large duct PSC)
  • Secondary causes of sclerosing cholangitis including IgG4 associated sclerosing cholangitis
  • Any history of cholangiocarcinoma, gallbladder cancer, or hepatocellular carcinoma
  • History of any with lymph node or regional within 5 years or current malignancy undergoing active treatment
  • Patients who require chronic use of antibiotics, received antibiotics in the last 1 month, or received Rebyota or Vowst (applicable for patients with Clostridioides difficile infection)
  • In patients with ulcerative colitis, partial Mayo score of >6 or, patients with Crohn's disease if CDAI of >220
  • Chronic kidney injury
  • Recent acute cholangitis (within 90 days)
  • Patients with indwelling biliary drain (or stent), total proctocolectomy with ileal anal pouch, partial large bowel resections or history of small bowel resection
  • Other causes of liver disease, such as hepatitis (AIH), primary biliary cholangitis (PBC), AIH/PSC overlap syndrome, alpha-1-antitrypsin deficiency, viral hepatitis, iron overload syndrome, Wilson disease, nonalcoholic steatohepatitis, and/or alcohol related liver disease. Additionally, positive serology for surface antigen (HBsAg), virus antibody (anti HCV) (detectable HCV RNA in the serum), or antibodies (anti HIV)
  • Active drug (known or suspected use of illicit drugs or drugs of abuse) or alcohol abuse disorder
  • Female patients who are pregnant, nursing, or planning to become pregnant during the study
  • and/or active infection
  • Subjects with a greater degree of , as evidenced by Alsolute \<500 cells/mL or in the investigator's judgement immunosuppressed and at higher risk of infection
Terms in these criteria, in plain language(13)

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
87 participants (estimated)

Study arms

  • Experimental
    LB-P8 low-dose

    Oral capsule, 1×10\^10 CFU/day

    Drug: LB-P8 low-dose

  • Experimental
    LB-P8 high-dose

    Oral capsule, 1×10\^11 CFU/day

    Drug: LB-P8 high-dose

  • Placebo comparator
    Placebo

    Oral capsule, placebo

    Drug: Placebo

Interventions

  • DrugLB-P8 low-dose

    One capsule QD (1×10\^10 CFU/day) oral administration

  • DrugLB-P8 high-dose

    One capsule QD (1×10\^11 CFU/day) oral administration

  • DrugPlacebo

    One capsule QD oral administration

06

What researchers measure

Primary outcomes

  1. Safety and tolerability of 2 different doses of LB-P8

    Occurrence of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) by CTCAE V5.0

    Time frame: (Part 1) Up to 4 weeks of treatment from the Baseline

  2. Safety and tolerability of LB-P8

    Occurrence of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) by CTCAE V5.0

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  3. Mean percent change from baseline in Serum Concentrations of Alkaline Phosphatase (ALP)

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

Secondary outcomes

  1. Change from baseline in ALP

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  2. Percentage of patients who achieve ALP of <1.5 × upper limit of normal (ULN)

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  3. Change from baseline in enhanced liver fibrosis (ELF™)

    Hyaluronic acid, procollagen-3 N-terminal peptide, and a tissue inhibitor of metalloproteinase 1 will be assessed in blood for ELF test.

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  4. Changes from baseline in biliary metrics (biliary strictures and dilatations)

    Biliary metrics (biliary strictures and dilatations) will be assessed by magnetic resonance cholangiopancreatography (MRCP)

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  5. Changes from baseline in liver stiffness

    Liver stiffness will be measured by transient elastography (FibroScan®)

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  6. Change from baseline in alanine aminotransferase (ALT)

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  7. Change from baseline in aspartate aminotransferase (AST)

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  8. Change from baseline in gamma glutamyl transferase (GGT)

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  9. Change from baseline in prothrombin time (PT) and partial prothrombin time (PTT)

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  10. Change from baseline in international normalized ratio (INR)

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  11. Change from baseline in total and direct bilirubin

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  12. Change from baseline in fasting serum bile acid level

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

  13. The percentage of patients who experience liver disease progression

    The percentage of patients who experience progression to cirrhosis, clinical decompensation rates, liver transplant, newly diagnosed cholangiocarcinoma, MELD score increase from \<12 to \>15 and Death from any cause

    Time frame: (Part 2) Up to 24 weeks of treatment from the Baseline

07

Study locations

4 of 7 sites recruiting
  • University of California Davis
    Sacramento, California 95817, United States
    Not yet recruiting
    • University of California Davis · Contact800-282-3284
    • Christopher Bowlus, MD · Principal investigator
  • UCHealth University of Colorado Hospital
    Aurora, Colorado 80045, United States
    Not yet recruiting
    • UCHealth University of Colorado Hospital · Contact7208480000
    • Lisa Forman, MD · Principal investigator
  • University Of Iowa Hospitals And Clinics
    Iowa City, Iowa 52242, United States
    Recruiting
    • University Of Iowa Hospitals And Clinics · Contact319-356-1616
    • Alan Gunderson, MD · Principal investigator
  • Mercy Medical Center
    Baltimore, Maryland 21202, United States
    Recruiting
    • Mercy Medical Center · Contact410-332-9000
    • Paul Thuluvath, MD · Principal investigator
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
    Not yet recruiting
    • Mayo Clinic · Contact507-284-2511
    • John Eton, MD · Principal investigator
  • The Vanderbilt Clinic
    Nashville, Tennessee 37232, United States
    Recruiting
    • The Vanderbilt Clinic · Contact615-322-5000
    • Manhal Izzy, MD · Principal investigator
  • Liver institute Northwest
    Seattle, Washington 98105, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2025; primary completion for Mar 2028, 28 months later.

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 planned 28 months is below that.

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

Registered
Nov 17, 2024
First posted
Nov 21, 2024
StartEst.
Nov 2025
Primary completionEst.
Mar 2028
CompletionEst.
Feb 2029
Last update
Oct 24, 2025
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 Oct 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06699121
Lead sponsor
LISCure Biosciences
Responsible party
Sponsor
First posted
Nov 21, 2024
Start date
Nov 2025 (estimated)
Primary completion
Mar 2028 (estimated)
Completion
Feb 2029 (estimated)
Last update
Oct 24, 2025

Study contacts

LISCure Biosciences Clinical Trials
Contact
clinical@liscure.bio
+82317061710

Oversight

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

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