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Completed

NCT Number: NCT06525311

A Study to Evaluate the Pharmacokinetics and Safety of K-808 (Pemafibrate) in Subjects With Primary Biliary Cholangitis With Compensated Cirrhosis and Without Cirrhosis.

A Trial to Investigate the Pharmacokinetics (PK) Effects and Safety Profile of K-808 (Pemafibrate) in Primary Biliary Cholangitis (PBC) Subjects with and without Cirrhosis.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

303, Fukuoka, Japan

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participant has a PBC diagnosis as demonstrated by the presence of ≥2 of the following three diagnostic criteria (Lindor et al, 2019; Hirschfield et al, 2017):
  • History of ALP above ULN for at least 6 months
  • History of positive antimitochondrial antibody (AMA) titer or positive PBC-specific antinuclear antibody (ANA) titers
  • Historical liver biopsy consistent with PBC
  • Has PBC with cirrhosis Child-Pugh grade A (well-compensated disease; score 5 to 6) at Screening. Group 2 (PBC w/ CIRR CP-A) only
  • Male or female participant is ≥18 years of age at consent.
  • Able to understand and comply with study requirements and procedures and provide written informed consent.
  • Meet all other inclusion criteria outlined in the clinical study protocol.

Exclusion criteria

  • Female subject of childbearing potential who is known to be pregnant, has a positive pregnancy test (serum test, or urine test that is confirmed by a positive serum pregnancy test), or is lactating and breastfeeding, or planning to become pregnant or breastfeed during the study.
  • Subject has had ongoing conditions that may affect drug absorption such as gastroparesis, intestinal obstruction, severe gastritis, severe gastric reflux syndrome, conditions causing frequent vomiting and/or diarrhea.
  • Subject who has participated in another investigational drug, biologic, or medical device study within five half-lives of the agent (or within 8 weeks when half-life is unknown) prior to the first dose of study drug, or prior participation in an investigational antibody drug study within 6 months prior to the first dose of study drug. Participation in noninterventional studies (eg, observational studies, registries) is allowed.
  • Meet any other exclusion criteria outlined in the clinical study protocol.

Treatment and study plan

K-808

Drug

K-808 single or multi dose extended-release tablets

Other names: Pemafibrate

Primary outcomes

  1. PK parameters after a single dose of K-808: Area under the curve from 0 to infinity (AUC0-inf)

    Time frame: Day 1 - Day 3

  2. PK parameters after a single dose of K-808: Area under the curve from time 0 to last quantifiable time (AUC0-t)

    Time frame: Day 1 to Day 3

  3. PK parameters after a single dose of K-808: Observed maximum plasma concentration (Cmax)

    Time frame: Day 1 to Day 3

  4. PK parameters after a single dose of K-808: Time to reach observed maximum plasma concentration (Tmax)

    Time frame: Day 1 to Day 3

  5. PK parameters after a single dose of K-808: kel

    Time frame: Day 1 to Day 3

  6. PK parameters after a single dose of K-808: Apparent first-order terminal elimination half-life (t½)

    Time frame: Day 1 to Day 3.

  7. PK parameters after a single dose of K-808: Apparent total volume of distribution estimated based on the terminal phase (Vd/F)

    Time frame: Day 1 to Day 3

  8. PK parameters after a single dose of K-808: Apparent plasma clearance after extravascular administration (CL/F)

    Time frame: Day 1 to Day 3

  9. PK parameters after a single dose of K-808: Mean resistance time from time 0 to last measurable concentration (MRT0-t)

    Time frame: Day 1 to Day 3

  10. PK parameters after a single dose of K-808: MRT from time 0 extrapolated to infinity (MRT0-inf)

    Time frame: Day 1 to Day 3

  11. Trough concentrations after multiple dosing of K-808

    Time frame: Day 4 - Day 6

  12. PK parameters at steady state after multiple dosing of K-808: Area under the curve over the dosing interval (AUC0-tau)

    Time frame: Day 6 to Day 8

  13. PK parameters at steady state after multiple dosing of K-808: Cmax

    Time frame: Day 6 to Day 8

  14. PK parameters at steady state after multiple dosing of K-808: Tmax

    Time frame: Day 6 to Day 8

  15. PK parameters at steady state after multiple dosing of K-808: kel

    Time frame: Day 6 to Day 8

  16. PK parameters at steady state after multiple dosing of K-808: t½

    Time frame: Day 6 to Day 8

  17. PK parameters at steady state after multiple dosing of K-808: Vd,ss/F at steady state

    Time frame: Day 6 to Day 8

  18. PK parameters at steady state after multiple dosing of K-808: CLss/F at steady state

    Time frame: Day 6 to Day 8

  19. PK parameters at steady state after multiple dosing of K-808: MRT at steady state (MRTss)

    Time frame: Day 6 to Day 8

  20. PK parameters at steady state after multiple dosing of K-808: Observed accumulation ratio based on the AUC (RobsAUC)

    Time frame: Day 6 to Day 8

Secondary outcomes

  1. PK parameters of K-808 metabolites after a single dose: AUC0-inf

    Time frame: Day 1 - Day 3

  2. PK parameters of K-808 metabolites after a single dose: AUC0-t

    Time frame: Day 1 to Day 3

  3. PK parameters of K-808 metabolites after a single dose: Cmax

    Time frame: Day 1 to Day 3

  4. PK parameters of K-808 metabolites after a single dose: Tmax

    Time frame: Day 1 to Day 3

  5. PK parameters of K-808 metabolites after a single dose: kel

    Time frame: Day 1 to Day 3

  6. PK parameters of K-808 metabolites after a single dose: t½

    Time frame: Day 1 to Day 3

  7. PK parameters of K-808 metabolites after a single dose: MRT0-t

    Time frame: Day 1 to Day 3

  8. PK parameters of K-808 metabolites after a single dose: MRT0-inf

    Time frame: Day 1 to Day 3

  9. PK parameters at steady state after multiple dosing of K-808: AUC0- tau

    Time frame: Day 6 to Day 8

  10. PK parameters at steady state after multiple dosing of K-808: Cmax

    Time frame: Day 6 to Day 8

  11. PK parameters at steady state after multiple dosing of K-808: Tmax

    Time frame: Day 6 to Day 8

  12. PK parameters at steady state after multiple dosing of K-808: kel

    Time frame: Day 6 to Day 8

  13. PK parameters at steady state after multiple dosing of K-808: t½

    Time frame: Day 6 to Day 8

  14. PK parameters at steady state after multiple dosing of K-808: (MRTss)

    Time frame: Day 6 to Day 8

  15. PK parameters at steady state after multiple dosing of K-808: (RobsAUC)

    Time frame: Day 6 to Day 8

  16. Trough concentrations after multiple dosing of K-808

    Time frame: Day 4 to Day 6

  17. To assess the safety and tolerability of K-808

    Time frame: 5 Weeks

Sponsors and collaborators

Lead sponsor

Kowa Research Institute, Inc.

Industry

Registry information

Official study title

A Phase 1 Open-Label Study to Evaluate the Pharmacokinetics and Safety of K-808 (Pemafibrate) in Subjects With Primary Biliary Cholangitis With Compensated Cirrhosis and Without Cirrhosis

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jul 29, 2024
Registry last updated
May 23, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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