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Cilofexor

Phase 2

Primary Sclerosing Cholangitis | Small molecule | Other |Gilead Sciences, Inc.|Last Updated: Jun 7, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment52
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02943460Study to Evaluate the Safety, Tolerability, and Efficacy of Cilofexor in Adults With Primary Sclerosing Cholangitis Without CirrhosisPHASE2 COMPLETED 52Nov 29, 2016May 18, 2020Jun 7, 202123 United States, Austria +2
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Study Endpoints
Primary Endpoints
Percentage of Participants Experiencing Treatment-Emergent Adverse Events During the Blinded Phase
First dose date up to last dose date plus 30 days (Up to 17 weeks)

Treatment-emergent adverse events occurring during the Blinded Phase were defined as 1 or both of the following: 1) Any adverse events (AEs) with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug in the Blinded Phase (and before the first dosing date in the Open Label Extension (OLE) Phase), or 2) Any AEs leading to premature discontinuation of study drug in the Blinded Phase.

Percentage of Participants Experiencing Treatment-Emergent Serious Adverse Events During the Blinded Phase
First dose date up to last dose date plus 30 days (Up to 17 weeks)

A serious adverse event was defined as an event that, at any dose, resulted in any of the following: death, life-threatening, in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect, or a medically important event or reaction.

Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities During the Blinded Phase
First dose date up to last dose date plus 30 days (Up to 17 weeks)

Treatment-emergent laboratory abnormalities occurring during the Blinded Phase were defined as values that increase at least 1 toxicity grade from baseline at any postbaseline time point, up to and including the date of last dose of study drug in the Blinded Phase plus 30 days (and prior to or on the first dose date of the OLE phase). The Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03 was used for assigning toxicity grades (0 to 4, with higher grades indicating more severity).

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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cilofexor 100 mg (Blinded Study Phase)EXPERIMENTALCilofexor 100 mg + placebo to match cilofexor 30 mg for up to 12.6 weeks
Cilofexor 30 mg (Blinded Study Phase)EXPERIMENTALCilofexor 30 mg + placebo to match cilofexor 100 mg for up to 12.7 weeks
Placebo (Blinded Study Phase)PLACEBO_COMPARATORPlacebo to match cilofexor 30 mg + placebo to match cilofexor 100 mg for up to 12.3 weeks
Cilofexor (Open Label Extension Phase)EXPERIMENTALFollowing the Blinded Study Phase, eligible participants received cilofexor for an additional up to 97.4 weeks.
Interventions
NameTypeDescription
CilofexorDRUGTablet(s) administered orally once daily with food
Placebo to match cilofexorDRUGTablet(s) administered orally once daily with food
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites23

Key Inclusion Criteria: * Diagnosis of PSC based on cholangiogram (magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), or percutaneous transhepatic cholangiogram (PTC)) within the previous 12 months * Serum alkaline phosphatase (ALP) \> 1.67 x ...

Countries:United StatesAustriaCanadaUnited Kingdom
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