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Cholic acid

Phase 3

Inborn Errors of Bile Acid Synthesis | Small molecule | Other |Mirum Pharmaceuticals, Inc.|Last Updated: Oct 3, 2023

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
UNCONTROLLED
Total Trials1
Total Enrollment16
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01115582Efficacy of To Be Marketed (TBM) Cholic Acid Capsules Used to Treat Children With Inborn Errors of Bile Acid SynthesisPHASE3 COMPLETED 16Apr 1, 2010Aug 1, 2010Oct 3, 20231 United States
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Study Endpoints
Primary Endpoints
Serum Transaminases
At baseline and after 30 days of treatment

Concentration of serum alanine transaminase (ALT) and aspartate transaminase (AST)

Serum and Urine Bile Acids
At baseline (BL) and after 30 days of treatment (D30)

Concentration of bile acids in serum (S) and urine (U). (abbreviations: chol.=cholenoic; monohydro=monohydroxy; dihydro=monohydro)

Secondary Endpoints
Adverse Events
Total of 30 days, i.e. from the time point the patients entered into the study up to the end of treatment
Blood Pressure
At baseline and after 30 days of treatment
Physical Examination
At baseline (BL) and after 30 days of treatment (D30)
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cholic Acid CapsuleEXPERIMENTALManufactured cholic acid capsules
Interventions
NameTypeDescription
Cholic acidDRUGThe IUPAC name for cholic acid is 3 alpha,7alpha,12 alpha-trihydroxy-5 beta-cholanoic acid. The international nonproprietary name (INN) is cholic acid. Each patient will be given a box containing a 1 month supply of study drug. Each bottle will contain 90 capsules; each capsule will contain either 50 or 250 mg of manufactured cholic acid depending upon the child's weight. The study drug will be taken orally, in divided doses (as determined by the investigator), for a total daily dose of 10-15 mg/kg body weight. Parents of infants and young children who are unable to swallow the TBM cholic acid capsule will be instructed to sprinkle the contents of the capsule over 1-2 teaspoons of plain applesauce and feed it to the child.
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Eligibility Criteria
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * must have stable transaminase levels within 2 times the upper limits of the normal range. * must have a diagnosis of an inborn error of bile acid synthesis. * must have signed the written informed consent/assent document before study start. * must be currently receiving curren...

Countries:United States
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