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Cholic Acids

Phase 3

Infantile Refsum's Disease | Small molecule | Rare Disease |Mirum Pharmaceuticals, Inc.|Trials Updated: Oct 3, 2023

Cholic Acids development status

Highest phase Phase 3
Registered trials 3 across 1 sponsor since Dec 2000

Cholic Acids target and mechanism

ModalitySmall molecule

Also known as Cholic, Cholic Acid, Cholic Acid Capsules

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials3
Total Enrollment154

FDA Designations

No designations recorded

Cholic Acids clinical trials

Cholic Acids · 3 trials · 7 indications

Phase 3 3
NCT01115582Efficacy of To Be Marketed (TBM) Cholic Acid Capsules Used to Treat Children With Inborn Errors of Bile Acid SynthesisInborn Errors of Bile Acid Synthesis
COMPLETED16 Analytics
NCT01438411Open Label, Continuation Study of Cholic Acid in Subjects With Inborn Errors of Bile Acid SynthesisBile Acid Synthesis Defect
COMPLETED53 Analytics
NCT00007020Compassionate Treatment of Patients With Inborn Errors of Bile Acid Metabolism With Cholic AcidInfantile Refsum's Disease
COMPLETED85 Analytics
PHASE3COMPLETED
Efficacy of To Be Marketed (TBM) Cholic Acid Capsules Used to Treat Children With Inborn Errors of Bile Acid Synthesis
Inborn Errors of Bile Acid SynthesisUnlock trial analytics
PHASE3COMPLETED
Open Label, Continuation Study of Cholic Acid in Subjects With Inborn Errors of Bile Acid Synthesis
Bile Acid Synthesis DefectUnlock trial analytics
PHASE3COMPLETED
Compassionate Treatment of Patients With Inborn Errors of Bile Acid Metabolism With Cholic Acid
Infantile Refsum's DiseaseUnlock trial analytics

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)

Change in Atypical Urinary Bile Acid Excretion by FAB-MS (Fast-Atom-Bombardment Ionization-Mass Spectrometry)
At baseline, then every 12 months for an average of 3.5 years

The level of atypical urinary bile acid secretion was scored using a scale of: 0, normal; 1, slight; 2, significant; or 3, marked. A Cochran-Mantel-Haenszel (CMH) test with modified ridit scoring was used to compare the difference between the score at baseline and the worst post-baseline score during treatment with cholic acid in this single-arm trial.

Number of Participants With Excretion of Atypical Bile Acids in Urine by Category
Baseline, then every 1, 3, or 6 months (depending on protocol version) for an average of 2.8 years

Patients with excretion of atypical bile acids in urine by category, from worst status before treatment (baseline, BL) to best status on treatment (OT)

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
Cholic AcidOTHERActive drug

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.
Cholic AcidsDRUG10-15 mg/kg body weight/day taken orally.
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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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Frequently asked questions about Cholic Acids

What is Cholic Acids used for?

Cholic Acids is an investigational small molecule being developed for Infantile Refsum's Disease, a rare inherited disorder. It is also being studied in related conditions including Zellweger Syndrome, Adrenoleukodystrophy, Peroxisomal Disorders, and Cholestasis. The drug is currently in Phase 3 clinical development.

Who makes Cholic Acids?

Cholic Acids is being developed by Mirum Pharmaceuticals, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol MIRM. The company is focused on rare disease therapies and is advancing Cholic Acids through clinical trials for Infantile Refsum's Disease.

What phase is Cholic Acids in?

Cholic Acids is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. The drug is being studied for Infantile Refsum's Disease and related peroxisomal disorders, with one completed Phase 3 trial supporting its development.

What clinical trials is Cholic Acids in?

Cholic Acids has one completed clinical trial, NCT00007020, titled "Compassionate Treatment of Patients With Inborn Errors of Bile Acid Metabolism With Cholic Acid." This Phase 3 study enrolled 85 participants with conditions including Infantile Refsum's Disease, Zellweger Syndrome, Adrenoleukodystrophy, Peroxisomal Disorders, and Cholestasis.

Is Cholic Acids an approved drug?

Cholic Acids is an investigational drug and is not FDA approved. It is currently in Phase 3 clinical development for Infantile Refsum's Disease. The drug has completed one clinical trial, but approval status has not been established.