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LUM001

Phase 2

Alagille Syndrome | Small molecule | Rare Disease |Mirum Pharmaceuticals, Inc.|Last Updated: Oct 23, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment141

FDA Designations

No designations recorded

Clinical trial landscape

LUM001 · 8 trials · 5 indications

Phase 2 8
NCT02117713An Extension Study to Evaluate the Long-Term Safety and Durability of Effect of LUM001 in the Treatment of Cholestatic Liver Disease in Pediatric Subjects With Alagille SyndromeAlagille Syndrome
COMPLETED34 Analytics
NCT02057692Evaluation of LUM001 in the Reduction of Pruritus in Alagille SyndromeAlagille Syndrome
COMPLETED37 Analytics
NCT02160782Safety and Efficacy Study of LUM001 (Maralixibat) With a Drug Withdrawal Period in Participants With Alagille Syndrome (ALGS)Alagille Syndrome
COMPLETED31 Analytics
NCT02057718Open Label Study to Evaluate Efficacy and Long Term Safety of LUM001 (Maralixibat) in the Treatment of Cholestatic Liver Disease in Patients With Progressive Familial Intrahepatic CholestasisProgressive Familial Intrahepatic Cholestasis (PFIC)
COMPLETED33 Analytics
NCT02061540Open Label Study to Evaluate Safety and Efficacy of LUM001 in Patients With Primary Sclerosing CholangitisPrimary Sclerosing Cholangitis (PSC)
COMPLETED27 Analytics
NCT02047318An Extension Study to Evaluate the Long-Term Safety and Durability of Effect of LUM001 in the Treatment of Cholestatic Liver Disease in Subjects With Alagille Syndrome (ALGS)Alagille Syndrome
COMPLETED19 Analytics
NCT01903460Safety and Efficacy Study of LUM001 in the Treatment of Cholestatic Liver Disease in Patients With Alagille SyndromeAlagille Syndrome
COMPLETED20 Analytics
NCT01904058Phase 2 Study to Evaluate LUM001 in Combination With Ursodeoxycholic Acid in Patients With Primary Biliary CirrhosisPBC
COMPLETED66 Analytics
PHASE2COMPLETED
An Extension Study to Evaluate the Long-Term Safety and Durability of Effect of LUM001 in the Treatment of Cholestatic Liver Disease in Pediatric Subjects With Alagille Syndrome
Alagille SyndromeUnlock trial analytics
PHASE2COMPLETED
Evaluation of LUM001 in the Reduction of Pruritus in Alagille Syndrome
Alagille SyndromeUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy Study of LUM001 (Maralixibat) With a Drug Withdrawal Period in Participants With Alagille Syndrome (ALGS)
Alagille SyndromeUnlock trial analytics
PHASE2COMPLETED
Open Label Study to Evaluate Efficacy and Long Term Safety of LUM001 (Maralixibat) in the Treatment of Cholestatic Liver Disease in Patients With Progressive Familial Intrahepatic Cholestasis
Progressive Familial Intrahepatic Cholestasis (PFIC)Unlock trial analytics
PHASE2COMPLETED
Open Label Study to Evaluate Safety and Efficacy of LUM001 in Patients With Primary Sclerosing Cholangitis
Primary Sclerosing Cholangitis (PSC)Unlock trial analytics
PHASE2COMPLETED
An Extension Study to Evaluate the Long-Term Safety and Durability of Effect of LUM001 in the Treatment of Cholestatic Liver Disease in Subjects With Alagille Syndrome (ALGS)
Alagille SyndromeUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy Study of LUM001 in the Treatment of Cholestatic Liver Disease in Patients With Alagille Syndrome
Alagille SyndromeUnlock trial analytics
PHASE2COMPLETED
Phase 2 Study to Evaluate LUM001 in Combination With Ursodeoxycholic Acid in Patients With Primary Biliary Cirrhosis
PBCUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From MRX Baseline to Week 48 in Fasting Serum Bile Acid (sBA)
Baseline to Week 48

This primacy efficacy endpoint is the mean change from MRX baseline to week 48 in fasting sBA levels.

Change From Baseline to Endpoint (Week 13/Early Termination) in Pruritus
Baseline, Week 13/Early Termination

Pruritus was assessed using Itch report outcome measure (ItchRO\[Obs\]), administered as an electronic diary (eDiary) which was completed by the participants twice daily (morning and evening). ItchRO(Obs) score ranged from 0 to 4, with the higher score indicating increasing itch severity. The highest score between the morning and evening ItchRO(Obs) reports represented the daily score: a measure of the worst itching over the previous 24-hour period.

Change From Week 18 to Week 22 in Fasting sBA Levels in Participants Who Had a Reduction in sBA ≥50% From Baseline to Week 12 or Week 18
Week 18 to Week 22

The primary efficacy endpoint of this study was the mean change from Week 18 to Week 22 (the RWD period) of fasting sBA levels in participants who had a reduction in sBA ≥50% from baseline to Week 12 or Week 18 (Modified Intent-to-Treat \[MITT\] Population). Five participants in the MRX group and 10 participants in the placebo group met the prespecified sBA reduction criteria.

Change From Baseline to Endpoint (Week 13) in Fasting sBA Level
Baseline (Day 0) to Week 13
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
From start of study drug administration until Week 18

An Adverse Event (AE) was defined as any unfavorable and unintended sign (including a clinically significant abnormal laboratory finding, for example), symptom, or disease temporally associated with the study or use of investigational drug product, whether or not the AE was considered to be related to the investigational drug product. TEAEs were AEs with a start date on or after the first dose of investigational product and started prior to the last dose of investigational product plus 14 days.

Change From Baseline in Fasting Serum Bile Acid Level at Week 14
Baseline, Week 14

Serum bile acid levels were evaluated using blood samples collected.

Change From MRX Baseline to Week 48 in Fasting sBA Levels
MRX baseline to Week 48

The primary endpoint of this study was the mean change from MRX baseline to Week 48 in fasting sBA level.

Change From Baseline to Week 13 (End of Treatment) in Fasting Serum Bile Acid Level
Baseline to 13 weeks or end of treatment

Participants were required to fast for at least 4 hours; only water was permitted prior to collection. A negative change from baseline indicates that the level of bile acid decreased.

Change From Baseline in Pruritus Using Adult Itch Reported Outcome (ItchRO) Weekly Sum Score at Week 13/ Early Termination (ET)
Baseline and Week 13/ET

Pruritus was assessed using ItchRO measure, administered as an electronic diary (eDiary) which was completed by the participants twice daily (morning and evening). (ItchRO) scores ranged from 0 to 10, with 0 representing no itch and 10 representing very severe itching. The highest score between the morning and evening ItchRO reports represented the daily score: a measure of the worst itching over the previous 24-hour period. The weekly sum score was calculated as the sum of the daily scores for the 7 days prior to the time point being reported: 7 days prior to randomization or 7 days prior to Week 13/ET visit.

Secondary Endpoints

Change From MRX Baseline to Week 216 in Fasting Serum Bile Acid (sBA)
Baseline to week 216
Change From Baseline to Week 218 in Pruritus
Baseline to Week 218
Change From Baseline to Week 216 in Alanine Aminotransferase
Baseline to week 216
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Study Design & Arms

AllocationNA
MaskingDOUBLE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LUM001 (Maralixibat)EXPERIMENTALParticipant will receive LUM001 also known as Maralixibat (MRX) administered orally once per day.
LUM001EXPERIMENTALLUM001 for oral administration
PlaceboPLACEBO_COMPARATORPlacebo administered orally once each day
LUM001 and Ursodeoxycholic Acid (UDCA)EXPERIMENTALAdministered orally once daily
Placebo and Ursodeoxycholic Acid (UDCA)PLACEBO_COMPARATORAdministered orally once daily

Interventions

NameTypeDescription
LUM001 (Maralixibat)DRUGDosing of LUM001 also known as Maralixibat (MRX) with the objective of achieving optimal control of pruritus at a dose level that is tolerated by the participant and up to a maximum daily dose of 280 micrograms per kilogram (mcg/kg).
LUM001DRUGLUM001 administered orally
PlaceboDRUGPlacebo administered orally
Ursodeoxycholic AcidDRUG -
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Eligibility Criteria

Age Range1 Year to 18 Years
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: 1. Male or female, 12 months to 18 years of age. 2. Competent to provide informed consent and assent (per institutional review board/Ethics Committee \[IRB/EC\]), as appropriate. 3. Completed participation in the LUM001-301 protocol. 4. Females of childbearing potential must hav...

Countries:United StatesCanadaAustraliaBelgiumFrancePolandSpainUnited Kingdom
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Frequently asked questions about LUM001

What is LUM001 used for?

LUM001 is an investigational small molecule being developed for cholestatic liver diseases, including Alagille Syndrome, Primary Sclerosing Cholangitis (PSC), Primary Biliary Cholangitis (PBC), and Progressive Familial Intrahepatic Cholestasis (PFIC). It is currently in Phase 2 clinical development and is not yet approved by regulatory authorities.

Who makes LUM001?

LUM001 is being developed by Mirum Pharmaceuticals, Inc., a biopharmaceutical company traded on NASDAQ under the ticker MIRM. The company is focused on rare disease therapies, and LUM001 is one of its investigational drug candidates in clinical development.

What phase is LUM001 in?

LUM001 is in Phase 2 clinical development. It has completed five clinical trials, all of which are Phase 2 studies. The drug remains investigational and has not received FDA approval or any other regulatory approval for commercial use.

What clinical trials has LUM001 been in?

LUM001 has been studied in five completed Phase 2 clinical trials. These include NCT01903460 in Alagille Syndrome, NCT01904058 in Primary Biliary Cirrhosis, NCT02057718 in Progressive Familial Intrahepatic Cholestasis, and NCT02160782 in Alagille Syndrome. The trials enrolled a total of 141 participants across multiple countries.

Is LUM001 the same as maralixibat?

Yes, LUM001 is also known as maralixibat. In clinical trial records, the drug is referred to as LUM001 (Maralixibat), indicating that these names refer to the same investigational compound being developed by Mirum Pharmaceuticals for cholestatic liver diseases.