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LJN452

Phase 2

Primary Bile Acid Diarrhea | Small molecule | Gastrointestinal |Novartis AG|Last Updated: Jan 5, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment20

FDA Designations

No designations recorded

Clinical trial landscape

LJN452 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT02713243To Assess Safety, Tolerability and Efficacy of LJN452 in Patients With Primary Bile Acid Diarrhea.Primary Bile Acid Diarrhea
COMPLETED20 Analytics
PHASE2COMPLETED
To Assess Safety, Tolerability and Efficacy of LJN452 in Patients With Primary Bile Acid Diarrhea.
Primary Bile Acid DiarrheaUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Patients Reported With Adverse Events , Serious Adverse Events and Death.
up to Day 79

Number of patients reported with adverse events , serious adverse events and death.

Stool Frequency at Baseline, Week 1 (Period 1 & Period 2), Week 2 (Period 1 & Period 2), and Week 1 & 2 Combined
Baseline, Week 1 (Period 1 & Period 2), Week 2 (Period 1 & Period 2), and Week 1 & 2 combined

Stool frequency at Baseline, Week 1 (Period 1 \& Period 2), Week 2 (Period 1 \& Period 2), and Week 1 \& 2 combined

Stool Form at Baseline, Week 1 (Period 1 & Period 2), Week 2 (Period 1 & Period 2), and Week 1 & 2 Combined
Baseline, Week 1 (Period 1 & Period 2), Week 2 (Period 1 & Period 2), and Week 1 & 2 combined

Stool Form at Baseline, Week 1 (Period 1 \& Period 2), Week 2 (Period 1 \& Period 2), and Week 1 \& 2 combined Clinical Symptoms will be measured as change from baseline in stool types per Bristol Stool Scale. The Bristol Stool Scale is a medical aid designed to classify feces on a scale from 1 to 7 according to increasing wateriness.

Cmax
Up to 8 days

The maximum (peak) observed drug concentration after single dose administration (mass x volume-1)

Tmax
Up to 8 days

Time to reach the maximum (peak) plasma drug concentration after single dose administration (time)

AUClast
Up to 8 days

The area under the concentration-time curve from time zero to the time of the last quantifiable concentration sampling time (mass x time x volume-1)

AUCinf
Up to 8 days

The area under the concentration-time curve from time zero to infinity (mass x time x volume-1)

T1/2
Up to 8 days

The elimination half-life associated with the terminal slope of a semi-logarithmic concentration-time curve

CL/F
Up to 8 days

The apparent total body clearance of the drug from plasma (volume x time-1)

Vz/F
Up to 8 days

The apparent volume of distribution during the terminal phase

Secondary Endpoints

Area Under the Plasma Concentration-time Profile (AUCtau) of LJN452
Day 1 (Period 1 & 2) and Day 12 (Period 1 & 2)
(Cmax) of LJN452
Day 1 (Period 1 & 2) and Day 12 (Period 1 & 2)
Time to Reach Maximum Concentration After Drug Administration (Tmax)
Day 1 (Period 1 & 2) and Day 12 (Period 1 & 2)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LJN452 followed by placeboEXPERIMENTALRandomized patients in this arm will receive single oral dose of LJN452 daily for 14 days. There will be a washout period between 7 to 28 days followed by single oral dose of placebo daily for 14 days.
Placebo followed by LJN452EXPERIMENTALRandomized patients in this arm will receive single oral dose of placebo daily for 14 days. There will be a washout period between 7 to 28 days followed by single oral dose of LJN452 daily for 14 days.
Group 1 - Normal Hepatic FunctionOTHERNormal hepatic function - Control - control group
Group 2 - Mild Hepatic ImpairmentEXPERIMENTALMild hepatic impairment - Child-Pugh A (Score 5-6)
Group 3 - Moderate Hepatic ImpairmentEXPERIMENTALModerate hepatic impairment - Child-Pugh B (Score 7-9)
Group 4 - Severe Hepatic ImpairmentEXPERIMENTALSevere hepatic impairment - Child-Pugh C (score 10-15)

Interventions

NameTypeDescription
LJN452DRUGCapsules containing LJN452
Placebo to LJN452DRUGCapsules containing placebo to LJN452
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites4

Key Inclusion Criteria: * A history of diarrheal symptoms for at least 3 months prior to dosing - Average stool frequency of at least 2 per day when off therapy AND Average stool form of \>5 on Bristol Stool Chart. * Previous laboratory or radiological confirmation of bile acid malabsorption with e...

Countries:United StatesUnited Kingdom
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Frequently asked questions about LJN452

What is LJN452 used for?

LJN452 is an investigational small molecule being studied for Non-alcoholic Fatty Liver Disease and Primary Bile Acid Diarrhea. It is developed by Novartis AG and is in clinical development, with completed trials in both indications.

Who makes LJN452?

LJN452 is developed by Novartis AG, a pharmaceutical company traded on the New York Stock Exchange under the ticker NVS. The drug is an investigational small molecule in clinical development for gastrointestinal conditions.

What phase is LJN452 in?

LJN452 is in clinical development, with completed trials including a Phase 1 study and a Phase 2 study. It is not approved and remains investigational. The Phase 1 trial evaluated pharmacokinetics in hepatic impairment, and the Phase 2 trial assessed safety and efficacy in Primary Bile Acid Diarrhea.

What clinical trials is LJN452 in?

LJN452 has two completed clinical trials. NCT02713243 was a Phase 2 study in Primary Bile Acid Diarrhea with 20 participants in the United States and United Kingdom. NCT03681457 was a Phase 1 pharmacokinetic study in Non-alcoholic Fatty Liver Disease with 42 participants in the United States.

Is LJN452 the same as Tropifexor?

LJN452 is also known as Tropifexor. The Phase 1 clinical trial NCT03681457 evaluated the pharmacokinetics of Tropifexor in subjects with hepatic impairment, confirming that LJN452 and Tropifexor refer to the same investigational drug.