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triopifexor

Phase 2

Liver Disease | Small molecule | Gastrointestinal |Novartis AG|Trials Updated: Feb 9, 2022

triopifexor development status

Highest phase Phase 2 (NCT02713243)
Phase scored for NVSPhase 1
Registered trials 3 across 1 sponsor since Mar 2016

triopifexor target and mechanism

ModalitySmall molecule

Also known as LJN452

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials4
Total Enrollment212

FDA Designations

No designations recorded

triopifexor clinical trials

triopifexor · 4 trials · 4 indications

Phase 2 2Phase 1 2
NCT02713243To Assess Safety, Tolerability and Efficacy of LJN452 in Patients With Primary Bile Acid Diarrhea.Primary Bile Acid Diarrhea
COMPLETED20 Analytics
NCT02516605A Multi-part, Double Blind Study to Assess Safety, Tolerability and Efficacy of Tropifexor (LJN452) in PBC PatientsPrimary Biliary Cholangitis
COMPLETED61 Analytics
PHASE2COMPLETED
To Assess Safety, Tolerability and Efficacy of LJN452 in Patients With Primary Bile Acid Diarrhea.
Primary Bile Acid DiarrheaUnlock trial analytics
PHASE2COMPLETED
A Multi-part, Double Blind Study to Assess Safety, Tolerability and Efficacy of Tropifexor (LJN452) in PBC Patients
Primary Biliary CholangitisUnlock 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.

Fold Change in Serum Gamma-glutamyl Transferase (GGT)
Baseline to Day 28

Fold change in serum gamma-glutamyl transferase (GGT) from baseline to Day 28

Blood Pressure
Screening, Baseline, day 1, day 7, day 14, day 21, day 28, day 56, day 84

Vital signs - Systolic Blood pressure

Pulse Rate
Screening, Baseline, day 1, day 7, day 14, day 21, day 28, day 56, day 84

Vital signs

Body Temperature
Screening, Baseline, day 1, day 7, day 14, day 21, day 28, day 56, day 84

Vital signs

ECG - Heart Rate
Screening, Baseline, day 1, day 28

Electrocardiogram (ECG)

ECG Intervals - PR Interval
Screening, Baseline, day 1, day 28

Electrocardiogram (ECG)

Haemoglobin
Screening, Baseline, day 1, day 7, day 14, day 21, day 28, day 56, day 84

Hematology panel for safety laboratory assessments.

Change from baseline in fasting circulating LDL-C levels after 2 weeks of tropifexor treatment
week 2
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.
LJN452EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
tropifexor AM 200 micrograms and Placebo (PM)EXPERIMENTALTropifexor 200 μg (AM) and Placebo (PM) once daily each
tropifexor PM 200 micrograms and Placebo (AM)EXPERIMENTALTropifexor 200 μg (PM) and Placebo (AM) once daily each
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
Part 1: LJN452DRUGLJN452 capsules administered once daily for 28 days
Part 1: PlaceboDRUGMatching placebo capsules administered once daily for 28 days
Part 2: LJN452 Dose level 1DRUGLJN452 capsules administered once a day for 12 weeks
Part 2: PlaceboDRUGMatching placebo to LJN452 administered once a day for 12 weeks
Part 2: LJN452 Dose level 2DRUGLJN452
triopifexorDRUGTropifexor as a dry blend in hard gelatin capsules for oral administration
PlaceboDRUGPlacebo capsules for oral administration
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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 KingdomCanadaGermanyPolandRussia
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Frequently asked questions about triopifexor

What is triopifexor used for?

Triopifexor is an investigational small molecule being developed for the treatment of liver disease. It is currently in Phase 1 clinical development, meaning it has not yet been approved by regulatory authorities and is still being studied for safety and tolerability in patients.

Who makes triopifexor?

Triopifexor is being developed by Novartis AG, a multinational pharmaceutical company traded on the New York Stock Exchange under the ticker symbol NVS. The company is conducting clinical trials to evaluate the drug's safety and tolerability in patients with liver disease.

What phase is triopifexor in?

Triopifexor is in Phase 1 clinical development. A Phase 1 trial has been completed, which enrolled 89 participants with liver disease in the United States. The drug remains investigational and is not yet approved for any use.

What clinical trials is triopifexor in?

Triopifexor has one completed Phase 1 clinical trial registered under NCT04408937, titled 'The Purpose of This Study is to Investigate Safety and Tolerability of Tropifexor.' The study enrolled 89 participants with liver disease in the United States and was a randomized, double-blind, controlled trial.

Is triopifexor FDA approved?

Triopifexor is not FDA approved. It is an investigational drug currently in Phase 1 clinical development. The completed Phase 1 trial focused on evaluating safety and tolerability, and the drug has not yet progressed to later-stage trials or received regulatory approval.