Actively Recruiting

Phase 2
Age: 18Years - 75Years
All Genders
ID06699121

A Phase 2 Randomized, Double Blind, Placebo Controlled Study Evaluating Safety and Efficacy of LB-P8 in Primary Sclerosing Cholangitis (PSC)

Led by LISCure Biosciences · Updated on 2025-10-24

87

Participants Needed

7

Research Sites

48 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and effectiveness of LB-P8 in adults with primary sclerosing cholangitis (PSC), a liver condition. This phase 2, randomized, double-blind, placebo-controlled study involves multiple centers and aims to better understand how LB-P8 works in patients with PSC. The study is sponsored by LISCure Biosciences and includes patients aged 18 to 75 years with specific liver-related criteria. The study has two parts: Part 1 focuses on testing the safety and tolerability of two doses of LB-P8 (a low dose of 1x10^10 CFU per capsule and a high dose of 1x10^11 CFU per capsule) in up to 12 patients. Part 2 compares these two doses of LB-P8 to a placebo in 75 patients randomized equally among the three groups, with treatment lasting up to 24 weeks. Participants will take one oral capsule daily according to their assigned dose or placebo. During the study, participants will undergo various assessments including blood tests to measure liver enzyme levels, liver fibrosis, and other liver function indicators. Researchers will monitor safety, liver disease progression, and the impact of treatment on these measures. The study includes regular visits and evaluations throughout the treatment period, with the goal of understanding both safety and potential changes in liver health over time.

CONDITIONS

Brief Title

A Study to Assess the Safety and Efficacy of LB-P8 in Patients With PSC

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 75 years
  • Diagnosis of primary sclerosing cholangitis based on cholangiographic evidence per AASLD guidelines
  • Alkaline phosphatase (ALP) level greater than 1.5 times the upper limit of normal at screening
  • PSC patients with or without inflammatory bowel disease (ulcerative colitis or Crohn's disease)
  • Stable dose of biologic or advanced therapies, immunosuppressants, systemic corticosteroids, obeticholic acid, fibrates, or statins for at least 3 months before and during the study
  • Stable dose of ursodeoxycholic acid not exceeding 23 mg/kg/day for more than 3 months before screening
  • Agreement to stop all probiotics for at least 2 weeks before treatment
  • Participant or partner unable to conceive or agreement to use effective contraception during the study
Not Eligible

You will not qualify if you...

  • Treatment with investigational agents within 3 months or 5 half-lives before or during the study
  • History of liver transplant or expected liver transplant within 1 year
  • Evidence of worsening liver function or compensated/decompensated cirrhosis
  • MELD score greater than 12 unless caused by anticoagulant therapy, vitamin deficiency, or kidney disease
  • Small-duct PSC without large duct PSC
  • Secondary causes of sclerosing cholangitis like IgG4 associated disease
  • History of cholangiocarcinoma, gallbladder cancer, or hepatocellular carcinoma
  • Recent or active malignancy with metastases or active treatment
  • Chronic or recent antibiotic use or use of specific microbiome therapies
  • Severe inflammatory bowel disease activity
  • Chronic kidney injury
  • Recent acute cholangitis within 90 days
  • Presence of biliary drains or certain bowel surgeries
  • Other liver diseases such as autoimmune hepatitis, viral hepatitis, iron overload, or alcohol-related liver disease
  • Active drug or alcohol abuse
  • Pregnant or nursing women
  • Significant immunosuppression or active infections

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 24 weeks

Participants receive one oral capsule daily of either low-dose LB-P8, high-dose LB-P8, or placebo for up to 24 weeks to assess safety and efficacy.

Weekly visits for up to 24 weeks

Trial Site Locations

Total: 7 locations

1

University of California Davis

Sacramento, California, United States, 95817

Not Yet Recruiting

2

UCHealth University of Colorado Hospital

Aurora, Colorado, United States, 80045

Not Yet Recruiting

3

University Of Iowa Hospitals And Clinics

Iowa City, Iowa, United States, 52242

Actively Recruiting

4

Mercy Medical Center

Baltimore, Maryland, United States, 21202

Actively Recruiting

5

Mayo Clinic

Rochester, Minnesota, United States, 55905

Not Yet Recruiting

6

The Vanderbilt Clinic

Nashville, Tennessee, United States, 37232

Actively Recruiting

7

Liver institute Northwest

Seattle, Washington, United States, 98105

Actively Recruiting

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Research Team

L

LISCure Biosciences Clinical Trials

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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