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ELMWOOD

Evaluating the Safety And Efficacy of Elafibranor in Adult Participants with PSC

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About Elafibranor

ELMWOOD is investigating a drug called 'Elafibranor'. It is an investigational drug that is taken by mouth. It activates specific receptors (PPARα/δ) in the human body, particularly in the liver1,2. Activation of these receptors is thought to have different effects, including reduced inflammation and improvement of bile acid composition and flow3.

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Key information

Trial Name ELMWOOD

A Phase II, Multicentre, Double-Blind*, Randomised, Placebo-Controlled Study and Open-Label Long Term Extension to Evaluate the Safety and Efficacy of Elafibranor in Adult Participants with Primary Sclerosing Cholangitis. (ELMWOOD)

ClinicalTrials.gov Identifier NCT05627362
Phase Phase 2 trial
Intervention During Double-Blind* Period: Once a day elafibranor 80 mg or 120 mg or placebo (dummy drug), taken by mouth

Open-Label Extension** Period: Elafibranor 120 mg once daily taken by mouth

Recruiting now? Yes (recruiting soon in the UK)
Participating Centres (Around 60 sites worldwide) Please refer to current list on clinicaltrials.gov. and the see PSC Support map.

United Kingdom sites:

(~60 sites worldwide to be activated) Please refer to current list on clinicaltrials.gov. United Kingdom sites:

  • Aberdeen - Aberdeen Royal Infirmary, Foresterhill Health Campus, Foresterhill Rd, Aberdeen AB25 2ZN
  • Birmingham - Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, B15 2TH (recruiting soon)
  • Camberley - Frimley Park Hospital, Portsmouth Rd, Frimley, Camberley GU16 7UJ
  • Glasgow - Glasgow Royal Infirmary, 4 Alexandra Parade, Glasgow G31 2ET
  • Hull - Hull Royal Infirmary, Anlaby Rd, Hull HU3 2JZ
  • London
    • Royal Free, Pond St, Hampstead, London NW3 2QG
      London (recruiting soon)
    • Royal London Hospital, Whitechapel, London, Greater London E1 1BB
Contact clinical.trials@ipsen.com
Liver disease diagnosis Confirmed diagnosis of large duct PSC based on clinical guidelines
Age 18 years to 75 years
Females: can I be pregnant? No
Is IBD (inflammatory bowel disease) allowed? Yes, but meeting certain inclusion criteria.
Is there an ALP (alkaline phosphatase) requirement? Yes, ALP ≥1.5x times the upper limit of the normal range during screening (with variability ≤30% based on two values measured during screening).
Can I take UDCA (Urso)? Yes
Can I take biologics? Yes
Can I take part if I have a stent? No percutaneous drain or bile duct stent
Are recent acute cholangitis (ie bacterial cholangitis) attacks allowed? There should be no history of bacterial cholangitis within 60 days prior to the screening period.
Can I take part if I have had a liver transplant? No
Is cirrhosis allowed? Yes, but only those patients with cirrhosis Child-Pugh A score
Are travel expenses covered? Yes (with approval conditions)
Procedures and tests include: Blood tests, electrocardiogram, ultrasound scans, Transient Elastography (FibroScan®), questionnaires etc.
How many study visits will there be? How long will each study visit be? At least 12 study visits, with variable visit duration depending which assessments are being completed on each day
Duration of study
108 weeks (treatment, including 12 weeks double-blind period*, and

96 weeks open label extension** / 4 weeks (follow-up)

Basic design of study Randomised, double-blind*, multicentre, parallel group study with open label extension*
How is this intervention thought to work and what is it thought to do? ELMWOOD is investigating a drug called 'Elafibranor'. It is an investigational drug that is taken by mouth. It activates specific receptors (PPARα/δ) in the human body, particularly in the liver1,2. Activation of these receptors is thought to have different effects, including reduced inflammation and improvement of bile acid composition and flow3.
Study website clinicaltrials.gov ELMWOOD
Link to Sponsor Ipsen


*double-blind means that neither you nor the researcher is told whether you are taking the treatment (and at what dose) or placebo.

**open-label treatment period means that you will have the option to take the actual treatment after taking part in the double-blind treatment period.

References

. Dubrovsky AMK, Bowlus CL. Statins, Fibrates, and Other Peroxisome Proliferator-Activated Receptor Agonists for the Treatment of Cholestatic Liver Diseases. Gastroenterol Hepatol (N Y). 2020 Jan;16(1):31-38. PMID: 33867886; PMCID: PMC8040906.
A randomized placebo-controlled trial of elafibranor in patients with primary biliary cholangitis and incomplete response to UDCA. J Hepatol. 2021 Jun;74(6):1344-1354. doi: 10.1016/j.jhep.2021.01.013. Epub 2021 Jan 21. PMID: 33484775.
Regulation of bile acid and cholesterol metabolism by PPARs. PPAR Res. 2009;2009:501739. doi: 10.1155/2009/501739. Epub 2009 Jul 14. PMID: 19636418; PMCID: PMC2712638.

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