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10.1016/j.ebiom.2017.08.016

http://scihub22266oqcxt.onion/10.1016/j.ebiom.2017.08.016
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suck abstract from ncbi


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pmid28844410
      EBioMedicine 2017 ; 23 (ä): 79-87
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  • Safety, Tolerability, and Preliminary Efficacy of the Anti-Fibrotic Small Molecule PRI-724, a CBP/?-Catenin Inhibitor, in Patients with Hepatitis C Virus-related Cirrhosis: A Single-Center, Open-Label, Dose Escalation Phase 1 Trial #MMPMID28844410
  • Kimura K ; Ikoma A ; Shibakawa M ; Shimoda S ; Harada K ; Saio M ; Imamura J ; Osawa Y ; Kimura M ; Nishikawa K ; Okusaka T ; Morita S ; Inoue K ; Kanto T ; Todaka K ; Nakanishi Y ; Kohara M ; Mizokami M
  • EBioMedicine 2017[Sep]; 23 (ä): 79-87 PMID28844410 show ga
  • BACKGROUND: There is currently no anti-fibrotic drug therapy available to treat hepatitis C virus (HCV) cirrhosis. The aim of this study was to assess the safety, tolerability, and anti-fibrotic effect of PRI-724, a small-molecule modulator of Wnt signaling, in patients with HCV cirrhosis. METHODS: In this single-center, open-label, phase 1 trial, we sequentially enrolled patients with HCV cirrhosis who were classified as Child-Pugh (CP) class A or B. PRI-724 was administered as a continuous intravenous infusion of 10, 40, or 160mg/m(2)/day for six cycles of 1week on and 1week off. The primary endpoints were frequency and severity of adverse events. The secondary endpoint was efficacy of PRI-724 in treating cirrhosis based on CP score and liver biopsy. This study is registered with ClinicalTrials.gov (no. NCT02195440). FINDINGS: Between Sept 3, 2014 and May 2, 2016, 14 patients were enrolled: CP class A:B, 6:8; median age, 62 (range: 43 to 74) years; male:female, 10:4. Twelve of the 14 patients completed six cycles of treatment; one was withdrawn from the study due to possible study drug-related liver injury (grade 3) in the 160mg/m(2)/day dose cohort and one withdrew for personal reasons. Serious adverse events occurred in three patients [21% (3/14)], one of which was possibly related to PRI-724. The most common adverse events were nausea [29% (4/14)] and fatigue [21% (3/14)]. After PRI-724 administration, the CP scores worsened by 1 point in two patients in the 10mg/m(2)/day cohort, improved in three patients at 1, 1, and 2 points in the 40mg/m(2)/day cohort, and improved in one patient by 3 points in the 160mg/m(2)/day cohort. The histology activity index scores of the liver tissue improved in two patients and exacerbated in two patients in the 10mg/m(2)/day cohort, and improved in one patient in the 40mg/m(2)/day cohort. INTERPRETATION: This study showed that administration of 10 or 40mg/m(2)/day intravenous PRI-724 over 12weeks was well-tolerated by patients with HCV cirrhosis; however, liver injury as a possible related serious adverse event was observed in the 160mg/m(2)/day cohort. FUNDING SOURCE: AMED.
  • |*Hepacivirus/genetics [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Bridged Bicyclo Compounds, Heterocyclic/administration & dosage/adverse effects/*therapeutic use [MESH]
  • |Female [MESH]
  • |Genotype [MESH]
  • |Hepatitis C, Chronic/*complications/diagnosis/metabolism/*virology [MESH]
  • |Humans [MESH]
  • |Liver Cirrhosis/diagnosis/*drug therapy/*etiology [MESH]
  • |Liver Function Tests [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Pyrimidinones/administration & dosage/adverse effects/*therapeutic use [MESH]
  • |Treatment Outcome [MESH]
  • |Viral Load [MESH]


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