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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05426733
Registration number
NCT05426733
Ethics application status
Date submitted
13/06/2022
Date registered
22/06/2022
Titles & IDs
Public title
An Open-label Extension Study to Evaluate Long-term Efficacy and Safety of Odevixibat in Children With Biliary Atresia
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Scientific title
An Open-label Extension Study to Evaluate Long-term Efficacy and Safety of Odevixibat (A4250) in Children With Biliary Atresia (BOLD-EXT)
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Secondary ID [1]
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2022-501090-39-00
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Secondary ID [2]
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A4250-016
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Universal Trial Number (UTN)
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Trial acronym
BOLD-EXT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Biliary Atresia
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Odevixibat
Experimental: Odevixibat (A4250) - Capsules for oral administration once daily for 104 weeks.
Treatment: Drugs: Odevixibat
Odevixibat is a small molecule inhibitor of the ileal bile acid transporter (IBAT).
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of patients who are alive and have not undergone liver transplant
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Assessment method [1]
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Timepoint [1]
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From baseline to Week 104
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Secondary outcome [1]
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Change in aspartate aminotransferase (AST) to platelet ratio index (APRI) score
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Assessment method [1]
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The APRI (aspartate aminotransferase to platelet ratio index) score estimates the severity of liver fibrosis. A higher score indicates a greater amount of scarring (fibrosis) in the liver.
* A score = 0.5 indicates a low likelihood of fibrosis
* A score = 1.5 indicates a higher probability of fibrosis
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Timepoint [1]
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From baseline to Week 104
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Secondary outcome [2]
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Change in Fibrosis-4 (Fib-4) score
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Assessment method [2]
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The Fib-4 score provides an estimate of the amount of scarring (fibrosis) in the liver. A higher score indicates a greater amount of scarring in the liver.
* A score \< 1.45 indicates a low likelihood of fibrosis
* A score \> 3.25 indicates a higher probability of fibrosis
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Timepoint [2]
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From baseline to Week 104
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Secondary outcome [3]
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Change in serum bile acids
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Assessment method [3]
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Timepoint [3]
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From Baseline to Weeks 26, 52, 78, and 104
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Secondary outcome [4]
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Change in height
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Assessment method [4]
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Timepoint [4]
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From Baseline to Weeks 26, 52, 78 and 104
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Secondary outcome [5]
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Change in weight
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Assessment method [5]
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Timepoint [5]
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From Baseline to Weeks 26, 52, 78 and 104
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Secondary outcome [6]
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Change in mid-arm circumference
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Assessment method [6]
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Measure of growth
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Timepoint [6]
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From Baseline to Weeks 26, 52, 78 and 104
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Secondary outcome [7]
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Time to onset of any sentinel events
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Assessment method [7]
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Timepoint [7]
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From Baseline to Week 104
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Secondary outcome [8]
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Change in pediatric end-stage liver disease (PELD) score
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Assessment method [8]
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The PELD (pediatric end-stage liver disease) score is a measure of disease severity. PELD scores can range from a negative value (such as -10) to high numbers (such as 45). A higher score indicates more severe disease.
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Timepoint [8]
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From Baseline to Weeks 26, 52, 78 and 104
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Eligibility
Key inclusion criteria
* Completion of the 104-week Treatment Period of Study A4250-011
* Signed informed consent by caregiver
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients who were not compliant with study drug treatment or procedures in Study A4250-011 as per the investigator's discretion
* Any conditions or abnormalities which, in the opinion of the investigator, may compromise the safety of the patient, or interfere with the patient participating in or completing the study
* Known hypersensitivity to any components of odevixibat
* Patients who are scheduled for a liver transplant or are likely to require a liver transplant in the immediate future based on the investigator's judgment
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
5/07/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/08/2028
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Actual
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Sample size
Target
180
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Children's Hospital - Parkville
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Recruitment postcode(s) [1]
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3052 - Parkville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Colorado
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Country [2]
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United States of America
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State/province [2]
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Georgia
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Country [3]
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United States of America
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State/province [3]
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Indiana
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Country [4]
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United States of America
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State/province [4]
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Massachusetts
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Country [5]
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United States of America
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State/province [5]
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Missouri
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Country [6]
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United States of America
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State/province [6]
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New York
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Country [7]
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United States of America
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State/province [7]
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Ohio
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Country [8]
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United States of America
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State/province [8]
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Washington
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Country [9]
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Canada
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State/province [9]
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Montréal
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Country [10]
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Canada
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State/province [10]
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Toronto
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Country [11]
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China
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State/province [11]
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Guangdong
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Country [12]
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China
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State/province [12]
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Shanghai
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Country [13]
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France
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State/province [13]
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Le Kremlin-Bicêtre
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Country [14]
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Germany
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State/province [14]
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Berlin
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Country [15]
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Germany
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State/province [15]
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Tuebingen
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Italy
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State/province [16]
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Bergamo
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Country [17]
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Italy
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State/province [17]
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Padova
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Country [18]
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Korea, Republic of
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State/province [18]
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Seoul
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Country [19]
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Malaysia
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State/province [19]
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Kota Bharu
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Country [20]
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Malaysia
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State/province [20]
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Kuala Lumpur
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Country [21]
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Netherlands
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State/province [21]
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Groningen
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Country [22]
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New Zealand
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State/province [22]
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Auckland
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Country [23]
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Poland
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State/province [23]
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Warsaw
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Country [24]
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Spain
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State/province [24]
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Barcelona
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Country [25]
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Turkey
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State/province [25]
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Ankara
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Country [26]
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Turkey
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State/province [26]
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Antalya
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Country [27]
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Turkey
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State/province [27]
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Istanbul
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Albireo, an Ipsen Company
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
An Open-label Extension Study to Evaluate Long-term Efficacy and Safety of Odevixibat (A4250) in Children with Biliary Atresia
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Trial website
https://clinicaltrials.gov/study/NCT05426733
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05426733