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RecruitingPrimary Sclerosing Cholangitis

Detoxification of the Liver In PSC (Dolphin)

Eligible age

18–75 yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

No

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About this study

This study is a clinical trial being done to investigate the efficacy of drug BRS201 (hydroxocobalamin) as a treatment in patients with primary sclerosing cholangitis. Participation in this study will take 8 weeks long and the study is structured as a cross-over study in which participants will take the study drug for 4 weeks and a placebo drug for 4 weeks in a randomized order in the form of an oral medication. Participation may also involve receiving an IV dose of the medication. The study will require participants to attend 9 study visits, all of which will be remote. Participation will involve taking an oral medication twice daily, tracking the medication in a log, and getting blood drawn and giving a stool sample for a few lab tests throughout the study. For the lab tests, a research nurse will visit the participant in-home for the convenience of the participant.

Sponsor: Brigham and Women's Hospital

You may qualify if…

  • A diagnosis of PSC for at least 6 months based upon cholangiography (ERCP or MRCP) demonstrating intrahepatic and/or extrahepatic biliary strictures, beading or irregularity consistent with PSC.
  • ALP \> 1.5 times the upper limit of normal (ULN) at screening.
  • Subject must either be on a stable dose of ursodeoxycholic acid for \> 6 months prior to screening or have been discontinued \> 4 weeks prior to screening (enrollment of patients who are on UDCA will be limited to 60% of all enrolled patients).

You may not qualify if…

  • Anticipated need for liver transplant within one year as determined by Mayo PSC risk score
  • Evidence of decompensated liver disease such as variceal bleeding, ascites, or hepatic encephalopathy.
  • Evidence of advanced liver disease including MELD score \> 10, bilirubin \> 3.0, platelet count \< 100,000; or INR \> 1.4
  • Concomitant chronic liver disease including alcohol related liver disease, chronic hepatitis B or C infection, haemochromatosis, Wilson's disease, alpha1-antitrypsin deficiency, non-alcoholic steatohepatitis, autoimmune hepatitis, or primary biliary cholangitis
  • Secondary causes of sclerosing cholangitis
  • Patients who have a confirmed malignancy or cancer within 5 years except non-melanoma skin cancers
  • Treatment with any investigational agents, within two months or 5 half-lives of the investigational product, whichever is longer.
  • Active illicit drug or more than moderate alcohol consumption.

Where it's recruiting

Massachusetts

Chestnut Hill

Source: ClinicalTrials.gov · NCT05835505 · last updated 2025-11-06