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Trial · NCT03471143

Study of IV VTS-270 for Infantile Liver Disease Associated With Niemann-Pick Disease, Type C

NCT03471143, Phase 1, Phase 2, Completed, Washington University School of Medicine; results first posted 2025-12-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of IV VTS-270 for Infantile Liver Disease Associated With Niemann-Pick Disease, Type C. Trials, record NCT03471143. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03471143

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of IV VTS-270 for Infantile Liver Disease Associated With Niemann-Pick Disease, Type C
NCT number
NCT03471143
Status
Completed
Phases
Phase 1, Phase 2
Enrollment
4 participants, actual
Lead sponsor
Washington University School of Medicine
Conditions
Niemann-Pick Disease, Type C
Interventions
VTS-270
First posted
2018-03-20
Last updated
2026-01-05
Results first posted
2025-12-12

Source ClinicalTrials.gov

Registered outcomes3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryEfficacy of Adrabetadex (VTS-270) to Reduce Plasma Levels of a Conjugated Bile Acid, Known as 5α-cholanic Acid-3β, 5α, 6β-triol N-(Carboxymethyl)-AmidePhase 1: 6 weeks; Phase 2: 6 months
This bile acid, 5α-cholanic acid-3β, 5α, 6β-triol N-(carboxymethyl)-amide, is elevated \>99% of NPC1 subjects, is largely generated in the liver and therefore provides a biochemical measure of oxidizable lysosomal unesterified cholesterol in liver tissue. The primary outcome measure in phase 1 of the study is the change in plasma levels of 5α-cholanic acid-3β, 5α, 6β-triol N-(carboxymethyl)-amide measured in nanograms/ml from baseline to 6 weeks. The primary outcome measure in phase 2 of the study is the change in plasma levels of 5α-cholanic acid-3β, 5α, 6β-triol N-(carboxymethyl)-amide measured in nanograms/ml from 6 weeks to the end of the 6 month treatment period.
SecondaryEffect of Drug on Serum TransaminasesPhase 1: 6 weeks; Phase 2: 6 months
Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) are elevated with liver dysfunction. The outcome measure in phase 1 of the study is the change in ALT and AST levels from baseline to 6 weeks. The outcome measure in phase 2 of the study is the change in ALT and AST levels from 6 weeks to the end of the 6 month treatment period.
SecondaryReduction of Liver and/or Spleen VolumesPhase 1: 6 weeks; Phase 2: 6 months
Abdominal ultrasound. The outcome measure in phase 1 of the study is the change in liver and/or spleen volumes from baseline to 6 weeks. The outcome measure in phase 2 of the study is the change in liver and/or spleen volumes from 6 weeks to the end of the 6 month treatment period. We were only able to collect spleen volume data due to the radiologist reporting they could not accurately obtain liver volume data. The contact radiologist for this protocol has left the institution, stopping any additional work on liver ultrasound volumes. None of the remaining radiology colleagues had time to bring forward. Liver volumes will never be obtained for this measure in the future.

Outcomes3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEfficacy of Adrabetadex (VTS-270) to Reduce Plasma Levels of a Conjugated Bile Acid, Known as 5α-cholanic Acid-3β, 5α, 6β-triol N-(Carboxymethyl)-AmidePhase 1: 6 weeks; Phase 2: 6 monthsOne of the participants only had baseline measurement.ng/mlMEDIAN
SECONDARYEffect of Drug on Serum TransaminasesPhase 1: 6 weeks; Phase 2: 6 monthsOne of the participants only had baseline measurement.U/LMEDIAN
SECONDARYReduction of Liver and/or Spleen VolumesPhase 1: 6 weeks; Phase 2: 6 months
We were only able to collect spleen volume data due to the radiologist reporting they could not accurately obtain liver volume data. The contact radiologist for this protocol has left the institution, stopping any additional work on liver ultrasound volumes. None of the remaining radiology colleagues had time to bring forward. Liver volumes will never be obtained for this measure in the future.
ccMEDIAN

Results by group8

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Efficacy of Adrabetadex (VTS-270) to Reduce Plasma Levels of a Conjugated Bile Acid, Known as 5α-cholanic Acid-3β, 5α, 6β-triol N-(Carboxymethyl)-AmideIV Adrabetadex (VTS-270) for NPC1 Infants6 weeks32.6Inter-Quartile Range 10.5 to 129ng/ml
Efficacy of Adrabetadex (VTS-270) to Reduce Plasma Levels of a Conjugated Bile Acid, Known as 5α-cholanic Acid-3β, 5α, 6β-triol N-(Carboxymethyl)-AmideIV Adrabetadex (VTS-270) for NPC1 Infants6 months87.9Inter-Quartile Range 46.6 to 101ng/ml
Effect of Drug on Serum TransaminasesIV Adrabetadex (VTS-270) for NPC1 InfantsALT 6 weeks87Inter-Quartile Range 80 to 203U/L
Effect of Drug on Serum TransaminasesIV Adrabetadex (VTS-270) for NPC1 InfantsAST 6 weeks114Inter-Quartile Range 86 to 293U/L
Effect of Drug on Serum TransaminasesIV Adrabetadex (VTS-270) for NPC1 InfantsALT 6 months65Inter-Quartile Range 48 to 71U/L
Effect of Drug on Serum TransaminasesIV Adrabetadex (VTS-270) for NPC1 InfantsAST 6 months77Inter-Quartile Range 75 to 89U/L
Reduction of Liver and/or Spleen VolumesTreatment Group6 weeks71.8Inter-Quartile Range 58.6 to 98.1cc
Reduction of Liver and/or Spleen VolumesTreatment Group6 months127Inter-Quartile Range 69.2 to 177.2cc

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDIV Adrabetadex (VTS-270) for NPC1 Infants4
Overall StudyCOMPLETEDIV Adrabetadex (VTS-270) for NPC1 Infants3
Overall StudyNOT COMPLETEDIV Adrabetadex (VTS-270) for NPC1 Infants1

Adverse events38

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherupper respiratory infectionRespiratory, thoracic and mediastinal disordersIV Adrabetadex (VTS-270) for NPC1 Infants141
otherlimited vertical gazeEye disordersIV Adrabetadex (VTS-270) for NPC1 Infants141
othersmall umbilical herniaGeneral disordersIV Adrabetadex (VTS-270) for NPC1 Infants242
other1/6 systolic murmurCardiac disordersIV Adrabetadex (VTS-270) for NPC1 Infants141
otherdry skin and maculopapular rash on both cheeksSkin and subcutaneous tissue disordersIV Adrabetadex (VTS-270) for NPC1 Infants141
otherelevated prothrombin timeHepatobiliary disordersIV Adrabetadex (VTS-270) for NPC1 Infants242
otherdiaper rashSkin and subcutaneous tissue disordersIV Adrabetadex (VTS-270) for NPC1 Infants141
otherright ventricular hypertrophy on ECGCardiac disordersIV Adrabetadex (VTS-270) for NPC1 Infants141
othermild truncal hypotoniaNervous system disordersIV Adrabetadex (VTS-270) for NPC1 Infants141
otheroozing around PICC line-bloodVascular disordersIV Adrabetadex (VTS-270) for NPC1 Infants141

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIV Adrabetadex (VTS-270) for NPC1 Infants14
Total, other adverse eventsIV Adrabetadex (VTS-270) for NPC1 Infants24
Total, serious adverse eventsIV Adrabetadex (VTS-270) for NPC1 Infants34

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
28803710BACKGROUND

Source PubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
U01HD090845Intravenous delivery of 2-hydroxypropyl-Beta-cyclodextrin for treatment of Niemann-Pick C diseaseDICKSON, PATRICIA IWASHINGTON UNIVERSITYEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2017 to 2022

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03471143

GET https://conductscience.org/api/trials/v1/NCT03471143/events?page=2