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Trial · NCT05569759

A Study of Zetomipzomib (KZR-616) in Patients With Autoimmune Hepatitis (PORTOLA)

NCT05569759, Phase 2, Completed, Kezar Life Sciences, Inc.; results first posted 2026-01-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Zetomipzomib (KZR-616) in Patients With Autoimmune Hepatitis (PORTOLA). Trials, record NCT05569759. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05569759

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Trial

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

Title
A Study of Zetomipzomib (KZR-616) in Patients With Autoimmune Hepatitis (PORTOLA)
NCT number
NCT05569759
Status
Completed
Phases
Phase 2
Enrollment
24 participants, actual
Lead sponsor
Kezar Life Sciences, Inc.
Conditions
Autoimmune Hepatitis
Interventions
zetomipzomib, placebo, zetomipzomib in open-label extension
First posted
2022-10-06
Last updated
2026-01-13
Results first posted
2026-01-13
Limitations and caveats
Limitations of this study include its small sample size, unpowered design, and a predominantly white study population, which may limit generalizability.

Source ClinicalTrials.gov

Registered outcomes15

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

ListOutcomeTime frameDescription
PrimaryPatients Who Achieved Complete Biochemical ResponseWeek 12, Week 16, Week 20, and Week 24
The number of patients who achieve complete biochemical response (CR), defined as normal ALT, AST, and IgG values (if IgG level is elevated at Baseline) with glucocorticoid dose not higher than starting dose (at Baseline), by Week 24 of the Double-Blind Treatment Period. Analyses were also conducted at Week 12, Week 16, and Week 20.
PrimaryThe Safety and Tolerability of ZetomipzomibBaseline through end of study visit (DBTP, Week 28 and OLE, Up to Week 24)Proportion of participants who experience AEs (adverse events) and SAEs (serious adverse events) during the double-blind treatment period (DBTP) and the open-label extension (OLE).
PrimaryProportion of Participants Experiencing a Disease Flare Among the Participants Who Achieved a CR During the Double-blind Treatment PeriodStart of open-label extension (OLE) period through End of Study (EOS) up to OLE Week 25Proportion of participants experiencing a disease flare among the participants who achieved a complete biochemical response (CR) during the double-blind treatment period.
SecondaryAlanine Aminotransferase (ALT)Weeks 12, 16, 20, and 24Changes from baseline in alanine aminotransferase (ALT) during the double-blind treatment period.
SecondaryPartial ResponseWeeks 12, 16, 20, and 24Proportion of participants who achieved a partial response (PR) during the double-blind treatment period of the study.
SecondaryTime to Complete ResponseBaseline through Week 24
Time to complete response (CR), defined as the duration from first dose of study drug (zetomipzomib or placebo) to first CR, during the double-blind treatment period was measured using the Kaplan-Meier method. Due to the small sample size, not enough events of participants achieving CR were observed to provide Kaplan-Meier estimates for the 25th percentile, median, and 75th percentile time to CR.
SecondaryDisease Flare After CRWeek 24Proportion of participants who experienced a disease flare after complete response (CR) during the double-blind treatment period.
SecondaryTreatment FailuresWeek 24
Proportion of participants who were considered treatment failures, defined as ALT or AST level worsened ≥2 times that of the Baseline value that is sustained for ≥1 week as verified via repeat laboratory assessments, despite compliance with standard of care (ie, with regard to inclusion criteria) or protocol-defined therapy or a glucocorticoid dose is increased above the Baseline dose, it may be considered a treatment failure unless attributed to an adverse event not relating to AIH, during the double-blind treatment period.
SecondaryComplete Response With Glucocorticoid Taper to ≤10 mgWeeks 12, 16, 20, and 24Percentage of participants who achieved complete response with successful glucocorticoid taper to ≤10 mg by Week 24 of the double-blind treatment period.
SecondaryComplete Response With Glucocorticoid Taper to ≤5 mgWeeks 12, 16, 20, and 24Percentage of participants who achieved complete response and glucocorticoid taper to ≤5 mg by Week 24 of the double-blind treatment period.

Outcomes19

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPatients Who Achieved Complete Biochemical ResponseWeek 12, Week 16, Week 20, and Week 24The Intent to Treat (ITT) Set included all randomized participants (N=24).ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYThe Safety and Tolerability of ZetomipzomibBaseline through end of study visit (DBTP, Week 28 and OLE, Up to Week 24)The Safety Set (N=23) includes all participants who received at least one dose of IMP and were analyzed as randomized to treatment.participantsNUMBER
PRIMARYProportion of Participants Experiencing a Disease Flare Among the Participants Who Achieved a CR During the Double-blind Treatment PeriodStart of open-label extension (OLE) period through End of Study (EOS) up to OLE Week 25
Participants who enrolled in the optional open-label extension following their completion of the double-blind treatment period of the study and achieved a complete response during the double-blind treatment period.
participantsNUMBER
SECONDARYAlanine Aminotransferase (ALT)Weeks 12, 16, 20, and 24The Intent to Treat (ITT) Set included all randomized participants (N=24).U/LMEAN
SECONDARYPartial ResponseWeeks 12, 16, 20, and 24The Intent to Treat (ITT) Set included all randomized participants (N=24).ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Complete ResponseBaseline through Week 24The Intent to Treat (ITT) Set included all randomized participants (N=24).weeksMEDIAN
SECONDARYDisease Flare After CRWeek 24The Intent to Treat (ITT) Set included all randomized participants (N=24).ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTreatment FailuresWeek 24The Intent to Treat (ITT) Set included all randomized participants (N=24).ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYComplete Response With Glucocorticoid Taper to ≤10 mgWeeks 12, 16, 20, and 24The Intent to Treat (ITT) Set included all randomized participants (N=24).percent of participantsNUMBER
SECONDARYComplete Response With Glucocorticoid Taper to ≤5 mgWeeks 12, 16, 20, and 24The Intent to Treat (ITT) Set included all randomized participants (N=24).percent of participantsNUMBER

Results by group110

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

OutcomeGroupCategoryValueSpreadUnits
Patients Who Achieved Complete Biochemical ResponseDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)Week 126Participants
Patients Who Achieved Complete Biochemical ResponseDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)Week 123Participants
Patients Who Achieved Complete Biochemical ResponseDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)Week 167Participants
Patients Who Achieved Complete Biochemical ResponseDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)Week 163Participants
Patients Who Achieved Complete Biochemical ResponseDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)Week 208Participants
Patients Who Achieved Complete Biochemical ResponseDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)Week 203Participants
Patients Who Achieved Complete Biochemical ResponseDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)Week 248Participants
Patients Who Achieved Complete Biochemical ResponseDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)Week 243Participants
The Safety and Tolerability of ZetomipzomibDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)Serious adverse events2participants
The Safety and Tolerability of ZetomipzomibDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)Serious adverse events1participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Double Blind Treatment PeriodSTARTEDZetomipzomib + Standard-of-care (Glucocorticoids)16
Double Blind Treatment PeriodSTARTEDPlacebo + Standard-of-care (Glucocorticoids)8
Double Blind Treatment PeriodCOMPLETEDZetomipzomib + Standard-of-care (Glucocorticoids)13
Double Blind Treatment PeriodCOMPLETEDPlacebo + Standard-of-care (Glucocorticoids)7
Double Blind Treatment PeriodNOT COMPLETEDZetomipzomib + Standard-of-care (Glucocorticoids)3
Double Blind Treatment PeriodNOT COMPLETEDPlacebo + Standard-of-care (Glucocorticoids)1
Optional Open-Label ExtensionSTARTEDZetomipzomib + Standard-of-care (Glucocorticoids)9
Optional Open-Label ExtensionSTARTEDPlacebo + Standard-of-care (Glucocorticoids)5
Optional Open-Label ExtensionCOMPLETEDZetomipzomib + Standard-of-care (Glucocorticoids)4
Optional Open-Label ExtensionCOMPLETEDPlacebo + Standard-of-care (Glucocorticoids)3

Adverse events724

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherIncreased tendency to bruiseBlood and lymphatic system disordersDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)0160
otherIncreased tendency to bruiseBlood and lymphatic system disordersDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)070
otherIncreased tendency to bruiseBlood and lymphatic system disordersOpen-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Zetomipzomib in DBTP)191
otherIncreased tendency to bruiseBlood and lymphatic system disordersOpen-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Placebo in DBTP)050
otherIron deficiency anaemiaBlood and lymphatic system disordersDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)0160
otherIron deficiency anaemiaBlood and lymphatic system disordersDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)171
otherIron deficiency anaemiaBlood and lymphatic system disordersOpen-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Zetomipzomib in DBTP)090
otherIron deficiency anaemiaBlood and lymphatic system disordersOpen-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Placebo in DBTP)050
otherLymphadenopathyBlood and lymphatic system disordersDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)1161
otherLymphadenopathyBlood and lymphatic system disordersDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)070

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)016
Total, all-cause mortalityDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)07
Total, all-cause mortalityOpen-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Zetomipzomib in DBTP)09
Total, all-cause mortalityOpen-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Placebo in DBTP)05
Total, other adverse eventsDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)1616
Total, other adverse eventsDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)77
Total, other adverse eventsOpen-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Zetomipzomib in DBTP)99
Total, other adverse eventsOpen-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Placebo in DBTP)55
Total, serious adverse eventsDouble-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids)216
Total, serious adverse eventsDouble-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids)17

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

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.

None in this release.

Trial comparisons3

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

ComparisonSource
Double-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids) vs Double-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids): Disease Flare After CRTrial comparisons
Open-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Zetomipzomib in DBTP) vs Open-label Extension: Zetomipzomib + standard-of Care (Glucocorticoids) (Placebo in DBTP): Proportion of Participants Experiencing a Disease Flare Among the Participants Who Achieved a CR During the Double-blind Treatment Period
Trial comparisons
Double-blind Treatment Period: Zetomipzomib + Standard-of-care (Glucocorticoids) vs Double-blind Treatment Period: Placebo + Standard-of-care (Glucocorticoids): Treatment FailuresTrial comparisons

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/NCT05569759

GET https://conductscience.org/api/trials/v1/NCT05569759/results?page=2