Ocera Therapeutics, Inc…today announced top-line results from its exploratory STOP-HE Phase 2b Study evaluating the efficacy, safety and tolerability of intravenously-administered Ornithine Phenylacetate (OCR-002) in hospitalized patients with Hepatic Encephalopathy (HE).
Although not statistically significant, OCR-002 demonstrated a 17-hour[median]reduction over placebo (47 versus 64 hours, respectively) for the primary endpoint, which was time to improvement in HE symptoms, p=0.129, hazard ratio 1.25[i.e. HR=0.80 using the conventional manner of reporting where lower numbers are better].
In addition, OCR-002 demonstrated a 15-hour reduction over placebo (87 versus 102 hours, respectively) for the secondary endpoint, which was median time to complete response in HE symptoms, p=0.361, hazard ratio 1.16 [HR=0.86 using the conventional manner of reporting].
Consistent with its mechanism of action, OCR-002 exhibited a statistically significant reduction over placebo for the study’s pre-specified exploratory endpoint which was time to achieve normal plasma ammonia levels, p=0.028, hazard ratio 1.69 [HR=0.59 using the conventional manner of reporting].
Questions on the CC focused on whether STOP-HE can still serve as one of the two required pivotal studies for FDA approval of the IV formulation of OCR-002 as a treatment for acute HE. The company did not give a clear answer, but missing the primary endpoint would seem to make this unlikely.
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