A Study to Evaluate the Efficacy and Safety of CnU Capsule 750 mg in Patients With Cholesterol Gallstones(GB Stones).

Myungmoon Pharma

Status and phase: Enrolling; Phase 4

Conditions: Cholesterol Cholelithiasis

Treatments: Drug: Ursa tab. 200mg & CnU placebo cap. 250mg; Drug: CnU cap. 250mg & Ursa placebo tab. 200mg

Study type: Interventional

Funder types: Industry

Identifiers

NCT07005752

MMP-401

Details and patient eligibility

About

The objective of this clinical trial is to evaluate the efficacy and safety of CnU capsule 750 mg administration in patients with Cholesterol gallstone (radiolucent gallstones)

Enrollment: 484 estimated patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Individuals who have voluntarily agreed to participate in this clinical trial
2. Adults aged 19 years and older
3. Individuals diagnosed with gall bladder stone(GB stone) with a maximum diameter size of 15 mm or less, as determined by abdominal ultrasonography at the screening stage, and who have radiolucent GB stones on plain abdominal X-ray

Exclusion criteria

1. Medical History

1. Patients with frequent biliary colic or biliary infections (severe pancreatic changes, such as ileal resection, resection surgery, or partial ileitis, may alter the composition of bile acids circulating in the intestines).
2. Patients with obstructive jaundice.
3. Patients with liver disease.
4. Patients with severe kidney disease.
5. Patients with severe biliary obstruction (due to choleretic effects, symptoms may worsen).
6. Patients with underlying diseases that could worsen biliary obstruction (such as biliary cancer, cholangitis, or biliary cysts).
7. Patients with acute cholecystitis.
8. Patients with peptic ulcers (due to mucosal irritation, symptoms may worsen).
9. Patients with inflammatory bowel diseases, such as Crohn's disease.
10. Patients with cholestasis.
11. Patients with abnormal gallbladder contraction.
12. Individuals with a history of malignant tumors within 5 years prior to the screening stage.
13. Individuals with a history of gastrointestinal surgery.
14. Individuals known to have hypersensitivity to the ingredients or additives of the clinical trial drug.
15. Individuals showing clinically significant disorders in the cardiovascular, gastrointestinal, respiratory, endocrine, or central nervous systems, or individuals who have had or currently have a mental disorder that could significantly affect this clinical trial.
16. Individuals with drug or alcohol addiction.
17. Individuals with genetic disorders such as galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.

2. Individuals showing abnormal test results at the screening stage:

1. BMI ≥ 35 kg/m².
2. ALT or AST > 2.0 x ULN.
3. Total bilirubin > 2.0 x ULN.
4. eGFR < 60 mL/min/1.73 m² (CKD-EPI formula).
5. Positive results in serum tests (HBsAg, HCV Ab, HIV Ab, Syphilis reagin test).

3. Contraindicated drugs and therapies

The following drugs may be used after a washout period and registration:

1. Medications that increase bile secretion within 1 week prior to screening (e.g., estrogen, hormonal contraceptives, some lipid-lowering agents), or medications that reduce blood cholesterol (e.g., clofibrate).
2. Medications containing cholestyramine, colestipol, activated charcoal, magnesium, or aluminum hydroxide antacids within 2 weeks prior to screening.
3. Oral bile acid dissolution agents within 4 weeks prior to screening (e.g., chenodeoxycholic acid (CDCA), ursodeoxycholic acid (UDCA), HMG-CoA reductase inhibitors, Terpene).
4. Oral anti-diabetic medications (e.g., tolbutamide).
5. Individuals who have received bile acid treatment within 4 weeks prior to screening.

The following drugs cannot be used regardless of the washout period: Alpha-methyldopa.

4. Pregnant and breastfeeding women

5. Contraception

Participants and their spouses (or partners) who do not use medically acceptable contraceptive methods throughout the clinical trial period:

1. Use of intrauterine devices (IUD) or intrauterine systems (IUS) with proven failure rates of pregnancy.
2. Use of dual barrier contraception (male condom and cervical cap: contraceptive vaginal diaphragm or cervical cap) combined with spermicides.
3. Sterilization procedures (vasectomy, tubal ligation or cauterization, hysterectomy).

6. Other individuals deemed inappropriate for participation in the clinical trial by the investigator.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

---

484 participants in 2 patient groups

CnU capsule 250 mg(1 capsule) and Ursa placebo tablet 200 mg(1 tablet)

Experimental group

Treatment:

Drug: CnU cap. 250mg & Ursa placebo tab. 200mg

Ursa tablet 200 mg(1 tablet) and CnU placebo capsule 250 mg(1 capsule)

Active Comparator group

Treatment:

Drug: Ursa tab. 200mg & CnU placebo cap. 250mg