NorthSea Therapeutics has kicked off its Phase IIa trial in intestinal failure-associated liver disease (IFALD) after the first patient was dosed with the biotech’s candidate Orziloben (NST-6179).

IFALD is characterised by the development of hepatic inflammation, cholestasis, and steatosis. NorthSea’s randomised, double-blind, placebo-controlled study (NCT05919680) aims to evaluate how well the drug works in adults with the disease that can eventually cause liver failure if untreated.

Discover B2B Marketing That Performs

Combine business intelligence and editorial excellence to reach engaged professionals across 36 leading media platforms.

Find out more

The US trial aims to enrol 36 participants with IFALD receiving parenteral nutrition – a type of food administration intravenously that bypasses the digestive system. IFALD is often associated with prolonged administration of parenteral nutrition.

There are currently no US Food and Drug Administration (FDA)-approved therapies to treat IFALD.

The Dutch biotech expects a data readout from its trial in the second half of 2025. The trial’s endpoints include safety assessments, pharmacodynamic effects, and pharmacokinetics.

Orziloben is a synthetic, medium-chain fatty acid analogue (MCFA). It is absorbed via passive diffusion as opposed to receptor-mediated transport. The biotech says that preclinical studies demonstrated the candidates’ ability to prevent multiple pathogenic components of IFALD.

GlobalData Strategic Intelligence

US Tariffs are shifting - will you react or anticipate?

Don’t let policy changes catch you off guard. Stay proactive with real-time data and expert analysis.

By GlobalData

NorthSea’s CEO Rob de Ree said: “There is a critical need for effective therapies in IFALD as, to date, there are no drug therapies approved to treat this orphan indication. We believe Orziloben has the potential to make a substantial impact in addressing this unmet medical need.”

Also in the IFALD clinical landscape is Protara Therapeutics’ IV Choline Chloride.

NorthSea’s lead compound is icosabutate, which is licensed from BASF Norge – a company formerly known as Pronova BioPharma Norge. Icosabutate demonstrated a good safety profile in two prior Phase II clinical studies for the treatment of hypertriglyceridemia and mixed dyslipidemia. It also demonstrated positive results in a Phase IIb trial for the treatment of nonalcoholic steatohepatitis.

Clinical Trials Arena Excellence Awards - Nominations Closed

Nominations are now closed for the Clinical Trials Arena Excellence Awards. A big thanks to all the organisations that entered – your response has been outstanding, showcasing exceptional innovation, leadership, and impact

Excellence in Action
Science 37 has won the Research and Development Award in the Site Innovation category for its FDA inspected Direct-to-Patient Site model, delivering nationwide access, faster enrollment and higher retention. Explore how its virtual-first, in home approach is reshaping trial operations and accelerating time to data-driven decisions..

Discover the Impact