Phase 2
N=132
A Study to Assess the Safety, Tolerability, Pharmacokinetics and Efficacy of EDP-305 in Subjects With Non-Alcoholic Steatohepatitis
Non-Alcoholic Steatohepatitis
Bottom Line
View on ClinicalTrials.gov: NCT03421431 ↗Enrolled (actual)
132
Serious AEs
1.5%
Results posted
Sep 2021
Primary outcome: Primary: Mean Change From Baseline (Average) in Alanine Aminotransferase (ALT) at Week 12 — -13.85; -23.76; -26.14 units per liter (U/L) — p=0.0495
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- EDP-305 Dose 1 (Drug); EDP-305 Dose 2 (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Enanta Pharmaceuticals, Inc
- Primary completion
- Jun 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Mean Change From Baseline (Average) in Alanine Aminotransferase (ALT) at Week 12 |
-13.85; -23.76; -26.14 | 0.0495 sig |
| SECONDARY Mean Change From Baseline in Percentage of Fat in the Liver as Assessed by Magnetic Resonance Imaging - Proton Density Fat Fraction (MRI-PDFF) at Week 12 |
-2.842; -3.759; -6.428 | 0.0009 sig |
| SECONDARY Mean Change From Baseline in Aspartate Aminotransferase to Platelet Ratio Index (APRI) at Week 12 |
-0.180; -0.107; -0.194 | 0.2756 |
| SECONDARY Mean Change From Baseline in Triglycerides (TG) at Week 12 |
-0.151; -0.366; 0.129 | 0.6130 |
| SECONDARY Mean Change From Baseline in Total Cholesterol at Week 12 |
-0.175; 0.046; -0.003 | 0.3875 |
| SECONDARY Mean Change From Baseline in High-Density Lipoprotein Cholesterol (HDL-C) at Week 12 |
0.008; -0.058; -0.210 | <0.0001 sig |
| SECONDARY Mean Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 12 |
-0.112; 0.129; 0.151 | 0.0897 |
| SECONDARY Mean Change From Baseline in Adiponectin at Week 12 |
319.16; 17.94; 522.00 | 0.9143 |
| SECONDARY Mean Change From Baseline in Apolipoproteins A1 (ApoA-1) at Week 12 |
-0.074; -0.107; -0.226 | 0.0003 sig |
| SECONDARY Mean Change From Baseline in Apolipoproteins B (ApoB) at Week 12 |
-0.028; 0.040; 0.099 | 0.0282 sig |
| SECONDARY Mean Change From Baseline in Apolipoproteins C3 (ApoC3) at Week 12 |
-0.0094; -0.0167; -0.0122 | 0.4357 |
| SECONDARY Mean Change From Baseline in Fasting Blood Glucose at Week 12 |
-0.11; 0.48; 1.68 | 0.0134 sig |
| SECONDARY Mean Change From Baseline in Fasting Insulin at Week 12 |
-0.688; 2.528; -5.635 | 0.4608 |
| SECONDARY Mean Change From Baseline in Homeostasis Model Assessment (HOMA) Index for Nondiabetic Participants at Week 12 |
0.587; 0.192; -6.474 | 0.8302 |
| SECONDARY Mean Change From Baseline in HOMA Index for Diabetic Participants at Week 12 |
-0.493; 2.088; 5.059 | 0.0639 |
| SECONDARY Mean Change From Baseline in Glycated Hemoglobin (HbA1c) in Participants With T2DM at Week 12 |
0.31; 0.21; 0.76 | 0.0811 |
| SECONDARY Maximum Plasma Concentration (Cmax) of EDP-305 on Day 1 and Week 12 |
11.1; 25.1; 15.9; 41.1 | — |
| SECONDARY Time to Reach Maximum Plasma Concentration (Tmax) of EDP-305 on Day 1 and at Week 12 |
6.00; 6.00; 6.00; 6.00 | — |
| SECONDARY Area Under the Plasma Concentration-Time Curve (AUC) From Time Zero to the Time of the Last Quantifiable Concentration (AUC[Last]) of EDP-305 on Day 1 and at Week 12 |
53.6; 129; 87.2; 264 | — |
| SECONDARY Cmax of EP-022571 on Day 1 and at Week 12 |
0.324; 0.833; 0.296; 0.787 | — |
| SECONDARY Tmax of EP-022571 on Day 1 and at Week 12 |
6.00; 6.00; 6.00; 6.00 | — |
| SECONDARY AUC(Last) of EP-022571 on Day 1 and at Week 12 |
1.48; 3.77; 1.41; 3.81 | — |
| SECONDARY Cmax of EP-022572 on Day 1 and at Week 12 |
0.234; 0.571; 0.214; 0.556 | — |
| SECONDARY Tmax of EP-022572 on Day 1 and at Week 12 |
6.00; 6.00; 6.00; 2.05 | — |
| SECONDARY AUC(Last) of EP-022572 on Day 1 and at Week 12 |
1.06; 2.92; 1.13; 3.19 | — |
| SECONDARY Cmax of EP-022679 on Day 1 and at Week 12 |
0.574; 1.28; 1.41; 3.85 | — |
| SECONDARY Tmax of EP-022679 on Day 1 and at Week 12 |
8.00; 8.00; 6.03; 6.00 | — |
| SECONDARY AUC(Last) of EP-022679 on Day 1 and at Week 12 |
2.32; 5.09; 7.14; 22.5 | — |
| SECONDARY Mean Change From Baseline in Body Weight at Week 12 |
-0.877; -1.440; -2.114 | 0.1120 |
| SECONDARY Mean Change From Baseline in Waist to Hip (WTH) Ratio at Week 12 |
0.013; -0.007; 0.014 | 0.5606 |
| SECONDARY Mean Change From Baseline in Fibroblast Growth Factor 19 (FGF19) by Nominal Timepoint (Intensive Pharmacodynamic [PD] Samples) at Week 12 |
159.98; 410.00; 607.12 | 0.7014 |
| SECONDARY Mean Change From Baseline in FGF19 by Bin Timepoint (Sparse PD Samples) at Week 12 |
33.51; 46.04; 813.29 | 0.2985 |
| SECONDARY Mean Change From Baseline in 7a-Hydroxy-4-Cholestene-3-One (C4) by Nominal Timepoint (Intensive PD Samples) at Week 12 |
-9.484; -36.783; -40.567 | <0.0001 sig |
| SECONDARY Mean Change From Baseline in C4 by Bin Timepoint (Sparse PD Samples) at Week 12 |
-5.242; -13.500; -23.773 | 0.0134 sig |
| SECONDARY Mean Change From Baseline in Bile Acid (BA) by Nominal Timepoint (Intensive PD Samples) at Week 12 |
4.47; 2.16; 0.14 | 0.0557 |
| SECONDARY Mean Change From Baseline in BA by Bin Timepoint (Sparse PD Samples) at Week 12 |
0.77; -0.11; 0.74 | 0.9913 |
Summary
A randomized, double-blind study to assess the safety, tolerability, PK and efficacy of EDP-305 in subjects with Non-Alcoholic Steatohepatitis
Eligibility Criteria
Inclusion Criteria
- An informed consent document must be signed and dated by the subject
- Male and female subjects of any ethnic origin between the ages of 18 and 75 years, inclusive
- Male or female with presence of NASH by:
- Histologic evidence on a historical liver biopsy within 24 months of Screening consistent with NASH with fibrosis (no cirrhosis), and elevated ALT at Screening AND Screening MRI PDFF with >8 % steatosis OR
- Phenotypic diagnosis of NASH based on elevated ALT and diagnosis of T2DM or pre-diabetes AND Screening MRI PDFF with >8 % steatosis
- Body mass index (BMI) >25 kg/m2; for Asian-Americans, BMI >23 kg/m2
- Female subjects of childbearing potential must agree to use two effective methods of contraception from the date of Screening until 90 days after the last dose of EDP-305.
- Subject must be willing and able to adhere to the assessments, visit schedules, prohibitions and restrictions, as described in this protocol
Exclusion Criteria
- Laboratory Screening Results:
- Total bilirubin > ULN (normal range 0.2-1.2 mg/dL)
- Total white blood cells (WBC) 1.2
- Creatine kinase above the upper limit of normal (ULN) except when in relation with intense exercise
- Serum creatinine >2 mg/dL or creatinine clearance 2xULN
- Hepatorenal syndrome (type I or II) or Screening serum creatinine > 2 mg/dL (178 μmol/L)
- Prior variceal hemorrhage, uncontrolled encephalopathy, Child-Pugh Class A, B, and C, esophageal varices, or refractory ascites within the previous 6 months of Screening (defined as date informed consent signed)
- Any condition possibly affecting drug absorption (eg, gastrectomy <3 years prior to Screening)
- Subject has received an investigational agent or vaccine within 30 days, or a biological product within 3 months or 5 elimination half-lives (whichever is longer) prior to the planned intake of study drug. NOTE: Flu vaccine will be allowed upon Medical Monitor's approval
- Use of a new statin regimen from Screening and throughout study duration. NOTE: Subjects on a stable dose of statins for at least three months prior to Screening are allowed. No dose modification during the study will be allowed.
- Current use of fibrates. Note: Subjects who discontinued fibrates for at least 3 months before Screening can participate
- Clinically significant history of drug sensitivity or allergy, as determined by the PI
- Uncontrolled diabetes mellitus (ie, HbA1c ≥9% or higher) 60 days prior to Day 1
- Subjects with contraindications to MRI imaging, or not being able to have the MRI performed
Data sourced from ClinicalTrials.gov (NCT03421431). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.