Phase 2
N=108
Safety, Tolerability, and Efficacy of Monotherapy and Combination Regimens in Participants With Nonalcoholic Steatohepatitis (NASH)
Nonalcoholic Steatohepatitis
Bottom Line
View on ClinicalTrials.gov: NCT03987074 ↗Enrolled (actual)
108
Serious AEs
1.8%
Results posted
Jul 2021
Primary outcome: Primary: Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) — 81.0; 86.4; 81.8; 72.7 percentage of participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Semaglutide (Drug); Firsocostat (Drug); Cilofexor (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Gilead Sciences
- Primary completion
- Jul 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) |
81.0; 86.4; 81.8; 72.7; 90.5 | — |
| PRIMARY Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities |
61.9; 63.6; 36.4; 50.0; 66.7; 23.8 | — |
Summary
The primary objective of this study is to evaluate the safety and tolerability of study drug(s) in participants with nonalcoholic steatohepatitis (NASH).
Eligibility Criteria
Key Inclusion Criteria
- Historical liver biopsy consistent with NASH with stage 2-3 fibrosis according to NASH Clinical Research Network (CRN) classification OR clinical diagnosis of nonalcoholic fatty liver disease and screening FibroTest, magnetic resonance imaging - proton density fat fraction (MRI-PDFF), and FibroScan
- Screening laboratory parameters, as determined by central laboratory:
- Alanine aminotransferase (ALT) ≤ 5 x upper limit of the normal range (ULN)
- Estimated glomerular filtration rate (eGFR) ≥ 30 milliliter/minute (mL/min), as calculated by the Modification of Diet in Renal Disease (MDRD) study equation
- HbA1c ≤ 9.5%
- International normalized ratio (INR) ≤ 1.2, unless due to therapeutic anti-coagulation therapy
- Platelet count ≥ 100,000/μL
- Total bilirubin 23 kg/m^2 and body weight of > 60 kg
Key Exclusion Criteria
- Any historical liver biopsy consistent with cirrhosis
- Any history of decompensated liver disease, including ascites, hepatic encephalopathy, or variceal bleeding
- Other causes of liver disease, including but not limited to: alcoholic liver disease, hepatitis B, hepatitis C, autoimmune disorders (eg, primary biliary cholangitis (PBC), primary sclerosing cholangitis (PSC), autoimmune hepatitis), drug-induced hepatotoxicity, Wilson disease, clinically significant iron overload, or alpha-1-antitrypsin deficiency requiring treatment
- History of liver transplantation
- History of hepatocellular carcinoma
- History of pancreatitis (acute or chronic)
- Personal or first degree relative(s) history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma
- Treatment with glucagon-like peptide-1 receptor agonists (GLP-1 RA) in the period from 90 days prior to the date of the Screening Visit
- Individuals on antidiabetic medications must be on a stable dose for at least 90 days prior to the date of the Screening Visit and in the period between the date of the Screening Visit and Enrollment (Day -14)
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Data sourced from ClinicalTrials.gov (NCT03987074). 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.