Phase 2
N=74
A Study to Evaluate Safety and Pharmacodynamic Efficacy of 0382 in Obese Subjects With NAFLD/NASH.
Non-alcoholic Fatty Liver Disease (NAFLD) · Non-alcoholic Steatohepatitis (NASH)
Bottom Line
View on ClinicalTrials.gov: NCT04019561 ↗Enrolled (actual)
74
Serious AEs
2.7%
Results posted
May 2022
Primary outcome: Primary: Safety (Including Hepatic Safety) and Tolerability of MEDI0382 Compared With Placebo: Number of Participants With TEAE and SAE — 20; 22; 9; 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- MEDI0382 high dose (Drug); Placebo for MEDI0382 high dose (Drug); MEDI0382 low dose (Drug); Placebo for MEDI0382 low dose (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- MedImmune LLC
- Primary completion
- May 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Safety (Including Hepatic Safety) and Tolerability of MEDI0382 Compared With Placebo: Number of Participants With TEAE and SAE |
20; 22; 9; 0; 0; 0 | — |
| SECONDARY Immunogenicity Profile Defined by Presence of Anti-drug Antibodies (ADA): ADA Titer (if Confirmed Positive) |
15; 120; 60; 30; 15; 60 | — |
| SECONDARY Immunogenicity Profile Defined by Presence of Anti-drug Antibodies (ADA): Number of Participants With Development of ADA |
1; 0; 0; 0; 0; 0 | — |
| SECONDARY Change From Baseline to Week 19 in Hepatic Fat Fraction (HFF) |
-1.25; -4.85; 0.16 | 0.439 |
| SECONDARY Percent Change From Baseline to Week 19 in Liver Volume |
-0.886; -8.669; 0.622 | 0.695 |
| SECONDARY Percent Change From Baseline to Week 19 in Liver Fat Volume |
-2.466; -29.121; 8.274 | 0.468 |
| SECONDARY Percent Change From Baseline to Week 19 in Visceral Adipose Tissue |
3.359; -2.152; -2.901 | 0.166 |
| SECONDARY Percent Change From Baseline to Week 19 in Subcutaneous Adipose Tissue |
-2.240; -1.778; 1.042 | 0.302 |
| SECONDARY Percent Change From Baseline to Week 19 in Liver Diffusion |
2.864; 2.932; 1.826 | 0.808 |
| SECONDARY Percent Change From Baseline to Week 19 in Abdominal Sagittal Diameter |
2.791; -1.044; -0.657 | 0.087 |
| SECONDARY Percent Change From Baseline to Week 19 in Abdominal Transversal Diameter |
0.605; -0.100; 0.991 | 0.735 |
| SECONDARY Percent Change From Baseline to Week 19 in Alanine Aminotransferase (ALT) |
-10.414; -15.465; 8.863 | 0.195 |
| SECONDARY Percent Change From Baseline to Week 19 in Gamma Glutamyl Transferase (GGT) |
-5.876; 11.600; 4.514 | 0.600 |
| SECONDARY Percent Change From Baseline to Week 19 in Aspartate Aminotransferase (AST) |
-3.447; -13.951; 5.693 | 0.485 |
| SECONDARY Percent Change From Baseline to Week 19 in Body Weight |
-1.286; -2.933; -0.568 | 0.564 |
| SECONDARY Change From Baseline to Week 19 in Body Mass Index (BMI) |
-0.349; -1.042; -0.265 | 0.856 |
Summary
A Phase 2 study with 4 treatment groups of two differing doses and matched placebos designed to evaluate the safety (including hepatic safety), tolerability and pharmacodynamic effects of two dose levels of MEDI0382 in obese subjects with non-alcoholic fatty liver disease (NAFLD)/non-alcoholic steatohepatitis (NASH). The subjects will have biopsy-confirmed NAFLD/NASH with liver fibrosis stage F1, F2 or F3. Approximately 72 subjects will be randomized
Eligibility Criteria
Inclusion Criteria
- Provision of informed consent (with the exception of consent for future genetic and non genetic research) prior to performing any study-specific procedures, including screening evaluations.
- Subjects aged ≥ 18 years at the time of consent.
- Body mass index ≥ 30 kg/m2 at screening.
- HbA1c ≤ 9.5% (inclusive) at screening if T2DM present, managed by either diet and/or a stable dose of metformin, sodium-glucose co-transporter 2 (SGLT-2) inhibitors, sulphonylureas or acarbose (ie, no major dose adjustments in prior 3 months to screening).
- Definitive NAFLD / NASH with NASH activity score (NAS) ≥ 4 with ≥ 1 in each component (i.e. steatosis, lobular inflammation and ballooning), as diagnosed by liver biopsy within 6 months of screening with liver fibrosis stage F1, F2 or F3. The number of subjects with F1 will be capped at 25% in the study.
- Evidence of hepatic steatosis or liver fat (≥ 10%) by MRI.
- Women of childbearing potential:
- Who are sexually active with a non-sterilized male partner must have used at least one highly effective method of contraception from screening, and must agree to continue using such precautions through to the end of the study. It is strongly recommended for the male partner of a female subject to also use male condom plus spermicide throughout this period. Cessation of contraception after this point should be discussed with a responsible physician. Periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of contraception.
- Must have a negative urine pregnancy test within 72 hours prior to the first dose of investigational product; and not be breastfeeding.
Exclusion Criteria
- History of, or any existing condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product, put the subject at risk, influence the subject's ability to participate or affect the interpretation of the results of the study.
- Liver disease of other etiologies (eg, alcoholic steatohepatitis; drug-induced, viral, or autoimmune hepatitis; primary biliary cirrhosis; primary sclerosing cholangitis; hemochromatosis; alpha 1 antitrypsin deficiency; Wilson's disease) including positive results for hepatitis B surface antigen (HBsAg) or hepatitis C antibody tests (anti-HCV).
- History of cirrhosis and/or hepatic decompensation, including ascites, hepatic encephalopathy or variceal bleeding.
- Prior or planned liver transplantation.
- Alcohol consumption > 21 units of alcohol per week for men and > 14 units per week for women on average over a two-year time frame prior to baseline biopsy.
- Evidence of alcohol dependence as assessed by the Alcohol Use Disorder Identification Test (AUDIT) questionnaire at screening
- A history of type 1 diabetes mellitus (T1DM), a history of diabetic ketoacidosis or current use of insulin-based therapies.
- Clinically significant inflammatory bowel disease or other severe disease or surgery affecting the upper GI tract (including bariatric surgery) which may affect gastric emptying or could affect the interpretation of safety and tolerability data
- Physician-diagnosed diabetic subjects with clinically significant gastroparesis (as judged by the investigator) or those treated for gastroparesis within 6 months prior to screening
- History of > 5 kg weight loss in the last 6 months prior to screening or recent (within 3 months of screening) use of drugs approved for weight loss (eg, orlistat, bupropion / naltrexone, phentermine-topiramate, phentermine, lorcaserin), as well as those drugs used off-label.
- Clinically significant cardiovascular or cerebrovascular disease within the past 3 months, including but not limited to, myocardial infarction, acute coronary syndrome or stroke, or subjects who have undergone percutaneous coronary intervention or a coronary artery bypass graft within the past 6 months or who are due to undergo these procedures at the time of screening
Data sourced from ClinicalTrials.gov (NCT04019561). 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.