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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT03053050
Other study ID # GS-US-384-1943
Secondary ID 2016-004374-18
Status Terminated
Phase Phase 3
First received
Last updated
Start date February 13, 2017
Est. completion date June 19, 2019

Study information

Verified date June 2020
Source Gilead Sciences
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The primary objective of this study is to evaluate whether selonsertib (SEL; GS-4997) can cause fibrosis regression and reduce progression to cirrhosis and associated complications in adults with NASH and bridging (F3) fibrosis.


Recruitment information / eligibility

Status Terminated
Enrollment 808
Est. completion date June 19, 2019
Est. primary completion date June 19, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years to 70 Years
Eligibility Key Inclusion Criteria:

- Liver biopsy consistent with NASH and bridging (F3 fibrosis) according to the NASH Clinical Research Network (CRN) classification in the opinion of the central reader

- Has the following laboratory parameters at the screening visit:

- Alanine aminotransferase (ALT) = 8 x upper limit of normal (ULN)

- Creatinine Clearance (CLcr) = 30 milliliter/minute (mL/min), as calculated by the Cockcroft-Gault equation

- Hemoglobin A1c (HbA1c) = 9.5% (or serum fructosamine = 381 µmol if HbA1c is unable to be resulted)

- Total bilirubin = 1.3 x ULN (unless an alternate etiology such as Gilbert's syndrome or hemolytic anemia is present)

Key Exclusion Criteria:

- Prior history of decompensated liver disease including clinical ascites, hepatic encephalopathy (HE), or variceal bleeding

- Child-Pugh (CP) score > 6, as determined at screening, unless due to therapeutic anti-coagulation

- Model for End-stage Liver Disease (MELD) score > 12, as determined at screening, unless due to therapeutic anti-coagulation

- Other causes of liver disease including, but not limited to, alcoholic liver disease, hepatitis B, hepatitis C, autoimmune disorders, drug-induced hepatotoxicity, Wilson disease, iron overload, and alpha-1-antitryspin deficiency, based on medical history and/ or centralized review of liver histology.

- History of liver transplantation

- Current or history of hepatocellular carcinoma (HCC)

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
SEL
Tablets administered orally once daily
Placebo to match SEL 6 mg
Tablets administered orally once daily
Placebo to match SEL 18 mg
Tablets administered orally once daily

Locations

Country Name City State
Argentina Hospital Italiano de Buenos Aires Buenos Aires
Argentina Instituto Oulton Córdoba
Australia Royal Adelaide Hospital Adelaide South Australia
Australia Monash Health, Monash Medical Centre Clayton Victoria
Australia St. Vincent's Hospital Sydney Darlinghurst New South Wales
Australia St. Vincent's Hospital Melbourne Fitzroy Victoria
Australia Austin Hospital Heidelberg Victoria
Australia Royal Brisbane & Women's Hospital Herston Queensland
Australia St. George's Hospital Kogarah New South Wales
Australia The Alfred Hospital, Alfred Health Melbourne Victoria
Australia Royal Perth Hospital Perth Western Australia
Australia Westmead Hospital Westmead New South Wales
Austria Medizinische Universitat Graz, Universitatsklinik fue Innere Medizin Graz
Austria Allgemeines Krankenhaus Wien Vienna
Belgium UZ Brussel Brussel
Belgium CUB Hopital Erasme Brussels
Belgium Universitaire Ziekenhuizen Leuven Leuven
Brazil Hospital das Clínicas da Faculdade de Medicina de Botucatu - FMB/Universidade Estadual Paulista Julio de Mesquita Filho - UNESP Botucatu
Brazil Hospital de Clínicas de Porto Alegre - HCPA/UFRGS Porto Alegre
Brazil Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP Ribeirão Preto
Brazil Hospital Das Clinicas Da Faculdade De Medicina Da Universidade De Sao Paulo São Paulo
Brazil Universidade Federal de São Paulo / Unidade Ambulatorial de Pesquisa Clínica - I (UAPC-I) São Paulo
Canada William Osler Health System-Brampton Civic Hospital Brampton Ontario
Canada South Shore Medical Arts Bridgewater Nova Scotia
Canada University of Calgary Liver Unit (Heritage Medical Research Clinic) Calgary Alberta
Canada University of Alberta Hospital - Walter C. Mackenzie Health Sciences Centre (WMC) Edmonton Alberta
Canada South Shore Medical Arts London Ontario
Canada Chronic Viral Illness Service/Royal Victoria Hospital/McGill University Health Centre (MUHC) Montréal Quebec
Canada Toronto Center for Liver Diseases (TCLD), Toronto General Hospital Toronto Ontario
Canada (G.I.R.I.) GI Research Institute Vancouver British Columbia
Canada Gordon and Leslie Diamond Health Care Centre Vancouver British Columbia
Canada LAIR Centre Vancouver British Columbia
Canada PerCuro Clinical Research Ltd. Victoria British Columbia
France Centre Hospitalier Universitaire d'Angers Angers
France Centre Hospitalier Universitaire Estaing Clermont-Ferrand
France Hopital Henri Mondor Créteil
France CHU de Grenoble- Hopital Michallon Grenoble
France Centre Hospitalier Regional Universitaire- Hopital Claude Huriez Lille
France CHU de Limoges- Hopital Dupuytren- Federation Hepatologie Limoges
France Hopital de la Croix Rousse Lyon
France Hôpital Saint Joseph Marseille
France Centre Hospitalier Universitaire de Nice- Hopital l'Archet 2 Nice
France Hopital Cochin Paris
France Centre Hospitalier Universitaire de Bordeaux Pessac
France Hopital Beaujon Pessac
France Centre Hospitalier Universitaire de Strasbourg- Nouvel Hopital Civil Strasbourg
France Centre Hospitalier Universitaire de Toulouse- Hopital Purpan Toulouse
France Hopital Paul Brousse Villejuif
Germany Uniklinik RWTH Aachen, Medizinische Klinik III Aachen
Germany Zentrum fur Infektiologie Berlin Prenzlauer Berg GmbH (zibp) Berlin
Germany Universitatsklinikum Bonn (AoR) Bonn
Germany Universitatsklinikum Frankfurt der Goethe-Universitat Frankfurt
Germany Medizinische Hochschule Hannover Hanover
Germany Uniklinikum des Saarlandes- Klinik fur Innere Medizin II Homburg
Germany Gastroenterologisch- Hepatologisches Zentrum Kiel Kiel
Germany Eugastro Gmbh Leipzig
Germany Johannes Gutenberg-Universitat Mainz
Hong Kong Alice Ho Miu Ling Nethersole Hospital Tai Po
Hong Kong Tuen Mun Hospital Tuen Mun
India Institute of Post Graduate Medical Education and Research / SSKM Hospital Kolkata
India Kasturba Medical College (KMC) Hospital Mangalore
India Global Hospital-Super Speciality & Transplant Centre (A Unit of Centre for Digestive and Kidney Diseases (India) Pvt. Ltd.) Mumbai
India Midas Multispecialty Hospital Nagpur Maharashtra
India All India Institute of Medical Sciences New Delhi
India Fortis Flt. Lt. Rajan Dhall Hospital New Delhi
India Institute of Liver & Biliary Sciences New Delhi
India Maharaja Agrasen Hospital New Delhi
Israel Rambam Health Care Campus Haifa
Israel The Lady Davis Carmel Medical Center Haifa
Israel Holy Family hospital Nazaret
Israel The Chaim Sheba Medical Center Ramat Gan
Israel Tel-Aviv Sourasky Medical Center Tel Aviv
Italy Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan
Italy Azienda Ospedaliera Universitaria Pisana Pisa
Italy IRCCS Ospedale Casa Sollievo Della Soferrenza San Giovanni Rotondo
Japan Chiba University Hospital Chiba
Japan Fukui-Ken Saiseikai Hospital Fukui-shi
Japan Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital Hiroshima
Japan Hiroshima University Hospital Hiroshima
Japan Tokyo Medical University Ibaraki Medical Center Ibaraki
Japan Juntendo University Shizuoka Hospital Izunokuni
Japan Kagoshima University Medical And Dental Hospital Kagoshima
Japan Kanazawa University Hospital Kanagawa
Japan Nara Medical University Hospital Kashihara
Japan Toranomon Hospital Kajigaya Kawasaki
Japan Shinkokura Hospital Kitakyushu
Japan Kumamoto Shinto General Hospital Kumamoto
Japan Kurume University Hospital Kurume
Japan University Hospital, Kyoto Prefectural University of Medicine Kyoto
Japan Shinshu University Hospital Matsumoto
Japan Toranomon Hospital Minato
Japan Miyazaki Medical Center Hospital Miyazaki
Japan Japanese Red Cross Musashino Hospital Musashino
Japan Aichi Medical University Hospital Nagakute
Japan Heart Life Hospital Nakagami
Japan Nara City Hospital Nara
Japan Hyogo College of Medicine Hospital Nishinomiya
Japan Kawasaki Medical School General Medical Center Okayama
Japan Okayama University Hospital Okayama
Japan National Hospital Organization Nagasaki Medical Center Omura
Japan Hirakata Kohsai Hospital Osaka
Japan National Hospital Organization Osaka National Hospital Osaka
Japan Saga University Hospital Saga
Japan Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital Sapporo
Japan Tohoku Rosai Hospital Sendai
Japan National Center for Global Health and Medicine Hospital Shinjuku-ku
Japan Saiseikai Suita Hospital Suita
Japan Kagawa Prefectural Central Hospital Takamatsu
Japan Ehime University Hospital Tono
Japan Mie University Hospital Tsu
Japan Yamagata University Hospital Yamagata
Japan Yokohama City University Hospital Yokohama
Korea, Republic of Keimyung University Dongsan Medical Center Daegu
Korea, Republic of Kyungpook National University Hospital Daegu
Korea, Republic of National Health Insurance Service- Ilsan Hospital Goyang-si
Korea, Republic of Asan Medical Center Seoul
Korea, Republic of Chung-Ang University Hospital Seoul
Korea, Republic of Gangnam Severance Hospital Seoul
Korea, Republic of Hanyang University Seoul Hospital Seoul
Korea, Republic of Korea University Guro Hospital Seoul
Korea, Republic of Severance Hospital, Yonsei University Health System Seoul
Korea, Republic of SMG-SNU Boramae Medical Center Seoul
Korea, Republic of Yonsei University Wonju Severance Christian Hospital Wonju
Malaysia Hospital Selayang Batu Caves
Malaysia University of Malaya Medical Centre Kuala Lumpur
Mexico Phylasis Clinicas Research S. de RL de CV. Cuautitlán
Mexico Consultorio Médico Mexico City
Mexico Investigaciones Medicas Cisneros SC Monterrey
Netherlands University Medical Center Utrecht Utrecht
New Zealand Auckland City Hospital Grafton
Poland Szpital Specjalistyczny Nr 1 w Bytomiu, Oddzial Obserwacyjno-Zakazny i Hepatologii Bytom
Poland Wojewodzki Specjalistyczny Szpital im. W. Bieganskiego Lódz
Portugal Centro Hospitalar de Tras-os-Montes e Alto Douro, E.P.E Vila Real
Puerto Rico Fundacion de Investigacion de Diego San Juan
Puerto Rico Klinical Investigations Group, LLC San Juan
Puerto Rico VA Caribbean Healthcare System San Juan
Singapore Changi General Hospital Pte Ltd. Singapore
Singapore Khoo Teck Puat Hospital Singapore
Singapore National University Hospital Singapore
Singapore Singapore General Hospital Singapore
Singapore Tan Tock Seng Hospital Singapore
Spain Hospital Clinic de Barcelona Barcelona
Spain Hospital del Mar Barcelona
Spain Hospital Universitari Vall d'Hebron Barcelona
Spain Hospital Universitario La Paz Madrid
Spain Hospital Puerto de Hierro Majadahonda Majadahonda
Spain CHOP_Complejo Hospitalrio Universitario de Pontevedra Pontevedra
Spain Hospital Universitario Marques de Valdecilla Santander
Spain Hospital Universitario Virgen del Rocio Sevilla
Spain Hospital Universitari i Politecnic La Fe de Valencia Valencia
Switzerland Universitätsklinik für Viszerale Chirurgie und Medizin, Inselspital, Hepatologie Bern
Switzerland Istituto Cantonale di Patologia Locarno Lugano
Taiwan Changhua Christian Hospital Chang-hua
Taiwan Ditmanson Medical Foundation Chia-Yi Christian Hospital Chiayi City
Taiwan E-DA Hospital Kaohsiung
Taiwan Kaohsiung Medical University Chung-Ho Memorial Hospital Kaohsiung
Taiwan Chang Gung Medical Foundation, Keelung Chang Gung Memorial Hospital Keelung
Taiwan Taichung Veterans General Hospital Taichung
Taiwan National Cheng Kung University Hospitalv Tainan
Taiwan Cathay General Hospital Taipei
Taiwan Mackay Memorial Hospital Taipei
Taiwan National Taiwan University Hospital Taipei
Taiwan Taipei Veterans General Hospital Taipei
Taiwan Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital Taoyuan
United Kingdom Cambridge University Hospitals NHS Foundation Trust Cambridge
United Kingdom Derby Teaching Hospitals NHS FT Derby
United Kingdom University Hospitals Birmingham NHS Foundation Trust Edgbaston
United Kingdom Imperial College Healthcare NHS Trust London
United Kingdom King's College Hospital NHS Foundation Trust London
United Kingdom The Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne
United Kingdom Norfolk and Norwich University Hospitals NHS Foundation Trust Norwich
United Kingdom Nottingham University Hospitals NHS Trust Nottingham
United Kingdom Portsmouth Hospitals NHS Trust Portsmouth
United Kingdom Abertawe Bro Morgannwg University Health Board Swansea
United States Texas Clinical Research Institute, LLC Arlington Texas
United States Digestive Healthcare of Georgia Atlanta Georgia
United States Piedmont Transplant Institute Atlanta Georgia
United States University of Colorado Aurora Colorado
United States Austin Center for Clinical Research Austin Texas
United States Pinnacle Clinical Research, PLLC Austin Texas
United States Mercy Medical Center Baltimore Maryland
United States Delta Research Partners, LLC Bastrop Louisiana
United States Walter Reed National Military Medical Center Bethesda Maryland
United States Northeast Clinical Research Center, LLC Bethlehem Pennsylvania
United States University of Buffalo, Clinical and Translational Research Center Buffalo New York
United States The University of Vermont Medical Center Burlington Vermont
United States Digestive Disease Associates, PA Catonsville Maryland
United States Institute of Liver Health Chandler Arizona
United States University of North Carolina at Chapel Hill / UNC School of Medicine Chapel Hill North Carolina
United States Medical University of South Carolina Charleston South Carolina
United States University of Virginia Medical Center Charlottesville Virginia
United States WR-ClinSearch, LLC Chattanooga Tennessee
United States Northwestern Memorial Hospital; Clinical Research Unit Chicago Illinois
United States The University of Chicago Medical Center Chicago Illinois
United States eStudySite Chula Vista California
United States Consultants for Clinical Research Cincinnati Ohio
United States UC Health/Holmes Hospital Cincinnati Ohio
United States Southern California Liver Centers Coronado California
United States United Gastroenterologists Costa Mesa California
United States Texas Digestive Disease Consultants Dallas Texas
United States The Liver Institute at Methodist Dallas Medical Center Dallas Texas
United States Henry Ford Health System Detroit Michigan
United States Integrity Clinical Research, LLC Doral Florida
United States Duke University Medical Center - Duke South Clinics Durham North Carolina
United States TriWest Research Associates, LLC El Cajon California
United States Verity Research, Inc. Fairfax Virginia
United States Inova Fairfax Medical Campus Falls Church Virginia
United States Cumberland Research Associates, LLC Fayetteville North Carolina
United States Baylor Scott & White All Saints Medical Center Fort Worth Texas
United States Fresno Clinical Research Center Fresno California
United States UF Hepatology Research at CTRB Gainesville Florida
United States Gastro One Germantown Tennessee
United States NorthShore University Healthsystem Glenview Illinois
United States Triad Clinical Trials LLC Greensboro North Carolina
United States Greenville Health System - Gastroenterology and Liver Center Greenville South Carolina
United States Meritus Center for Clinical Research Hagerstown Maryland
United States Gastroenterology Associates of Hazard Hazard Kentucky
United States Baylor College of Medicine - Advanced Liver Therapies Houston Texas
United States Kelsey-Seybold Clinic Houston Texas
United States VAMC & Baylor College Houston Texas
United States Piedmont HealthCare, d/b/a Carolinas Center for Liver Disease Huntersville North Carolina
United States Indiana University Health - University Hospital Indianapolis Indiana
United States Indianapolis Gastroenterology Research Foundation Indianapolis Indiana
United States University of Iowa Hospitals and Clinics Iowa City Iowa
United States UF Health Jacksonville-Gastroenterology Emerson Jacksonville Florida
United States Kansas City Gastroenterology and Hepatology Kansas City Missouri
United States Saint Luke's Hospital of Kansas City Kansas City Missouri
United States University of Kansas Medical Center Kansas City Kansas
United States University of California San Diego (UCSD) La Jolla California
United States Florida Research Institute Lakewood Ranch Florida
United States Emeritas Research Group Lansdowne Town Center Virginia
United States eStudySite Las Vegas Nevada
United States Sunrise Medical Research, Inc Lauderdale Lakes Florida
United States Baptist Medical Center Little Rock Arkansas
United States Pinnacle Clinical Research, PLLC Live Oak Texas
United States Cedars Sinai Medical Center Los Angeles California
United States Ruane Clinical Research Group Los Angeles California
United States VA Greater Los Angeles Healthcare System Los Angeles California
United States Northwell Health - Sandra Atlas Bass Center for Liver Diseases Manhasset New York
United States Gastrointestinal Specialists of Georgia, PC Marietta Georgia
United States Genoma Research Group, Inc Miami Florida
United States Schiff Center for Liver Diseases/University of Miami Miami Florida
United States Sunrise Research Institute Miami Florida
United States Froedtert Memorial Lutheran Hospital Milwaukee Wisconsin
United States University of Minnesota Medical Center - Fairview Minneapolis Minnesota
United States Intermountain Liver Disease and Transplant Center Murray Utah
United States Quality Medical Research PLLC Nashville Tennessee
United States Vanderbilt University Medical Center - Digestive Disease Center Nashville Tennessee
United States Yale University School of Medicine New Haven Connecticut
United States Ocshner Medical Center New Orleans Louisiana
United States Tulane University Health Sciences Center New Orleans Louisiana
United States Advanced Research Institute New Port Richey Florida
United States Icahn School of Medicine at Mount Sinai Beth Israel New York New York
United States Rutgers New Jersey Medical School- Doctors Office Center Newark New Jersey
United States Bon Secours St. Mary's Hospital of Richmond, Inc. d/b/a Bon Secours Liver Institute of Virginia Newport News Virginia
United States Digestive and Liver Disease Specialists Norfolk Virginia
United States Arkansas Gastroenterology North Little Rock Arkansas
United States eStudySite Oceanside California
United States Avail Clinical Research, LLC Orange City Florida
United States California Liver Institute Pasadena California
United States Hospital of the University of Pennsylvania- Perelman Center for Advanced Medicine Philadelphia Pennsylvania
United States Thomas Jefferson University Philadelphia Pennsylvania
United States Banner University Medical Center-Phoenix Phoenix Arizona
United States Mayo Clinic Phoenix Arizona
United States St. Joseph's Hospital and Medical Center Phoenix Arizona
United States eStudySite Pittsburgh Pennsylvania
United States UPMC - Center for Liver Diseases at the Thomas E. Starlz Institute Pittsburgh Pennsylvania
United States VA Pittsburgh Healthcare System Pittsburgh Pennsylvania
United States University Gastroenterology Providence Rhode Island
United States Inland Empire Liver Foundation Rialto California
United States Bon Secours St. Mary's Hospital of Richmond, Inc. d/b/a Bon Secours Liver Institute of Virginia Richmond Virginia
United States McGuire VA Medical Center Richmond Virginia
United States Virginia Commonwealth University Richmond Virginia
United States Southern Therapy and Advanced Research LLC (STAR) Ridgeland Mississippi
United States Mayo Clinic Rochester Minnesota
United States University of Rochester Medical Center Rochester New York
United States PMG Research of Rocky Mount, LLC Rocky Mount North Carolina
United States University of California, Davis Medical Center Sacramento California
United States Saint Louis University Saint Louis Missouri
United States University of Utah Hospital Salt Lake City Utah
United States American Research Corporation, The Texas Liver Institute San Antonio Texas
United States Kaiser Permanente San Diego California
United States Medical Associates Research Group San Diego California
United States California Pacific Medical Center - Sutter Pacific Medical Foundation San Francisco Center for Liver Disease Dept. of Transplant San Francisco California
United States Mission Gastroenterology and Hepatology San Francisco California
United States University of California San Francisco (UCSF) San Francisco California
United States Silicon Valley Research Institute San Jose California
United States Guthrie Medical Group, PC Sayre Pennsylvania
United States Swedish Organ Transplant and Liver Center Seattle Washington
United States Virginia Mason Seattle Washington
United States Louisiana Research Center, LLC Shreveport Louisiana
United States Piedmont HealthCare, d/b/a Carolinas Center for Liver Disease Statesville North Carolina
United States University of Arizona Tucson Arizona
United States South Florida Center of Gastroenterology, PA Wellington Florida
United States Digestive Health Specialists, PA Winston-Salem North Carolina
United States Gastroenterology Associates of Western Michigan, P.L.C. Wyoming Michigan
United States Huron Gastroenterology Associates/Center for Digestive Care Ypsilanti Michigan
United States Florida Medical Clinic, PA Zephyrhills Florida

Sponsors (1)

Lead Sponsor Collaborator
Gilead Sciences

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  Austria,  Belgium,  Brazil,  Canada,  France,  Germany,  Hong Kong,  India,  Israel,  Italy,  Japan,  Korea, Republic of,  Malaysia,  Mexico,  Netherlands,  New Zealand,  Poland,  Portugal,  Puerto Rico,  Singapore,  Spain,  Switzerland,  Taiwan,  United Kingdom, 

References & Publications (7)

Alkhouri N, Younossi ZM, Lawitz EJ, Wong VWS, Romero-Gomez M, et al. Impact of age on routinely available noninvasive tests for the discrimination of advanced fibrosis due to NASH in the phase 3 STELLAR trials of the ASK1 inhibitor selonsertib [Poster SAT

Anstee QM, Lawitz EJ, Alkhouri N, Wai Sun Wong V, Romero-Gomez M, et al. Routinely available noninvasive tests discriminate advanced fibrosis due to NASH in the Phase 3 STELLAR trials of the ASK1 inhibitor selonsertib [poster]. American Association for th

Anstee QM, Lawitz EJ, Alkhouri N, Wong VW, Romero-Gomez M, Okanoue T, Trauner M, Kersey K, Li G, Han L, Jia C, Wang L, Chen G, Subramanian GM, Myers RP, Djedjos CS, Kohli A, Bzowej N, Younes Z, Sarin S, Shiffman ML, Harrison SA, Afdhal NH, Goodman Z, Youn — View Citation

Younossi ZM, Lawitz E, Alkhouri N, Wong VWS, Romero-Gomez M, et al. Algorithms using noninvasive tests can accurately identify patients with advanced fibrosis due to NASH: Data From the STELLAR clinical trials [Poster LB-10]. AASLD; 2018; San Francisco, C

Younossi ZM, Stepanova M, Anstee QM, Lawitz EJ, Wai Sun Wong V, et al. Advanced fibrosis based on noninvasive tests in nonalcoholic steatohepatitis (NASH) is associated with impairment of patient-reported outcomes [Poster]. AASLD; 2018; San Francisco, CA.

Younossi ZM, Stepanova M, Anstee QM, Lawitz EJ, Wai-Sun Wong V, et al. Severe impairment of patient-reported outcomes in patients with advanced fibrosis due to non-alcoholic steatohepatitis (NASH) [Poster]. AASLD; 2018; San Francisco, CA.

Younossi ZM, Stepanova M, Anstee QM, Lawitz EJ, Wai-Sun Wong V, Romero-Gomez M, Kersey K, Li G, Subramanian GM, Myers RP, Djedjos CS, Okanoue T, Trauner M, Goodman Z, Harrison SA. Reduced Patient-Reported Outcome Scores Associate With Level of Fibrosis in — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage of Participants Who Achieved a = 1-Stage Improvement in Fibrosis According to the Nonalcoholic Steatohepatitis (NASH) Clinical Research Network (CRN) Classification Without Worsening of NASH at Week 48 Fibrosis improvement was defined as = 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Worsening of NASH was defined as = 1 point increase from baseline in hepatocellular ballooning or lobular inflammation according to the Non-Alcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) criteria. As defined by NAS, hepatocellular ballooning ranges from 0-2 and lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Week 48
Primary Event-Free Survival (EFS) at Week 240 as Assessed by Time to First Clinical Event EFS was assessed by the time to the first clinical event, including progression to cirrhosis on liver biopsy, liver decompensation events, liver transplantation, and all-cause mortality. Week 240
Secondary Percentage of Participants Who Had Progression to Cirrhosis at Week 48 Progression to cirrhosis was defined as a change in NASH CRN fibrosis stage from < 4 at baseline to 4 at Week 48. Week 48
Secondary Percentage of Participants Who Had a = 1-Stage Improvement in Fibrosis Without Worsening of NASH at Week 240 Fibrosis improvement was defined as = 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Worsening of NASH was defined as = 1 point increase from baseline in hepatocellular ballooning or lobular inflammation according to the NAS criteria. As defined by NAS, hepatocellular ballooning ranges from 0-2 and lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. Week 240
Secondary Percentage of Participants Who Had a = 1-Stage Improvement in Fibrosis at Week 48 Fibrosis improvement was defined as = 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Week 48
Secondary Percentage of Participants Who Had a = 1-Stage Improvement in Fibrosis at Week 240 Fibrosis improvement was defined as = 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Week 240
Secondary Percentage of Participants Who Had NASH Resolution Without Worsening of Fibrosis at Week 48 NASH resolution was defined as lobular inflammation of 0 or 1 from = 1 at baseline and hepatocellular ballooning of 1 from a value = 1 at baseline; both criteria were necessary conditions. Evaluable participants had baseline lobular inflammation and hepatocellular ballooning = 1. Worsening of Fibrosis was defined by an increase in Fibrosis stage from 3 to 4 as defined by NASH CRN. Week 48
Secondary Percentage of Participants Who Had NASH Resolution Without Worsening of Fibrosis at Week 240 NASH resolution was defined as lobular inflammation of 0 or 1 from = 1 at baseline and hepatocellular ballooning of 1 from a value = 1 at baseline; both criteria were necessary conditions. Evaluable participants had baseline lobular inflammation and hepatocellular ballooning = 1. Worsening of Fibrosis was defined by an increase in Fibrosis stage from 3 to 4 as defined by NASH CRN. Week 240
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