MedPath

Phase 2a Study of HPG1860 in Subjects With NASH

Phase 2
Active, not recruiting
Conditions
NASH - Nonalcoholic Steatohepatitis
Interventions
Drug: Placebo
Registration Number
NCT05338034
Lead Sponsor
Hepagene (Shanghai) Co., Ltd.
Brief Summary

This is a Phase 2a, randomized, double-blind, placebo-controlled, parallel group, multiple arm, multicenter study of 3 different doses of HPG1860 versus placebo in subjects with biopsy-confirmed or phenotypic NASH.

Detailed Description

This is a Phase 2a, randomized, double-blind, placebo-controlled, parallel group, multiple arm, multicenter study of 3 different doses of HPG1860 versus placebo in subjects with biopsy-confirmed or phenotypic NASH. Screening will occur up to 5 weeks prior to randomization; all eligible subjects will have baseline hepatic imaging during Screening, prior to randomization. Approximately 80 eligible subjects will be randomized 1:1:1:1 on Day 1/Week 0 (T1) to receive either HPG1860 3 mg (n = 20), or 5 mg (n = 20), or 8 mg (n = 20), or placebo (n = 20) for 12 weeks. Following a preplanned interim analysis, a dose cohort may be dropped and/or added.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
89
Inclusion Criteria
  1. Provision of written informed consent prior to any study-specific procedure.
  2. Males and females between 18 and 75 years of age
  3. Nonpregnant, nonlactating women.
  4. Male subjects must agree to utilize a highly effective method of contraception.
  5. Body mass index (BMI) of ≥25 kg/m2 at Screening.
  6. Non-cirrhotic NASH subjects.
  7. NASH subjects with hepatic fat assessed by a central reader
  8. Willing and able to adhere to study restrictions and agree to comply with study protocol.
Exclusion Criteria
  1. Pregnant or lactating females
  2. Current significant alcohol consumption
  3. Elevated LDL-C with stable dose of statin an or PCSK9 inhibitor
  4. Renal dysfunction or nephritic syndrome or a history of nephritis
  5. Recent infarction, unstable angina leading to hospitalization, uncontrolled, symptomatic cardiac arrhythmia
  6. Uncontrolled hypertension
  7. Type 1 diabetes or uncontrolled T2DM
  8. Uncontrolled hypothyroidism
  9. Liver transplant and/or other significant liver disease or dysfunction
  10. HIV antibody positive
  11. Known hypersensitivity or formulation excipient
  12. Gastrointestinal conditions or procedures that may affect drug absorption
  13. Hematologic or coagulation disorders
  14. Unstable weight within the last 3 months
  15. Active malignancy
  16. Unexplained creatine kinase (CK) >3 × ULN
  17. Blood donation, blood transfusion
  18. Unable to undergo or contraindication to MRI procedure
  19. A medical or situational finding that in the investigator's opinion may compromise the subject's safety or ability to complete the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
HPG1860 3 mgHPG186020 subjects will be treated with HPG1860 3 mg once daily at a similar time with or without food.
HPG1860 5 mgHPG186020 subjects will be treated with HPG1860 5 mg once daily at a similar time with or without food.
PlaceboPlacebo20 subjects will be treated with Placebo once daily at a similar time with or without food.
HPG1860 8 mgHPG186020 subjects will be treated with HPG1860 5 mg once daily at a similar time with or without food.
Primary Outcome Measures
NameTimeMethod
Safety and tolerability of treatment12 weeks

Number of participants Treatment-emergent adverse events (TEAEs)

Secondary Outcome Measures
NameTimeMethod
Change from baseline (CFB) in liver fat content (LFC) at 4 week4 week

measured by MRI-PDFF at Week 4

liver fat content12 week

Change from baseline (CFB) in liver fat content (LFC) measured by magnetic resonance imaging-proton density fat fraction (MRI-PDFF) at Week 12

Percentage of subjects with ≥30% reduction in LFC from baseline4 week and 12 week

measured by MRI-PDFF at Week 4 and Week 12

Trial Locations

Locations (1)

South Texas Research Institute (STRI)

🇺🇸

Texas City, Texas, United States

© Copyright 2025. All Rights Reserved by MedPath