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A Study to Evaluate the Efficacy and Safety of Rencofilstat in Subjects With NASH and Advanced Liver Fibrosis

Phase 2
Active, not recruiting
Conditions
Nonalcoholic Steatohepatitis (NASH)
NAFLD
Fibrosis, Liver
Interventions
Drug: Placebo
Registration Number
NCT05402371
Lead Sponsor
Hepion Pharmaceuticals, Inc.
Brief Summary

This is a randomized, double-blind, placebo-controlled, parallel-dosing, multi-center study to evaluate the efficacy and safety of Rencofilstat as evidenced by histopathological improvements in fibrosis in adult NASH subjects with F2 or F3 fibrosis (NASH CRN system). Antifibrotic biomarker activity will be evaluated on an exploratory basis.

Detailed Description

This is a randomized, double-blind, placebo-controlled, parallel-dosing, multi-center study to evaluate the efficacy and safety of Rencofilstat as evidenced by histopathological improvements in fibrosis in adult NASH subjects with F2 or F3 fibrosis (NASH CRN system). Antifibrotic biomarker activity will be evaluated on an exploratory basis.

This study consists of 3 phases: (i) Screening and Randomization; (ii) treatment; and (iii) follow up. During Screening, each subject will provide informed consent prior to starting any study specific procedures. The randomization of the F2/F3 NASH subjects will be performed in a 1:1:1:1 ratio between Rencofilstat 75mg, Rencofilstat 150mg, Rencofilstat 225mg, and matching placebo. Subjects will be stratified by presence or absence of Type 2 diabetes, fibrosis stage and a maximum of 34 F2 subjects in each cohort.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
120
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort C: Rencofilstat 225 mgRencofilstatEighty-four (84) biopsy-proven NASH F2/F3 subjects to complete study on Rencofilstat 225 mg daily.
Cohort D: PlaceboPlaceboEighty-four (84) biopsy-proven NASH F2 / F3 subjects to complete study on matching placebo.
Cohort A: Rencofilstat 75 mgRencofilstatEighty-four (84) biopsy-proven NASH F2/F3 subjects to complete study on Rencofilstat 75 mg daily.
Cohort B: Rencofilstat 150 mgRencofilstatEighty-four (84) biopsy-proven NASH F2/F3 subjects to complete study on Rencofilstat 150 mg daily.
Primary Outcome Measures
NameTimeMethod
Proportion of subjects with improvement in fibrosis by at least 1 stage (NASH CRN system) OR NASH resolution without worsening of fibrosis.dosing period of 1 year with 1 month observation and follow up period

Efficacy

Secondary Outcome Measures
NameTimeMethod
Proportion of subjects with improvement in fibrosis by at least 2 stages (NASH CRN system), regardless of effect on NASH.dosing period of 1 year with 1 month observation and follow up period

Efficacy

Proportion of subjects with improvement in fibrosis by at least 1 stage (NASH CRN system), regardless of effect on NASH.dosing period of 1 year with 1 month observation and follow up period

Efficacy

Proportion of subjects with improvement in fibrosis by at least 2 stages (NASH CRN system) AND no worsening of NASH.dosing period of 1 year with 1 month observation and follow up period

Efficacy

Change from baseline in Pro-C3, type III collagen neo-epitopes.dosing period of 1 year with 1 month observation and follow up period

Efficacy

Change from baseline in ALT.dosing period of 1 year with 1 month observation and follow up period

Efficacy

Change from baseline in AST.dosing period of 1 year with 1 month observation and follow up period

Efficacy

Trial Locations

Locations (37)

Medical Affiliated Research Center

🇺🇸

Huntsville, Alabama, United States

Arizona Liver Health-Chandler

🇺🇸

Chandler, Arizona, United States

Arizona Liver Health

🇺🇸

Peoria, Arizona, United States

Adobe Clinical Research, LLC

🇺🇸

Tucson, Arizona, United States

Arizona Liver Health-Tuscon

🇺🇸

Tucson, Arizona, United States

Preferred Research Partners, Inc.

🇺🇸

Little Rock, Arkansas, United States

Arkansas Gastroenterology

🇺🇸

North Little Rock, Arkansas, United States

National Research Institute

🇺🇸

Santa Ana, California, United States

Synergy Healthcare, LLC

🇺🇸

Bradenton, Florida, United States

Tampa Bay Medical Research, Inc.

🇺🇸

Clearwater, Florida, United States

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Medical Affiliated Research Center
🇺🇸Huntsville, Alabama, United States

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