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Study Evaluating the Safety, Efficacy and Tolerability of BIO89-100 in Subjects With Biopsy-confirmed Nonalcoholic Steatohepatitis (NASH)

Phase 2
Completed
Conditions
NASH - Nonalcoholic Steatohepatitis
Interventions
Drug: Placebo
Registration Number
NCT04929483
Lead Sponsor
89bio, Inc.
Brief Summary

This is a randomized, double-blind, placebo-controlled study that will evaluate the safety, efficacy, tolerability of BIO89-100 in patients with biopsy-confirmed fibrosis stages F2-F3 NASH.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
222
Inclusion Criteria
  • Age 21 to 75

  • Biopsy-confirmed NASH with fibrosis stage F2 or F3 per NASH CRN System and NAS ≥4, with a score of at least 1 in each of steatosis, ballooning degeneration, and lobular inflammation.

    • Qualifying biopsy must be either within 6 months of screening visit or obtained during screening period

Key

Exclusion Criteria
  • Have poorly controlled high blood pressure
  • Have type 1 diabetes or poorly controlled type 2 diabetes.
  • History of cirrhosis or evidence of cirrhosis by clinical, imaging or liver biopsy evaluation
  • Are planning to try to lose weight during the conduct of the study.
  • Have a BMI <25 kg/m2

Other inclusion and exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo Q2WPlaceboPlacebo Q2W
Placebo QW (Main study)/ BIO89-100 - 30 mg QW (Extension)PlaceboPlacebo QW (Main study)/ BIO89-100 - 30 mg QW (Extension)
BIO89-100 - 15 mg once weekly (QW)BIO89-100BIO89-100 - 15 mg QW
BIO89-100 - 44 mg once every 2 weeks (Q2W)BIO89-100BIO89-100 - 44 mg Q2W
Placebo QWPlaceboPlacebo QW
Placebo QW (Main study)/ BIO89-100 - 30 mg QW (Extension)BIO89-100Placebo QW (Main study)/ BIO89-100 - 30 mg QW (Extension)
BIO89-100 - 30 mg QWBIO89-100BIO89-100 - 30 mg QW
Primary Outcome Measures
NameTimeMethod
Main: Proportion of participants with ≥1 stage decrease in fibrosis stage with no worsening of NASH24 Weeks
Main: Proportion of participants with histological resolution of NASH without worsening of fibrosis24 Weeks
Secondary Outcome Measures
NameTimeMethod
Main: Percentage change from baseline in HbA1c12 Weeks, 24 Weeks
Main: Proportion of participants with at least a 2-point improvement in NAS and no worsening of fibrosis24 Weeks
Main: Absolute and percentage change from baseline in serum triglycerides12 Weeks, 24 Weeks
Main: Absolute change and percentage change from baseline in N-terminal type III collagen propeptide (Pro-C3)12 Weeks, 24 Weeks, 48 Weeks
Main: Absolute and percentage change from baseline in Non High Density Lipoprotein (HDL) Cholesterol12 Weeks, 24 Weeks
Main: Proportion of participants with NASH resolution AND with ≥1 stage decrease in fibrosis stage24 Weeks
Main: Steady-state blood level of BIO89-100Blood samples for PK analysis collected at up to 8 study visits over the course of approximately 48 weeks

Plasma trough concentration (ng/mL) of BIO89-100 taken at pre-dose samples

Main: Absolute change and percentage change from baseline in Alanine Transaminase (ALT)12 Weeks, 24 Weeks, 48 Weeks
Main: Proportion of participants with at least a 2-point improvement in NAS and are MRI-PDFF responders AND ALT responders24 Weeks
Main: Absolute and percentage change from baseline in Low Density Lipoprotein (LDL) Cholesterol12 Weeks, 24 Weeks
Main: Absolute change and percentage change from baseline in Magnetic Resonance Imaging - Hepatic Fat Fraction (MRI-PDFF)12 Weeks, 24 Weeks, 48 Weeks
Main: Absolute and percentage change from baseline in Adiponectin12 Weeks, 24 Weeks
Main: Absolute and percentage change from baseline in High Density Lipoprotein (HDL) Cholesterol12 Weeks, 24 Weeks

Trial Locations

Locations (1)

89bio Clinical Study Site

🇵🇷

San Juan, Puerto Rico

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