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Research study on whether semaglutide works in people with non-alcoholic steatohepatitis (NASH)

Phase 3
Conditions
Health Condition 1: K740- Hepatic fibrosis
Registration Number
CTRI/2021/03/032022
Lead Sponsor
ovo Nordisk
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Closed to Recruitment of Participants
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Subjects are eligible to be included in the trial only if all of the following criteria apply:

1. Informed consent obtained before any trial-related activities. Trial-related activities are any

procedures that are carried out as part of the trial, including activities to determine suitability for

the trial except for protocol-defined pre-screening activities, which require a separate informed

consent. Ireland: See local requirements in Appendix 9 (Section 10.9).

2. Age above or equal to 18 years at the time of signing informed consent. Japan, South Korea

and Taiwan: See local requirements in Appendix 9 (Section 10.9).

3. Histological evidence of NASH based on a central pathologist evaluation of the baseline liver

biopsy. The baseline liver biopsy can be a historical biopsy obtained within 180 days prior to

screening visit (V1).

4. Histological evidence of fibrosis stage 2 or stage 3 according to the NASH CRN classification

based on a central pathologist evaluation of the baseline liver biopsy.

5. A histological NAS = 4 with a score of 1 or more in steatosis, lobular inflammation and

hepatocyte ballooning based on a central pathologist evaluation of the baseline liver biopsy.

China: See local requirements in Appendix 9 (Section 10.9).

Exclusion Criteria

Positive HBsAg, positive anti-HIV, positive HCV-RNA at screening or any known presence of

HCV RNA or HBsAg within 2 years of screening (V2A).

Documented causes of chronic liver disease other than Non-Alcoholic Fatty Liver Disease

NAFLD.

Presence or history of ascites, variceal bleeding, hepatic encephalopathy, spontaneous bacterial

peritonitis or liver transplantation at randomisation.

Known or suspected excessive consumption of alcohol (greater than 20 g/day for women or greater than 30 g/day for men) or alcohol dependence (assessed by the Alcohol Use Disorders Identification Test(AUDIT questionnaire).

Treatment with vitamin E (at doses greater or equal to 800 IU/day) or pioglitazone or medications approved for treatment of NASH which has not been at a stable dose in the opinion of the investigator in the period from 90 days prior to the screening visit (V2A). In addition, for subjects with historical

liver biopsies taken more than 90 days prior to screening, treatment should be at a stable dose in the opinion of the investigator from time of biopsy until screening.

Treatment with GLP-1 RAs in the period from 90 days prior to the screening visit (V2A). In

addition, for subjects with historical liver biopsies taken more than 90 days prior to screening, any treatment with GLP-1 RAs from time of biopsy until screening.

Treatment with glucose lowering agent(s) (other than GLP-1 RAs), lipid lowering medication or

weight loss medication not stable in the opinion of the investigator in the period from 90 days prior to the screening visit (V2A). In addition, for subjects with historical liver biopsies taken more than 90 days prior to screening, treatment should be at a stable dose in the opinion of the investigator from time of biopsy until screening.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Resolution of steatohepatitis and no worsening of liver fibrosisa. <br/ ><br>Improvement in liver <br/ ><br>fibrosis and no worsening <br/ ><br>of steatohepatitis. <br/ ><br>Time to first liver-related clinical event <br/ ><br> <br/ ><br> <br/ ><br>Timepoint: Week 0 to Week 72 <br/ ><br> <br/ ><br> <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
Progression of liver fibrosis <br/ ><br>Change in body weight <br/ ><br>Change in SF-36 Bodily Pain <br/ ><br>Timepoint: Week 0 to Week 72 <br/ ><br>Week 0 to Week 240 <br/ ><br>
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