MedPath

Evaluating the Safety, Tolerability, and Efficacy of GS-9674 in Participants With Nonalcoholic Steatohepatitis (NASH)

Phase 2
Completed
Conditions
Nonalcoholic Steatohepatitis (NASH)
Interventions
Drug: Placebo to match GS-9674
Registration Number
NCT02854605
Lead Sponsor
Gilead Sciences
Brief Summary

The primary objective of this study is to evaluate the safety and tolerability of GS-9674 in participants with nonalcoholic steatohepatitis (NASH).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
140
Inclusion Criteria
  • Meets the following conditions:

    • A clinical diagnosis of nonalcoholic fatty liver disease (NAFLD)
    • Screening magnetic resonance imaging - proton density fat fraction (MRI-PDFF) with ≥ 8% steatosis
    • Screening magnetic resonance elastography (MRE) with liver stiffness ≥ 2.5 kilopascal (kPa) OR
    • A historical liver biopsy within 12 months of screening consistent with NASH with fibrosis, but not cirrhosis, and
    • No documented weight loss > 5% between the date of the liver biopsy and screening.
  • Platelet count ≥ 150,000/mm^3

  • Albumin ≥ 3.3 g/dL

  • Serum creatinine ≤ upper limit of normal (ULN)

Key

Exclusion Criteria
  • Pregnant or lactating females

  • Alanine aminotransferase (ALT) > 5x upper limit of the normal range (ULN)

  • Other causes of liver disease including autoimmune, viral, and alcoholic liver disease

  • Cirrhosis of the liver

    • Prior history of decompensated liver disease, including ascites, hepatic encephalopathy, or variceal bleeding
  • Body mass index (BMI) < 18 kg/m^2

  • Uncontrolled diabetes mellitus (hemoglobin A1c > 9% at screening)

  • International normalized ratio (INR) > 1.2 unless on anticoagulant therapy

  • Total bilirubin > 1 x ULN, except with diagnosis of Gilbert's syndrome

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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
GS-9674 30 mgPlacebo to match GS-9674GS-9674 30 mg + placebo to match GS-9674 100 mg for 24 weeks
GS-9674 30 mgGS-9674GS-9674 30 mg + placebo to match GS-9674 100 mg for 24 weeks
GS-9674 100 mgGS-9674GS-9674 100 mg + placebo to match GS-9674 30 mg for 24 weeks
GS-9674 100 mgPlacebo to match GS-9674GS-9674 100 mg + placebo to match GS-9674 30 mg for 24 weeks
PlaceboPlacebo to match GS-9674Placebo to match GS-9674 30 mg + placebo to match GS-9674 100 mg for 24 weeks
Primary Outcome Measures
NameTimeMethod
Overall Safety of GS-9674 as Assessed By Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)Up to 24 weeks plus 30 days

TEAEs were defined as 1 or both of the following: 1) Any adverse events (AE) with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug, 2) Any AEs leading to premature discontinuation of study drug.

Overall Safety of GS-9674 as Assessed By Percentage of Participants With Treatment-Emergent Laboratory AbnormalitiesUp to 24 weeks plus 30 days

Treatment-emergent laboratory abnormalities are defined as values that increase at least 1 toxicity grade from baseline at any post-baseline time point, up to and including the date of last dose of study drug plus 30 days for participants who permanently discontinued study.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (37)

Toronto Liver Center

🇨🇦

Toronto, Ontario, Canada

LMC Clinical Research Inc (Bayview)

🇨🇦

Toronto, Ontario, Canada

Clinical Research of South Florida

🇺🇸

Coral Gables, Florida, United States

Houston Methodist Hospital

🇺🇸

Houston, Texas, United States

McGuire VA Medical Center

🇺🇸

Richmond, Virginia, United States

Texas Clinical Research Institute

🇺🇸

Arlington, Texas, United States

Duke University Medical Center, Duke South Clinics

🇺🇸

Durham, North Carolina, United States

Pinnacle Clinical Research

🇺🇸

Live Oak, Texas, United States

Concorde Medical Group, PLLC

🇺🇸

New York, New York, United States

The Liver Institute at Methodist Dallas Medical Center

🇺🇸

Dallas, Texas, United States

Carolinas Center for Liver Disease/Carolinas HealthCare System

🇺🇸

Durham, North Carolina, United States

Texas Digestive Disease Consultants

🇺🇸

Dallas, Texas, United States

Addenbrooke's Hospital

🇬🇧

Cambridge, United Kingdom

Intermountain Liver Disease and Transplant Center

🇺🇸

Murray, Utah, United States

Toronto Digestive Disease Associates, Inc.

🇨🇦

Vaughan, Ontario, Canada

Universitatsspital Bern, Inselspital, Universitatsklinik fur Viszerale Chirurgie und Medizin, Hepatologie

🇨🇭

Bern, Switzerland

Ruane Clinical Research Group Inc.

🇺🇸

Los Angeles, California, United States

Cedars Sinai Medical Center

🇺🇸

Los Angeles, California, United States

Inland Empire Liver Foundation

🇺🇸

Rialto, California, United States

Atlanta Gastroenterology Associates

🇺🇸

Atlanta, Georgia, United States

Northwestern Memorial Hospital, Clinical Research Unit

🇺🇸

Chicago, Illinois, United States

Crescent Clinical Research Center, LLC

🇺🇸

Metairie, Louisiana, United States

Tulane University Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

Kansas City Research Institute

🇺🇸

Kansas City, Missouri, United States

American Research Corporation at the Texas Liver Institute

🇺🇸

San Antonio, Texas, 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

Swedish Organ Transplant and Liver Center

🇺🇸

Seattle, Washington, United States

Auckland Clinical Studies

🇳🇿

Auckland, New Zealand

Quality Medical Research, PC

🇺🇸

Nashville, Tennessee, United States

Gastro One

🇺🇸

Germantown, Tennessee, United States

Universitatsspital Zurich

🇨🇭

Zurich, Switzerland

University of Calgary

🇨🇦

Calgary, Alberta, Canada

The Chinese University of Hong Kong

🇭🇰

Sha Tin, Hong Kong

Bon Secours St. Mary's Hospital of Richmond, Inc. d/b/a Bon Secours Liver Institute of Virginia

🇺🇸

Richmond, Virginia, United States

Toronto General Hospital

🇨🇦

Toronto, Ontario, Canada

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

Princess Margaret Hospital

🇭🇰

Kowloon, Hong Kong

© Copyright 2025. All Rights Reserved by MedPath