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临床试验/jRCT2032230595
jRCT2032230595进行中(未招募)不适用

A multicenter randomised open-label study to evaluate the efficacy and safety of the digital therapeutics CA-NASH in patients with Nonalcoholic Steatohepatitis (NASH) (Phase 3)

CureApp, Inc.0 个研究点目标入组 346 人开始时间: 2024年2月22日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
CureApp, Inc.
入组人数
346
主要终点
Proportion of participants who achieve improvement from NASH to non-NASH without worsening of fibrosis

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomized Controlled Trial
干预模型
Parallel Assignment
主要目的
Treatment Purpose
盲法
Open(masking Not Used)

入排标准

年龄范围
18age old over 至 No limit(—)
性别
All

入选标准

  • Subjects who meet all of the following criteria will be included.
  • (1) 18 years of age or older at the time of the consent.
  • (2) Able to understand and give written informed consent.
  • (3) Have a diagnosis of NASH and meet all of the following criteria
  • Body mass index (BMI) >=25.0 kg/m2 (Including BMI >=35.0 kg/m2)
  • Recommended weight loss through the guidance for lifestyle improvement
  • (4)Use smartphone with iOS 16 or higher or Android version 10 or higher.
  • (5)Able to fully understand the content of CA-NASH and use the smartphone application.

排除标准

  • Subjects who meet any of the following criteria shall not be included in this study.
  • (1) Subjects with a positive HBs antigen or HCV-RNA result at screening. Or patients with a positive HBs antigen or HCV-RNA test result within 2 years prior to the screening.
  • (2) Subjects with autoimmune hepatitis, primary cholangitis, or primary sclerosing cholangitis.
  • (3) Subjects with metabolic diseases such as hemochromatosis and Wilson's disease (if already diagnosed by ceruloplasmin, alfa1-antitrypsin, transferrin saturation, etc.).
  • (4) Subjects with liver cirrhosis or suspected liver cirrhosis.
  • (5) Coexisting hepatocellular carcinoma or have a history of treatment for hepatocellular carcinoma.
  • (6) History of diagnosis and treatment of malignant tumors within 5 years prior to the consent (excluding cancers that can be cured by local treatment, such as basal cell cancer, squamous cell carcinoma, and intraepithelial carcinoma).
  • (7) Subjects with secondary NASH (NASH associated with steroids and tamoxifen, NASH associated with endocrine disorders, NASH due to polycystic ovary syndrome, etc.).
  • (8) Subjects with portal hypertension or signs of hepatic insufficiency (ascites accumulation, variceal hemorrhage, idiopathic bacterial peritonitis, hepatic encephalopathy) or with a history of such complications.
  • (9) History of getting a liver transplant as a recipient.
  • (10) Have a habit of drinking more than 20 g/day (pure ethanol equivalent) for women and 30 g/day (pure ethanol equivalent) for men.
  • (11) Subjects who have been newly prescribed/changed the dosage of/ discontinued vitamin E, pioglitazone, SGLT2 inhibitors, GLP-1 receptor agonists, Mazindol, HMG-CoA reductase inhibitors, pemafibrate, ezetimibe, angiotensin II receptor blockers (ARB), ACE inhibitors, Bofu Tongsang, or Oshibagoto within 90 days prior to consent.
  • (12) History of undergoing or scheduled to undergo bariatric surgery.
  • (13) Subjects who cannot be safely performed the liver biopsy (platelet count of less than 10 x 10-4/microliter or prothrombin time of less than 70%, etc. within 180 days prior to consent or visit 1).
  • (14) Pregnant, lactating, or female subjects who wish to get pregnant during the study period.
  • (15) Subjects who have received interventions in other clinical trials within 90 days prior to consent.
  • (16) Subjects who have previously participated in a the clinical trial (Ph-2 study) of this product.
  • (17) Judged to be inappropriate as a participant by the investigator or subinvestigator.

结局指标

主要结局

Proportion of participants who achieve improvement from NASH to non-NASH without worsening of fibrosis

时间窗: baseline and 48 weeks

Proportion of participants who achieve improvement from NASH to non-NASH without worsening of fibrosis

次要结局

未报告次要终点

研究者

发起方
CureApp, Inc.

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