A clinical trial where neither the doctor, patient or sponsor know whether a placebo or active medicine is being given to the patient with nonalcoholic fatty liver disease to see if the medicine is effective and safe in the treatment of that disease.

Phase 1

• Conditions: onalcoholic steatohepatitis; MedDRA version: 19.1Level: PTClassification code 10029530Term: Non-alcoholic fatty liverSystem Organ Class: 10019805 - Hepatobiliary disorders; Therapeutic area: Diseases [C] - Digestive System Diseases [C06]

• Registration Number: EUCTR2015-002560-16-HU
• Lead Sponsor: Intercept Pharmaceuticals Inc.

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2016-04-06
• Last Update Posted: 15 January 2024

Recruitment & Eligibility

• Status: ot Recruiting
• Sex: All
• Target Recruitment: 2065

Inclusion Criteria

1. Histologic evidence of NASH upon central read of a liver biopsy obtained no more than 6 months before Day 1 defined by presence of all 3 key histological features of NASH with a score of at least 1 for each and a combined score of 4 or greater out of a possible 8 points according to NASH CRN criteria.
2. Histologic evidence of fibrosis stage 2 (perisinusoidal and portal/periportal) or stage 3 (bridging fibrosis) as defined by the NASH CRN scoring of fibrosis, or Histologic evidence of fibrosis stage 1a or stage 1b (mild or moderate, zone 3 perisinusoidal) as defined by
the NASH CRN scoring of fibrosis if accompanied by =1 of the following risk factors:
- Obesity (BMI =30 kg/m2)
- Type 2 diabetes diagnosed per 2013 American Diabetes Association criteria (hemoglobin A1c [HbA1c]
=6.5%, fasting plasma glucose =126 mg/dL, 2-hour plasma glucose =200 mg/dL during oral glucose tolerance test, or random plasma glucose =200 mg/dL)
- ALT >1.5× upper limit of normal (ULN).
3. For subjects with a historical biopsy, is either not taking or is on stable doses of TZDs/glitazones or vitamin E for 6 months before Day 1.
4. Stable body weight (ie, not varying by >10% for at least 3 months) before Day 1.
5. Age =18 years.
6. Female subjects of childbearing potential must use =1 effective method of contraception during the study and until 30 days following the last dose of investigational product. Effective methods of contraception are considered to be those listed below:
- Barrier method, ie, condom (male or female) with spermicide or diaphragm with spermicide
- Intrauterine device
- Vasectomy (partner)
- Hormonal (eg, contraceptive pill, patch, intramuscular implant or injection)
- Abstinence (defined as refraining from heterosexual intercourse).
7. Must provide written informed consent and agree to comply with the study protocol.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 1865
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 200

Exclusion Criteria

1. Current or history of significant alcohol consumption for a period of more than 3 consecutive months within 1 year before Screening (significant alcohol consumption is defined as more than 2 units/day for females and more than 4 units/day for males, on average).
2. Prior (at any point) or planned (during the study period) ileal resection, or prior (within 5 years before Screening) or planned (during the study period) bariatric surgery (eg, gastric bands, gastroplasty, roux-en-Y gastric bypass).
3. HbA1c >9.5% within 60 days before Day 1.
4. Evidence of other forms of known chronic liver disease including:
- Positive test result at Screening for hepatitis B surface antigen
- Active hepatitis C virus (HCV) infection (positive for HCV ribonucleic acid [RNA] at Screening) or history of positive HCV RNA test result
- Primary biliary cirrhosis, primary sclerosing cholangitis, autoimmune hepatitis, or overlap syndrome
- Alcoholic liver disease
- Wilson’s disease, hemochromatosis, or iron overload
- Alpha-1-antitrypsin (A1AT) deficiency as defined by diagnostic features in liver histology (confirmed
by A1AT level below the lower limit of normal or exclusion at the Investigator’s discretion)
- Prior known drug-induced liver injury within 5 years before Day 1
- Known or suspected HCC
- History of liver transplant, current placement on a liver transplant list, or MELD score >12.
5. Histological presence of cirrhosis.
6. Total bilirubin >1.5 mg/dL (subjects with Gilbert’s syndrome may be enrolled despite a total bilirubin level
>1.5 mg/dL if their conjugated bilirubin is <1.5× ULN).
7. AST or ALT =10× ULN, international normalized ratio (INR) >1.5, or serum creatinine =1.5 mg/dL.
8. Creatine phosphokinase >5x ULN.
9. Platelet count <100 000/mm3.
10. LDL =190 mg/dL and already on a stable dose of statin and/or proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor for =30 days at Screening.
11. Inability to safely undergo a liver biopsy.
12. History of biliary diversion.
13. Known positivity for human immunodeficiency virus infection.
14. Subjects with recent history (within 1 year of Day 1) of significant atherosclerotic cardiovascular disease (myocardial infarction, unstable angina, acute coronary syndrome, cerebrovascular accident [stroke], cerebrovascular ischemia, transient ischemic attack, or peripheral vascular disease requiring intervention). Such subjects may be identified by different means, including but not limited to, an abnormal ECG, a history or planned cardiovascular intervention such as coronary revascularization (eg, percutaneous
coronary intervention or coronary artery bypass graft), coronary angioplasty, stenting, carotid atherectomy, or placement of a cardiac pacemaker or defibrillator.
- Controlled hypertension without other recent manifestations of significant atherosclerotic
cardiovascular disease and placement of cardiac pacemaker or defibrillator for reasons other than atherosclerotic cardiovascular disease (eg, for treatment of atrial fibrillation subsequent to nodal ablation) is not exclusionary.
15. Other medical conditions that may diminish life expectancy to <2 years, including known cancers (except carcinomas in situ or other stable, relatively benign carcinomas).
16. Known substance abuse in the year before Screening.
17. Pregnancy, planned pregnancy, potential for pregnancy (ie, unwillingness to use effective birth control during the study), or current or planned breast fee

Study & Design

• Study Type: Interventional clinical trial of medicinal product
• Study Design: Not specified