跳至主要内容
临床试验/jRCT2031210033
jRCT2031210033进行中(未招募)不适用

The effect of semaglutide in subjects with non-cirrhotic non-alcoholic steatohepatitis(NN9931-4553) (ESSENCE)

Novo Nordisk Pharma Ltd.0 个研究点目标入组 1,200 人开始时间: 2021年4月1日最近更新:

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
1,200
主要终点
Resolution of steatohepatitis and no worsening of liver 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
Double Blind

入排标准

年龄范围
20age old over 至 No limit(—)
性别
All

入选标准

  • Histological evidence of NASH (non-alcoholic steatohepatitis) 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.
  • Histological evidence of fibrosis stage 2 or stage 3 according to the NASH CRN (Clinical Research Network) classification based on a central pathologist evaluation of the baseline liver biopsy.
  • A histological NAS (Non-alcoholic fatty liver disease Activity Score) above or equal to 4 with a score of 1 or more in both steatosis, lobular inflammation and hepatocyte ballooning based on a central pathologist evaluation of the baseline liver biopsy.

排除标准

  • Positive HBsAg (hepatitis B surface antigen), positive anti-HIV (human immunodeficiency virus), positive HCV-RNA (Hepatitis C virus RNA) at screening or any known presence of HCV RNA (ribonucleic acid) or HBsAg within 2 years of screening.
  • 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 above 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. 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 (glucagon-like peptide-1 receptor agonist) in the period from 90 days prior to the screening visit. 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. 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.

结局指标

主要结局

Resolution of steatohepatitis and no worsening of liver fibrosis

Resolution of steatohepatitis and no worsening of liver fibrosis

Improvement in liver fibrosis and no worsening of steatohepatitis

Improvement in liver fibrosis and no worsening of steatohepatitis

Time to first liver-related clinical event

Time to first liver-related clinical event (composite endpoint)

次要结局

未报告次要终点

研究者

相似试验