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Study of Semaglutide, and Cilofexor/Firsocostat, Alone and in Combination, in Adults With Cirrhosis Due to Nonalcoholic Steatohepatitis (NASH)
Not Recruiting
Trial ID: NCT04971785
Purpose
The goals of this clinical study are to learn more about the study drugs, semaglutide (SEMA)
with the fixed-dose combination (FDC) of cilofexor/firsocostat (CILO/FIR), and understand
whether they cause fibrosis improvement and Nonalcoholic Steatohepatitis (NASH) resolution in
participants with cirrhosis due to NASH.
Official Title
A Phase 2, Randomized, Double-Blind, Double-Dummy, Placebo-Controlled Study Evaluating the Safety and Efficacy of Semaglutide, and the Fixed-Dose Combination of Cilofexor and Firsocostat, Alone and in Combination, in Subjects With Compensated Cirrhosis (F4) Due to Nonalcoholic Steatohepatitis (NASH)
Stanford Investigator(s)
Paul Kwo
Professor of Medicine (Gastroenterology and Hepatology)
Eligibility
Key Inclusion Criteria:
- Liver biopsy consistent with cirrhosis (F4) due to nonalcoholic steatohepatitis (NASH)
in the opinion of the central reader. In individuals who have never had a liver
biopsy, a screening liver biopsy may be performed.
- Screening laboratory parameters as determined by the study central laboratory:
- Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73m^2, as calculated by
the Modification of Diet in Renal Disease (MDRD) equation.
- HbA1c ≤ 10%
- International normalized ratio (INR) ≤ 1.4, unless due to therapeutic
anticoagulation
- Platelet count ≥ 125,000/uL
- Alanine aminotransferase (ALT) < 5 x ULN
- Serum albumin ≥ 3.5 g/dL
- Serum alkaline phosphatase (ALP) ≤ 2 x ULN
- Body mass index (BMI) ≥ 23 kg/m^2 at screening.
Key Exclusion Criteria:
- Prior history of decompensated liver disease, including ascites, hepatic
encephalopathy (HE), or variceal bleeding.
- Child-Pugh (CP) score > 6 at screening, unless due to an alternative etiology such as
Gilbert's syndrome or therapeutic anticoagulation.
- Model for End-stage Liver Disease (MELD) score > 12 at screening, unless due to an
alternative etiology such as therapeutic anticoagulation.
- Other causes of liver disease based on medical history and/or central reader review of
liver histology, including but not limited to: alcoholic liver disease, autoimmune
disorders (eg, primary biliary cholangitis, primary sclerosing cholangitis, autoimmune
hepatitis), drug-induced hepatotoxicity, Wilson disease, clinically significant iron
overload, or alpha-1-antitrypsin deficiency.
- Chronic hepatitis B virus (HBV) infection (HBsAg positive), or Chronic hepatitis C
virus (HCV) infection (HCV antibody and HCV ribonucleic acid (RNA) positive).
Individuals cured of HCV infection less than 2 years prior to the screening visit are
not eligible.
- History of liver transplantation.
- Current or prior history of hepatocellular carcinoma (HCC).
- Men who habitually drink greater than 21 units/week of alcohol or women who habitually
drink greater than 14 units/week of alcohol (1 unit is equivalent to 12 ounce (oz)/360
mL of beer, a 4 oz/120 mL glass of wine, or 1 oz/30 mL of hard liquor).
- For individuals on vitamin E regimen ≥ 800 IU/day, or pioglitazone, dose must be
stable, in the opinion of the investigator for at least 180 days prior to the
historical or screening liver biopsy.
- For individuals on medications for diabetes, dose must be stable, in the opinion
of the investigator, for at least 90 days prior to the historical or screening
liver biopsy.
- History of type 1 diabetes.
- Treatment with a glucagon-like peptide-1 receptor agonist (GLP-1 RA) in the period
from 90 days prior to the screening visit and for individuals with a qualifying
historical liver biopsy, for 90 days prior to the date of the historical liver biopsy.
- For individuals who have not completed a series of an authorized coronavirus disease
2019 (COVID-19) vaccination regimen prior to screening, a positive result for COVID-19
on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse
transcriptase-polymerase chain reaction (RT-PCR) test.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Intervention(s):
drug: Semaglutide (SEMA)
drug: Cilofexor (CILO)/Firsocostat (FIR)
drug: PTM SEMA
drug: PTM CILO/FIR
Not Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Jennifer Smart
650-721-8517