Study of Oral Idebenone to Treat Non-Alcoholic Steatohepatitis

Not Recruiting

Trial ID: NCT04669158

Purpose

This is a randomized, placebo-controlled phase 1/2a study to investigate the safety and tolerability of Idebenone in patients 18 years of age or older with non-alcoholic steatohepatitis, with stage 1-3 fibrosis. As secondary end point target engagement and fibrosis improvement will be assessed.

Official Title

A Pilot Study to Treat Adults With Non-Alcoholic Steatohepatitis With Oral Idebenone

Stanford Investigator(s)

Natalie Torok
Natalie Torok

Professor of Medicine (Gastroenterology and Hepatology)

Eligibility

Inclusion Criteria:

* 1) Male or non-pregnant/ non-lactating women ≥ 18 years of age
* 2) Diagnosis of NASH: NAFLD activity score (NAS) of 4 or greater with a score of 1 for each of the following (steatosis scored 0-3, lobular inflammation scored 0-3, ballooning scored 0-2):

* Steatosis
* Lobular inflammation
* Hepatocyte ballooning 3) Fibrosis (Ishak fibrosis score ≥1 on liver biopsy) within 6 months of enrollment with MELD\<10, or based on MRE

Exclusion Criteria:

* Presence of any other form of liver disease, including viral hepatitis, autoimmune hepatitis, alcoholic liver disease, genetic causes of chronic liver disease):
* Subjects with other etiologies of chronic liver disease, such as chronic hepatitis B and C; autoimmune hepatitis; and inherited liver disease.
* ALT\>300 U/l
* Total serum bilirubin ≥ to 1.3 mg/dL (Gilbert's Syndrome patients excepted)
* International Normalized Ratio (INR) ≥ 1.3
* MELD\>10
* Serum creatinine \>2.0mg/dl
* Known alcohol abuse or alcohol use disorder:

* \>20 g/day for women
* \>30 g/day for men
* Active substance abuse
* Any medical condition that prevents MRE, MR-PDFF
* Platelet count ≤100//mm3
* Decompensated cirrhosis
* Hemoglobin \<11 g/dl in females or \<12 g/dl in males
* Presence/history of HCC
* History of liver transplantation
* History of bariatric surgery
* History of inflammatory bowel disease
* History of cardiovascular disease, long QT syndrome.
* Subjects who have participated in investigational drug trials and took any investigational drugs within 60 days prior to the first dose of Idebenone. History of receiving other investigations drug within 30 days prior to enrollment
* Any concerns regarding compliance by enrolling physician

Intervention(s):

drug: Idebenone

drug: Placebo

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Jennifer Smart
650-725-8517