Trial Outcomes & Findings for Colesevelam Versus Placebo in the Treatment of Nonalcoholic Steatohepatitis (NCT NCT01066364)

NCT ID: NCT01066364

Last Updated: 2020-07-21

Results Overview

To examine the efficacy of Colesevelam at 3.75 g/day orally versus placebo to decrease liver fat in patients with biopsy-proven nonalcoholic steatohepatitis.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

59 participants

Primary outcome timeframe

24 weeks

Results posted on

2020-07-21

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo (Sugar) Pill
Six tablets per day (identical to colesevelam) Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Colesevelam Arm
3.75 grams per day Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Overall Study
STARTED
25
25
Overall Study
COMPLETED
22
23
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Colesevelam Versus Placebo in the Treatment of Nonalcoholic Steatohepatitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo (Sugar) Pill
n=25 Participants
Six tablets per day (identical to colesevelam) Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Colesevelam Arm
n=25 Participants
3.75 grams per day Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Total
n=50 Participants
Total of all reporting groups
Age, Continuous
50.3 years
STANDARD_DEVIATION 10.4 • n=93 Participants
45.4 years
STANDARD_DEVIATION 12.7 • n=4 Participants
47.8 years
STANDARD_DEVIATION 11.7 • n=27 Participants
Sex: Female, Male
Female
12 Participants
n=93 Participants
15 Participants
n=4 Participants
27 Participants
n=27 Participants
Sex: Female, Male
Male
13 Participants
n=93 Participants
10 Participants
n=4 Participants
23 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
8 Participants
n=93 Participants
3 Participants
n=4 Participants
11 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
8 Participants
n=93 Participants
11 Participants
n=4 Participants
19 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=93 Participants
2 Participants
n=4 Participants
4 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=93 Participants
9 Participants
n=4 Participants
16 Participants
n=27 Participants
Region of Enrollment
United States
25 participants
n=93 Participants
25 participants
n=4 Participants
50 participants
n=27 Participants

PRIMARY outcome

Timeframe: 24 weeks

To examine the efficacy of Colesevelam at 3.75 g/day orally versus placebo to decrease liver fat in patients with biopsy-proven nonalcoholic steatohepatitis.

Outcome measures

Outcome measures
Measure
Placebo (Sugar) Pill
n=22 Participants
Six tablets per day (identical to colesevelam) Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Colesevelam Arm
n=24 Participants
3.75 grams per day Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
The Primary Outcome Will be Improvement in Hepatic Steatosis by Liver MRI
17.9 % of fat
Standard Deviation 7.7
14.2 % of fat
Standard Deviation 6.3

SECONDARY outcome

Timeframe: 24 weeks

To examine the efficacy of Colesevelam at 3.75 g/day orally versus placebo to decrease HOMA-IR in patients with biopsy-proven nonalcoholic steatohepatitis.

Outcome measures

Outcome measures
Measure
Placebo (Sugar) Pill
n=25 Participants
Six tablets per day (identical to colesevelam) Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Colesevelam Arm
n=25 Participants
3.75 grams per day Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Insulin Sensitivity as Determined by HOMA-IR
8.3 units on a scale
Standard Deviation 9.8
7.6 units on a scale
Standard Deviation 12.3

SECONDARY outcome

Timeframe: 24 weeks

To examine the efficacy of Colesevelam at 3.75 g/day orally versus placebo to decrease serum ALT and AST in patients with biopsy-proven nonalcoholic steatohepatitis.

Outcome measures

Outcome measures
Measure
Placebo (Sugar) Pill
n=25 Participants
Six tablets per day (identical to colesevelam) Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Colesevelam Arm
n=25 Participants
3.75 grams per day Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Serum ALT and AST Values
ALT
79.1 U/L
Standard Deviation 47.8
86.6 U/L
Standard Deviation 68.1
Serum ALT and AST Values
AST
49.9 U/L
Standard Deviation 32.1
56.2 U/L
Standard Deviation 46.3

SECONDARY outcome

Timeframe: 24 weeks

To examine the efficacy of Colesevelam at 3.75 g/day orally versus placebo to decrease improve the lipid profiles in patients with biopsy-proven nonalcoholic steatohepatitis.

Outcome measures

Outcome measures
Measure
Placebo (Sugar) Pill
n=25 Participants
Six tablets per day (identical to colesevelam) Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Colesevelam Arm
n=25 Participants
3.75 grams per day Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Lipid Profiles
LDL
115.8 mg/dL
Standard Deviation 31.2
124.0 mg/dL
Standard Deviation 37.7
Lipid Profiles
Total Cholesterol
202.4 mg/dL
Standard Deviation 36.5
200.2 mg/dL
Standard Deviation 46.0

Adverse Events

Placebo (Sugar) Pill

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Colesevelam Arm

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo (Sugar) Pill
n=25 participants at risk
Six tablets per day (identical to colesevelam) Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Colesevelam Arm
n=25 participants at risk
3.75 grams per day Colesevelam Hcl: 3.75 gm/day (six 675 mg tablets)
Musculoskeletal and connective tissue disorders
Muscle ache with elevated CPK
0.00%
0/25
4.0%
1/25 • Number of events 1
Musculoskeletal and connective tissue disorders
Severe hot flashes with leg pain
4.0%
1/25 • Number of events 1
0.00%
0/25
Gastrointestinal disorders
IBD Exacerbation
4.0%
1/25 • Number of events 1
0.00%
0/25

Additional Information

Rohit Loomba, MD

UCSD

Phone: 858-246-2201

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place