Efficacy and Safety Study of Cenicriviroc for the Treatment of Nonalcoholic Steatohepatitis (NASH) in Adult Participants With Liver Fibrosis

NCT ID: NCT02217475

Last Updated: 2019-05-10

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

289 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-18

Study Completion Date

2017-06-22

Brief Summary

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The purpose of this study is to determine whether cenicriviroc is effective and safe in the treatment of nonalcoholic steatohepatitis (NASH) in adult participants with liver fibrosis.

Detailed Description

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Conditions

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Nonalcoholic Steatohepatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Cenicriviroc (CVC) 150mg/CVC 150 mg

CVC 150 mg tablet in Years 1 and 2.

Group Type EXPERIMENTAL

Cenicriviroc

Intervention Type DRUG

CVC 150 mg, administered orally once daily and taken every morning with food.

Placebo/CVC 150 mg

Placebo-matching CVC tablet in Year 1 then CVC 150 mg tablet in Year 2.

Group Type EXPERIMENTAL

Cenicriviroc

Intervention Type DRUG

CVC 150 mg, administered orally once daily and taken every morning with food.

Placebo

Intervention Type DRUG

Placebo administered orally once daily and taken every morning with food.

Placebo/Placebo

Placebo-matching cenicriviroc (CVC) tablet in Years 1 and 2.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo administered orally once daily and taken every morning with food.

Interventions

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Cenicriviroc

CVC 150 mg, administered orally once daily and taken every morning with food.

Intervention Type DRUG

Placebo

Placebo administered orally once daily and taken every morning with food.

Intervention Type DRUG

Other Intervention Names

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TBR-652

Eligibility Criteria

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Inclusion Criteria

* Adult participants aged between 18-75
* Histological evidence of NASH, based on biopsy, with a Nonalcoholic fatty liver disease Activity Score (NAS) of \>= 4 with at least 1 in each component of NAS
* Histological evidence of liver fibrosis defined as NASH Clinical Research Network (CRN) System Stage 1 to 3
* Meeting any of the 3 major criteria (a, b, c):

1. Documented evidence of type 2 diabetes mellitus
2. High body mass index (\> 25 kg/m\^2) with at least one of the following criteria of metabolic syndrome, as defined by the National Cholesterol Education Program:

* Central obesity: waist circumference ≥ 102 cm or 40 inches (male), ≥ 88 cm or 35 inches (female)
* Dyslipidemia: Triglycerides ≥ 1.7 mmol/L (150 mg/dL)
* Dyslipidemia: High-density lipoprotein (HDL)-cholesterol \< 40 mg/dL (male), \< 50 mg/dL (female)
* Blood pressure ≥ 130/85 mmHg (or currently being treated for hypertension)
* Fasting plasma glucose ≥ 6.1 mmol/L (110 mg/dL)
3. Bridging fibrosis (NASH CRN Stage 3) and/or definite NASH (NAS ≥ 5)
* Agree to have one liver biopsy at Screening, one at Year 1, and one at the end of study treatment (Year 2)
* Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 5 × upper limit of normal (ULN)

Exclusion Criteria

* Hepatitis B surface Antigen (HBsAg) positive
* Hepatitis C antibody (HCVAb) positive with the following 2 exceptions:

1. Participants previously treated for viral hepatitis C with at least a 1-year period since documented sustained virologic response at Week 12 (post-treatment) may be eligible if all other eligibility criteria are met
2. Participants with presence of hepatitis C antibody but negative hepatitis C virus ribonucleic acid RNA without treatment (i.e., spontaneous clearance) may be eligible if all other eligibility criteria are met
* Prior or planned liver transplantation
* Other known causes of chronic liver disease, including alcoholic liver disease
* History of cirrhosis and/or hepatic decompensation including ascites, hepatic encephalopathy or variceal bleeding
* Alcohol consumption greater than 21 units/week for males or 14 units/week for females (one unit of alcohol is ½ pint of beer \[285 mL\], 1 glass of spirits \[25 mL\] or 1 glass of wine \[125 mL\])
* Human immunodeficiency virus (HIV)-1 or HIV-2 infection
* Weight reduction through bariatric surgery in the past 5 years or planned during the conduct of the study (including gastric banding)
* Females who are pregnant or breastfeeding
* Any other clinically significant disorders or prior therapy that, in the opinion of the investigator, would make the participant unsuitable for the study or unable to comply with the dosing and protocol requirements.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tobira Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eric Lefebvre, MD

Role: STUDY_DIRECTOR

Allergan

Locations

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Dothan, Alabama, United States

Site Status

Phoenix, Arizona, United States

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Tucson, Arizona, United States

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Rialto, California, United States

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San Diego, California, United States

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San Diego, California, United States

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San Francisco, California, United States

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Littleton, Colorado, United States

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Miami, Florida, United States

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Tampa, Florida, United States

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Chicago, Illinois, United States

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Louisville, Kentucky, United States

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New Orleans, Louisiana, United States

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Baltimore, Maryland, United States

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Baltimore, Maryland, United States

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Chevy Chase, Maryland, United States

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Lutherville, Maryland, United States

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Boston, Massachusetts, United States

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Worcester, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Saint Paul, Minnesota, United States

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Flowood, Mississippi, United States

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Jackson, Mississippi, United States

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Tupelo, Mississippi, United States

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Buffalo, New York, United States

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New York, New York, United States

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Durham, North Carolina, United States

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Raleigh, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cincinnati, Ohio, United States

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Chattanooga, Tennessee, United States

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Germantown, Tennessee, United States

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Houston, Texas, United States

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Houston, Texas, United States

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Live Oak, Texas, United States

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San Antonio, Texas, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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Richmond, Virginia, United States

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Seattle, Washington, United States

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Garran, Australian Capital Territory, Australia

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Herston, Queensland, Australia

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Adelaide, South Australia, Australia

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Bedford Park, South Australia, Australia

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Clayton, Victoria, Australia

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Heidelberg, Victoria, Australia

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Melbourne, Victoria, Australia

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Perth, Western Australia, Australia

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Brussels, , Belgium

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Brussels, , Belgium

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Edegem, , Belgium

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Leuven, , Belgium

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Angers, , France

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Lyon, , France

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Montpellier, , France

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Paris, , France

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Paris, , France

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Pessac, , France

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Toulouse, , France

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Vandœuvre-lès-Nancy, , France

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Villejuif, , France

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Heidelberg, Baden-Wurttemberg, Germany

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Hamburg, City state of Hamburg, Germany

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Marburg, Hesse, Germany

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Hanover, Lower Saxony, Germany

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Aachen, North Rhine-Westphalia, Germany

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Cologne, North Rhine-Westphalia, Germany

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Leipzig, Saxony, Germany

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Heidelberg, VIC, Germany

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Berlin, , Germany

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Lübeck, , Germany

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Shatin, New Territories, Hong Kong

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Bologna, BO, Italy

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Milan, MI, Italy

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Rozzano, MI, Italy

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Palermo, PA, Italy

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Chorzów, , Poland

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Lodz, , Poland

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Mysłowice, , Poland

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Rzeszów, , Poland

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Wroclaw, , Poland

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Alicante, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Portsmouth, Hampshire, United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Newcastle, , United Kingdom

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Nottingham, , United Kingdom

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Countries

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United States Australia Belgium France Germany Hong Kong Italy Poland Spain United Kingdom

References

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Qian T, Fujiwara N, Koneru B, Ono A, Kubota N, Jajoriya AK, Tung MG, Crouchet E, Song WM, Marquez CA, Panda G, Hoshida A, Raman I, Li QZ, Lewis C, Yopp A, Rich NE, Singal AG, Nakagawa S, Goossens N, Higashi T, Koh AP, Bian CB, Hoshida H, Tabrizian P, Gunasekaran G, Florman S, Schwarz ME, Hiotis SP, Nakahara T, Aikata H, Murakami E, Beppu T, Baba H, Rew Warren, Bhatia S, Kobayashi M, Kumada H, Fobar AJ, Parikh ND, Marrero JA, Rwema SH, Nair V, Patel M, Kim-Schulze S, Corey K, O'Leary JG, Klintmalm GB, Thomas DL, Dibas M, Rodriguez G, Zhang B, Friedman SL, Baumert TF, Fuchs BC, Chayama K, Zhu S, Chung RT, Hoshida Y. Molecular Signature Predictive of Long-Term Liver Fibrosis Progression to Inform Antifibrotic Drug Development. Gastroenterology. 2022 Apr;162(4):1210-1225. doi: 10.1053/j.gastro.2021.12.250. Epub 2021 Dec 22.

Reference Type DERIVED
PMID: 34951993 (View on PubMed)

Nielsen MJ, Leeming DJ, Goodman Z, Friedman S, Frederiksen P, Rasmussen DGK, Vig P, Seyedkazemi S, Fischer L, Torstenson R, Karsdal MA, Lefebvre E, Sanyal AJ, Ratziu V. Comparison of ADAPT, FIB-4 and APRI as non-invasive predictors of liver fibrosis and NASH within the CENTAUR screening population. J Hepatol. 2021 Dec;75(6):1292-1300. doi: 10.1016/j.jhep.2021.08.016. Epub 2021 Aug 27.

Reference Type DERIVED
PMID: 34454994 (View on PubMed)

Parthasarathy G, Malhi H. Macrophage Heterogeneity in NASH: More Than Just Nomenclature. Hepatology. 2021 Jul;74(1):515-518. doi: 10.1002/hep.31790. Epub 2021 May 22. No abstract available.

Reference Type DERIVED
PMID: 33666272 (View on PubMed)

Ratziu V, Sanyal A, Harrison SA, Wong VW, Francque S, Goodman Z, Aithal GP, Kowdley KV, Seyedkazemi S, Fischer L, Loomba R, Abdelmalek MF, Tacke F. Cenicriviroc Treatment for Adults With Nonalcoholic Steatohepatitis and Fibrosis: Final Analysis of the Phase 2b CENTAUR Study. Hepatology. 2020 Sep;72(3):892-905. doi: 10.1002/hep.31108. Epub 2020 Jul 21.

Reference Type DERIVED
PMID: 31943293 (View on PubMed)

Lefebvre E, Moyle G, Reshef R, Richman LP, Thompson M, Hong F, Chou HL, Hashiguchi T, Plato C, Poulin D, Richards T, Yoneyama H, Jenkins H, Wolfgang G, Friedman SL. Antifibrotic Effects of the Dual CCR2/CCR5 Antagonist Cenicriviroc in Animal Models of Liver and Kidney Fibrosis. PLoS One. 2016 Jun 27;11(6):e0158156. doi: 10.1371/journal.pone.0158156. eCollection 2016.

Reference Type DERIVED
PMID: 27347680 (View on PubMed)

Friedman S, Sanyal A, Goodman Z, Lefebvre E, Gottwald M, Fischer L, Ratziu V. Efficacy and safety study of cenicriviroc for the treatment of non-alcoholic steatohepatitis in adult subjects with liver fibrosis: CENTAUR Phase 2b study design. Contemp Clin Trials. 2016 Mar;47:356-65. doi: 10.1016/j.cct.2016.02.012. Epub 2016 Mar 2.

Reference Type DERIVED
PMID: 26944023 (View on PubMed)

Other Identifiers

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2016-004754-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

652-2-203

Identifier Type: -

Identifier Source: org_study_id

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