A Study to Evaluate the Safety, Tolerability & Efficacy of MSDC-0602K in Patients With NASH

NCT ID: NCT02784444

Last Updated: 2020-09-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

392 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-14

Study Completion Date

2019-06-30

Brief Summary

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This is a randomized, double-blinded study of three doses of MSDC-0602K or placebo given orally once daily to subjects with biopsy proven NASH with fibrosis and no cirrhosis.

Detailed Description

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This is a randomized, double-blinded study of three doses of MSDC-0602K or placebo given orally once daily to subjects with biopsy proven NASH with fibrosis and no cirrhosis. Visits to the clinic will be at baseline, 1, 2, 3, 6, 9, and 12 months, with one 2- week follow-up visit.

Safety will be assessed by monitoring of vital signs, 12 lead electrocardiogram (ECG), physical examinations, safety labs, and adverse events (AEs).

Conditions

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Non-alcoholic Fatty Liver Disease Non-alcoholic Steatohepatitis NASH - Nonalcoholic Steatohepatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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MSDC-0602K Dose 1 capsules

MSDC-0602K Dose 1 capsule taken once daily for 360 days

Group Type ACTIVE_COMPARATOR

MSDC-0602K

Intervention Type DRUG

MSDC-0602K capsules

MSDC-0602K Dose 2 capsules

MSDC-0602K Dose 2 capsules taken once daily for 360 days

Group Type ACTIVE_COMPARATOR

MSDC-0602K

Intervention Type DRUG

MSDC-0602K capsules

MSDC-0602K Dose 3 capsules

MSDC-0602K Dose 3 capsules taken once daily for 360 days

Group Type ACTIVE_COMPARATOR

MSDC-0602K

Intervention Type DRUG

MSDC-0602K capsules

Placebo capsules

Matching Placebo capsule taken once daily for 360 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo capsules

Interventions

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MSDC-0602K

MSDC-0602K capsules

Intervention Type DRUG

Placebo

Placebo capsules

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult subjects 18 years of age or greater
* Histological evidence of NASH, based on biopsy, with a NAS (NASH CRN scoring) ≥ 4 with a score of at least 1 in each component of NAS.
* Histological evidence of liver fibrosis defined as NASH CRN System fibrosis score F1 to F3.
* Subjects with type 2 diabetes mellitus (DM) must be under stable and reasonable control.
* Male and female subjects who are taking Vitamin E should be on a stable dose of Vitamin E (if ≥ 400 IU) for a period of at least 3 months prior to randomization.
* Females should be either postmenopausal (at least 12 months since last menses) or surgically sterilized (bilateral tubal ligation or hysterectomy). Males with female partners of child-bearing potential must agree to use adequate contraceptive methods (including a condom, plus one other form of contraception) if engaging in sexual intercourse.
* Willing and able to sign an informed consent document indicating understanding the purpose of and procedures required for the study and willingness to participate in the study.

Exclusion Criteria

* Known history of HIV.
* Prior liver transplantation.
* Other well-documented causes of active chronic liver disease.
* History of cirrhosis and/or hepatic decompensation including ascites, hepatic encephalopathy or variceal bleeding.
* History of alcohol abuse or drug abuse within 6 months of Screening.
* Type 1 diabetes mellitus.
* Current or history of recent (≤ 6 months) use of ursodeoxycholic acid.
* Use of concomitant medications with a known significant metabolism by CYP2C8 or CPY2C9.
* History of diabetic ketoacidosis or hyperosmolar non-ketotic coma within 6 months prior to randomization.
* History of heart failure (including CHF) or previous cardiovascular event (myocardial infarct, by-pass surgery, or PTCA) within the past 6 months prior to randomization.
* Blood pressure greater than 160/100 mmHg.
* Participation in an investigational study or received an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to study drug administration.
* Malignancy, including leukemia and lymphoma (excluding basal cell and squamous skin cell cancers and localized prostrate cancer) treated within the last 2 years.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chiltern International Inc.

INDUSTRY

Sponsor Role collaborator

Cirius Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Howard Dittrich, MD

Role: STUDY_DIRECTOR

Cirius Therapeutics, Inc.

Locations

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Chandler, Arizona, United States

Site Status

Tucson, Arizona, United States

Site Status

Chula Vista, California, United States

Site Status

Fresno, California, United States

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Garden Grove, California, United States

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Huntington Park, California, United States

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La Mesa, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Poway, California, United States

Site Status

Rialto, California, United States

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San Diego, California, United States

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Englewood, Colorado, United States

Site Status

Gainesville, Florida, United States

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Hialeah, Florida, United States

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Inverness, Florida, United States

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Lakewood Rch, Florida, United States

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Miami Lakes, Florida, United States

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Wellington, Florida, United States

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Marietta, Georgia, United States

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Indianapolis, Indiana, United States

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Bastrop, Louisiana, United States

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New Orleans, Louisiana, United States

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New Orleans, Louisiana, United States

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West Monroe, Louisiana, United States

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Flowood, Mississippi, United States

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Brooklyn, New York, United States

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New York, New York, United States

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Fayetteville, North Carolina, United States

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Greenville, North Carolina, United States

Site Status

Statesville, North Carolina, United States

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Providence, Rhode Island, United States

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Germantown, Tennessee, United States

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Hermitage, Tennessee, United States

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Arlington, Texas, United States

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Dallas, Texas, United States

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Fort Sam 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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Rollingwood, Texas, United States

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San Antonio, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Richmond, Virginia, United States

Site Status

Countries

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United States

References

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Harrison SA, Alkhouri N, Davison BA, Sanyal A, Edwards C, Colca JR, Lee BH, Loomba R, Cusi K, Kolterman O, Cotter G, Dittrich HC. Insulin sensitizer MSDC-0602K in non-alcoholic steatohepatitis: A randomized, double-blind, placebo-controlled phase IIb study. J Hepatol. 2020 Apr;72(4):613-626. doi: 10.1016/j.jhep.2019.10.023. Epub 2019 Nov 4.

Reference Type DERIVED
PMID: 31697972 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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MSDC-0602K-C009NASH

Identifier Type: -

Identifier Source: org_study_id

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