Trial Outcomes & Findings for Saroglitazar Magnesium in Patients With Nonalcoholic Fatty Liver Disease and/or Nonalcoholic Steatohepatitis (NCT NCT03061721)

NCT ID: NCT03061721

Last Updated: 2024-10-24

Results Overview

Percentage change from baseline in serum ALT levels at Week 16 in the Saroglitazar Magnesium groups as compared to the placebo group

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

106 participants

Primary outcome timeframe

Baseline and Week 16

Results posted on

2024-10-24

Participant Flow

Participant milestones

Participant milestones
Measure
Saroglitazar Magnesium 1 mg
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebos
Placebo tablet orally once daily in the morning before breakfast for 16 weeks. Placebos: Patients randomly assigned to this group will receive placebo tablet orally once daily for 16 weeks.
Overall Study
STARTED
26
25
27
28
Overall Study
COMPLETED
26
20
27
25
Overall Study
NOT COMPLETED
0
5
0
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Saroglitazar Magnesium in Patients With Nonalcoholic Fatty Liver Disease and/or Nonalcoholic Steatohepatitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saroglitazar Magnesium 1 mg
n=26 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebos
n=28 Participants
Placebo tablet orally once daily in the morning before breakfast for 16 weeks. Placebos: Patients randomly assigned to this group will receive placebo tablet orally once daily for 16 weeks.
Total
n=106 Participants
Total of all reporting groups
Age, Continuous
51.1 Years
STANDARD_DEVIATION 12.89 • n=5 Participants
47.9 Years
STANDARD_DEVIATION 10.44 • n=7 Participants
49 Years
STANDARD_DEVIATION 10.97 • n=5 Participants
48.7 Years
STANDARD_DEVIATION 10.46 • n=4 Participants
49.2 Years
STANDARD_DEVIATION 11.13 • n=21 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
12 Participants
n=7 Participants
12 Participants
n=5 Participants
13 Participants
n=4 Participants
50 Participants
n=21 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
13 Participants
n=7 Participants
15 Participants
n=5 Participants
15 Participants
n=4 Participants
56 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
10 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants
13 Participants
n=4 Participants
43 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=5 Participants
17 Participants
n=7 Participants
15 Participants
n=5 Participants
15 Participants
n=4 Participants
63 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
12 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
White
22 Participants
n=5 Participants
21 Participants
n=7 Participants
24 Participants
n=5 Participants
24 Participants
n=4 Participants
91 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Body Mass Index
33.630 kg/m^2
STANDARD_DEVIATION 4.2451 • n=5 Participants
35.702 kg/m^2
STANDARD_DEVIATION 8.5653 • n=7 Participants
32.489 kg/m^2
STANDARD_DEVIATION 5.1611 • n=5 Participants
33.809 kg/m^2
STANDARD_DEVIATION 4.4599 • n=4 Participants
33.875 kg/m^2
STANDARD_DEVIATION 5.8374 • n=21 Participants

PRIMARY outcome

Timeframe: Baseline and Week 16

Population: Full Analysis Set

Percentage change from baseline in serum ALT levels at Week 16 in the Saroglitazar Magnesium groups as compared to the placebo group

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=26 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
n=28 Participants
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Percentage Change From Baseline in Serum Alanine Aminotransferase (ALT) Levels at Week 16
-26.2 Percentage change
Standard Deviation 33.36
-27.0 Percentage change
Standard Deviation 26.52
-44.9 Percentage change
Standard Deviation 26.26
2.6 Percentage change
Standard Deviation 32.06

SECONDARY outcome

Timeframe: Baseline and Week 16

Population: Full analysis set

Change in liver fat content as measured by magnetic resonance imaging-derived proton in Saroglitazar Magnesium groups as compared to the placebo group

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=26 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
n=28 Participants
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Change in Liver Fat Content as Measured by Magnetic Resonance Imaging-derived Proton Density-fat Fraction (MRI-PDFF)
0.53 percentage of Liver fat
Standard Deviation 5.228
-0.36 percentage of Liver fat
Standard Deviation 4.297
-4.21 percentage of Liver fat
Standard Deviation 6.231
-0.28 percentage of Liver fat
Standard Deviation 5.409

SECONDARY outcome

Timeframe: Week 16

Population: Full Analysis set

Proportion of patients with sustain decrease in serum ALT levels in Saroglitazar Magnesium groups as compared to the placebo group

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=26 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
n=28 Participants
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Proportion of Patients With Sustain Decrease in Serum ALT Levels
22 Participants
22 Participants
26 Participants
14 Participants

SECONDARY outcome

Timeframe: baseline and Week 16

Population: full analysis set

Changes in cytokeratin-18 in Saroglitazar Magnesium groups as compared to the placebo group

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=25 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=23 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
n=25 Participants
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Changes in Cytokeratin-18
-3.0 U/L
Standard Deviation 693.75
-330.3 U/L
Standard Deviation 590.37
-64.1 U/L
Standard Deviation 303.59
97.4 U/L
Standard Deviation 437.10

SECONDARY outcome

Timeframe: baseline and Week 16

Population: Full Analysis Set

Changes in enhanced liver fibrosis in Saroglitazar Magnesium groups as compared to the placebo group The ELF Score is a liver fibrosis score that is calculated by use of an algorithm: ELF score score = -7.412 + (ln(HA)\*0.681) + (ln(P3NP)\*0.775) + (ln(TIMP1)\*0.494). HA=hyaluronic acid concentration P3NP=procollagen 3 amino terminal peptide concentration TIMP1=tissue inhibitor matrix metalloproteinase 1 concentration. All are measured in serum. The ELF score has been reported to show good correlations with fibrosis stages in chronic liver disease, with higher ELF scores associated with higher fibrosis stages. The ELF score is hence used as a prognostic marker for disease progression: ELF score \< 9.8 : Low risk of progression, ELF score 9.8 to \< 11.3 : Moderate risk of progression and ELF score \> = 11.3 : High risk of progression

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=26 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
n=28 Participants
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Changes in Enhanced Liver Fibrosis
-0.2 units on a scale
Standard Deviation 0.78
-0.3 units on a scale
Standard Deviation 0.86
-0.3 units on a scale
Standard Deviation 0.72
0.4 units on a scale
Standard Deviation 0.78

SECONDARY outcome

Timeframe: Baseline and Week 16

Population: Full Analysis set

Change in aspartate aminotransferase-to-platelet ratio index in Saroglitazar Magnesium groups as compared to the placebo group APRI was calculated as (\[AST level/AST upper limit of normal\]/ \[Platelet count 1\^09/L\]) ×100, where AST is aspartate aminotransferase. The aspartate transaminase to platelet ratio index (APRI) is used to assess the risk of liver fibrosis. Higher APRI score represents a higher risk of liver fibrosis

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=26 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
n=28 Participants
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Change in Aspartate Aminotransferase-to-platelet Ratio Index
-0.3 units on a scale
Standard Deviation 0.56
-0.2 units on a scale
Standard Deviation 0.51
-0.3 units on a scale
Standard Deviation 0.47
0.1 units on a scale
Standard Deviation 0.73

SECONDARY outcome

Timeframe: PK sampling timepoints: Pre-dose (0.0), 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 8.0, 10.0, and 24 hours post-dose of Visit 7 (Week 16)

Population: PK population

Maximum plasma concentration (Cmax) of Saroglitazar

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=5 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=8 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Pharmacokinetics of Saroglitazar Magnesium: Maximum Plasma Concentration (Cmax)
65.034 ng/mL
Standard Deviation 17.579
98.995 ng/mL
Standard Deviation 77.189
219.475 ng/mL
Standard Deviation 111.521

SECONDARY outcome

Timeframe: PK sampling timepoints: Pre-dose (0.0), 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 8.0, 10.0, and 24 hours post-dose of Visit 7 (Week 16)

Population: PK population

Time to reach maximum plasma concentration (Tmax) of saroglitazar

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=5 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=8 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Time to Reach Maximum Plasma Concentration (Tmax)
0.920 hours
Interval 0.5 to 1.02
1.500 hours
Interval 1.0 to 3.0
0.990 hours
Interval 0.5 to 2.08

SECONDARY outcome

Timeframe: PK sampling timepoints: Pre-dose (0.0), 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 8.0, 10.0, and 24 hours post-dose of Visit 7 (Week 16)

Population: PK population For Saroglitazar 4 mg, one subject was not considered for calculation of Half-life as adjusted R square was observed \<0.8000 and AUC\_%Extrap\_obs\>20%. Hence, N=07 instead of 08 for Half-life

Terminal Half-life (t1/2) of saroglitazar

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=5 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Terminal Half-life (t1/2)
6.040 hour
Standard Deviation 1.314
6.597 hour
Standard Deviation 4.217
5.429 hour
Standard Deviation 1.509

SECONDARY outcome

Timeframe: PK sampling timepoints: Pre-dose (0.0), 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 8.0, 10.0, and 24 hours post-dose of Visit 3 (Week 0)

Population: PK population

Area under the curve from the time of dosing to the last measurable concentration for saroglitazar

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=5 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=8 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Area Under the Curve From the Time of Dosing to the Last Measurable Concentration (AUC0-t)
171.064 hr*ng/mL
Standard Deviation 45.818
301.227 hr*ng/mL
Standard Deviation 202.061
667.646 hr*ng/mL
Standard Deviation 175.024

SECONDARY outcome

Timeframe: PK sampling timepoints: Pre-dose (0.0), 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 8.0, 10.0, and 24 hours post-dose of Visit 3 (Week 0)

Population: PK population For Saroglitazar 4 mg, one subject was not considered for calculation of AUC 0-inf as adjusted R square was observed \<0.8000 and AUC\_%Extrap\_obs\>20%. Hence, N=07 instead of 08 for AUC 0-inf

Area under the curve from the time of dosing to the infinity (AUC 0-inf) for Saroglitazar

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=4 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Area Under the Curve From the Time of Dosing to the Infinity (AUC 0-inf)
167.735 hr*ng/mL
Standard Deviation 45.322
305.532 hr*ng/mL
Standard Deviation 203.074
652.497 hr*ng/mL
Standard Deviation 169.565

SECONDARY outcome

Timeframe: PK sampling timepoints: Pre-dose (0.0), 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 8.0, 10.0, and 24 hours post-dose of Visit 7 (Week 16)

Population: PK population For Saroglitazar 4 mg, one subject was not considered for calculation of Kel as adjusted R square was observed \<0.8000 and AUC\_%Extrap\_obs\>20%. Hence, N=07 instead of 08 for Kel

Elimination rate constant (λz) for saroglitazar

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=5 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Elimination Rate Constant (λz)
0.119 per hour
Standard Deviation 0.027
0.129 per hour
Standard Deviation 0.047
0.136 per hour
Standard Deviation 0.035

SECONDARY outcome

Timeframe: PK sampling timepoints: Pre-dose (0.0), 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 8.0, 10.0, and 24 hours post-dose of Visit 7 (Week 16)

Population: PK population For Saroglitazar 4 mg, one subject was not considered for calculation of Vd/F as adjusted R square was observed \<0.8000 and AUC\_%Extrap\_obs\>20%. Hence, N=07 instead of 08 for Vd/F

Apparent volume of distribution (Vd/F) for Saroglitazar

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=5 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Apparent Volume of Distribution (Vd/F)
49788.200 mL
Standard Deviation 18040.188
81341.167 mL
Standard Deviation 72030.406
53772.143 mL
Standard Deviation 17575.770

SECONDARY outcome

Timeframe: PK sampling timepoints: Pre-dose (0.0), 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 8.0, 10.0, and 24 hours post-dose of Visit 7 (Week 16)

Population: PK population For Saroglitazar 4 mg, one subject was not considered for calculation of CL/F as adjusted R square was observed \<0.8000 and AUC\_%Extrap\_obs\>20%. Hence, N=07 instead of 08 for CL/F.

Apparent clearance (CL/F) for Saroglitazar

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=5 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Apparent Clearance (CL/F)
5969.472 mL/hour
Standard Deviation 2502.313
8030.060 mL/hour
Standard Deviation 2356.620
6972.059 mL/hour
Standard Deviation 1890.090

SECONDARY outcome

Timeframe: baseline and 16 Week

Population: Full Analysis Set

Quality of life will be assessed by the Short-Form 36 Health Survey The SF-36 is a multi-purpose, short-form health survey with 36 questions. It yields an 8-scale profile of functional health and well-being scores (domains) as well as psychometrically based physical and mental health summary measures. The SF-36 taps 8 health concepts: physical functioning, bodily pain, physical role functioning, emotional role functioning, emotional well-being, social functioning, vitality, and general health perceptions. The 8 scales are further summarized to 2 distinct higher-ordered clusters: the PCS and mental composite t-score (MCS). The range for all 8 domains as well as for the composite t-scores is from 0 to 100 with 100 as best possible health status and 0 as worst health status.

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=26 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
n=28 Participants
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Change in Quality of Life Assessed by the Short-Form 36 Health Survey
-1.7 units on a scale
Standard Deviation 7.24
-2.2 units on a scale
Standard Deviation 7.57
-3.8 units on a scale
Standard Deviation 10.77
-1.0 units on a scale
Standard Deviation 6.16

SECONDARY outcome

Timeframe: Baseline to Week 17

Population: Safety Analysis Set

Number of participants with adverse events

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 1 mg
n=26 Participants
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 Participants
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 Participants
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebo
n=28 Participants
Placebo tablet orally once daily in the morning before breakfast for 16 weeks.
Safety and Tolerability of Saroglitazar Magnesium
13 participants
13 participants
14 participants
19 participants

Adverse Events

Saroglitazar Magnesium 1 mg

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Saroglitazar Magnesium 2 mg

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Saroglitazar Magnesium 4 mg

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebos

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Saroglitazar Magnesium 1 mg
n=26 participants at risk
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 participants at risk
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 participants at risk
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebos
n=28 participants at risk
Placebo tablet orally once daily in the morning before breakfast for 16 weeks. Placebos: Patients randomly assigned to this group will receive placebo tablet orally once daily for 16 weeks.
Renal and urinary disorders
Ureterolithiasis
3.8%
1/26 • 16 Weeks
0.00%
0/25 • 16 Weeks
0.00%
0/27 • 16 Weeks
0.00%
0/28 • 16 Weeks
Psychiatric disorders
Mental Status Change
0.00%
0/26 • 16 Weeks
0.00%
0/25 • 16 Weeks
3.7%
1/27 • 16 Weeks
0.00%
0/28 • 16 Weeks

Other adverse events

Other adverse events
Measure
Saroglitazar Magnesium 1 mg
n=26 participants at risk
Saroglitazar magnesium 1 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 1 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 1 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 2 mg
n=25 participants at risk
Saroglitazar magnesium 2 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 2 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 2 mg tablet orally once daily for 16 weeks.
Saroglitazar Magnesium 4 mg
n=27 participants at risk
Saroglitazar magnesium 4 mg tablet orally once daily in the morning before breakfast for 16 weeks. Saroglitazar magnesium 4 mg: Patients randomly assigned to this group will receive Saroglitazar magnesium 4 mg tablet orally once daily for 16 weeks.
Placebos
n=28 participants at risk
Placebo tablet orally once daily in the morning before breakfast for 16 weeks. Placebos: Patients randomly assigned to this group will receive placebo tablet orally once daily for 16 weeks.
Blood and lymphatic system disorders
Anemia
0.00%
0/26 • 16 Weeks
8.0%
2/25 • 16 Weeks
0.00%
0/27 • 16 Weeks
0.00%
0/28 • 16 Weeks
Gastrointestinal disorders
Diarrhoea
7.7%
2/26 • 16 Weeks
4.0%
1/25 • 16 Weeks
0.00%
0/27 • 16 Weeks
3.6%
1/28 • 16 Weeks
Gastrointestinal disorders
Abdominal pain
0.00%
0/26 • 16 Weeks
8.0%
2/25 • 16 Weeks
0.00%
0/27 • 16 Weeks
0.00%
0/28 • 16 Weeks
Infections and infestations
Upper respiratory tract infection
3.8%
1/26 • 16 Weeks
8.0%
2/25 • 16 Weeks
7.4%
2/27 • 16 Weeks
0.00%
0/28 • 16 Weeks
Infections and infestations
Urinary tract infection
0.00%
0/26 • 16 Weeks
0.00%
0/25 • 16 Weeks
3.7%
1/27 • 16 Weeks
7.1%
2/28 • 16 Weeks
Nervous system disorders
Headache
11.5%
3/26 • 16 Weeks
4.0%
1/25 • 16 Weeks
3.7%
1/27 • 16 Weeks
0.00%
0/28 • 16 Weeks
Renal and urinary disorders
Haematuria
3.8%
1/26 • 16 Weeks
0.00%
0/25 • 16 Weeks
3.7%
1/27 • 16 Weeks
7.1%
2/28 • 16 Weeks
Respiratory, thoracic and mediastinal disorders
Cough
7.7%
2/26 • 16 Weeks
0.00%
0/25 • 16 Weeks
3.7%
1/27 • 16 Weeks
0.00%
0/28 • 16 Weeks
Gastrointestinal disorders
Flatulence
0.00%
0/26 • 16 Weeks
0.00%
0/25 • 16 Weeks
0.00%
0/27 • 16 Weeks
7.1%
2/28 • 16 Weeks

Additional Information

Dr Deven Parmar

Zydus Therapeutics Inc.

Phone: 7324050886

Results disclosure agreements

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