Trial Outcomes & Findings for Saroglitazar Magnesium in the Treatment of Non-Alcoholic Steatohepatitis (NCT NCT03863574)

NCT ID: NCT03863574

Last Updated: 2024-10-15

Results Overview

The primary endpoint is to assess the changes in NAFLD Activity Score (NAS) at week 24 from baseline and with no worsening of fibrosis in NASH patients. NAFLD Activity Score Steatosis \<5% - 0 5% -33% - 1 \>33% -66% - 2 \>66% - 3 Lobular Inflammation No foci - 0 \<2 foci per 200 X field -1 2-4 foci per 200 X field - 2 \>4 foci per 200 X field - 3 Ballooning None - 0 Few balloon cells -1 Many cells/prominent ballooning - 2 Final NAFLD Activity Score = Steatosis Score + Lobular Inflammation Score + Ballooning Score Minimum score for NAS is 0 Maximum score for NAS is 8 Higher score represents the worse disease activity

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

16 participants

Primary outcome timeframe

Baseline to Week 24

Results posted on

2024-10-15

Participant Flow

Participant milestones

Participant milestones
Measure
Saroglitazar Magnesium 2 mg
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Overall Study
STARTED
6
7
3
Overall Study
COMPLETED
6
7
3
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Saroglitazar Magnesium in the Treatment of Non-Alcoholic Steatohepatitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Total
n=16 Participants
Total of all reporting groups
Age, Continuous
48.67 Years
STANDARD_DEVIATION 9.91 • n=5 Participants
50.57 Years
STANDARD_DEVIATION 16.48 • n=7 Participants
63.33 Years
STANDARD_DEVIATION 8.08 • n=5 Participants
52.25 Years
STANDARD_DEVIATION 13.46 • n=4 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
6 Participants
n=7 Participants
3 Participants
n=5 Participants
14 Participants
n=4 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
10 Participants
n=4 Participants
Ethnicity (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
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 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
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
7 Participants
n=7 Participants
2 Participants
n=5 Participants
14 Participants
n=4 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
Race (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
Region of Enrollment
United States
6 Participants
n=5 Participants
7 Participants
n=7 Participants
3 Participants
n=5 Participants
16 Participants
n=4 Participants
Body Mass Index
37.32 kg/m^2
STANDARD_DEVIATION 5.85 • n=5 Participants
37.89 kg/m^2
STANDARD_DEVIATION 8.27 • n=7 Participants
37.67 kg/m^2
STANDARD_DEVIATION 12.76 • n=5 Participants
37.63 kg/m^2
STANDARD_DEVIATION 7.78 • n=4 Participants

PRIMARY outcome

Timeframe: Baseline to Week 24

Population: modified intention-to-treat

The primary endpoint is to assess the changes in NAFLD Activity Score (NAS) at week 24 from baseline and with no worsening of fibrosis in NASH patients. NAFLD Activity Score Steatosis \<5% - 0 5% -33% - 1 \>33% -66% - 2 \>66% - 3 Lobular Inflammation No foci - 0 \<2 foci per 200 X field -1 2-4 foci per 200 X field - 2 \>4 foci per 200 X field - 3 Ballooning None - 0 Few balloon cells -1 Many cells/prominent ballooning - 2 Final NAFLD Activity Score = Steatosis Score + Lobular Inflammation Score + Ballooning Score Minimum score for NAS is 0 Maximum score for NAS is 8 Higher score represents the worse disease activity

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
NAS Score (Nonalcoholic Fatty Liver Disease [NAFLD] Activity Score)
-1.50 units on a scale
Standard Deviation 0.84
-1.86 units on a scale
Standard Deviation 1.57
-1.33 units on a scale
Standard Deviation 0.58

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Responder is defined as a decrease from baseline of at least 2 points spread across at least 2 of the NAS components \[steatosis, hepatocyte ballooning, and lobular inflammation\] with no worsening of fibrosis.

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
To Evaluate the Percentage of Responders in the Treatment Groups.
4 Participants
3 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Percentage of responders defined by the disappearance of steatohepatitis

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Percentage of Responders Defined by the Disappearance of Steatohepatitis.
5 Participants
6 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Changes in the stage of steatosis, lobular inflammation and ballooning by evaluating the NAS Score (Nonalcoholic fatty liver disease Activity Score) Steatosis \<5% - 0 5% -33% - 1 \>33% -66% - 2 \>66% - 3 Lobular Inflammation No foci - 0 \<2 foci per 200 X field -1 2-4 foci per 200 X field - 2 \>4 foci per 200 X field - 3 Ballooning None - 0 Few balloon cells -1 Many cells/prominent ballooning - 2 Higher score represents the worse disease activity

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Stage of Steatosis, Lobular Inflammation and Ballooning.
Changes in the stage of steatosis
-0.50 units on a scale
Standard Deviation 0.55
-0.71 units on a scale
Standard Deviation 0.76
-0.33 units on a scale
Standard Deviation 0.58
Changes in the Stage of Steatosis, Lobular Inflammation and Ballooning.
Changes in the stage of lobular inflammation
-0.17 units on a scale
Standard Deviation 0.41
-0.29 units on a scale
Standard Deviation 0.49
-0.67 units on a scale
Standard Deviation 0.58
Changes in the Stage of Steatosis, Lobular Inflammation and Ballooning.
Changes in the stage of ballooning
-0.83 units on a scale
Standard Deviation 0.41
-0.86 units on a scale
Standard Deviation 0.90
-0.33 units on a scale
Standard Deviation 0.58

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Modified intent-to-treat population

Changes in the stage of fibrosis by evaluating the Fibrosis stages Fibrosis Score Definition None - 0 Perisinusoidal or periportal - 1 Mild, zone 3, perisinusoidal - 1A Moderate, zone3, perisinusoidal -1B Portal/periportal -1C Perisinusoidal and portal/periportal - 2 Bridging fibrosis - 3 Cirrhosis - 4 Higher score represents the worse disease activity

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Stage of Fibrosis.
-0.50 units on a scale
Standard Deviation 0.84
-0.43 units on a scale
Standard Deviation 0.79
0.33 units on a scale
Standard Deviation 0.58

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Modified intent-to-treat population

Liver function tests include ALT, AST, ALP, GGT

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Liver Function Tests; (Alanine Aminotransferase [ALT], Aspartate Aminotransferase [AST], Alkaline Phosphatases [ALP], and Gamma-glutamyl Transferase [GGT]).
Change in ALT
-22.83 U/L
Standard Deviation 14.29
-29.57 U/L
Standard Deviation 26.76
-14.67 U/L
Standard Deviation 48.95
Changes in the Liver Function Tests; (Alanine Aminotransferase [ALT], Aspartate Aminotransferase [AST], Alkaline Phosphatases [ALP], and Gamma-glutamyl Transferase [GGT]).
Change in AST
-10.33 U/L
Standard Deviation 5.32
-16.29 U/L
Standard Deviation 11.63
-19.33 U/L
Standard Deviation 47.44
Changes in the Liver Function Tests; (Alanine Aminotransferase [ALT], Aspartate Aminotransferase [AST], Alkaline Phosphatases [ALP], and Gamma-glutamyl Transferase [GGT]).
Change in ALP
-24.00 U/L
Standard Deviation 9.92
-23.86 U/L
Standard Deviation 15.18
3.67 U/L
Standard Deviation 5.13
Changes in the Liver Function Tests; (Alanine Aminotransferase [ALT], Aspartate Aminotransferase [AST], Alkaline Phosphatases [ALP], and Gamma-glutamyl Transferase [GGT]).
Change in GGT
-23.83 U/L
Standard Deviation 18.55
-28.43 U/L
Standard Deviation 33.30
-1.67 U/L
Standard Deviation 19.50

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Modified intend-to-treat population

Changes in albumin and total protein

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Liver Function Tests; Albumin and Total Protein
Change in albumin
-0.05 g/dL
Standard Deviation 0.22
-0.04 g/dL
Standard Deviation 0.17
0.13 g/dL
Standard Deviation 0.12
Changes in the Liver Function Tests; Albumin and Total Protein
Change in total protein
-0.08 g/dL
Standard Deviation 0.40
0.09 g/dL
Standard Deviation 0.41
0.27 g/dL
Standard Deviation 0.06

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Modified intent-to-treat population

Change in direct bilirubin

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Liver Function Tests; Direct Bilirubin
-0.01 mg/dL
Standard Deviation 0.03
-0.01 mg/dL
Standard Deviation 0.02
-0.00 mg/dL
Standard Deviation 0.02

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Modified intent-to-treat population

Evaluation of Lipid profile parameters

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Lipid Profile.
Change in Triglyceride
-40.33 mg/dL
Standard Deviation 38.37
-16.71 mg/dL
Standard Deviation 44.31
-6.00 mg/dL
Standard Deviation 34.04
Changes in the Lipid Profile.
Change in Total Cholesterol
11.17 mg/dL
Standard Deviation 40.45
-16.00 mg/dL
Standard Deviation 31.12
-0.33 mg/dL
Standard Deviation 9.02
Changes in the Lipid Profile.
Change in Small dense LDL
1.27 mg/dL
Standard Deviation 15.99
-9.29 mg/dL
Standard Deviation 11.85
5.87 mg/dL
Standard Deviation 6.66
Changes in the Lipid Profile.
Change in High-density Lipoprotein
6.33 mg/dL
Standard Deviation 14.85
-0.14 mg/dL
Standard Deviation 8.47
7.00 mg/dL
Standard Deviation 4.36
Changes in the Lipid Profile.
Change in Low-density lipoprotein
13.00 mg/dL
Standard Deviation 34.89
-12.57 mg/dL
Standard Deviation 28.11
-6.00 mg/dL
Standard Deviation 5.29
Changes in the Lipid Profile.
Change in Very low-density lipoprotein
-8.17 mg/dL
Standard Deviation 7.41
-3.29 mg/dL
Standard Deviation 8.88
-1.33 mg/dL
Standard Deviation 6.51
Changes in the Lipid Profile.
Change in non-HDL Cholesterol
4.83 mg/dL
Standard Deviation 33.68
-15.86 mg/dL
Standard Deviation 29.23
-7.33 mg/dL
Standard Deviation 9.29
Changes in the Lipid Profile.
Change in Apo lipoprotein A1
10.50 mg/dL
Standard Deviation 36.74
-14.29 mg/dL
Standard Deviation 26.98
7.33 mg/dL
Standard Deviation 2.08
Changes in the Lipid Profile.
Change in Apo lipoprotein B
1.00 mg/dL
Standard Deviation 26.53
-14.71 mg/dL
Standard Deviation 21.04
-1.33 mg/dL
Standard Deviation 4.62

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: Safety Population

Number of Participants with Adverse Events.

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Number of Participants Experiencing Adverse Events After Consuming Saroglitazar Magnesium 2 mg and 4 mg
3 Participants
5 Participants
2 Participants

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Evaluation of Fasting Plasma Glucose

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Glycemic Control and Insulin Resistance; Fasting Plasma Glucose
2.67 mg/dL
Standard Deviation 19.18
-0.86 mg/dL
Standard Deviation 41.10
7.67 mg/dL
Standard Deviation 12.50

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Evaluation of Hemoglobin A1c

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Glycemic Control and Insulin Resistance; Hemoglobin A1c
-0.52 percentage of HbA1c
Standard Deviation 0.65
-0.09 percentage of HbA1c
Standard Deviation 0.28
0.03 percentage of HbA1c
Standard Deviation 0.35

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Evaluation of Insulin

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Glycemic Control and Insulin Resistance; Insulin
-1.05 μIU/mL
Standard Deviation 20.05
6.74 μIU/mL
Standard Deviation 15.34
8.13 μIU/mL
Standard Deviation 12.32

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Evaluation of C-peptide

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Glycemic Control and Insulin Resistance: C-peptide
-1.09 ng/mL
Standard Deviation 2.26
0.08 ng/mL
Standard Deviation 1.41
0.27 ng/mL
Standard Deviation 0.95

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Evaluation of HOMA of Beta Cell Function Homeostasis model assessment of beta cell function measures as following; HOMA -β = fasting insulin (μU/mL) ×360/{fasting glucose (mg/dL) - 63}. HOMA-B provides a quantitative estimate of beta-cell function. A lower HOMA-B value indicates reduced beta-cell function, which can be a sign of progressing towards or already having type 2 diabetes. Conversely, a higher HOMA-B value suggests better beta-cell functionality.

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Glycemic Control and Insulin Resistance: Homeostasis Model Assessment of Beta Cell Function (HOMA -β)
-34.35 percentage of HOMA of Beta Cell Function
Standard Deviation 84.41
14.49 percentage of HOMA of Beta Cell Function
Standard Deviation 358.04
30.10 percentage of HOMA of Beta Cell Function
Standard Deviation 46.15

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Evaluation of HOMA of Insulin Resistance Insulin Resistance Index measures insulin resistance, calculated by fasting insulin (μU/mL) multiplied by fasting glucose (mg/dL), and divided by a constant (405). A higher score indicates higher insulin resistance.

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Glycemic Control and Insulin Resistance: HOMA of Insulin Resistance
0.45 percentage of HOMA of Insulin Resistance
Standard Deviation 8.30
2.73 percentage of HOMA of Insulin Resistance
Standard Deviation 5.77
2.34 percentage of HOMA of Insulin Resistance
Standard Deviation 4.18

SECONDARY outcome

Timeframe: Baseline to Week 24

Population: modified intent-to-treat population

Evaluation of Total Adiponectin

Outcome measures

Outcome measures
Measure
Saroglitazar Magnesium 2 mg
n=6 Participants
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 Participants
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 Participants
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Changes in the Glycemic Control and Insulin Resistance: Total Adiponectin
1.84 μg/mL
Standard Deviation 2.17
0.68 μg/mL
Standard Deviation 3.28
1.50 μg/mL
Standard Deviation 4.02

Adverse Events

Saroglitazar Magnesium 2 mg

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

Saroglitazar Magnesium 4 mg

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo

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

Serious adverse events

Serious adverse events
Measure
Saroglitazar Magnesium 2 mg
n=6 participants at risk
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 participants at risk
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 participants at risk
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Infections and infestations
Appendicitis
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Infections and infestations
Bronchitis
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks

Other adverse events

Other adverse events
Measure
Saroglitazar Magnesium 2 mg
n=6 participants at risk
Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 2mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily for 24 weeks.
Saroglitazar Magnesium 4 mg
n=7 participants at risk
Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast for 24 weeks. Saroglitazar Magnesium 4mg: Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily for 24 weeks.
Placebo
n=3 participants at risk
Placebo tablet orally once daily in the morning before breakfast for 24 weeks. Placebos: Patients randomly assigned to this group will receive Placebo tablet orally once daily for 24 weeks.
Infections and infestations
Influenza
0.00%
0/6 • 24 Weeks
28.6%
2/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Infections and infestations
Appendicitis
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Infections and infestations
Bronchitis
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Infections and infestations
Fungal infection
0.00%
0/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
33.3%
1/3 • 24 Weeks
Infections and infestations
Lower respiratory tract infection
0.00%
0/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
33.3%
1/3 • 24 Weeks
Infections and infestations
Respiratory tract infection
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Infections and infestations
Tooth abscess
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Infections and infestations
Tooth infection
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Infections and infestations
Urinary tract infection
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Gastrointestinal disorders
Abdominal pain
16.7%
1/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Gastrointestinal disorders
Diarrhea
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
33.3%
1/3 • 24 Weeks
Gastrointestinal disorders
Abdominal mass
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Gastrointestinal disorders
Flatulence
0.00%
0/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
33.3%
1/3 • 24 Weeks
Gastrointestinal disorders
Nausea
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Gastrointestinal disorders
Uvulitis
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Nervous system disorders
Akathisia
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Nervous system disorders
Amnesia
0.00%
0/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
33.3%
1/3 • 24 Weeks
Nervous system disorders
Dyskinesia
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Nervous system disorders
Neuropathy peripheral
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Metabolism and nutrition disorders
Decreased appetite
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Metabolism and nutrition disorders
Type 2 diabetes mellitus
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Metabolism and nutrition disorders
Vitamin D deficiency
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
General disorders
Fatigue
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
33.3%
1/3 • 24 Weeks
Musculoskeletal and connective tissue disorders
Limb discomfort
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Psychiatric disorders
Anxiety
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Psychiatric disorders
Insomnia
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Skin and subcutaneous tissue disorders
Dermatitis acneiform
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Skin and subcutaneous tissue disorders
Rash pruritic
0.00%
0/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
33.3%
1/3 • 24 Weeks
Vascular disorders
Hot flush
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Vascular disorders
Hypertension
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Investigations
Blood creatine phosphokinase increased
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Investigations
Weight increased
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Immune system disorders
Allergy to animal
0.00%
0/6 • 24 Weeks
14.3%
1/7 • 24 Weeks
0.00%
0/3 • 24 Weeks
Injury, poisoning and procedural complications
Procedural pain
16.7%
1/6 • 24 Weeks
0.00%
0/7 • 24 Weeks
0.00%
0/3 • 24 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