A Study of FT 4101 in Overweight/Obese Participants With Non-alcoholic Steatohepatitis

NCT ID: NCT04004325

Last Updated: 2025-10-20

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: PHASE1/PHASE2
• Total Enrollment: 14 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-05-17
• Study Completion Date: 2020-01-20

Brief Summary

This Phase 1/2 study will evaluate safety, efficacy, PK, and PD of FT-4101 as a single agent in overweight/obese subjects with NASH.

The study may be conducted in up to 2 dosing cohorts.

Conditions

Nonalcoholic Steatohepatitis (NASH); Overweight or Obesity

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Cohort A

Group Type: EXPERIMENTAL

FT-4101

Intervention Type: DRUG

FT-4101 will be supplied as active capsules and will be administered per the protocol defined frequency and dose level.

FT-4101 placebo

Intervention Type: DRUG

FT-4101 placebo will be supplied as placebo capsule matching in size and color to all the active capsules and will be administered per the protocol defined frequency and dose level.

Deuterated Water

Intervention Type: OTHER

Deuterated water will be provided as individual ready-to-use, single dose bottles each containing 50 mL of deuterated water (70%).

Cohort B

Group Type: EXPERIMENTAL

FT-4101

Intervention Type: DRUG

FT-4101 will be supplied as active capsules and will be administered per the protocol defined frequency and dose level.

FT-4101 placebo

Intervention Type: DRUG

FT-4101 placebo will be supplied as placebo capsule matching in size and color to all the active capsules and will be administered per the protocol defined frequency and dose level.

Deuterated Water

Intervention Type: OTHER

Deuterated water will be provided as individual ready-to-use, single dose bottles each containing 50 mL of deuterated water (70%).

Interventions

FT-4101

FT-4101 will be supplied as active capsules and will be administered per the protocol defined frequency and dose level.

Intervention Type: DRUG

FT-4101 placebo

FT-4101 placebo will be supplied as placebo capsule matching in size and color to all the active capsules and will be administered per the protocol defined frequency and dose level.

Intervention Type: DRUG

Deuterated Water

Deuterated water will be provided as individual ready-to-use, single dose bottles each containing 50 mL of deuterated water (70%).

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Meets all of the following criteria:

1. CAP ≥ 300 dB/m by FibroScan® OR Liver biopsy within 24 months, consistent with NASH with stage 2-3 fibrosis

2. Screening MRI-PDFF with ≥ 10% steatosis.

• Body mass index (BMI) > 25.0 to < 45.0 kg/m2
• Stable body weight
• Subjects with T2DM may also be included, if:

1. Subject with T2DM is on stable doses of metformin monotherapy (subjects on combination therapy of metformin and sulfonylurea (SU) need to undergo washout period prior to dosing) with no changes in medication within the previous 6 months

2. HbA1c < 9% (one retest is permitted with the result of the last test being conclusive)

3. Fasting plasma glucose (FPG) < 240 mg/dL (<13.3 mmol/L)

• Waist circumference ≤ 57 inches
• Female subjects must be non-pregnant and non-lactating

Exclusion Criteria

• Type 1 diabetes and type 2 diabetic subjects on insulin therapy
• Diabetic complications, such as acute proliferative retinopathy
• Recurrent severe hypoglycemia or hypoglycemic unawareness or recent severe ketoacidosis
• History of, or active, chronic liver disease due to alcohol, auto-immune, primary biliary cholangitis, HIV, HBV or active HCV-infection, Wilson's, α-1-antitrypsin deficiency, hemochromatosis, etc., and not due to NASH disease
• History of clinically significant or decompensated chronic liver disease including esophageal varices, ascites, encephalopathy or any hospitalization for treatment of chronic liver disease; or MELD score ≥ 10.
• History of significant cirrhosis of the liver
• Alcohol consumption greater than 14 drinks per week for men or greater than 7 drinks per week for women and/or positive alcohol breath test
• Introduction of an anti-obesity drug in the past 6 months prior to screening
• History of gastrointestinal malabsorptive bariatric surgery, any other gastrointestinal surgery that may induce malabsorption, history of bowel resection > 20 cm, any malabsorption disorder, severe gastroparesis, any GI procedure for weight loss, as well as clinically significant gastrointestinal disorders within less than 5 years
• Ingestion of drugs known to produce hepatic steatosis including corticosteroids, high- dose estrogens, methotrexate, tetracycline or amiodarone in the previous 6 months
• History of, or current cardiac dysrhythmias and/or a history of cardiovascular disease events, including congestive heart failure, unstable coronary artery disease, myocardial infarction
• Significant systemic or major illnesses other than liver disease, including cerebrovascular disease, pulmonary disease, renal failure, organ transplantation, serious psychiatric disease, malignancy that, in the opinion of the investigator, would preclude treatment with FT-4101 and/or adequate follow up
• History of chronic skin conditions such as psoriasis, eczema or any recurring rash/dermatitis requiring oral or topical corticosteroids or other topical applications within 12 months
• Hair loss or unexplained alopecia within 12 months
• History of chronic eye conditions, Sjögren syndrome or any history of dry eyes or allergic conjunctivitis requiring artificial tears or medicated eye drops or previous refractive surgery within 12 months (Subjects with dry eyes due to wearing contact lenses are eligible)
• History of major depression, anxiety, suicidal behavior or attempts, or other unstable psychiatric disorders (within 2 years of screening), requiring medical treatment
• Uncontrolled hypertension
• Any device or other contraindication with the MRI examination
• Ingestion of deuterated water within the previous 6 months
• Positive test for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), or human immunodeficiency virus type 1 (HIV-1) or type 2 (HIV-2) antibody
• Participation in any other clinical interventional study receiving active treatment within the previous 30 days or 5 half-lives, whichever is longer
• Unable to abstain from smoking during confinement periods
• History of illicit drug abuse
• Clinically under the effect of marijuana at screening
• Unwillingness to abstain from grapefruit (grapefruit containing food and beverages), star fruit (carambola), pomegranate, Seville orange and other food components that may interact with CYP3A4 from check-in throughout the entire course of the study
• Donation or loss of > 500 mL of blood or blood product within 56 days of dosing

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

ProSciento, Inc.

INDUSTRY

Sponsor Role: collaborator

Forma Therapeutics, Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Clinical Transparency (dept. 2834), MD

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

ProSciento, Inc.

Chula Vista, California, United States

Catalina Research Institute

Montclair, California, United States

Countries

United States

Provided Documents

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

4101-MET-201

Identifier Type: -

Identifier Source: org_study_id