A Phase 2b Study of Icosabutate in Fatty Liver Disease

NCT ID: NCT04052516

Last Updated: 2025-02-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-17

Study Completion Date

2022-12-19

Brief Summary

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A Phase 2b study to evaluate the efficacy of different doses of NST-4016 on the resolution of NASH without worsening of fibrosis

Detailed Description

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This is a 62 week (including screening and follow-up), multicenter, randomized, double blind, placebo-controlled, parallel group study in male and female patients with a histological diagnosis of NASH. The study includes a screening period, double blind treatment period, and post-treatment follow up

Conditions

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Non Alcoholic Steatohepatitis (NASH)

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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Placebo

Placebo oral capsules taken one daily for 52 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo oral capsule

Icosabutate 300mg

Icosabutate 300mg oral capsule taken once daily for 52 weeks

Group Type EXPERIMENTAL

Icosabutate

Intervention Type DRUG

Icosabutate oral capsule once daily

Icosabutate 600mg

Icosabutate 600mg oral capsules taken once daily for 52 weeks

Group Type EXPERIMENTAL

Icosabutate

Intervention Type DRUG

Icosabutate oral capsule once daily

Interventions

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Icosabutate

Icosabutate oral capsule once daily

Intervention Type DRUG

Placebo

Matching placebo oral capsule

Intervention Type DRUG

Other Intervention Names

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NST-4016

Eligibility Criteria

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Inclusion Criteria

* Provides signed written informed consent and agrees to comply with the study protocol.
* Is a male or female aged 18 to 75 years, inclusive.
* Has a histological diagnosis of NASH prior to study entry
* Has (NAS) greater than or equal to 4, with a score of at least 1 in each component (steatosis, lobular inflammation, and ballooning),
* Has a fibrosis score F1 to F3, inclusive (F1 capped at 30%),
* Has a Proton Density Fat Fraction (PDFF) greater than or equal to 10% on MRI at screening

Exclusion Criteria

* Has a known history of alcohol abuse or daily heavy alcohol consumption
* Has had bariatric surgery within the past 5 years
* Has significant systemic or major illnesses other than liver disease
* Has a recent (within 6 months) history of cardiac dysrhythmias and/or cardiovascular disease
* Has uncontrolled arterial hypertension
* Positive for Hep B, Hepatitis C Virus (HCV) or HCV Polymerase Chain Reaction (PCR)
* Has type 1 diabetes mellitus
* Has diabetic ketoacidosis
* Has a history of liver decompensation
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NorthSea Therapeutics B.V.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Central ResearchAssociates Inc.

Birmingham, Alabama, United States

Site Status

Arizona Liver Health

Chandler, Arizona, United States

Site Status

Arizona Liver Health - Glendale

Glendale, Arizona, United States

Site Status

Arizona Liver Health

Tucson, Arizona, United States

Site Status

Adobe Clinical Research, LLC

Tucson, Arizona, United States

Site Status

Arkansas Gastroenterology - North Little Rock

North Little Rock, Arkansas, United States

Site Status

Fresno Clinical Research Center

Fresno, California, United States

Site Status

National Research Institute - Huntington Park

Huntington Park, California, United States

Site Status

National Research Institute - Wilshire

Los Angeles, California, United States

Site Status

National Research Institute - Panorama

Panorama City, California, United States

Site Status

Alliance Clinical Research

Poway, California, United States

Site Status

National Research Institute - Santa Ana

Santa Ana, California, United States

Site Status

South Denver Gastroenterology

Englewood, Colorado, United States

Site Status

Excel Medical Clinical Trials, LLC

Boca Raton, Florida, United States

Site Status

Sensible Healthcare LLC

Ocoee, Florida, United States

Site Status

Covenant Research LLC

Sarasota, Florida, United States

Site Status

Gastrointestinal Specialists of Georgia PC

Marietta, Georgia, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Texas Digestive Disease Consultants

Baton Rouge, Louisiana, United States

Site Status

Tandem Clinical Research

Marrero, Louisiana, United States

Site Status

Gastrointestinal Associates, PA

Flowood, Mississippi, United States

Site Status

Southern Therapy and Advanced Research LLC

Jackson, Mississippi, United States

Site Status

Kansas City Research Institute

Kansas City, Missouri, United States

Site Status

Cumberland Research Associates, LLC

Fayetteville, North Carolina, United States

Site Status

Aventiv Research, Inc.

Columbus, Ohio, United States

Site Status

Premier Research

Clarksville, Tennessee, United States

Site Status

Gastro One

Germantown, Tennessee, United States

Site Status

Pinnacle Clinical Research

Austin, Texas, United States

Site Status

Texas Digestive Disease Consultants

Dallas, Texas, United States

Site Status

South Texas Research Institute

Edinburg, Texas, United States

Site Status

Liver Associates of Texas

Houston, Texas, United States

Site Status

Doctors Hospital at Renaissance, LLC

McAllen, Texas, United States

Site Status

Quality Research Inc

San Antonio, Texas, United States

Site Status

American Research Corporation

San Antonio, Texas, United States

Site Status

Pinnacle Clinical Research

San Antonio, Texas, United States

Site Status

Brooke Army Medical Center

San Antonio, Texas, United States

Site Status

Texas Digestive Disease Consultants - Webster

Webster, Texas, United States

Site Status

Hunter Holmes McGuire VA Medical Center

Richmond, Virginia, United States

Site Status

Fundacion de Investigacion (FDI)

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Harrison SA, Alkhouri N, Ortiz-Lasanta G, Rudraraju M, Tai D, Wack K, Shah A, Besuyen R, Steineger HH, Fraser DA, Sanyal AJ; ICONA Study Investigators. A phase IIb randomised-controlled trial of the FFAR1/FFAR4 agonist icosabutate in MASH. J Hepatol. 2025 Aug;83(2):293-303. doi: 10.1016/j.jhep.2025.01.032. Epub 2025 Feb 10.

Reference Type DERIVED
PMID: 39938653 (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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NST-02

Identifier Type: -

Identifier Source: org_study_id

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