Study of the Safety and Tolerability of AXA1125 and AXA1957 in Subjects With Non-Alcoholic Fatty Liver Disease (NAFLD)

NCT ID: NCT04073368

Last Updated: 2021-07-06

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-03

Study Completion Date

2020-09-03

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is a randomized, single blind study to determine whether AXA1125 or AXA1957, novel compositions of amino acids, are safe and well tolerated. Subjects have non-alcoholic fatty liver disease (NAFLD) and the study will also examine liver biology using blood tests and magnetic resonance imaging (MRI).

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This was a 16-week, single-blind, randomized, placebo-controlled food study of the safety and tolerability of AXA1125 and AXA1957 in subjects with NAFLD.

Subjects signed an informed consent form and were screened for eligibility, per the inclusion and exclusion criteria below, up to 6 weeks before the start of the administration period. Subjects were randomized as soon as eligibility was confirmed.

Eligible subjects were randomized in a 2:2:2:1 ratio to receive either AXA1125 24 g twice daily (BID), AXA1957 20.3 g BID, AXA1957 13.5 g BID, or placebo 24 g BID. Randomization occurred via an interactive web response system after eligibility was confirmed and approximately 3 to 5 days prior to the Day 1 visit. Assigned study food product (AXA1125, AXA1957, or placebo) were shipped to the study site upon randomization of each subject.

Once randomization had occurred, subjects presented to the study site on Day 1 (Baseline/Visit 2) for their baseline assessments per the schedule of events. Study Day 1 was the beginning of the 16-week administration period.

Subjects returned to the study site at Week 1 (Visit 3), Week 2 (Visit 4), Week 4 (Visit 5), Week 8 (Visit 6), Week 12 (Visit 7), and Week 16 (Visit 8) to receive their study food product and/or to return any unused study food product, provide blood samples for biomarker and other laboratory testing, undergo liver imaging, and complete other study safety assessments per the schedule of events.

The Safety Follow-up Visit, which occurred approximately 2 weeks after the last visit in the administration period (ie, after the Week 16 visit or at the time of early termination), was the End of Study Visit (Visit 9).

There were 9 study visits in total, including the Screening and Follow-up Visits.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

NAFLD

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

AXA1957 high dose

AXA1957 20.3g

Group Type ACTIVE_COMPARATOR

AXA1957

Intervention Type DIETARY_SUPPLEMENT

Amino acids, food study

AXA1957 low dose

AXA1957 13.5g

Group Type ACTIVE_COMPARATOR

AXA1957

Intervention Type DIETARY_SUPPLEMENT

Amino acids, food study

AXA1125

AXA1125 24g

Group Type ACTIVE_COMPARATOR

AXA1125

Intervention Type DIETARY_SUPPLEMENT

Amino acids, food study

Placebo

Placebo 24g

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Amino acids, food study

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

AXA1957

Amino acids, food study

Intervention Type DIETARY_SUPPLEMENT

AXA1125

Amino acids, food study

Intervention Type DIETARY_SUPPLEMENT

Placebo

Amino acids, food study

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Willing to participate in the study and provide written informed consent.
* Male and female adults aged \> 18 years.
* Subjects must not have participated in any diet/lifestyle intervention or observational studies, or engaged in any body weight altering regimens that resulted in body weight fluctuations (i.e. body weight loss or gain by 5%) in the preceding 3 months prior to Screening.
* A screening MRI consistent with liver inflammation and fibrosis.

Exclusion Criteria

* Current or history of significant alcohol consumption.
* History or presence of liver disease (other than NAFLD/NASH).
* History or presence of cirrhosis and/or history or presence of hepatic decompensation.
* Any diabetes other than Type 2.
* Other poorly controlled medical condition (for example, uncontrolled hypertension with a systolic blood pressure \> 100 mmHg).
* Known sensitivity and/or history of clinically significant food intolerance/allergies to proteins (including whey, soy, casein, amino acids, etc.).
* Unable or unwilling to adhere to contraception requirements.
* Any contraindications to a MRI scan.
* Any other condition that, in the opinion of the Investigator, renders the subject at risk for compliance, compromises the well-being of the subject, or hinders study completion.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Axcella Health, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Stephen Harrison, MD

Role: PRINCIPAL_INVESTIGATOR

Pinnacle Clinical Research

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

The Institute for Liver Health LLC

Chandler, Arizona, United States

Site Status

The Institute for Liver Health LLC

Tucson, Arizona, United States

Site Status

National Research Institute

Huntington Park, California, United States

Site Status

National Research Institute - Wilshire

Los Angeles, California, United States

Site Status

Catalina Research Institute, LLC

Montclair, California, United States

Site Status

National Research Institute - Panorama

Panorama City, California, United States

Site Status

Excel Medical Clinical Trials, LLC

Boca Raton, Florida, United States

Site Status

Florida Digestive Health Specialists

Lakewood Rch, Florida, United States

Site Status

Compass Research, LLC - Orlando

Orlando, Florida, United States

Site Status

Bioclinica Research

Orlando, Florida, 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

Gastro One

Germantown, Tennessee, United States

Site Status

Pinnacle Clinical Research

Austin, Texas, United States

Site Status

Liver Center of Texas

Dallas, Texas, United States

Site Status

Doctors Hospital at Renaissance, LLC

Edinburg, Texas, United States

Site Status

Texas Digestive Disease Consultants (TDDC) - Downtown Fort Worth

Fort Worth, Texas, United States

Site Status

Pinnacle Clinical Research

San Antonio, Texas, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

References

Explore related publications, articles, or registry entries linked to this study.

Harrison SA, Baum SJ, Gunn NT, Younes ZH, Kohli A, Patil R, Koziel MJ, Chera H, Zhao J, Chakravarthy MV. Safety, Tolerability, and Biologic Activity of AXA1125 and AXA1957 in Subjects With Nonalcoholic Fatty Liver Disease. Am J Gastroenterol. 2021 Dec 1;116(12):2399-2409. doi: 10.14309/ajg.0000000000001375.

Reference Type DERIVED
PMID: 34382947 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

AXA1125-003

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Effect of Acetyl-L-carnitine on Chronic Pancreatitis
NCT02538146 TERMINATED EARLY_PHASE1
Fatty Liver Disease in Obese Children
NCT02117700 COMPLETED PHASE1/PHASE2