A Study of Efinopegdutide (MK-6024) in Participants With Nonalcoholic Fatty Liver Disease (NAFLD) (MK-6024-001)

NCT ID: NCT04944992

Last Updated: 2023-11-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

145 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-04

Study Completion Date

2022-10-19

Brief Summary

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The principal goal of this study is to determine the efficacy of efinopegdutide in liver fat reduction in participants with NAFLD. The primary hypotheses are that efinopegdutide is superior to semaglutide, or that efinopegdutide is superior to semaglutide by at least 10% with respect to mean relative reduction from baseline in liver fat content (LFC) after 24 weeks.

Detailed Description

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Conditions

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Nonalcoholic Fatty Liver Disease Nonalcoholic Steatohepatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Efinopegdutide

Efinopegdutide 20 mg/mL administered by injection once weekly for 24 weeks in a dose-escalation regimen: 2.4 mg from day 1 to week 3, 5.0 mg from week 4 to 7, and 10.0 mg from week 8 to 24.

Group Type EXPERIMENTAL

Efinopegdutide 20 mg/mL

Intervention Type DRUG

Subcutaneous injection in a dose-escalation administration of 2.4 mg, 5.0 mg, and 10.0 mg

Semaglutide

Semaglutide 1.34 mg/mL administered by injection once weekly for 24 weeks in a dose-escalation regimen: 0.25 mg from day 1 to week 3, 0.5 mg from week 4 to 7, and 1.0 mg from week 8 to 24.

Group Type ACTIVE_COMPARATOR

Semaglutide 1.34 mg/mL

Intervention Type DRUG

Subcutaneous injection in a dose-escalation administration of 0.25 mg, 0.5 mg, and 1.0 mg

Interventions

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Efinopegdutide 20 mg/mL

Subcutaneous injection in a dose-escalation administration of 2.4 mg, 5.0 mg, and 10.0 mg

Intervention Type DRUG

Semaglutide 1.34 mg/mL

Subcutaneous injection in a dose-escalation administration of 0.25 mg, 0.5 mg, and 1.0 mg

Intervention Type DRUG

Other Intervention Names

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MK-6024 HM12525A JNJ-64565111 Ozempic®

Eligibility Criteria

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Inclusion Criteria

* LFC ≥10% as assessed by MRI-PDFF at time of screening.
* Body Mass Index (BMI) ≥25 kg/m² and ≤50 kg/m² at time of screening.
* Stable weight (based on self-reporting) defined as ≤5% gain or loss of body weight for at least 3 months before screening visit.
* No history of Type 2 Diabetes Mellitus (T2DM) OR history of T2DM with an Glycated Hemoglobin (A1C) ≤8.5% at screening AND controlled by diet or a stable dose of metformin for the 3 months before screening.
* A female participant is eligible to participate if she is not pregnant or breastfeeding, is not a woman of childbearing potential (WOCBP), or is a WOCBP and agrees to follow contraceptive guidance during the study intervention period and for at least 5 weeks after the last dose of study intervention.
* Participants in Taiwan are eligible between the ages of 20 to 70 years of age (inclusive).
* Participants in South Korea are eligible between the ages of 19 to 70 years of age (inclusive).

Exclusion Criteria

* History of Type 1 Diabetes Mellitus (T1DM), diabetic ketoacidosis, or diabetes secondary to pancreatitis or pancreatectomy.
* Ongoing, inadequately controlled hypothyroidism or hyperthyroidism.
* Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasm type-2 syndrome.
* Recent event (within 6 months prior to screening) of congestive heart failure, unstable angina, myocardial infarction, arterial revascularization, stroke, or transient ischemic attack.
* History or evidence of chronic liver disease other than NAFLD or Non-Alcoholic SteatoHepatitis (NASH).
* Known history of cirrhosis.
* History of acute or chronic pancreatitis.
* History of a bariatric surgical procedure or a known clinically significant gastric emptying abnormality.
* History of malignancy ≤5 years prior to screening, except for skin cancer or cervical cancer.
* Clinically active hematologic disorder.
* Diagnosis of human immunodeficiency virus (HIV).
* Surgery requiring general anesthesia within 3 months before screening visit.
* History of organ transplantation, except for corneal transplant.
* Active diabetic proliferative retinopathy or a history of maculopathy.
* Untreated obstructive sleep apnea.
* History of treatment with any glucagon-like peptide-1 (GLP-1) receptor agonist within 6 months before screening.
* History of treatment with thiazolidinediones (ie, pioglitazone, rosiglitazone) within 6 months before screening.
* Previous use (within 3 months before screening) or current use of prescription weight-management medications or over-the-counter weight-loss medications or therapies.
* Treatment with systemic corticosteroid medication within 3 months before screening.
* Current treatment with anticoagulants (eg, warfarin, heparin).
* Inability to have an MRI-PDFF performed due to either severe claustrophobia, metallic implant that prevents MRI-PDFF examination, or any other contraindication to MRI-PDFF examination.
* Previous or current history of significant alcohol consumption (average of 7 standard drinks per week in females or 14 standard drinks per week in males) for a period of more than 3 consecutive months in the 24 months before screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Catalina Research Institute, LLC ( Site 1939)

Montclair, California, United States

Site Status

Sweet Hope Research Specialty, Inc ( Site 1902)

Hialeah, Florida, United States

Site Status

Floridian Clinical Research, LLC ( Site 1950)

Miami Lakes, Florida, United States

Site Status

Sensible Healthcare, LLC ( Site 1903)

Ocoee, Florida, United States

Site Status

Lucas Research, Inc ( Site 1930)

Morehead City, North Carolina, United States

Site Status

Texas Clinical Research Institute ( Site 1910)

Arlington, Texas, United States

Site Status

Baylor College of Medicine-Advanced Liver Therapies ( Site 1960)

Houston, Texas, United States

Site Status

American Research Corporation at Texas Liver Institute ( Site 1920)

San Antonio, Texas, United States

Site Status

Clinical Trials of Texas, Inc. ( Site 1906)

San Antonio, Texas, United States

Site Status

CIPREC-Laboratorio ( Site 0104)

Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Instituto de Investigaciones Clínicas Mar del Plata ( Site 0101)

Mar del Plata, Buenos Aires, Argentina

Site Status

Centro Medico Dra. Laura Maffei- Investigacion Clinica Aplicada ( Site 0105)

Buenos Aires, Buenos Aires F.D., Argentina

Site Status

IDIM - Instituto de Diagnóstico e Investigaciones Metabólicas ( Site 0107)

Buenos Aires, , Argentina

Site Status

Westmead Hospital-Gastroenterology & Hepatology ( Site 0204)

Westmead, New South Wales, Australia

Site Status

Flinders Medical Centre-Hepatology and Liver Transplant Medicine ( Site 0201)

Bedford Park, South Australia, Australia

Site Status

Heritage Medical Research Clinic ( Site 0302)

Calgary, Alberta, Canada

Site Status

Centre Hospitalier Universitaire Dijon Bourgogne - Hôpital F-ENDOCRINOLOGY-DIABETOLOGY ( Site 0401)

Dijon, Cote-d Or, France

Site Status

centre hospitalier lyon sud-Endocrinologie, Diabète et Nutrition ( Site 0402)

Pierre-Bénite, Rhone, France

Site Status

Rambam Health Care Campus-Liver disease unit ( Site 0704)

Haifa, , Israel

Site Status

Carmel Hospital-Liver Unit ( Site 0705)

Haifa, , Israel

Site Status

Shaare Zedek Medical Center-Liver Unit ( Site 0703)

Jerusalem, , Israel

Site Status

Rabin Medical Center ( Site 0701)

Petah Tikva, , Israel

Site Status

Sheba Medical Center-The Liver Diseases Center ( Site 0700)

Ramat Gan, , Israel

Site Status

Sourasky Medical Center-Gastroenterology and Liver Disease ( Site 0702)

Tel Aviv, , Israel

Site Status

Policlinico Umberto I ( Site 0801)

Rome, Lazio, Italy

Site Status

Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico ( Site 0805)

Milan, Lombardy, Italy

Site Status

Humanitas-Medicina interna ed Epatologia ( Site 0800)

Rozzano, Lombardy, Italy

Site Status

Azienda Ospedaliero Universitaria ( Site 0803)

Modena, , Italy

Site Status

Azienda Ospedaliera Universitaria Integrata Verona - Ospedale Borgo Roma-Medicine ( Site 0804)

Verona, , Italy

Site Status

Arké Estudios Clínicos S.A. de C.V.-Gastroenterology-Hepatology ( Site 0906)

Mexico City, Mexico City, Mexico

Site Status

Medica Sur-Clinica de Enfermedades Digestivas y Obesidad ( Site 0908)

Mexico City, Mexico City, Mexico

Site Status

Avix Investigación Clinica, S.C. ( Site 0907)

Monterrey, Nuevo León, Mexico

Site Status

Centro Multidisciplinario para el Desarrollo Especializado de la Investigacion Clinica en Yucatan (

Mérida, Yucatán, Mexico

Site Status

Centro de Investigación y Gastroenterología ( Site 0902)

Cuauhtémoc, , Mexico

Site Status

Christchurch Hospital-Gastroenterology Research ( Site 1002)

Christchurch, Canterbury, New Zealand

Site Status

Auckland City Hospital-Liver Research Unit ( Site 1003)

Auckland, , New Zealand

Site Status

Middlemore Clinical Trials ( Site 1000)

Auckland, , New Zealand

Site Status

Nasz Lekarz Przychodnie Medyczne ( Site 1105)

Torun, Kuyavian-Pomeranian Voivodeship, Poland

Site Status

Centrum Medyczne Pratia Warszawa ( Site 1107)

Warsaw, Masovian Voivodeship, Poland

Site Status

Clinical Medical Research ( Site 1101)

Katowice, Silesian Voivodeship, Poland

Site Status

ID Clinic ( Site 1100)

Mysowice, Silesian Voivodeship, Poland

Site Status

Center targetnoy therapy ( Site 1203)

Moscow, Moscow, Russia

Site Status

New Technologies of Medicine Clinic ( Site 1204)

Dzerzhinskiy, Moscow Oblast, Russia

Site Status

Saint Petersburg City Polyclinic 117-endocrinology department ( Site 1201)

Saint Petersburg, Sankt-Peterburg, Russia

Site Status

Astarta Clinic ( Site 1202)

Saint Petersburg, Sankt-Peterburg, Russia

Site Status

Soon Chun Hyang University Bucheon Hospital ( Site 1304)

Bucheon-si, Kyonggi-do, South Korea

Site Status

Inha University Hospital-Gastroenterolgy/Hepatology ( Site 1303)

Incheon, , South Korea

Site Status

Severance Hospital, Yonsei University Health System ( Site 1305)

Seoul, , South Korea

Site Status

Samsung Medical Center-Gastroenterology/Internal Medicine ( Site 1302)

Seoul, , South Korea

Site Status

Korea University Guro Hospital ( Site 1300)

Seoul, , South Korea

Site Status

Hospital Universitario Virgen de la Victoria-UGC Endocrinologia y nutricion ( Site 1405)

Málaga, Andalusia, Spain

Site Status

CHUS - Hospital Clinico Universitario ( Site 1403)

Santiago de Compostela, La Coruna, Spain

Site Status

Hospital Universitari Vall d'Hebron-Liver Unit - Department of Internal Medicine ( Site 1400)

Barcelona, , Spain

Site Status

HOSPITAL UNIVERSITARIO PUERTA DE HIERRO MAJADAHONDA-Gastroenterologia y Hepatologia ( Site 1402)

Madrid, , Spain

Site Status

HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO-Unidad de Ensayos Clínicos de Aparato Digestivo ( Site 1404)

Seville, , Spain

Site Status

NATIONAL CHENG-KUNG UNI. HOSP.-Liver Research team of National Cheng Kung University Hospital ( Site

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital ( Site 1501)

Taipei, , Taiwan

Site Status

Chang Gung Medical Foundation-Linkou Branch-Division of hepatology, department of gastroenterology (

Taoyuan District, , Taiwan

Site Status

Dokuz Eylül Üniversitesi-Endocrinology and Met. ( Site 1610)

Balçova, İzmir, Turkey (Türkiye)

Site Status

Ankara University Department of Hematology, Clinical Research Unit ( Site 1603)

Ankara, , Turkey (Türkiye)

Site Status

Hacettepe Universitesi-internal diseases ( Site 1602)

Ankara, , Turkey (Türkiye)

Site Status

Gazi Universitesi-gastroenterology ( Site 1605)

Ankara, , Turkey (Türkiye)

Site Status

Bezmialem Vakf Üniversitesi-Gastroenterology ( Site 1606)

Istanbul, , Turkey (Türkiye)

Site Status

Istanbul University Capa Campus-Gastroenterology ( Site 1604)

Istanbul, , Turkey (Türkiye)

Site Status

Ukrainian Research Institute of Therapy ( Site 1704)

Kharkiv, Kharkivs’ka Oblast’, Ukraine

Site Status

L.T. Mala National Institute of Therapy of NAMS of Ukraine-Department of Aging Studies and Prevent

Kharkiv, Kharkivs’ka Oblast’, Ukraine

Site Status

Poltova Oblast Clinical Hospital IM.M.V.Sklifosovskoho ( Site 1710)

Poltava, Poltava Oblast, Ukraine

Site Status

Communal Non-profit Enterprise "City Hospital #6" of Zaporizhzhia City Council-Therapy department (

Zaporizhia, Zaporizhzhia Oblast, Ukraine

Site Status

Adonis Plus-Outpatient department ( Site 1701)

Kyiv, , Ukraine

Site Status

Countries

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United States Argentina Australia Canada France Israel Italy Mexico New Zealand Poland Russia South Korea Spain Taiwan Turkey (Türkiye) Ukraine

References

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Romero-Gomez M, Lawitz E, Shankar RR, Chaudhri E, Liu J, Lam RLH, Kaufman KD, Engel SS; MK-6024 P001 Study Group. A phase IIa active-comparator-controlled study to evaluate the efficacy and safety of efinopegdutide in patients with non-alcoholic fatty liver disease. J Hepatol. 2023 Oct;79(4):888-897. doi: 10.1016/j.jhep.2023.05.013. Epub 2023 Jun 22.

Reference Type RESULT
PMID: 37355043 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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https://www.merckclinicaltrials.com/

Merck Clinical Trials Information

Other Identifiers

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MK-6024-001

Identifier Type: OTHER

Identifier Source: secondary_id

2020-005136-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

6024-001

Identifier Type: -

Identifier Source: org_study_id

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