Safety and Efficacy of Selonsertib in Adults With Nonalcoholic Steatohepatitis (NASH) and Bridging (F3) Fibrosis (STELLAR-3)
Nonalcoholic Steatohepatitis
About this trial
This is an interventional treatment trial for Nonalcoholic Steatohepatitis
Eligibility Criteria
Key Inclusion Criteria:
- Liver biopsy consistent with NASH and bridging (F3 fibrosis) according to the NASH Clinical Research Network (CRN) classification in the opinion of the central reader
Has the following laboratory parameters at the screening visit:
- Alanine aminotransferase (ALT) ≤ 8 x upper limit of normal (ULN)
- Creatinine Clearance (CLcr) ≥ 30 milliliter/minute (mL/min), as calculated by the Cockcroft-Gault equation
- Hemoglobin A1c (HbA1c) ≤ 9.5% (or serum fructosamine ≤ 381 μmol if HbA1c is unable to be resulted)
- Total bilirubin ≤ 1.3 x ULN (unless an alternate etiology such as Gilbert's syndrome or hemolytic anemia is present)
Key Exclusion Criteria:
- Prior history of decompensated liver disease including clinical ascites, hepatic encephalopathy (HE), or variceal bleeding
- Child-Pugh (CP) score > 6, as determined at screening, unless due to therapeutic anti-coagulation
- Model for End-stage Liver Disease (MELD) score > 12, as determined at screening, unless due to therapeutic anti-coagulation
- Other causes of liver disease including, but not limited to, alcoholic liver disease, hepatitis B, hepatitis C, autoimmune disorders, drug-induced hepatotoxicity, Wilson disease, iron overload, and alpha-1-antitryspin deficiency, based on medical history and/ or centralized review of liver histology.
- History of liver transplantation
- Current or history of hepatocellular carcinoma (HCC)
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Institute of Liver Health
- Banner University Medical Center-Phoenix
- St. Joseph's Hospital and Medical Center
- Mayo Clinic
- University of Arizona
- Baptist Medical Center
- Arkansas Gastroenterology
- eStudySite
- Southern California Liver Centers
- United Gastroenterologists
- TriWest Research Associates, LLC
- Fresno Clinical Research Center
- University of California San Diego (UCSD)
- Ruane Clinical Research Group
- Cedars Sinai Medical Center
- VA Greater Los Angeles Healthcare System
- eStudySite
- California Liver Institute
- Inland Empire Liver Foundation
- University of California, Davis Medical Center
- Medical Associates Research Group
- Kaiser Permanente
- California Pacific Medical Center - Sutter Pacific Medical Foundation San Francisco Center for Liver Disease Dept. of Transplant
- Mission Gastroenterology and Hepatology
- University of California San Francisco (UCSF)
- Silicon Valley Research Institute
- University of Colorado
- Yale University School of Medicine
- Integrity Clinical Research, LLC
- UF Hepatology Research at CTRB
- UF Health Jacksonville-Gastroenterology Emerson
- Florida Research Institute
- Sunrise Medical Research, Inc
- Sunrise Research Institute
- Schiff Center for Liver Diseases/University of Miami
- Genoma Research Group, Inc
- Advanced Research Institute
- Avail Clinical Research, LLC
- South Florida Center of Gastroenterology, PA
- Florida Medical Clinic, PA
- Digestive Healthcare of Georgia
- Piedmont Transplant Institute
- Gastrointestinal Specialists of Georgia, PC
- Northwestern Memorial Hospital; Clinical Research Unit
- The University of Chicago Medical Center
- NorthShore University Healthsystem
- Indiana University Health - University Hospital
- Indianapolis Gastroenterology Research Foundation
- University of Iowa Hospitals and Clinics
- University of Kansas Medical Center
- Gastroenterology Associates of Hazard
- Delta Research Partners, LLC
- Tulane University Health Sciences Center
- Ocshner Medical Center
- Louisiana Research Center, LLC
- Mercy Medical Center
- Walter Reed National Military Medical Center
- Digestive Disease Associates, PA
- Meritus Center for Clinical Research
- Henry Ford Health System
- Gastroenterology Associates of Western Michigan, P.L.C.
- Huron Gastroenterology Associates/Center for Digestive Care
- University of Minnesota Medical Center - Fairview
- Mayo Clinic
- Southern Therapy and Advanced Research LLC (STAR)
- Saint Luke's Hospital of Kansas City
- Kansas City Gastroenterology and Hepatology
- Saint Louis University
- eStudySite
- Rutgers New Jersey Medical School- Doctors Office Center
- University of Buffalo, Clinical and Translational Research Center
- Northwell Health - Sandra Atlas Bass Center for Liver Diseases
- Icahn School of Medicine at Mount Sinai Beth Israel
- University of Rochester Medical Center
- University of North Carolina at Chapel Hill / UNC School of Medicine
- Duke University Medical Center - Duke South Clinics
- Cumberland Research Associates, LLC
- Triad Clinical Trials LLC
- Piedmont HealthCare, d/b/a Carolinas Center for Liver Disease
- PMG Research of Rocky Mount, LLC
- Piedmont HealthCare, d/b/a Carolinas Center for Liver Disease
- Digestive Health Specialists, PA
- Consultants for Clinical Research
- UC Health/Holmes Hospital
- Northeast Clinical Research Center, LLC
- Hospital of the University of Pennsylvania- Perelman Center for Advanced Medicine
- Thomas Jefferson University
- UPMC - Center for Liver Diseases at the Thomas E. Starlz Institute
- VA Pittsburgh Healthcare System
- eStudySite
- Guthrie Medical Group, PC
- University Gastroenterology
- Medical University of South Carolina
- Greenville Health System - Gastroenterology and Liver Center
- WR-ClinSearch, LLC
- Gastro One
- Quality Medical Research PLLC
- Vanderbilt University Medical Center - Digestive Disease Center
- Texas Clinical Research Institute, LLC
- Pinnacle Clinical Research, PLLC
- Austin Center for Clinical Research
- The Liver Institute at Methodist Dallas Medical Center
- Texas Digestive Disease Consultants
- Baylor Scott & White All Saints Medical Center
- Kelsey-Seybold Clinic
- Baylor College of Medicine - Advanced Liver Therapies
- VAMC & Baylor College
- Pinnacle Clinical Research, PLLC
- American Research Corporation, The Texas Liver Institute
- Intermountain Liver Disease and Transplant Center
- University of Utah Hospital
- The University of Vermont Medical Center
- University of Virginia Medical Center
- Verity Research, Inc.
- Inova Fairfax Medical Campus
- Emeritas Research Group
- Bon Secours St. Mary's Hospital of Richmond, Inc. d/b/a Bon Secours Liver Institute of Virginia
- Digestive and Liver Disease Specialists
- Bon Secours St. Mary's Hospital of Richmond, Inc. d/b/a Bon Secours Liver Institute of Virginia
- McGuire VA Medical Center
- Virginia Commonwealth University
- Virginia Mason
- Swedish Organ Transplant and Liver Center
- Froedtert Memorial Lutheran Hospital
- Hospital Italiano de Buenos Aires
- Instituto Oulton
- St. Vincent's Hospital Sydney
- St. George's Hospital
- Westmead Hospital
- Royal Brisbane & Women's Hospital
- Royal Adelaide Hospital
- Monash Health, Monash Medical Centre
- St. Vincent's Hospital Melbourne
- Austin Hospital
- The Alfred Hospital, Alfred Health
- Royal Perth Hospital
- Medizinische Universitat Graz, Universitatsklinik fue Innere Medizin
- Allgemeines Krankenhaus Wien
- CUB Hopital Erasme
- UZ Brussel
- Universitaire Ziekenhuizen Leuven
- Hospital das Clínicas da Faculdade de Medicina de Botucatu - FMB/Universidade Estadual Paulista Julio de Mesquita Filho - UNESP
- Hospital de Clínicas de Porto Alegre - HCPA/UFRGS
- Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP
- Hospital Das Clinicas Da Faculdade De Medicina Da Universidade De Sao Paulo
- Universidade Federal de São Paulo / Unidade Ambulatorial de Pesquisa Clínica - I (UAPC-I)
- University of Calgary Liver Unit (Heritage Medical Research Clinic)
- University of Alberta Hospital - Walter C. Mackenzie Health Sciences Centre (WMC)
- LAIR Centre
- Gordon and Leslie Diamond Health Care Centre
- (G.I.R.I.) GI Research Institute
- PerCuro Clinical Research Ltd.
- South Shore Medical Arts
- William Osler Health System-Brampton Civic Hospital
- South Shore Medical Arts
- Toronto Center for Liver Diseases (TCLD), Toronto General Hospital
- Chronic Viral Illness Service/Royal Victoria Hospital/McGill University Health Centre (MUHC)
- Centre Hospitalier Universitaire d'Angers
- Centre Hospitalier Universitaire Estaing
- Hopital Henri Mondor
- CHU de Grenoble- Hopital Michallon
- Centre Hospitalier Regional Universitaire- Hopital Claude Huriez
- CHU de Limoges- Hopital Dupuytren- Federation Hepatologie
- Hopital de la Croix Rousse
- Hôpital Saint Joseph
- Centre Hospitalier Universitaire de Nice- Hopital l'Archet 2
- Hopital Cochin
- Hopital Beaujon
- Centre Hospitalier Universitaire de Bordeaux
- Centre Hospitalier Universitaire de Strasbourg- Nouvel Hopital Civil
- Centre Hospitalier Universitaire de Toulouse- Hopital Purpan
- Hopital Paul Brousse
- Uniklinik RWTH Aachen, Medizinische Klinik III
- Zentrum fur Infektiologie Berlin Prenzlauer Berg GmbH (zibp)
- Universitatsklinikum Bonn (AoR)
- Universitatsklinikum Frankfurt der Goethe-Universitat
- Medizinische Hochschule Hannover
- Uniklinikum des Saarlandes- Klinik fur Innere Medizin II
- Gastroenterologisch- Hepatologisches Zentrum Kiel
- Eugastro Gmbh
- Johannes Gutenberg-Universitat
- Alice Ho Miu Ling Nethersole Hospital
- Tuen Mun Hospital
- Midas Multispecialty Hospital
- Institute of Post Graduate Medical Education and Research / SSKM Hospital
- Kasturba Medical College (KMC) Hospital
- Global Hospital-Super Speciality & Transplant Centre (A Unit of Centre for Digestive and Kidney Diseases (India) Pvt. Ltd.)
- Maharaja Agrasen Hospital
- All India Institute of Medical Sciences
- Fortis Flt. Lt. Rajan Dhall Hospital
- Institute of Liver & Biliary Sciences
- Rambam Health Care Campus
- The Lady Davis Carmel Medical Center
- Holy Family hospital
- The Chaim Sheba Medical Center
- Tel-Aviv Sourasky Medical Center
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
- Azienda Ospedaliera Universitaria Pisana
- IRCCS Ospedale Casa Sollievo Della Soferrenza
- Chiba University Hospital
- Fukui-Ken Saiseikai Hospital
- Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
- Hiroshima University Hospital
- Tokyo Medical University Ibaraki Medical Center
- Juntendo University Shizuoka Hospital
- Kagoshima University Medical And Dental Hospital
- Kanazawa University Hospital
- Nara Medical University Hospital
- Toranomon Hospital Kajigaya
- Shinkokura Hospital
- Kumamoto Shinto General Hospital
- Kurume University Hospital
- University Hospital, Kyoto Prefectural University of Medicine
- Shinshu University Hospital
- Toranomon Hospital
- Miyazaki Medical Center Hospital
- Japanese Red Cross Musashino Hospital
- Aichi Medical University Hospital
- Heart Life Hospital
- Nara City Hospital
- Hyogo College of Medicine Hospital
- Kawasaki Medical School General Medical Center
- Okayama University Hospital
- National Hospital Organization Osaka National Hospital
- Saga University Hospital
- Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital
- Tohoku Rosai Hospital
- National Center for Global Health and Medicine Hospital
- Saiseikai Suita Hospital
- Kagawa Prefectural Central Hospital
- Mie University Hospital
- Ehime University Hospital
- Yamagata University Hospital
- Yokohama City University Hospital
- National Hospital Organization Nagasaki Medical Center
- Hirakata Kohsai Hospital
- Keimyung University Dongsan Medical Center
- Kyungpook National University Hospital
- National Health Insurance Service- Ilsan Hospital
- Hanyang University Seoul Hospital
- Asan Medical Center
- Chung-Ang University Hospital
- Severance Hospital, Yonsei University Health System
- Gangnam Severance Hospital
- Korea University Guro Hospital
- SMG-SNU Boramae Medical Center
- Yonsei University Wonju Severance Christian Hospital
- Hospital Selayang
- University of Malaya Medical Centre
- Phylasis Clinicas Research S. de RL de CV.
- Consultorio Médico
- Investigaciones Medicas Cisneros SC
- University Medical Center Utrecht
- Auckland City Hospital
- Szpital Specjalistyczny Nr 1 w Bytomiu, Oddzial Obserwacyjno-Zakazny i Hepatologii
- Wojewodzki Specjalistyczny Szpital im. W. Bieganskiego
- Centro Hospitalar de Tras-os-Montes e Alto Douro, E.P.E
- Klinical Investigations Group, LLC
- VA Caribbean Healthcare System
- Fundacion de Investigacion de Diego
- National University Hospital
- Singapore General Hospital
- Tan Tock Seng Hospital
- Changi General Hospital Pte Ltd.
- Khoo Teck Puat Hospital
- Hospital del Mar
- Hospital Universitari Vall d'Hebron
- Hospital Clinic de Barcelona
- Hospital Universitario La Paz
- Hospital Puerto de Hierro Majadahonda
- CHOP_Complejo Hospitalrio Universitario de Pontevedra
- Hospital Universitario Marques de Valdecilla
- Hospital Universitario Virgen del Rocio
- Hospital Universitari i Politecnic La Fe de Valencia
- Universitätsklinik für Viszerale Chirurgie und Medizin, Inselspital, Hepatologie
- Istituto Cantonale di Patologia Locarno
- Changhua Christian Hospital
- Ditmanson Medical Foundation Chia-Yi Christian Hospital
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- E-DA Hospital
- Chang Gung Medical Foundation, Keelung Chang Gung Memorial Hospital
- Taichung Veterans General Hospital
- National Cheng Kung University Hospitalv
- National Taiwan University Hospital
- Mackay Memorial Hospital
- Cathay General Hospital
- Taipei Veterans General Hospital
- Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital
- Cambridge University Hospitals NHS Foundation Trust
- Derby Teaching Hospitals NHS FT
- University Hospitals Birmingham NHS Foundation Trust
- King's College Hospital NHS Foundation Trust
- Imperial College Healthcare NHS Trust
- The Newcastle upon Tyne Hospitals NHS Foundation Trust
- Norfolk and Norwich University Hospitals NHS Foundation Trust
- Nottingham University Hospitals NHS Trust
- Portsmouth Hospitals NHS Trust
- Abertawe Bro Morgannwg University Health Board
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Placebo Comparator
SEL 18 mg
SEL 6 mg
Placebo
Randomized Phase: Selonsertib (SEL) 18 mg tablet + placebo to match SEL 6 mg tablet for 240 weeks Open-Label (OL) Phase: Participants who experience a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, will be offered the option to roll over into an OL phase to receive OL SEL 18 mg for a total treatment duration of 240 weeks inclusive of the randomized phase.
Randomized Phase: SEL 6 mg tablet + placebo to match SEL 18 mg tablet for 240 weeks OL Phase: Participants who experience a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, will be offered the option to roll over into an OL phase to receive OL SEL 18 mg for a total treatment duration of 240 weeks inclusive of the randomized phase.
Randomized Phase: Placebo to match SEL 6 mg tablet + placebo to match SEL 18 mg tablet for 240 weeks OL Phase: Participants who experience a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, will be offered the option to roll over into an OL phase to receive OL SEL 18 mg for a total treatment duration of 240 weeks inclusive of the randomized phase.