Efficacy, Safety and Tolerability of the Combination of Tropifexor & Licogliflozin and Each Monotherapy, Compared With Placebo in Adult Patients With NASH and Liver Fibrosis. (ELIVATE)
Non Alcoholic Steatohepatitis (NASH)
About this trial
This is an interventional treatment trial for Non Alcoholic Steatohepatitis (NASH) focused on measuring NASH, Non alcoholic steatohepatitis, Tropifexor, LJN452, Licogliflozin, LIK066, Placebo
Eligibility Criteria
Inclusion Criteria:
Presence of NASH with fibrosis confirmed by central reader's evaluation of liver biopsy obtained no more than 6 months before randomization as demonstrated by the following:
- NASH using NAFLD Activity Score (NAS) ≥ 4 with at least 1 point each in inflammation and ballooning and
- Fibrosis stage 2 or 3 using NASH CRN fibrosis criteria
Exclusion Criteria:
- Type 1 diabetes mellitus
- Uncontrolled type 2 diabetes defined as glycated hemoglobin (HbA1c) ≥ 9.0% at screening
- HbA1c < 6.5% at screening in Type 2 diabetics currently treated with insulin or sulfonylureas
Clinical evidence of liver impairment as defined by the presence of any of the following abnormalities:
- Platelet count < LLN (see Central laboratory manual).
- Serum albumin < LLN (see Central laboratory manual).
- International Normalized Ratio (INR) > ULN (see Central laboratory manual).
- ALT or AST > 5× ULN (confirmed by 2 values during screening).
- Total bilirubin > ULN (see Central laboratory manual) (confirmed by 2 values during screening), including Gilbert's syndrome.
- Alkaline phosphatase > 300 IU/L (confirmed by 2 values during screening).
- History of esophageal varices, ascites or hepatic encephalopathy
- Splenomegaly
- MELD score >12
Sites / Locations
- Novartis Investigative Site
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Placebo Comparator
Arm A: combination therapy
Arm B: tropifexor monotherapy
Arm C: licogliflozin monotherapy
Arm D: Placebo
Combination therapy arm - (N=140): tropifexor 140 mcg + licogliflozin 30 mg, once daily
Tropifexor monotherapy arm - (N=80): tropifexor 140 mcg (+ placebo matching licogliflozin), once daily
Licogliflozin monotherapy arm - (N=80): licogliflozin 30 mg (+ placebo matching tropifexor), once daily
Placebo arm - (N=80): placebo matching tropifexor + placebo matching licogliflozin, once daily