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Tolerability, Efficacy, and PK of ZSP1601 in Patients With Non-Alcoholic Steatohepatitis (NASH)

Primary Purpose

Non-Alcoholic Steatohepatitis (NASH)

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
ZSP1601
ZSP1601 Placebo
Sponsored by
Guangdong Raynovent Biotech Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Alcoholic Steatohepatitis (NASH)

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects are required to meet the following criteria in order to be included in the trial:

    1. Signature signed informed consent before the trial, and fully understood the content, process and possible adverse reactions.
    2. Subjects must be willing and able to adhere to the visit schedule and protocol requirements and be available to complete the study.
    3. Subjects(including partners)have no gestation plans and must use reliable methods of contraception during the study and until 6 months following the last dose of investigational product.
    4. Male and female subjects aged 18-65 (including 18 and 65).
    5. B ultrasound confirmed fatty liver.
    6. NASH diagnosis or NASH phenotypic diagnosis.
    7. Liver fat ≥10% at baseline (MRI-PDFF)

Exclusion Criteria:

  • Eligible subjects must not meet any of the following exclusion criteria:

    1. Excessive drinking for 3 consecutive months within 1 year before screening.
    2. Allergic constitution.
    3. Subjects who donated blood or bleeding profusely(> 400 mL)in the 3 months preceding study screening.
    4. Subjects having a history of bariatric surgery or preparing for bariatric surgery recently.
    5. Subjects having a history of liver transplantation or plans for liver transplantation
    6. Any diseases that increase the risk of bleeding, such as hemorrhoids, acute gastritis or gastric and duodenal ulcers.
    7. Liver biopsy indicates cirrhosis or previous clinical diagnosis of cirrhosis.
    8. Type 1 diabetes mellitus.
    9. Uncontrolled type 2 diabetes mellitus (HbA1c≥8.0%)。
    10. Any clinically significant abnormality upon physical examination or in the clinical laboratory tests, history or presence of other causes of liver disease,but not limited to above disorders: hepatitis b or hepatitis c virus (HCV) infection and chronic alcoholic liver disease, drug-induced liver disease, autoimmune hepatitis, primary biliary cirrhosis, primary sclerosing cholangitis, Wilson 's disease, alpha 1 - antitrypsin deficiency, liver, obvious abnormal liver function (ALT and AST acuity 5 x ULN or TBIL acuity 1.5 x ULN), etc.
    11. Dysphagia or any medical history in gastrointestinal that interferes with the absorption of drugs.
    12. History of having any special food(including dragon fruit,mango,grapefruit,etc.),strenuous exercises,or other factors may interfere with the absorption, distribution, metabolism, or excretion of drug within 2 weeks prior to screening.
    13. Participated in another clinical research study and received any investigational products within 3 months prior to dosing.
    14. Presence of clinically significant abnormalities in ECG or QTcB>450ms in males,or QTcB>470ms in females.
    15. HIV positive.
    16. Clinically significant nephropathy or renal dysfunction, blood creatinine >1.5×ULN, eGFR< 60 mL/min/1.73m2 [calculation formula: Ccr:(140-age)× weight (kg) /0.818×Scr(mumol /L), female ×0.85].
    17. Platelet count <100×109/L.
    18. Antinuclear antibody (ANA) confirmed positive and clinically significant.
    19. Abnormal TSH with clinical significance.
    20. Female during pregnancy and lactation or positive serum pregnancy test.
    21. Patients with contraindication of MRI scan.
    22. Take any product contains alcohol within 24 hours prior to dosing.
    23. Have chocolate, any food or beverage that contains caffeine or xanthine within 24 hours prior to dosing.
    24. Positive for urine drug screening or history of substance abuse for a period of 5 consecutive years before screening.
    25. Any acute illness or concomitant medication from screening to first dosing.
    26. As judged by the researcher, it is not suitable to join the clinical researcher.

Sites / Locations

  • The First Hospital of Jilin University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

ZSP1601-Dose 1

ZSP1601-Dose 2

ZSP1601-Dose 3

Placebo

Arm Description

ZSP1601-50mg once daily

ZSP1601-50mg twice daily

ZSP1601-100mg once daily

Placebo

Outcomes

Primary Outcome Measures

Number and severity of treatment-emergent adverse events (TEAEs) and Serious Adverse Events(SAE) following oral doses of ZSP1601 and placebo.
severity of treatment-emergent adverse events (TEAEs) and Serious Adverse Events(SAE)

Secondary Outcome Measures

MRI-PDFF
liver fat content with Magnetic resonance imaging proton density fat fraction (MRI-PDFF)
TNF-α
Tumor necrosis factor alpha level in serum
ALT
serum Alanine Aminotransferase
AST
serum Aspartate Aminotransferase
Tmax
The time after dosing when Cmax occurs (Tmax)
Cmax
Maximum Contentration
t1/2z
t1/2z is defined as the time to decline half of the drug concentration in plasma.
Rac of Cmax
Rac of ZSP1601 Peak Plasma Concentration at steady state
DF of ZSP1601 at steady status
Multiple-dose plasma PK parameter: DF of ZSP1601 at steady status
AUClast(AUC0-t)
AUClast is defined as the concentration of drug from time zero to the last quantifiable concentration.
Rac of AUC
RAC of ZSP1601 Area under the plasma concentration versus time curve at steady state

Full Information

First Posted
October 15, 2019
Last Updated
October 8, 2021
Sponsor
Guangdong Raynovent Biotech Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04140123
Brief Title
Tolerability, Efficacy, and PK of ZSP1601 in Patients With Non-Alcoholic Steatohepatitis (NASH)
Official Title
A Multi-center, Randomized, Double-blind, Dose-increasing, Placebo-controlled,Multi-dose, 28-day Continuous Administration Phase Ib/IIa Clinical Trial to Evaluate the Tolerability, Efficacy, and PK of ZSP1601 in Patients With Nonalcoholic Steatohepatitis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
June 23, 2020 (Actual)
Primary Completion Date
August 3, 2021 (Actual)
Study Completion Date
August 3, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Guangdong Raynovent Biotech Co., Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Double-blind, randomized, placebo-controlled study to explore the safety, tolerability PK characteristics and early efficacy of ZSP1601 tablets in patients with non-alcoholic steatohepatitis (NASH).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Alcoholic Steatohepatitis (NASH)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZSP1601-Dose 1
Arm Type
Experimental
Arm Description
ZSP1601-50mg once daily
Arm Title
ZSP1601-Dose 2
Arm Type
Experimental
Arm Description
ZSP1601-50mg twice daily
Arm Title
ZSP1601-Dose 3
Arm Type
Experimental
Arm Description
ZSP1601-100mg once daily
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
ZSP1601
Intervention Description
ZSP1601 tablets be taken orally for 28 days.
Intervention Type
Drug
Intervention Name(s)
ZSP1601 Placebo
Intervention Description
Subjects will receive matching placebo of ZSP1601
Primary Outcome Measure Information:
Title
Number and severity of treatment-emergent adverse events (TEAEs) and Serious Adverse Events(SAE) following oral doses of ZSP1601 and placebo.
Description
severity of treatment-emergent adverse events (TEAEs) and Serious Adverse Events(SAE)
Time Frame
Initiation of study treatment (Day 1) up to 2 weeks post-treatment.
Secondary Outcome Measure Information:
Title
MRI-PDFF
Description
liver fat content with Magnetic resonance imaging proton density fat fraction (MRI-PDFF)
Time Frame
Baseline and Day 28.
Title
TNF-α
Description
Tumor necrosis factor alpha level in serum
Time Frame
Baseline and Day 28.
Title
ALT
Description
serum Alanine Aminotransferase
Time Frame
Baseline and Day 28.
Title
AST
Description
serum Aspartate Aminotransferase
Time Frame
Baseline and Day 28.
Title
Tmax
Description
The time after dosing when Cmax occurs (Tmax)
Time Frame
Day1 and day 14
Title
Cmax
Description
Maximum Contentration
Time Frame
Day1 and day 14
Title
t1/2z
Description
t1/2z is defined as the time to decline half of the drug concentration in plasma.
Time Frame
Day1 and day 14
Title
Rac of Cmax
Description
Rac of ZSP1601 Peak Plasma Concentration at steady state
Time Frame
Day1 and day 14
Title
DF of ZSP1601 at steady status
Description
Multiple-dose plasma PK parameter: DF of ZSP1601 at steady status
Time Frame
Day1 and day 14
Title
AUClast(AUC0-t)
Description
AUClast is defined as the concentration of drug from time zero to the last quantifiable concentration.
Time Frame
Baseline (0h) and day 14
Title
Rac of AUC
Description
RAC of ZSP1601 Area under the plasma concentration versus time curve at steady state
Time Frame
Day1 and day 14
Other Pre-specified Outcome Measures:
Title
AUC(inf)
Description
Area under the curve extrapolated until time is infinity (AUCinf)
Time Frame
Day1 and day 14

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects are required to meet the following criteria in order to be included in the trial: Signature signed informed consent before the trial, and fully understood the content, process and possible adverse reactions. Subjects must be willing and able to adhere to the visit schedule and protocol requirements and be available to complete the study. Subjects(including partners)have no gestation plans and must use reliable methods of contraception during the study and until 6 months following the last dose of investigational product. Male and female subjects aged 18-65 (including 18 and 65). B ultrasound confirmed fatty liver. NASH diagnosis or NASH phenotypic diagnosis. Liver fat ≥10% at baseline (MRI-PDFF) Exclusion Criteria: Eligible subjects must not meet any of the following exclusion criteria: Excessive drinking for 3 consecutive months within 1 year before screening. Allergic constitution. Subjects who donated blood or bleeding profusely(> 400 mL)in the 3 months preceding study screening. Subjects having a history of bariatric surgery or preparing for bariatric surgery recently. Subjects having a history of liver transplantation or plans for liver transplantation Any diseases that increase the risk of bleeding, such as hemorrhoids, acute gastritis or gastric and duodenal ulcers. Liver biopsy indicates cirrhosis or previous clinical diagnosis of cirrhosis. Type 1 diabetes mellitus. Uncontrolled type 2 diabetes mellitus (HbA1c≥8.0%)。 Any clinically significant abnormality upon physical examination or in the clinical laboratory tests, history or presence of other causes of liver disease,but not limited to above disorders: hepatitis b or hepatitis c virus (HCV) infection and chronic alcoholic liver disease, drug-induced liver disease, autoimmune hepatitis, primary biliary cirrhosis, primary sclerosing cholangitis, Wilson 's disease, alpha 1 - antitrypsin deficiency, liver, obvious abnormal liver function (ALT and AST acuity 5 x ULN or TBIL acuity 1.5 x ULN), etc. Dysphagia or any medical history in gastrointestinal that interferes with the absorption of drugs. History of having any special food(including dragon fruit,mango,grapefruit,etc.),strenuous exercises,or other factors may interfere with the absorption, distribution, metabolism, or excretion of drug within 2 weeks prior to screening. Participated in another clinical research study and received any investigational products within 3 months prior to dosing. Presence of clinically significant abnormalities in ECG or QTcB>450ms in males,or QTcB>470ms in females. HIV positive. Clinically significant nephropathy or renal dysfunction, blood creatinine >1.5×ULN, eGFR< 60 mL/min/1.73m2 [calculation formula: Ccr:(140-age)× weight (kg) /0.818×Scr(mumol /L), female ×0.85]. Platelet count <100×109/L. Antinuclear antibody (ANA) confirmed positive and clinically significant. Abnormal TSH with clinical significance. Female during pregnancy and lactation or positive serum pregnancy test. Patients with contraindication of MRI scan. Take any product contains alcohol within 24 hours prior to dosing. Have chocolate, any food or beverage that contains caffeine or xanthine within 24 hours prior to dosing. Positive for urine drug screening or history of substance abuse for a period of 5 consecutive years before screening. Any acute illness or concomitant medication from screening to first dosing. As judged by the researcher, it is not suitable to join the clinical researcher.
Facility Information:
Facility Name
The First Hospital of Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130021
Country
China

12. IPD Sharing Statement

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Tolerability, Efficacy, and PK of ZSP1601 in Patients With Non-Alcoholic Steatohepatitis (NASH)

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