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A Study to Evaluate the Safety, Tolerability & Efficacy of MSDC-0602K in Patients With NASH (EMMINENCE)

Primary Purpose

Non-alcoholic Fatty Liver Disease, Non-alcoholic Steatohepatitis, NASH - Nonalcoholic Steatohepatitis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
MSDC-0602K
Placebo
Sponsored by
Cirius Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-alcoholic Fatty Liver Disease focused on measuring NASH

Eligibility Criteria

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

Selected Inclusion Criteria:

  • Adult subjects 18 years of age or greater
  • Histological evidence of NASH, based on biopsy, with a NAS (NASH CRN scoring) ≥ 4 with a score of at least 1 in each component of NAS.
  • Histological evidence of liver fibrosis defined as NASH CRN System fibrosis score F1 to F3.
  • Subjects with type 2 diabetes mellitus (DM) must be under stable and reasonable control.
  • Male and female subjects who are taking Vitamin E should be on a stable dose of Vitamin E (if ≥ 400 IU) for a period of at least 3 months prior to randomization.
  • Females should be either postmenopausal (at least 12 months since last menses) or surgically sterilized (bilateral tubal ligation or hysterectomy). Males with female partners of child-bearing potential must agree to use adequate contraceptive methods (including a condom, plus one other form of contraception) if engaging in sexual intercourse.
  • Willing and able to sign an informed consent document indicating understanding the purpose of and procedures required for the study and willingness to participate in the study.

Selected Exclusion Criteria:

  • Known history of HIV.
  • Prior liver transplantation.
  • Other well-documented causes of active chronic liver disease.
  • History of cirrhosis and/or hepatic decompensation including ascites, hepatic encephalopathy or variceal bleeding.
  • History of alcohol abuse or drug abuse within 6 months of Screening.
  • Type 1 diabetes mellitus.
  • Current or history of recent (≤ 6 months) use of ursodeoxycholic acid.
  • Use of concomitant medications with a known significant metabolism by CYP2C8 or CPY2C9.
  • History of diabetic ketoacidosis or hyperosmolar non-ketotic coma within 6 months prior to randomization.
  • History of heart failure (including CHF) or previous cardiovascular event (myocardial infarct, by-pass surgery, or PTCA) within the past 6 months prior to randomization.
  • Blood pressure greater than 160/100 mmHg.
  • Participation in an investigational study or received an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to study drug administration.
  • Malignancy, including leukemia and lymphoma (excluding basal cell and squamous skin cell cancers and localized prostrate cancer) treated within the last 2 years.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

MSDC-0602K Dose 1 capsules

MSDC-0602K Dose 2 capsules

MSDC-0602K Dose 3 capsules

Placebo capsules

Arm Description

MSDC-0602K Dose 1 capsule taken once daily for 360 days

MSDC-0602K Dose 2 capsules taken once daily for 360 days

MSDC-0602K Dose 3 capsules taken once daily for 360 days

Matching Placebo capsule taken once daily for 360 days

Outcomes

Primary Outcome Measures

Number of Participants With Hepatic Histological Improvement in NAS
A decrease of at least 2 points in NAS at 12 months. At least a 1 point reduction in either ballooning or inflammation from baseline to 12 months. no increase in CRN fibrosis score (i.e., an increase of 1 stage or more) from baseline to 12 months.

Secondary Outcome Measures

Number of Subjects With Resolution of NASH With no Worsening of Fibrosis at 12 Months.
CRN ballooning score of 0 at 12-months CRN inflammation score of 0 or 1 at 12-months No increase in CRN fibrosis score from baseline to 12-months
Number of Subjects With Improvement of Fibrosis (CRN Staging Score) by at Least 1 Stage With no Worsening of NASH at 12 Months.
Decrease in fibrosis CRN staging score of >= 1 full stage from baseline to 12 months No increase in ballooning CRN score from baseline to 12 months No increase in inflammation CRN score from baseline to 12-months
Mean Change From Baseline in NAFLD Activity Score (NAS)
NAS is the sum of the scores of steatosis, inflammation, and ballooning. It has a range of 0 to 8 with higher scores indicating worse disease severity.
Mean Change From Baseline in CRN Steatosis Score
Steatosis is assessed on a scale of 0 to 3 with higher scores indicating more severe steatosis.
Mean Change From Baseline in CRN Inflammation Score
Inflammation is assessed on a scale of 0 to 3 with higher scores indicating more severe inflammation.
Mean Change From Baseline in CRN Ballooning Score
Hepatocellular ballooning is assessed on a scale of 0 to 2 with higher scores indicating more severe hepatocellular ballooning.
Mean Change From Baseline in CRN Fibrosis Staging Score
Fibrosis is assessed on a scale of 0 to 4 with higher scores indicating more severe fibrosis.

Full Information

First Posted
May 18, 2016
Last Updated
August 28, 2020
Sponsor
Cirius Therapeutics, Inc.
Collaborators
Chiltern International Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02784444
Brief Title
A Study to Evaluate the Safety, Tolerability & Efficacy of MSDC-0602K in Patients With NASH
Acronym
EMMINENCE
Official Title
A Phase 2, Randomized, Double-Blind, Placebo-Controlled, 12-Month, Multiple-Dose Study to Evaluate the Safety, Tolerability and Efficacy of Three Dose Levels of MSDC-0602K in Patients With NASH (EMMINENCE™)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
September 14, 2016 (Actual)
Primary Completion Date
June 2019 (Actual)
Study Completion Date
June 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cirius Therapeutics, Inc.
Collaborators
Chiltern International Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a randomized, double-blinded study of three doses of MSDC-0602K or placebo given orally once daily to subjects with biopsy proven NASH with fibrosis and no cirrhosis.
Detailed Description
This is a randomized, double-blinded study of three doses of MSDC-0602K or placebo given orally once daily to subjects with biopsy proven NASH with fibrosis and no cirrhosis. Visits to the clinic will be at baseline, 1, 2, 3, 6, 9, and 12 months, with one 2- week follow-up visit. Safety will be assessed by monitoring of vital signs, 12 lead electrocardiogram (ECG), physical examinations, safety labs, and adverse events (AEs).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-alcoholic Fatty Liver Disease, Non-alcoholic Steatohepatitis, NASH - Nonalcoholic Steatohepatitis
Keywords
NASH

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
MSDC-0602K Dose 1 capsules
Arm Type
Active Comparator
Arm Description
MSDC-0602K Dose 1 capsule taken once daily for 360 days
Arm Title
MSDC-0602K Dose 2 capsules
Arm Type
Active Comparator
Arm Description
MSDC-0602K Dose 2 capsules taken once daily for 360 days
Arm Title
MSDC-0602K Dose 3 capsules
Arm Type
Active Comparator
Arm Description
MSDC-0602K Dose 3 capsules taken once daily for 360 days
Arm Title
Placebo capsules
Arm Type
Placebo Comparator
Arm Description
Matching Placebo capsule taken once daily for 360 days
Intervention Type
Drug
Intervention Name(s)
MSDC-0602K
Intervention Description
MSDC-0602K capsules
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo capsules
Primary Outcome Measure Information:
Title
Number of Participants With Hepatic Histological Improvement in NAS
Description
A decrease of at least 2 points in NAS at 12 months. At least a 1 point reduction in either ballooning or inflammation from baseline to 12 months. no increase in CRN fibrosis score (i.e., an increase of 1 stage or more) from baseline to 12 months.
Time Frame
12 months (360 days)
Secondary Outcome Measure Information:
Title
Number of Subjects With Resolution of NASH With no Worsening of Fibrosis at 12 Months.
Description
CRN ballooning score of 0 at 12-months CRN inflammation score of 0 or 1 at 12-months No increase in CRN fibrosis score from baseline to 12-months
Time Frame
12 months (360 days)
Title
Number of Subjects With Improvement of Fibrosis (CRN Staging Score) by at Least 1 Stage With no Worsening of NASH at 12 Months.
Description
Decrease in fibrosis CRN staging score of >= 1 full stage from baseline to 12 months No increase in ballooning CRN score from baseline to 12 months No increase in inflammation CRN score from baseline to 12-months
Time Frame
12 months (360 days)
Title
Mean Change From Baseline in NAFLD Activity Score (NAS)
Description
NAS is the sum of the scores of steatosis, inflammation, and ballooning. It has a range of 0 to 8 with higher scores indicating worse disease severity.
Time Frame
12 months (360 days)
Title
Mean Change From Baseline in CRN Steatosis Score
Description
Steatosis is assessed on a scale of 0 to 3 with higher scores indicating more severe steatosis.
Time Frame
12 months (360 days)
Title
Mean Change From Baseline in CRN Inflammation Score
Description
Inflammation is assessed on a scale of 0 to 3 with higher scores indicating more severe inflammation.
Time Frame
12 months (360 days)
Title
Mean Change From Baseline in CRN Ballooning Score
Description
Hepatocellular ballooning is assessed on a scale of 0 to 2 with higher scores indicating more severe hepatocellular ballooning.
Time Frame
12 months (360 days)
Title
Mean Change From Baseline in CRN Fibrosis Staging Score
Description
Fibrosis is assessed on a scale of 0 to 4 with higher scores indicating more severe fibrosis.
Time Frame
12 months (360 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Selected Inclusion Criteria: Adult subjects 18 years of age or greater Histological evidence of NASH, based on biopsy, with a NAS (NASH CRN scoring) ≥ 4 with a score of at least 1 in each component of NAS. Histological evidence of liver fibrosis defined as NASH CRN System fibrosis score F1 to F3. Subjects with type 2 diabetes mellitus (DM) must be under stable and reasonable control. Male and female subjects who are taking Vitamin E should be on a stable dose of Vitamin E (if ≥ 400 IU) for a period of at least 3 months prior to randomization. Females should be either postmenopausal (at least 12 months since last menses) or surgically sterilized (bilateral tubal ligation or hysterectomy). Males with female partners of child-bearing potential must agree to use adequate contraceptive methods (including a condom, plus one other form of contraception) if engaging in sexual intercourse. Willing and able to sign an informed consent document indicating understanding the purpose of and procedures required for the study and willingness to participate in the study. Selected Exclusion Criteria: Known history of HIV. Prior liver transplantation. Other well-documented causes of active chronic liver disease. History of cirrhosis and/or hepatic decompensation including ascites, hepatic encephalopathy or variceal bleeding. History of alcohol abuse or drug abuse within 6 months of Screening. Type 1 diabetes mellitus. Current or history of recent (≤ 6 months) use of ursodeoxycholic acid. Use of concomitant medications with a known significant metabolism by CYP2C8 or CPY2C9. History of diabetic ketoacidosis or hyperosmolar non-ketotic coma within 6 months prior to randomization. History of heart failure (including CHF) or previous cardiovascular event (myocardial infarct, by-pass surgery, or PTCA) within the past 6 months prior to randomization. Blood pressure greater than 160/100 mmHg. Participation in an investigational study or received an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to study drug administration. Malignancy, including leukemia and lymphoma (excluding basal cell and squamous skin cell cancers and localized prostrate cancer) treated within the last 2 years.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Howard Dittrich, MD
Organizational Affiliation
Cirius Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
City
Chandler
State/Province
Arizona
ZIP/Postal Code
85224
Country
United States
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85712
Country
United States
City
Chula Vista
State/Province
California
ZIP/Postal Code
91910
Country
United States
City
Fresno
State/Province
California
ZIP/Postal Code
93701
Country
United States
City
Garden Grove
State/Province
California
ZIP/Postal Code
92844
Country
United States
City
Huntington Park
State/Province
California
ZIP/Postal Code
90255
Country
United States
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90036
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
City
Poway
State/Province
California
ZIP/Postal Code
92064
Country
United States
City
Rialto
State/Province
California
ZIP/Postal Code
92377
Country
United States
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
City
Englewood
State/Province
Colorado
ZIP/Postal Code
80113
Country
United States
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
City
Inverness
State/Province
Florida
ZIP/Postal Code
34452
Country
United States
City
Lakewood Ranch
State/Province
Florida
ZIP/Postal Code
34211
Country
United States
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
City
Wellington
State/Province
Florida
ZIP/Postal Code
33414
Country
United States
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
City
Bastrop
State/Province
Louisiana
ZIP/Postal Code
71220
Country
United States
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70115
Country
United States
City
West Monroe
State/Province
Louisiana
ZIP/Postal Code
71291
Country
United States
City
Flowood
State/Province
Mississippi
ZIP/Postal Code
39232
Country
United States
City
Brooklyn
State/Province
New York
ZIP/Postal Code
112301
Country
United States
City
New York
State/Province
New York
ZIP/Postal Code
10018
Country
United States
City
Fayetteville
State/Province
North Carolina
ZIP/Postal Code
28304
Country
United States
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27834
Country
United States
City
Statesville
State/Province
North Carolina
ZIP/Postal Code
28677
Country
United States
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02905
Country
United States
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
City
Hermitage
State/Province
Tennessee
ZIP/Postal Code
37076
Country
United States
City
Arlington
State/Province
Texas
ZIP/Postal Code
76012
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75203
Country
United States
City
Fort Sam Houston
State/Province
Texas
ZIP/Postal Code
78234
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
Live Oak
State/Province
Texas
ZIP/Postal Code
78233
Country
United States
City
Rollingwood
State/Province
Texas
ZIP/Postal Code
78746
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78265
Country
United States
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23249
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
31697972
Citation
Harrison SA, Alkhouri N, Davison BA, Sanyal A, Edwards C, Colca JR, Lee BH, Loomba R, Cusi K, Kolterman O, Cotter G, Dittrich HC. Insulin sensitizer MSDC-0602K in non-alcoholic steatohepatitis: A randomized, double-blind, placebo-controlled phase IIb study. J Hepatol. 2020 Apr;72(4):613-626. doi: 10.1016/j.jhep.2019.10.023. Epub 2019 Nov 4.
Results Reference
derived

Learn more about this trial

A Study to Evaluate the Safety, Tolerability & Efficacy of MSDC-0602K in Patients With NASH

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