Phase 3 Study to Evaluate the Efficacy and Safety of Elafibranor Versus Placebo in Patients With Nonalcoholic Steatohepatitis (NASH) (RESOLVE-IT)
Nonalcoholic Steatohepatitis (NASH) With Fibrosis
About this trial
This is an interventional treatment trial for Nonalcoholic Steatohepatitis (NASH) With Fibrosis focused on measuring Elafibranor, NASH, Nonalcoholic steatohepatitis, Fatty liver disease, Fibrosis
Eligibility Criteria
Inclusion Criteria:
- Males or females aged from 18 to 75 years inclusive at first screening visit.
- Must provide signed written informed consent and agree to comply with the study protocol.
Females participating in this study must be of nonchildbearing potential or using highly efficient contraception for the full duration of the study and for 1 month after the end of treatment, as described below:
- Cessation of menses for at least 12 months due to ovarian failure,
- Surgical sterilization such as bilateral oopherectomy, hysterectomy, or medically documented ovarian failure
- If requested by local IRB regulations and/or National laws, sexual abstinence may be considered adequate (the reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the patient)
- Using a highly effective nonhormonal method of contraception (bilateral tubal occlusion, vasectomized partner, or intra-uterine device)
- Double contraception with barrier AND highly effective hormonal method of contraception (oral, intravaginal, or transdermal combined estrogen and progestogen hormonal contraception associated with inhibition of ovulation; oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation; or intrauterine hormone-releasing system). The hormonal contraception must be started at least 1 month prior to Randomization.
- Histological confirmation of steatohepatitis on a diagnostic liver biopsy by central reading of the slides (biopsy obtained within 6 months prior to randomization or during the screening period) with at least 1 in each component of the NAS score (steatosis scored 0-3, ballooning degeneration scored 0-2, and lobular inflammation scored 0-3).
- NAS score ≥4.
- Fibrosis stage of 1 or greater and below 4, according to the NASH CRN fibrosis staging system.
- Stable dose of vitamin E, polyunsaturated fatty acids, or ursodeoxycholic acid from at least 6 months prior to diagnostic liver biopsy
For participants with type 2 diabetes, glycemia must be controlled. If glycemia is controlled by antidiabetic drugs, change in anti-diabetic therapy must follow these requirements:
- No qualitative change 6 months prior to diagnostic liver biopsy up to Randomization (i.e., implementation of a new anti-diabetic therapy) for participants treated with metformin, gliptins, sulfonylureas, sodium/glucose cotransporter (SGLT) 2 inhibitors, glucagon-like peptide (GLP)-1 agonists, or insulin. Dose changes of these medications are allowed in the 6 months prior to diagnostic liver biopsy, except for GLP-1 agonists, which must remain on stable dose in the 6 months prior to diagnostic liver biopsy.
- No implementation of GLP-1 agonists and SGLT2 inhibitors up to 72 weeks of treatment (Visit 7).
Initiation of any other antidiabetic drugs is allowed after Randomization based on treating physicians' judgment, except for glitazones which are prohibited 6 months prior to diagnostic liver biopsy until the end of treatment.
Exclusion Criteria:
- Known heart failure (Grade I to IV of New York Heart Association classification).
- History of efficient bariatric surgery within 5 years prior to screening.
- Uncontrolled hypertension during the Screening Period despite optimal antihypertensive therapy
- Type 1 diabetes participants .
- Participants with decompensated diabetes (HbA1c>9%).
- Participants with a history of clinically significant acute cardiac event within 6 months prior to screening
- Weight loss of more than 5% within 6 months prior to randomization
- Compensated and decompensated cirrhosis
- Current or recent history (<5 years) of significant alcohol consumption
- Pregnant or lactating females or females planning to become pregnant during the study period.
- Other well documented causes of chronic liver disease according to standard diagnostic procedures
- Participants with previous exposure to Elafibranor
- Prohibited concomitant medication
- Any medical conditions that may diminish life expectancy to less than 2 years including known cancers.
- Evidence of any other unstable or untreated clinically significant immunological, endocrine, hematological, gastrointestinal, neurological, neoplastic or psychiatric disease.
- Mental instability or incompetence, such that the validity of informed consent or ability to be compliant with the study is uncertain.
- Participants with biological criteria exclusion as per effective protocol
Sites / Locations
- University of Alabama at Birmingham
- Digestive Health Specialists of the Southeast
- The Institute for Liver Health
- The Institute for Liver Health
- Banner University Medical Center Phoenix
- Dignity Health St. Joseph's Hospital
- Mayo Clinic Hospital
- Institute for Liver Health
- Adobe Clinical Research, LLC
- The University of Arizona College of Medicine Liver Research Institute
- Liver Wellness Center
- GW Research, Inc.
- Southern California Research Center
- University of California, San Francisco, Fresno Community Regional Medical Center
- Fresno Clinical Research Center
- University of California, San Francisco, Fresno Community Regional Medical Center
- Scripps Clinic Torrey Pines
- University of California - San Diego
- Loma Linda University Medical Center - Transplantation Insitute
- VA Long Beach Healthcare System
- Keck Hospital of USC
- Ruane Clinical Research Group Inc.
- Cedars Sinai Medical Center
- Gastrointestinal Biosciences Clinical Trials LLC
- Veterans Affaires Greater Los Angeles Healthcare System, West LA VA Medical Center
- Veterans Affairs Greater Los Angeles Healthcare System
- Alliance Clinical Research
- National Research Institute
- Alliance Clinical Research
- University of California, Davis Medical Center
- University of California, San Diego Airway Research and Clinical Trials Center
- Medical Associates Research Group, Inc.
- VA San Diego HealthCare System
- Quest Clinical Research
- Sutter West Bay Hospitals dba California Pacific Medical Center
- University of California, San Francisco, Medical Center at Parnassus
- Ventura Clinical Trials
- South Denver Gastroenterology
- Yale University School of Medicine, Section of Digestive Diseases
- Georgetown University Hospitals
- Sibley Memorial Hospital
- Excel Medical Clinical Trials LLC
- Integrity Clinical Research LLC
- University of Florida
- Nature Coast Clinical Research
- Mayo Clinic Hospital
- Florida Digestive Health Specialists, LLP
- Atlantic Gastroenterology Associates, LLC
- Miami VA Healthcare System
- University of Miami - Miller School of Medicine
- University of Miami - Schiff Center for Liver Diseases
- South Florida Center of Gastroenterology, PA
- Florida Medical Clinic, PA
- Summit Clinical Research
- Emory University Hospital Midtown
- Piedmont Atlanta Hospital
- Atlanta Medical Center, Inc.
- Gastrointestinal Specialists of Georgia, PC
- The Queen's Medical Center
- Northwestern Memorial Hospital - Arkes Family Pavilion
- Rush University Medical Center
- The University of Chicago Medical Center
- University of Chicago
- Loyola University Chicago
- Gastroenterology Associates of Hazard
- University of Kentucky Chandler Medical Center
- University of Louisville Medical / Dental Complex
- Tulane University School of Medicine
- Louisiana Research Center, LLC
- Johns Hopkins Hospital
- Walter Reed National Military Medical Center
- Kaiser Permanente Shady Grove Medical Center
- Tufts Medical Center
- Massachusetts General Hospital
- Beth Israel Deaconess Medical Center (BIDMC)
- University of Massachusetts Memorial Medical Center
- Henry Ford Health System, Division of Gastroenterology & Hepatology
- Gastrointestinal Associates & Endoscopy Center
- University of Mississippi Medical Center
- St. Luke's Liver Transplant & Specialist
- Kansas City VA Medical Center
- Kansas City Research Institute
- Saint Louis University School of Medicine
- Rutgers, Robert Wood Johnson Medical School
- Rutgers, New Jersey Medical School
- Southwest Gastroenterology Associates
- Montefiore Medical Center
- University at Buffalo, Clinical and Translational Research Center
- Hofstra Northwell School of Medicine
- Concorde Medical Group
- New York University Langone Medical Center
- Weill Medical College of Cornell University
- Icahn School of Medicine at Mount Sinai
- New York-Presbyterian Hospital - Columbia University Medical Center
- Beth Israel Medical Center
- Premier Medical Group
- Asheville Gastroenterology Associates
- UNC Health Care System
- Carolinas Medical Center
- Duke Gastroenterology
- Cumberland Research Associates, LLC
- Carolinas Center for Liver Disease, Carolinas HealthCare System/Atrium Health
- Diabetes & Endocrinology Consultants
- Wake Research Associates
- Piedmont Healthcare
- Trial Management Associates
- Consultants for Clinical Research
- Ohio Gastroenterology & Liver Institute
- University of Cincinnati Physicians Company , LLC
- University Hospitals Cleveland Medical Center
- The Ohio State University Wexner Medical Center
- Options Health Research, LLC
- Drexel University, College of Medicine
- Thomas Jefferson University
- Temple University Health System
- Albert Einstein Medical Center
- UPMC Montefiore
- Rhode Island Hospital
- Ralph H. Johnson VA Medical Center
- Medical University of South Carolina (MUSC)
- Medical University of South Carolina
- Associates in Gastroenterology, PLC
- Methodist University Hospital
- Quality Medical Research, PLLC
- Texas Clinical Research Institute
- Methodist Dallas Medical Center
- Liver Center of Texas
- Baylor All Saints Medical Center - Baylor Research Institute
- DHAT Research Institute
- Baylor College of Medicine
- Liver Associates of Texas, P.A.
- Research Specialists of Texas
- Centex Studies Inc.
- Gulf Coast Research Group LLC
- Brooke Army Medical Center
- Gastroenterology Consultants of San Antonio
- Centex Studies Inc
- Pinnacle Clinical Research, PLLC
- The Texas Liver Institute, Inc.
- Pinnacle Clinical Research, PLLC
- Texas Digestive Consultants (TDDC)
- Victoria Gastroenterology
- University of Utah School of Medicine
- University of Virginia Health System
- University of Virginia
- Inova Fairfax Medical Campus - Center for Liver Disease
- Bon Secours Liver Institute of Virginia - Newport News
- Bon Secours Liver Institute of Virginia - Richmond
- Hunter Holmes McGuire VA Medical Center
- Virginia Commonwealth University
- Kaiser Permanente Springfield Medical Center
- Harborview Medical Center
- Swedish Organ Transplant and Liver Center
- Sanatorio Güemes
- Axismed S.R.L
- Instituto de Investigaciones Clinicas San Nicolas SRL
- Hospital Alemán
- Centro de Investigación y Prevención Cardiovascular SA (CIPREC)
- Fundación Sanatorio Güemes
- Hospital Italiano de Buenos Aires
- Hospital Británico de Buenos Aires
- CCBR Clinical Research
- Centro De Hepatologia Ciudad de La Plata
- Hospital Universitario Austral
- Dim Clinica Privada
- Hospital Provincial del Centenario
- Instituto Medico Alas
- Flinders Medical Centre
- Box Hill Hospital
- Monash Medical Centre Clayton
- Concord Repatriation General Hospital
- St. Vincent's Hospital Melbourne
- Austin Hospital
- Nepean Hospital
- The St George Hospital
- The Alfred Hospital
- Fiona Stanley Hospital
- Sir Charles Gairdner Hospital (SCGH)
- Westmead Hospital
- Hôpital Erasme
- Universitair Ziekenhuis Brussel
- Cliniques Universitaires Saint-Luc
- Universitair Ziekenhuis Antwerpen
- Universitair Ziekenhuis Gent
- Universitair Ziekenhuis Leuven
- Centre Hospitalier de Wallonie Picardie (CHWAPI)
- LAIR Centre
- Vancouver General Hospital (VGH) - Gordon and Leslie Diamond Health Care Centre
- Toronto General Hospital
- Toronto Western Hospital
- Toronto Liver Centre
- Monteregie Centre de Recherche
- The Montreal Chest Institute
- University of Calgary, Cumming School of Medicine
- Queen Elizabeth II Health Sciences Centre, Nova Scotia Health Authority
- Mc Gill University Health Centre (MUHC)
- University of Manitoba
- Hospital de La Serena
- Alta Salud
- Hospital Clínico UC
- Hospital Clínico Universidad de Chile
- Centro de Estudios Clinicos Barros Luco SPA (Patients seen, Fibroscan stored and Drug Shipment)
- Clínica Reñaca
- Solano&Terront Servicios Médicos LTDA - Unidad Integral de Endocrinologia UNIENDO
- Fundación Cardio Infantil - Instituto de Cardiología
- Fundación Valle del Lili
- Centro Medico Imbanaco
- Hospital Universitario San Vicente de Paul Fundación
- Hospital Pablo Tobon Uribe
- Fundacion Hospitalaria San Vicente de Paul
- Fakultní Nemocnice Brno
- Research Site S.R.O.
- Research Site, s.r.o
- KlinMed s.r.o.
- Aarhus University Hospital
- Helsinki University Central Hospital
- CHU Amiens Picardie
- CHU Angers
- Hôpital Antoine-Béclère
- Hôpital Beaujon
- Hôpital Henri Mondor
- CHU Limoges - Hôpital Dupuytren
- Hôpital de la Croix-Rousse
- Hôpital Saint Joseph
- CHRU Montpellier- Hôpital Saint Eloi
- CHU de Nantes - Hôpital Laennec
- CHU de Nice- Hôpital de l'Archet II
- Hôpital Saint-Antoine
- Hopital Pitie-Salpetriere
- Hôpital Cochin
- Hôpital Haut-Lévêque
- CHU Toulouse - Hôpital Purpan
- CHU Nancy - Hôpital Brabois
- Hôpital Paul Brousse
- Universitätsklinikum Köln
- Universitätsklinikum RWTH Aachen
- Liver Center
- Gastroenterologie am Bayerischen Platz/ Gastro-Studien
- Universitätsklinikum Bonn
- Universitätsklinikum Essen
- Universitätsklinikum Frankfurt - Goethe Universität
- Universitätsklinikum Freiburg
- Asklepios Klinik St. Georg
- Universitätsklinikum Hamburg-Eppendorf (UKE)
- Medizinische Hochschule Hannover (MHH)
- Universitätsklinikum Heidelberg
- Universitätsklinikum Köln
- EUGASTRO GmbH
- Universitätsklinikum Leipzig
- Universitätsklinikum Magdeburg
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz
- Universitätsklinikum Würzburg
- Azienda Ospedaliero-Universitaria di Bologna Policlinico S. Orsola-Malpighi
- Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
- Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli"
- Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
- Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
- Policlinico Tor Vergata
- Fondazione Policlinico Universitario Agostino Gemelli
- Ospedale Casa Sollievo della Sofferenza I.R.C.C.S.
- Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino - Ospedale Molinette
- Hospital Angeles Clinica Londres
- Centro de Investigación Clínica del Pacífico, S.A de C.V.
- Hospital Maria Auxiliadora
- Médica Sur
- Consultorio Medico
- Accelerium S de RL de C.V.
- Vrije Universiteit Medical Center
- Academisch Medisch Centrum
- Maastricht UMC+
- Radboud UMC
- Centro Hospitalar e Universitário de Coimbra, EPE - Hospitais da Universidade de Coimbra
- Centro Hospitalar Lisboa Central, EPE - Hospital Santo António dos Capuchos
- Centro Hospitalar de Lisboa Norte, EPE - Hospital Santa Maria
- Centro Hospitalar de São João, EPE - Hospital de São João
- Centro Hospitalar de São João
- Centro Hospita de Tras-os-Montes e Alto Douro, EPE
- Caparra Internal Medicine Research Center
- Klinical Investigations Group, LLC
- Fundacion de Investigacion de Diego
- Fundación de Investigación
- Institutul National de Boli Infectioase "Prof. Dr. Matei Bals"
- Institutul Clinic Fundeni
- SC Cabinet Particular Policlinic Algomed SRL
- Spitalul Clinic Judetean de Urgenta "Pius Brinzeu" Timisoara
- FSBRI "Federal Research Center of nutrition and biotechnology
- I. M. Sechenov - First Moscow State Medical University
- M. F. Vladimirsky - Clinical Research Institution of Moscow Region
- Military medical academy n. a. S.M. Kirov
- St Petersburg State Budgetary Healthcare Institution City Clinical Hospital N°31
- City Clinical Hospital No. 31
- Tiervlei Trial Centre
- Mediclinic Constantiaberg
- Phoenix Pharma (Pty) Ltd
- Hospital de la Santa Creu i Sant Pau
- Hospital Universitario Vall d'Hebron
- Hospital Clinic i Provincial
- Hospital Universitario 12 de Octubre
- Hospital Universitario Puerta de Hierro
- Hospital Universitario Virgen de la Victoria
- Complexo Hospitalario Universitario de Pontevedra
- Hospital Universitario Marqués de Valdecilla
- Campus Hospital Universitario Virgen del Rocío - Instituto de Biomedicina de Sevilla (IBIS)
- Karolinska Universitetssjukhuset Huddinge
- INSELSPITAL, University Hospital Bern
- Centre Hospitalier Universitaire Vaudois (CHUV)
- Kantonsspital St. Gallen
- UniversitätsSpital Zürich
- Ankara Üniversitesi Tıp Fakültesi
- Bezmiâlem Vakıf Üniversitesi
- Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi
- Ege Üniversitesi
- Marmara Üniversitesi Eğitim ve Araştırma Hastanesi
- Istanbul Universitesi Istanbul Tip Fakultesi
- University Hospitals Birmingham NHS foundation Trust
- Addenbrooke's Hospital
- Frimley Park Hospital NHS Foundation Trust
- Hull and East Yorkshire Hospitals NHS Trust - Hull Royal Infirmary
- Bart Health NHS Trust- Royal London Hospital
- The Royal Free London NHS Foundation Trust - The Royal Free Hospital
- Guy's and St Thomas' NHS Foundation Trust - St Thomas' Hospital
- St George's University Hospitals NHS Foundation Trust - St George's Hospital
- The Newcastle upon Tyne Hospitals NHS Foundation Trust - Freeman Hospital
- Nottingham University Hospitals NHS FoundationTrust - Queen's Medical Centre
- Plymouth Hospitals NHS Trust - Derriford Hospital
- Portsmouth Hospitals NHS Trust - Queen Alexandra Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
120 mg Elafibranor
Placebo
Coated tablets dosed at 120mg Elafibranor; oral administration; one tablet per day before breakfast with a glass of water
Coated placebo tablets; oral administration; one tablet per day before breakfast with a glass of water