Safety and Efficacy of Selonsertib in Adults With Compensated Cirrhosis Due to Nonalcoholic Steatohepatitis (NASH) (STELLAR-4)
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 cirrhosis (F4 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, as determined by the central laboratory:
- 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
- HbA1c ≤ 9.5% (or serum fructosamine ≤ 381 micromole (μmol) if HbA1c is unable to be resulted)
- International normalised ratio (INR) ≤ 1.4, unless due to therapeutic anti-coagulation
- Platelet count ≥ 100,000/μL
Key Exclusion Criteria:
- Prior history of decompensated liver disease including clinical ascites, hepatic encephalopathy (HE), or variceal bleeding
- Child-Pugh (CP) score > 7, 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-antitrypsin 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
- St. Joseph's Hospital and Medical Center
- Mayo Clinic
- Baptist Medical Center
- Arkansas Gastroenterology
- Southern California Research Center
- Fresno Clinical Research Center
- Scripps Clinical Research Services
- University of California, San Diego (Altman Clinical and Translational Research Center)
- Ruane Clinical Research Group
- Cedars-Sinai Medical Center
- Veterans Affair Greater Los Angeles Healthcare System, West Los Angeles VA Medical Center
- California Liver Research Institute
- Huntington Medical Research Institutes (HMRI) Liver Center
- Inland Empire Liver Foundation
- University of California, Davis Medical Center
- Research and Education, Inc.
- Medical Associates Research Group
- Kaiser Permanente
- California Pacific Medical Center - Sutter Pacific Medical Foundation San Francisco Center for Liver Disease Dept. of Transplant
- eStudySite
- University of California, San Francisco-Liver Clinic
- Island View Gastroenterology Associates- Ventura
- University of Colorado Denver and Hospital
- South Denver Gastroenterology, PC
- Integrity Clinical Research, LLC
- University of Florida Hepatology Research at CTRB
- Clinical Research of Homestead
- Nature Coast Clinical Research
- Florida Research Institute
- Schiff Center for Liver Diseases/University of Miami
- Florida Hospital Transplant Institute
- IMIC Inc
- South Florida Center of Gastroenterology, PA
- Cleveland Clinic Florida
- Florida Medical Clinic, PA
- Digestive Healthcare of Georgia
- Piedmont Transplant Institute
- Columbus Regional Research Institute
- Gastroenterology Associates of Central Georgia, LLC
- Gastrointestinal Specialists of Georgia, PC
- Northwestern Memorial Hospital; Clinical Research Unit
- Rush University Medical Center
- The University of Chicago Medical Center
- NorthShore University HealthSystem - Glenbrook ACC
- Indiana University Health - University Hospital
- Indianapolis Gastroenterology Research Foundation
- Iowa Digestive Disease Center, P.C.
- University of Kansas Medical Center
- Gastroenterology Associates of Hazard
- University of Louisville Clinical Trials Unit
- Delta Research Partners
- 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
- Massachusetts General Hospital
- Beth Israel Deaconess Medical Center
- University of Massachusetts Medical School
- Henry Ford Health System
- Gastroenterology Associates of Western Michigan, P.L.C.
- Mayo Clinic
- Southern Therapy and Advanced Research LLC (STAR)
- Saint Luke's Hospital of Kansas City
- Kansas City Research Institute
- Saint Louis University
- Rutgers New Jersey Medical School- Doctors Office Center
- AccumetRx Clinical Research
- Montefiore Medical 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
- NYU Langone Medical Center
- Weill Cornell Medical College
- Icahn School of Medicine at Mount Sinai
- University of Rochester Medical Center
- NC TraCS Institute- CTRC, University of North Carolina at Chapel Hill
- Carolinas HealthCare System Center for Liver Disease
- Duke University Medical Center - Duke South Clinics
- Cumberland Research Associates LLC
- Piedmont HealthCare, d/b/a Carolinas Center for Liver Disease
- PMG Research of Rocky Mount, LLC
- Piedmont Healthcare
- Digestive Health Specialists, PA
- Consultants for Clinical Research
- University of Cincinnati
- University Hospitals Cleveland Medical Center
- Penn State University, The Milton S. Hershey Medical Center
- Hospital of the University of Pennsylvania- Perelman Center for Advanced Medicine
- Thomas Jefferson University Hospital
- UPMC - Center for Liver Diseases at the Thomas E. Starlz Institute
- University Gastroenterology
- Medical University of South Carolina, University Hospital
- Greenville Health System Gastroenterology and Liver Center
- WR-ClinSearch, LLC
- Gastro One
- Methodist University Hospital/University of Tennessee Health Science Center, Office of Clinical Research
- 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
- Kelsey-Seybold Clinic
- Baylor College of Medicine - Advanced Liver Therapies
- Houston Methodist Hospital
- Liver Associates of Texas, P.A.
- Research Specialists of Texas
- Smith Clinic
- Pinnacle Clinical Research
- DHAT Research Institute
- American Research Corporation, The Texas Liver Institute
- Intermountain Liver Disease and Transplant Clinic
- University of Utah
- The University of Vermont Medical Center
- University of Virginia Medical Center
- Inova Fairfax Medical Campus
- Bon Secours St. Mary's Hospital of Richmond, Inc. d/b/a Bon Secours Liver Institute of Virginia
- Digestive and Liver Disease Specialists
- McGuire VA Medical Center
- Virginia Commonwealth University
- Virginia Mason
- Swedish Organ Transplant and Liver Center
- University of Washington
- Royal Prince Alfred Hospital
- St. Vincent's Hospital Sydney
- St. George's Hospital
- Westmead Hospital
- Royal Brisbane & Women's Hospital
- Royal Adelaide Hospital
- Lyell McEwin Hospital
- Monash Medical Centre
- St. Vincent's Hospital Melbourne
- Austin Health
- The Alfred Hospital, Alfred Health
- Sir Charles Gairdner Hospital
- Royal Perth Hospital
- Medizinische Universitat Graz, Universitatsklinik fue Innere Medizin
- Allgemeines Krankenhaus Wien
- UZ Brussel
- Cliniques Universitaires UCL Saint-Luc
- CUB Hopital Erasme
- Az Maria Middelares Ghent
- UZ Leuven
- University of Calgary Liver Unit (Heritage Medical Research Clinic)
- GI Research
- University of Alberta
- LAIR Centre
- Gordon and Leslie Diamond Health Care Centre, Vancouver General Hospital, UBC Division of Gastroenterology
- PerCuro Clinical Research Ltd.
- University of Manitoba, Health Sciences Centre, John Buhler Research Centre
- South Shore Medical Arts
- William Osler Health System-Brampton Civic Hospital
- St. Joseph's Healthcare Hamilton
- McMaster University Medical Centre
- London Health Sciences Centre - University Hospital
- Toronto Center for Liver Diseases (TCLD), Toronto General Hospital
- Toronto Liver Centre
- Chronic Viral Illness Service/Royal Victoria Hospital/McGill University Health Centre (MUHC)
- CHU Amiens Picardie
- 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
- CHU de Montpellier, Hopital St Eloi
- Centre Hospitalier Universitaire de Nice- Hopital l'Archet 2
- Hopital Cochin
- Groupe Hospitalier Universitaire La Pitie Salpetriere
- Hopital Beaujon
- Centre Hospitalier Universitaire de Strasbourg- Nouvel Hopital Civil
- Centre Hospitalier Universitaire de Toulouse- Hopital Purpan
- Uniklinik RWTH Aachen, Medizinische Klinik III
- Universitatsklinikum Bonn (AoR)
- Universitatsklinikum Frankfurt der Goethe-Universitat
- Universitatsklinikum Leipzig AoR
- Johannes Gutenberg-Universitat
- Prince of Wales Hospital
- Alice Ho Miu Ling Nethersole Hospital
- Department of Hepatology PGIMER Chandigarh
- Global Clinical Reseaech Services PVT LTD
- Institute of Post Graduate Medical Education and Research (IPGMER)
- Dayanand Medical College & Hospital
- Kasturba Medical College Hospital
- Institute of Liver Diseases, HPB Surgery and Transplant Global Hospitals
- Midas Multispecialty Hospital
- All India Institute of Medical Sciences
- Fortis Flt. Lt. Rajan Dhall Hospital
- Institute of Liver & Biliary Sciences
- Emek Medical Center
- Rambam Health Care Campus
- The Lady Davis Carmel Medical Center
- Shaare Zedek Medical Center
- Rabin Medical Center
- The Chaim Sheba Medical Center
- Tel-Aviv Sourasky Medical Center
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
- IRCCS Istituto Clinico Humanitas
- Fukui-Ken Saiseikai Hospital
- Kyushu University Hospital
- Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
- Juntendo University Shizuoka Hospital
- Kanazawa University Hospital
- Nara Medical University Hospital
- Toranomon Hospital Kajigaya
- Kumamoto Shinto General Hospital
- Kurume University Hospital
- University Hospital, Kyoto Prefectural University of Medicine
- Shinshu University Hospital
- Toranomon Hospital
- Miyazaki Medical Center Hospital
- Aichi Medical University Hospital
- Nara City Hospital
- Kawasaki Medical School General Medical Center
- Okayama University Hospital
- Hirakata Kohsai Hospital
- Saga University Hospital
- Hokkaido University Hospital
- Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital
- Tokyo Womens Medical University Hospital
- Saiseikai Suita Hospital
- Osaka University Hospital
- Mie University Hospital
- Ehime University Hospital
- Yamagata University Hospital
- Yokohama City University Hospital
- National Hospital Organization Nagasaki Medical Center
- Keimyung University Dongsan Medical Center
- Kyungpook National University Hospital
- National Health Insurance Service- Ilsan Hospital
- Inha University Hospital
- Seoul National University Bundang Hospital
- Seoul National University Hospital
- Asan Medical Center
- SMG-SNU Boramae Medical Center
- Gangnam Severance Hospital
- Korea University Guro Hospital
- Consultorio Médico
- Accelerium S. de R.L. de C.V.
- Auckland City Hospital
- Southern District Health Board - Dunedin Hospital
- Szpital Specjalistyczny Nr 1 w Bytomiu, Oddzial Obserwacyjno-Zakazny i Hepatologii
- ID Clinic Arkadiusz Pisula
- Wojewodzki Specjalistyczny Szpital im. W. Bieganskiego
- Klinical Investigations Group, LLC
- VA Carribean Healthcare System
- Fundacion de Investigacion de Diego
- National University Health System
- Singapore General Hospital
- Changi General Hospital Pte Ltd.
- Hospital Universitario Fundacion Alcorcon
- Hospital Universitari Vall d'Hebron
- Hospital Clinic de Barcelona
- Hospital del Mar - Parc de Salut
- Hospital Universitario La Paz
- Hospital Universitario Puerto de Hierro Majadahonda
- CHOP_Complejo Hospitalario Universitario de Pntevedra
- Hospital Universitario Marques de Valdecilla
- Hospital Universitario Virgen del Rocio
- Consorcio Hospital General Universitario de Valencia
- Hospital Universitari i Politecnic La Fe de Valencia
- Universitätsklinik für Viszerale Chirurgie und Medizin, Inselspital, Hepatologie
- Istituto Cantanale di Patologia Locarno
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- National Cheng Kung University Hospital
- National Taiwan University Hospital
- Chang Gung Medical Foundation-LinKou Branch
- NHS Greater Glasgow and Clyde
- Barts Health NHS Trust
- King's College Hospital NHS Foundation Trust
- St. George's Hospital
- Imperial College Healthcare NHS Trust
- Nottingham University Hospitals NHS Trust
- Plymouth 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 6 mg
SEL 18 mg
Placebo
Randomized Phase: SEL 6 mg plus placebo to match SEL 18 mg for up to 240 weeks. Open-Label (OL) Phase: Participants who experienced a hepatic clinical event during the randomized phase prior to completing the Week 240 visit, will be offered the option to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the Randomized Phase.
Randomized Phase: SEL 18 mg plus placebo to match SEL 6 mg for up to 240 weeks. Open-Label Phase: Participants who experienced a hepatic clinical event during the randomized phase prior to completing the Week 240 visit, will be offered the option to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the Randomized Phase.
Randomized Phase: Placebo to match SEL 6 mg plus placebo to match SEL 18 mg for up to 240 weeks. Open-Label Phase: Participants who experienced a hepatic clinical event during the randomized phase prior to completing the Week 240 visit, will be offered the option to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the Randomized Phase.