GLP-1 Evidence

Not medical advice. A record of published research and our assessments of it. The limits

Safety, Tolerability, and Efficacy of Monotherapy and Combination Regimens in Participants With Nonalcoholic Steatohepatitis (NASH)

Status
CompletedResults posted
Why it is watched
non-weight indication: liver, addiction
Who it enrolls
age 18 Years to 75 Years; BMI ≥60 required; conditions: Nonalcoholic Steatohepatitis
Interventions
Semaglutide; Firsocostat; Cilofexor
Conditions
Nonalcoholic Steatohepatitis
Phase and size
Phase 2 · 109 participants
Dates
Start 2019-07-29
Primary completion 2020-07-13
Sponsor
Gilead Sciences (Industry)
Last checked
Sep 13, 2026
01Endpoints

What the trial will measure

  • Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)First dose date up to Week 24 plus 30 days
  • Percentage of Participants Experiencing Treatment-Emergent Laboratory AbnormalitiesFirst dose date up to 24 weeks plus 30 days
02Eligibility

Who can take part

Key Inclusion Criteria: * Historical liver biopsy consistent with NASH with stage 2-3 fibrosis according to NASH Clinical Research Network (CRN) classification OR clinical diagnosis of nonalcoholic fatty liver disease and screening FibroTest, magnetic resonance imaging - proton density fat fraction (MRI-PDFF), and FibroScan * Screening laboratory parameters, as determined by central laboratory: * Alanine aminotransferase (ALT) ≤ 5 x upper limit of the normal range (ULN) * Estimated glomerular filtration rate (eGFR) ≥ 30 milliliter/minute (mL/min), as calculated by the Modification of Diet in Renal Disease (MDRD) study equation * HbA1c ≤ 9.5% * International normalized ratio (INR) ≤ 1.2, unless due to therapeutic anti-coagulation therapy * Platelet count ≥ 100,000/μL * Total bilirubin \< 1.3 x ULN unless alternate etiology such as Gilbert's syndrome present * Calcitonin ≤ 100 ng/L * Body Mass Index (BMI) \> 23 kg/m\^2 and body weight of \> 60 kg Key Exclusion Criteria: * Any historical liver biopsy consistent with cirrhosis * Any history of decompensated liver disease, including ascites, hepatic encephalopathy, or variceal bleeding * Other causes of liver disease, including but not limited to: alcoholic liver disease, hepatitis B, hepatitis C, autoimmune disorders (eg, primary biliary cholangitis (PBC), primary sclerosing cholangitis (PSC), autoimmune hepatitis), drug-induced hepatotoxicity, Wilson disease, clinically significant iron overload, or alpha-1-antitrypsin deficiency requiring treatment * History of liver transplantation * History of hepatocellular carcinoma * History of pancreatitis (acute or chronic) * Personal or first degree relative(s) history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma * Treatment with glucagon-like peptide-1 receptor agonists (GLP-1 RA) in the period from 90 days prior to the date of the Screening Visit * Individuals on antidiabetic medications must be on a stable dose for at least 90 days prior to the date of the Screening Visit and in the period between the date of the Screening Visit and Enrollment (Day -14) Note: Other protocol defined Inclusion/Exclusion criteria may apply.
03Change log

Registry changes

No changes recorded since the trial was added.