Study to Evaluate Safety, Tolerability, and Efficacy of GS-0976 in Adults With Nonalcoholic Steatohepatitis
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety, Tolerability, and Efficacy of GS-0976 in Subjects With Nonalcoholic Steatohepatitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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California
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Coronado, California, United States, 92118
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Foster City, California, United States, 94404
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Los Angeles, California, United States, 90048
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Los Angeles, California, United States, 90036
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Rialto, California, United States, 92377
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San Diego, California, United States, 92103
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San Diego, California, United States, 92123
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San Francisco, California, United States, 94115
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San Francisco, California, United States, 94143
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Florida
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Miami, Florida, United States, 33136
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Miami, Florida, United States, 33165
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Georgia
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Atlanta, Georgia, United States, 30308
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Illinois
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Chicago, Illinois, United States, 60611
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Indiana
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Indianapolis, Indiana, United States, 46202
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Louisiana
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New Orleans, Louisiana, United States, 70112
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Massachusetts
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Boston, Massachusetts, United States, 02115
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Minnesota
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Rochester, Minnesota, United States, 55905
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Missouri
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Kansas City, Missouri, United States, 64131
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New York
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New York, New York, United States, 10016
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North Carolina
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Durham, North Carolina, United States, 27710
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Statesville, North Carolina, United States, 28677
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19707
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Pittsburgh, Pennsylvania, United States, 15213
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Tennessee
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Germantown, Tennessee, United States, 38138
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Memphis, Tennessee, United States, 38104
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Nashville, Tennessee, United States, 37211
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Texas
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Arlington, Texas, United States, 76012
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Live Oak, Texas, United States, 78233
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San Antonio, Texas, United States, 78215
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Utah
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Murray, Utah, United States, 84107
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Virginia
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Falls Church, Virginia, United States, 22042
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Richmond, Virginia, United States, 23298
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Richmond, Virginia, United States, 23249
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Richmond, Virginia, United States, 23226
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Washington
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Richland, Washington, United States, 99352
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Seattle, Washington, United States, 98104
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria:
Meets all of the following conditions:
- A clinical diagnosis of nonalcoholic fatty liver disease (NAFLD)
- Screening magnetic resonance imaging - proton density fat fraction (MRI-PDFF) with ≥ 8% steatosis
Screening magnetic resonance elastography (MRE) with liver stiffness ≥ 2.5 kPa
- OR
- A historical liver biopsy consistent with NASH and non-cirrhotic fibrosis
- Platelet count ≥ 100,000/mm^3
- Creatinine Clearance (CLcr ) as calculated by the Cockcroft-Gault equation ≥ 60 ml/min
Key Exclusion Criteria:
- Pregnant or lactating females
- Alanine aminotransferase (ALT) > 5 x upper limit of the normal range (ULN)
- Other causes of liver disease including autoimmune, viral, and alcoholic liver disease
Cirrhosis of the liver
- Prior history of decompensated liver disease, including ascites, hepatic encephalopathy or variceal bleeding
- Body mass index (BMI) < 18 kg/m^2
- International normalized ratio (INR) > 1.2 unless on anticoagulant therapy
- Total bilirubin > 1 x ULN, except with diagnosis of Gilbert's syndrome
NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Firsocostat 5 mg
Participants will receive firsocostat 1 x 5 mg + 1 x placebo matched to firsocostat 5 mg + 2 x placebo matched to firsocostat 10 mg for 12 weeks.
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Capsules orally once daily.
Other Names:
Placebo matched to firsocostat orally once daily.
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Experimental: Firsocostat 20 mg
Participants will receive firsocostat 2 X 10 mg + 2 x placebo matched to firsocostat 5 mg for 12 weeks.
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Capsules orally once daily.
Other Names:
Placebo matched to firsocostat orally once daily.
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Experimental: Placebo
Participants will receive 2 x placebo matched to firsocostat 5 mg + 2 x placebo matched to firsocostat 10 mg for 12 weeks.
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Placebo matched to firsocostat orally once daily.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Percentage of Participants Experiencing Treatment-Emergent Adverse Events
Time Frame: First Dose date up to last dose (Week 12) plus 30 days
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First Dose date up to last dose (Week 12) plus 30 days
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Loomba R, Kayali Z, Noureddin M, Ruane P, Lawitz EJ, Gitlin N, Bennett M, Harting EJ, McColgan BJ, Myers RP, Subramanian GM, McHutchison JG, Middleton MS, Sirlin C, Lai M, Charlton M, Harrison SA. Acetyl-CoA carboxylase (ACC) inhibitor GS-0976 leads to significant improvements in MRI-PDFF in a Phase 2, randomized, placebo-controlled trial of patients with NASH. American Association for the Study of Liver Diseases Meeting; 2017; Washington, DC, USA.
- Loomba R, Kayali Z, Noureddin M, Ruane P, Lawitz EJ, Bennett M, Wang L, Harting E, Tarrant JM, McColgan BJ, Chung C, Ray AS, Subramanian GM, Myers RP, Middleton MS, Lai M, Charlton M, Harrison SA. GS-0976 Reduces Hepatic Steatosis and Fibrosis Markers in Patients With Nonalcoholic Fatty Liver Disease. Gastroenterology. 2018 Nov;155(5):1463-1473.e6. doi: 10.1053/j.gastro.2018.07.027. Epub 2018 Jul 27.
- Lawitz EJ, Coste A, Poordad F, Alkhouri N, Loo N, McColgan BJ, Tarrant JM, Nguyen T, Han L, Chung C, Ray AS, McHutchison JG, Subramanian GM, Myers RP, Middleton MS, Sirlin C, Loomba R, Nyangau E, Fitch M, Li K, Hellerstein M. Acetyl-CoA Carboxylase Inhibitor GS-0976 for 12 Weeks Reduces Hepatic De Novo Lipogenesis and Steatosis in Patients With Nonalcoholic Steatohepatitis. Clin Gastroenterol Hepatol. 2018 Dec;16(12):1983-1991.e3. doi: 10.1016/j.cgh.2018.04.042. Epub 2018 Apr 26.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GS-US-426-3989
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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