Status:
COMPLETED
A Study of BOS-580 in Obese Subjects at Risk for, or With Biopsy-confirmed, Nonalcoholic Steatohepatitis (NASH) With an Extension
Lead Sponsor:
Boston Pharmaceuticals
Collaborating Sponsors:
GSK Research and Development Limited
Conditions:
Nonalcoholic Steatohepatitis (NASH)
Eligibility:
All Genders
18-75 years
Phase:
PHASE2
Brief Summary
This is a randomized, blinded, placebo-controlled study of Efimosfermin in obese participants at risk for, or with biopsy-confirmed, nonalcoholic steatohepatitis (NASH), with a single arm open-label e...
Eligibility Criteria
Inclusion
- Inclusion Criteria (Part A and Part B):
- Participant is either male or female and 18 to 75 years of age inclusive, at the time of signing the informed consent
- Obese participants with body mass index (BMI) of ≥ 27 kg/m\^2
- Hepatic fat fraction (HFF) measured by magnetic resonance imaging derived proton density fat fraction (MRI-PDFF) ≥8%
- Liver fibrosis assessment based on a vibration controlled transient elastography (VCTE) liver stiffness measurement (LSM) score of 7.0 to 9.9 kPa (Part A only) inclusive or 7.0 to 20.0 kPa (Part B only) inclusive and Liver injury assessment measured by aspartate aminotransferase (AST) \>25U/L. A qualifying historical biopsy (confirmed eligibility based on the central pathology read) supersedes the LSM, controlled attenuation parameter (CAP) score criteria and AST criteria.
- Histopathologically confirmed F2 or F3 stage NASH on a diagnostic liver biopsy performed during Screening or within 6 months prior to the first day of dosing for historical biopsies (Part B only).
- History or presence of at least 2 of 4 components of metabolic syndrome: obesity/overweight, dyslipidemia (high triglycerides and/or low high density lipoprotein \[HDL\]), type 2 diabetes with elevated glycated hemoglobin (HbA1c), and hypertension.
- Inclusion Criteria (Part C):
- Participant must have completed the Part B of the study.
- Participant willing to undergo liver biopsy at Week 56
- NASH F stage \<F4 at 24 week assessment in Part B
- Inclusion Criteria (Part D):
- BMI of ≥ 25 kg/m\^2
- Liver fibrosis based on assessments taken during screening visit
- Participant should be willing and able to undergo liver biopsy during Screening (if a historical biopsy within 12 months prior to Screening is not available) and per protocol as judged by the Investigator.
- Other inclusion criteria may apply
- Exclusion Criteria (Part A and Part B):
- Documented clinical, laboratory or radiologic evidence of cirrhosis (compensated or decompensated)
- Triglycerides ≥ 500 mg/dL
- Change in body weight (more than 5% self-reported OR 5 kg self-reported change during the previous 3 months from Screening, whichever is smaller)
- History of type 1 diabetes, diabetic ketoacidosis, or positive glutamic acid decarboxylase (GAD) auto-antibodies (latent autoimmune diabetes in adults)
- Hemoglobin A1c \> 9.5%
- Participants with a condition that requires substantial anticoagulant medication may not be eligible for the study enrollment (e.g., deep vein thrombosis).
- Exclusion Criteria (Part C):
- • Participants that received their 24 week dose in Part B \> 10 weeks prior to enrollment into Part C
- Exclusion Criteria (Part D):
- Other causes of chronic liver disease
- Documented evidence or history of decompensated liver cirrhosis.
- History of type 1 diabetes or poorly controlled type 2 diabetes.
- History of malignancy.
- Use of other investigational drugs.
- Other exclusion criteria may apply
Exclusion
Key Trial Info
Start Date :
September 30 2021
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
October 27 2025
Estimated Enrollment :
231 Patients enrolled
Trial Details
Trial ID
NCT04880031
Start Date
September 30 2021
End Date
October 27 2025
Last Update
October 30 2025
Active Locations (48)
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1
Central Research Associates
Birmingham, Alabama, United States, 35205
2
Arizona Liver Health
Chandler, Arizona, United States, 85224
3
Arizona Liver Health
Peoria, Arizona, United States, 85381
4
Arizona Liver Health
Tucson, Arizona, United States, 85712