A Study to Test Safety and Efficacy of Survodutide (BI456906) in Adults With Non-alcoholic Steatohepatitis (NASH) and Fibrosis (F1-F3)

Completed · Phase 2 · Has a placebo group

Conditions studied: Non-alcoholic Steatohepatitis (NASH)

In brief

This study is open for men and women with a liver disease called nonalcoholic steatohepatitis (NASH) and liver fibrosis. The purpose of the study is to find out whether a medicine called BI 456906 helps patients with NASH and liver fibrosis. The study tests 3 different doses of BI 456906 to find the dose that helps best. Participants are put into 4 groups randomly, which means by chance. There are 3 groups that each receive a different dose of BI 456906 and there is 1 group that receives placebo. BI 456906 and placebo are given as an injection under the skin once per week. The placebo injection looks like the BI 456906 injection but does not contain any medicine. Participants are in the study for a little over 1 year (60 weeks). During this time, they visit the study site several times and have some video calls in addition. At the visits, the study doctors take different measurements. To see whether the treatment works, the doctors take a very small sample of liver tissue (biopsy) from each participant at the start and at the end of the study. They also examine the liver by ultrasound and MRI. The doctors also regularly check the general health of the participants.

Key facts

Study ID

NCT04771273

Run by

Boehringer Ingelheim

People needed

295

Starts

2021-04-27

Expected to finish

2023-12-21

Last updated by the study team

2024-12-03

Who can join

Age: 18 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Male or female patients ≥ 18 years (or who are of legal age in countries where that is greater than 18 years) and ≤ 80 years of age at time of consent.
• Diagnosis of non-alcoholic steatohepatitis (NASH) (Non-alcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) ≥ 4, with at least 1 point in inflammation and ballooning each) and fibrosis stage F1-F3 proven by a biopsy conducted during the screening period or by a historical biopsy conducted within the last 6 months prior to randomization and stable body weight defined as less than 5% self-reported change in body weight between the historical biopsy and randomization, if a historical biopsy is used.
• Liver fat fraction ≥ 8% measured by Magnetic Resonance Imaging (MRI)-Proton Density Fat Fraction (PDFF) and liver stiffness > 6.0 kPa measured by FibroScan® at Visit 1 (if biopsy is scheduled during the screening period MRI-PDFF and FibroScan® assessments have to be performed prior to the biopsy). However, the diagnosis of NASH and fibrosis at liver biopsy (including historical biopsy) is the primary assessment to establish patient eligibility.
• Patients willing and able to undergo liver biopsies per protocol as judged by the Investigator.
• Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
• Women of childbearing potential (WOCBP)1 must be willing and able to use two forms of effective contraception where at least one form is highly effective methods of birth control per International Council on Harmonisation (ICH) M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the patient information.
• Further inclusion criteria apply.

You may not qualify if…

• Current or history of significant alcohol consumption (defined as intake of > 210 g/ week in males and > 140 g/ week in females on average over a consecutive period of more than 3 months) or inability to reliably quantify alcohol consumption based on Investigator judgement within the last 5 years.
• Intake of medications historically associated with liver injury, hepatic steatosis or steatohepatitis within 12 weeks prior to Visit 1. Intake of restricted medications or any medications considered likely to interfere with the safe conduct of the trial.
• History of other forms of chronic liver disease (e.g., viral hepatitis, autoimmune liver disease, primary biliary sclerosis, primary sclerosing cholangitis, Wilson's disease, hemochromatosis, Alpha-1 Antitrypsin (A1At) deficiency, history of liver transplantation). Hepatitis B and C testing will be done at Visit 1. Patients with positive Hepatitis B surface antigen (HBsAg) should be excluded. Patients treated for hepatitis C must have a negative RNA test at screening and also be Hepatitis C Virus (HCV) RNA negative for at least 3 years prior to screening in order to be eligible for the trial.
• Suspicion, diagnosis, or history of hepatocellular carcinoma (HCC), or any documented active or suspected malignancy or history of malignancy within 5 years prior to screening, except appropriately treated basal cell carcinoma of the skin or in situ carcinoma of uterine cervix.
• Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2, manifest hypo- or hyperthyroidism at Visit 1.
• History of chronic or acute pancreatitis or elevation of serum lipase/amylase > 2x ULN or fasting serum triglyceride levels of > 500 mg/dL (> 5.65 mmol/L) at screening.
• Known history of HIV (Human Immunodeficiency Virus) infection and/or tuberculosis and/or an acute COVID-19 infection at Visit 1 (confirmed by SARS CoV-2 RT-PCR test). Further exclusion criteria apply.

Where it is running

• Southern California Research Center — Coronado, California, United States
• Velocity Clinical Research — Huntington Park, California, United States
• Velocity Clinical Research — Panorama City, California, United States
• Quest Clinical Research — San Francisco, California, United States
• Peak Gastroenterology Associates — Colorado Springs, Colorado, United States
• Integrity Clinical Research, LLC — Doral, Florida, United States
• Covenant Metabolic Specialists, LLC — Fort Myers, Florida, United States
• Optimus U Corporation — Miami, Florida, United States
• Sanchez Clinical Research ,Inc — Miami, Florida, United States
• Ocala GI Research — Ocala, Florida, United States
• Omega Research Orlando, LLC — Orlando, Florida, United States
• Covenant Metabolic Specialists, LLC — Sarasota, Florida, United States
• Gastrointestinal Specialists of Georgia — Marietta, Georgia, United States
• Digestive Research Alliance of Michiana — South Bend, Indiana, United States
• University of Iowa Hospitals and Clinics — Iowa City, Iowa, United States
• Delta Research Partners, LLC — Bastrop, Louisiana, United States
• Centex Studies, Inc. — Lake Charles, Louisiana, United States
• Tandem Clinical Research — Marrero, Louisiana, United States
• NECCR PrimaCare Research, LLC — Fall River, Massachusetts, United States
• National Diabetes and Obesity Research Institute — Biloxi, Mississippi, United States
• Gastrointestinal Associates — Flowood, Mississippi, United States
• AIG Digestive Disease Research — Florham Park, New Jersey, United States
• Northeast GI Research Division — Concord, North Carolina, United States
• Lucas Research, Inc. — Morehead City, North Carolina, United States
• North Alabama Health Research, LLC — Huntsville, Alabama, United States

Full record on ClinicalTrials.gov

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