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NCT02854605

Evaluating the Safety, Tolerability, and Efficacy of GS-9674 in Participants With Nonalcoholic Steatohepatitis (NASH)

Completed Phase 2 Results posted Last updated 29 January 2019
What this trial tests

Phase 2 trial testing GS-9674 in Nonalcoholic Steatohepatitis (NASH) in 140 participants. Completed in 9 January 2018.

Timeline
26 October 2016
Primary endpoint
9 January 2018
9 January 2018

Quick facts

Lead sponsorGilead Sciences
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment140
Start date26 October 2016
Primary completion9 January 2018
Estimated completion9 January 2018
Sites37 locations across Hong Kong, New Zealand, United Kingdom, Canada, Switzerland, United States

Drugs / interventions tested

Conditions studied

Sponsor

Gilead Sciences — full company profile →

Who can join

Adults 18 to 75, any sex, with Nonalcoholic Steatohepatitis (NASH). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Overall Safety of GS-9674 as Assessed By Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) Primary · Up to 24 weeks plus 30 days

TEAEs were defined as 1 or both of the following: 1) Any adverse events (AE) with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug, 2) Any AEs leading to premature discontinuation of study drug.

TEAEs
GroupValue95% CI
GS-9674 100 mg89.3
GS-9674 30 mg76.8
Placebo67.9
TEAEs leading to premature discontinuation of drug
GroupValue95% CI
GS-9674 100 mg1.8
GS-9674 30 mg8.9
Placebo7.1
Overall Safety of GS-9674 as Assessed By Percentage of Participants With Treatment-Emergent Laboratory Abnormalities Primary · Up to 24 weeks plus 30 days

Treatment-emergent laboratory abnormalities are defined as values that increase at least 1 toxicity grade from baseline at any post-baseline time point, up to and including the date of last dose of study drug plus 30 days for participants who permanently discontinued study.

Any Grade ≥ 1
GroupValue95% CI
GS-9674 100 mg89.3
GS-9674 30 mg92.9
Placebo92.9
Grade 1
GroupValue95% CI
GS-9674 100 mg35.7
GS-9674 30 mg42.9
Placebo50.0
Grade 2
GroupValue95% CI
GS-9674 100 mg37.5
GS-9674 30 mg37.5
Placebo25.0
Grade 3
GroupValue95% CI
GS-9674 100 mg7.1
GS-9674 30 mg10.7
Placebo14.3
Grade 4
GroupValue95% CI
GS-9674 100 mg8.9
GS-9674 30 mg1.8
Placebo3.6

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 24 weeks plus 30 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GS-9674 100 mg
Serious: 2/56 (4%)
Deaths: 0/56
GS-9674 30 mg
Serious: 2/56 (4%)
Deaths: 0/56
Placebo
Serious: 1/28 (4%)
Deaths: 0/28

Serious adverse events (6 terms)

ReactionSystemGS-9674 100 mgGS-9674 30 mgPlacebo
Bile duct stoneHepatobiliary disorders
Oesophageal carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
B-cell lymphomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Pelvic painReproductive system and breast disorders
Hypertensive crisisVascular disorders
Other adverse events (26 terms — click to expand)

ReactionSystemGS-9674 100 mgGS-9674 30 mgPlacebo
PruritusSkin and subcutaneous tissue disorders
FatigueGeneral disorders
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
DepressionPsychiatric disorders
NauseaGastrointestinal disorders
Urinary tract infectionInfections and infestations
Back painMusculoskeletal and connective tissue disorders
VertigoEar and labyrinth disorders
Abdominal distensionGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
BronchitisInfections and infestations
NasopharyngitisInfections and infestations
SinusitisInfections and infestations
MyalgiaMusculoskeletal and connective tissue disorders
Pruritus generalisedSkin and subcutaneous tissue disorders
HypertensionVascular disorders
Dry mouthGastrointestinal disorders
DyspepsiaGastrointestinal disorders
GastritisGastrointestinal disorders
Arthropod biteInjury, poisoning and procedural complications
Decreased appetiteMetabolism and nutrition disorders
DizzinessNervous system disorders

Most-reported serious reactions: Bile duct stone, Oesophageal carcinoma, B-cell lymphoma, Thyroid cancer, Pelvic pain, Hypertensive crisis.

Data from ClinicalTrials.gov NCT02854605 adverse events section.

Sponsor's own description

The primary objective of this study is to evaluate the safety and tolerability of GS-9674 in participants with nonalcoholic steatohepatitis (NASH).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Current and future pharmacological therapies for NAFLD/NASH.
    Sumida Y, Yoneda M. · · 2018 · cited 487× · PMID 29247356 · DOI 10.1007/s00535-017-1415-1
  2. Dysregulated lipid metabolism links NAFLD to cardiovascular disease.
    Deprince A, Haas JT, Staels B. · · 2020 · cited 371× · PMID 33010471 · DOI 10.1016/j.molmet.2020.101092
  3. Targeting fibrosis, mechanisms and cilinical trials.
    Zhao M, Wang L, Wang M, Zhou S, et al · · 2022 · cited 352× · PMID 35773269 · DOI 10.1038/s41392-022-01070-3
  4. Cilofexor, a Nonsteroidal FXR Agonist, in Patients With Noncirrhotic NASH: A Phase 2 Randomized Controlled Trial.
    Patel K, Harrison SA, Elkhashab M, Trotter JF, et al · · 2020 · cited 270× · PMID 32115759 · DOI 10.1002/hep.31205
  5. Bile acid metabolism and signaling in health and disease: molecular mechanisms and therapeutic targets.
    Fleishman JS, Kumar S. · · 2024 · cited 267× · PMID 38664391 · DOI 10.1038/s41392-024-01811-6
  6. Targeted therapeutics and novel signaling pathways in non-alcohol-associated fatty liver/steatohepatitis (NAFL/NASH).
    Xu X, Poulsen KL, Wu L, Liu S, et al · · 2022 · cited 235× · PMID 35963848 · DOI 10.1038/s41392-022-01119-3
  7. Gut liver brain axis in diseases: the implications for therapeutic interventions.
    Yan M, Man S, Sun B, Ma L, et al · · 2023 · cited 165× · PMID 38057297 · DOI 10.1038/s41392-023-01673-4
  8. Targeting protein modifications in metabolic diseases: molecular mechanisms and targeted therapies.
    Wu X, Xu M, Geng M, Chen S, et al · · 2023 · cited 161× · PMID 37244925 · DOI 10.1038/s41392-023-01439-y

Verify or expand the search:

Other recruiting trials for Nonalcoholic Steatohepatitis (NASH)

Currently open trials in the same condition.

Other Gilead Sciences trials

Trials by the same sponsor.

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