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NCT03883607

Elafibranor, PK and Safety in Children and Adolescents 8 to 17 Years of Age With Non Alcoholic Steatohepatitis (NASH)

Terminated Phase 2 Results posted Last updated 28 October 2021
What this trial tests

Phase 2 trial testing Elafibranor 80mg in Non Alcoholic Steatohepatitis in 10 participants. Terminated before completion.

Timeline
25 June 2019
Primary endpoint
16 June 2020
16 June 2020

Quick facts

Lead sponsorGenfit
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment10
Start date25 June 2019
Primary completion16 June 2020
Estimated completion16 June 2020
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Genfit — full company profile →

Who can join

Adults 8 to 17, any sex, with Non Alcoholic Steatohepatitis. 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.

Pharmacokinetics (PK): Maximum Observed Plasma Concentration (Cmax) of Elafibranor and Its Active Metabolite (GFT1007) Primary · Day 1: at pre-dose; Day 29: at pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8 hours post dose; Day 30 and 85: at 24 hours after previous day dose administration

Cmax was defined as maximum observed plasma concentration.

Elafibranor
GroupValue95% CI
Elafibranor 80 mg385.216± 218.646
Elafibranor 120 mg658.054± 403.201
GFT1007
GroupValue95% CI
Elafibranor 80 mg2367.620± 1088.123
Elafibranor 120 mg2875.280± 1443.324
Pharmacokinetics: Time to Maximum Observed Plasma Concentration (Tmax) of Elafibranor and Active Metabolite (GFT1007) Primary · Day 1: at pre-dose; Day 29: at pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8 hours post dose; Day 30 and 85: at 24 hours after previous day dose administration

Tmax was defined as time to reach maximum observed plasma concentration.

Elafibranor
GroupValue95% CI
Elafibranor 80 mg1.500.52 – 2.00
Elafibranor 120 mg1.000.98 – 1.50
GFT1007
GroupValue95% CI
Elafibranor 80 mg2.001.50 – 2.00
Elafibranor 120 mg1.501.00 – 1.50
Pharmacokinetics: Area Under The Plasma Concentration-time Curve From 0 to 24 Hours (AUC0-24) of Elafibranor and Active Metabolite (GFT1007) Primary · Day 1: at pre-dose; Day 29: at pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8 hours post dose; Day 30 and 85: at 24 hours after previous day dose administration

AUC0-24 defined as the area under the plasma concentration versus time curve of the study drug from time 0 to 24 hours.

Elafibranor
GroupValue95% CI
Elafibranor 80 mg973.301± 311.803
Elafibranor 120 mg1457.728± 724.018
GFT1007
GroupValue95% CI
Elafibranor 80 mg10011.405± 3575.220
Elafibranor 120 mg10532.930± 3257.220
Pharmacokinetics: Terminal Elimination Half-life ( t½) of Elafibranor and Active Metabolite (GFT1007) Primary · Day 1: at pre-dose; Day 29: at pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8 hours post dose; Day 30 and 85: at 24 hours after previous day dose administration

Plasma t1/2 was defined as the time taken by drug to reduce to half of its initial plasma concentration.

Elafibranor
GroupValue95% CI
Elafibranor 80 mg34.170± NA
Elafibranor 120 mg37.620± 15.473
GFT1007
GroupValue95% CI
Elafibranor 80 mg9.572± 5.592
Elafibranor 120 mg6.682± 1.120
Pharmacokinetics: Plasma Trough Concentrations (Ctrough) of Elafibranor and Active Metabolite (GFT1007) Primary · Pre-dose on Day 1 and 29

Ctrough was defined as the plasma concentration of study drug observed just before treatment administration during repeated dosing.

Elafibranor
GroupValue95% CI
Elafibranor 80 mg14.904± 3.516
Elafibranor 120 mg29.035± 15.087
GFT1007
GroupValue95% CI
Elafibranor 80 mg97.771± 49.636
Elafibranor 120 mg55.243± 27.769
Pharmacodynamics (PD) - Liver Markers: Change From Baseline in Serum Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Gamma-glutamyl Transferase (GGT), and Alkaline Phosphatase (ALP) at Days 15, 29, 57, 85, and 113 Secondary · Baseline (Day 1), Days 15, 29, 57, 85, and 113

Baseline was defined as the last measurement before first intake of study treatment on Day 1. Missing data were not imputed for the analysis. Normal range at screening: AST: 0 - 39 international units per liter (IU/L), ALT: 5 - 30 IU/L, GGT: 2 - 24 IU/L, and ALP: 74 - 390 IU/L.

ALT: Day 15
GroupValue95% CI
Elafibranor 80 mg4.2± 21.7
Elafibranor 120 mg-13.8± 25.0
ALT: Day 29
GroupValue95% CI
Elafibranor 80 mg-0.2± 35.9
Elafibranor 120 mg-27.6± 18.4
ALT: Day 57
GroupValue95% CI
Elafibranor 80 mg0.2± 27.3
Elafibranor 120 mg-30.8± 16.5
ALT: Day 85
GroupValue95% CI
Elafibranor 80 mg17.8± 56.6
Elafibranor 120 mg-34.6± 25.6
ALT: Day 113
GroupValue95% CI
Elafibranor 80 mg37.3± 46.9
Elafibranor 120 mg-28.0± 22.2
AST: Day 15
GroupValue95% CI
Elafibranor 80 mg4.0± 16.0
Elafibranor 120 mg0.8± 9.5
AST: Day 29
GroupValue95% CI
Elafibranor 80 mg4.0± 16.3
Elafibranor 120 mg-4.0± 9.5
AST: Day 57
GroupValue95% CI
Elafibranor 80 mg1.0± 6.1
Elafibranor 120 mg-5.8± 4.1
Pharmacodynamics - Other Liver Markers: Change From Baseline in Adiponectin at Days 29, 57, 85, and 113 Secondary · Baseline (Day 1), Days 29, 57, 85, and 113

Baseline was defined as the last measurement before first intake of study treatment on Day 1. Missing data were not imputed for the analysis.

Day 29
GroupValue95% CI
Elafibranor 80 mg0.2410± 0.3729
Elafibranor 120 mg0.2112± 1.0304
Day 57
GroupValue95% CI
Elafibranor 80 mg0.5780± 1.0530
Elafibranor 120 mg-0.2752± 1.0022
Day 85
GroupValue95% CI
Elafibranor 80 mg0.3372± 1.4844
Elafibranor 120 mg-0.0590± 1.0476
Day 113
GroupValue95% CI
Elafibranor 80 mg-0.4663± 0.8972
Elafibranor 120 mg0.0322± 1.0588
Pharmacodynamics - Other Liver Markers: Change From Baseline in Cytokeratin 18 (CK-18)/M65 and CK-18/M30 at Days 29, 57, 85, and 113 Secondary · Baseline (Day 1), Days 29, 57, 85, and 113

Baseline was defined as the last measurement before first intake of study treatment on Day 1. Missing data were not imputed for the analysis.

CK-18/M65: Day 29
GroupValue95% CI
Elafibranor 80 mg39.412± 346.370
Elafibranor 120 mg-70.902± 121.905
CK-18/M65: Day 57
GroupValue95% CI
Elafibranor 80 mg-30.302± 326.632
Elafibranor 120 mg-60.578± 186.165
CK-18/M65: Day 85
GroupValue95% CI
Elafibranor 80 mg-2.320± 231.775
Elafibranor 120 mg-122.070± 265.059
CK-18/M65: Day 113
GroupValue95% CI
Elafibranor 80 mg235.205± 290.846
Elafibranor 120 mg-188.638± 244.324
CK-18/M30: Day 29
GroupValue95% CI
Elafibranor 80 mg-24.282± 374.146
Elafibranor 120 mg-68.896± 96.850
CK-18/M30: Day 57
GroupValue95% CI
Elafibranor 80 mg7.530± 445.509
Elafibranor 120 mg-20.074± 219.782
CK-18/M30: Day 85
GroupValue95% CI
Elafibranor 80 mg-54.988± 315.261
Elafibranor 120 mg-81.492± 271.506
CK-18/M30: Day 113
GroupValue95% CI
Elafibranor 80 mg146.412± 273.673
Elafibranor 120 mg-170.793± 235.722
Pharmacodynamics - Other Liver Markers: Change From Baseline in Ferritin at Days 29, 57, 85, and 113 Secondary · Baseline (Day 1), Days 29, 57, 85, and 113

Baseline was defined as the last measurement before first intake of study treatment on Day 1. Missing data were not imputed for the analysis.

Day 29
GroupValue95% CI
Elafibranor 80 mg6.4± 12.0
Elafibranor 120 mg10.8± 25.9
Day 57
GroupValue95% CI
Elafibranor 80 mg19.4± 23.5
Elafibranor 120 mg3.6± 15.6
Day 85
GroupValue95% CI
Elafibranor 80 mg11.8± 16.6
Elafibranor 120 mg-4.0± 2.4
Day 113
GroupValue95% CI
Elafibranor 80 mg6.0± 5.7
Elafibranor 120 mg-12.8± 11.1
Pharmacodynamics - Other Liver Markers: Change From Baseline in Fibroblast Growth Factor 19 and Fibroblast Growth Factor 21 at Days 29, 57, 85, and 113 Secondary · Baseline (Day 1), Days 29, 57, 85, and 113

Baseline was defined as the last measurement before first intake of study treatment on Day 1. Missing data were not imputed for the analysis.

Fibroblast Growth Factor 19: Day 29
GroupValue95% CI
Elafibranor 80 mg-24.4± 80.6
Elafibranor 120 mg-42.8± 78.0
Fibroblast Growth Factor 19: Day 57
GroupValue95% CI
Elafibranor 80 mg-10.4± 51.2
Elafibranor 120 mg-18.8± 85.3
Fibroblast Growth Factor 19: Day 85
GroupValue95% CI
Elafibranor 80 mg28.4± 77.5
Elafibranor 120 mg-13.0± 100.6
Fibroblast Growth Factor 19: Day 113
GroupValue95% CI
Elafibranor 80 mg-7.8± 61.3
Elafibranor 120 mg-19.8± 35.3
Fibroblast Growth Factor 21: Day 29
GroupValue95% CI
Elafibranor 80 mg9.98± 91.38
Elafibranor 120 mg128.84± 171.50
Fibroblast Growth Factor 21: Day 57
GroupValue95% CI
Elafibranor 80 mg-36.36± 188.91
Elafibranor 120 mg195.94± 315.73
Fibroblast Growth Factor 21: Day 85
GroupValue95% CI
Elafibranor 80 mg120.68± 191.62
Elafibranor 120 mg81.56± 130.68
Fibroblast Growth Factor 21: Day 113
GroupValue95% CI
Elafibranor 80 mg3.50± 291.41
Elafibranor 120 mg56.35± 87.53
Pharmacodynamics - Other Liver Markers: Change From Baseline in Hyaluronic Acid, Procollagen 3 N-Terminal Propeptide (PIIINP) and Tissue Inhibitor of Metalloproteinase 1 (TIMP1) at Days 29, 57, 85, and 113 Secondary · Baseline (Day 1), Days 29, 57, 85, and 113

Baseline was defined as the last measurement before first intake of study treatment on Day 1. Missing data were not imputed for the analysis.

Hyaluronic Acid: Day 29
GroupValue95% CI
Elafibranor 80 mg-2.958± 11.689
Elafibranor 120 mg-8.800± 10.991
Hyaluronic Acid: Day 57
GroupValue95% CI
Elafibranor 80 mg-0.272± 9.228
Elafibranor 120 mg-3.654± 10.528
Hyaluronic Acid: Day 85
GroupValue95% CI
Elafibranor 80 mg4.408± 16.612
Elafibranor 120 mg-3.518± 15.130
Hyaluronic Acid: Day 113
GroupValue95% CI
Elafibranor 80 mg1.592± 16.445
Elafibranor 120 mg-0.422± 19.347
Procollagen 3 N-Terminal Propeptide: Day 29
GroupValue95% CI
Elafibranor 80 mg-3.018± 14.079
Elafibranor 120 mg-2.878± 3.138
Procollagen 3 N-Terminal Propeptide: Day 57
GroupValue95% CI
Elafibranor 80 mg1.730± 6.928
Elafibranor 120 mg-2.762± 3.242
Procollagen 3 N-Terminal Propeptide: Day 85
GroupValue95% CI
Elafibranor 80 mg-1.710± 6.730
Elafibranor 120 mg-0.470± 5.270
Procollagen 3 N-Terminal Propeptide: Day 113
GroupValue95% CI
Elafibranor 80 mg-7.015± 11.902
Elafibranor 120 mg-0.530± 3.701
Pharmacodynamics - Other Liver Markers: Change From Baseline in Alpha-2 Macroglobulin at Days 29, 57, 85, and 113 Secondary · Baseline (Day 1), Days 29, 57, 85, and 113

Baseline was defined as the last measurement before first intake of study treatment on Day 1. Missing data were not imputed for the analysis.

Day 29
GroupValue95% CI
Elafibranor 80 mg-0.098± 0.254
Elafibranor 120 mg-0.282± 0.133
Day 57
GroupValue95% CI
Elafibranor 80 mg0.124± 0.213
Elafibranor 120 mg-0.118± 0.064
Day 85
GroupValue95% CI
Elafibranor 80 mg-0.030± 0.328
Elafibranor 120 mg-0.204± 0.129
Day 113
GroupValue95% CI
Elafibranor 80 mg-0.105± 0.319
Elafibranor 120 mg-0.037± 0.157

Adverse events — posted to ClinicalTrials.gov

Time frame: All AEs were collected from screening through 30 days after last dose of study drug (i.e., up to Day 113) regardless of seriousness or relationship to study drug.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Elafibranor 80 mg
Serious: 0/5 (0%)
Deaths: 0/5
Elafibranor 120 mg
Serious: 0/5 (0%)
Deaths: 0/5
Other adverse events (3 terms — click to expand)

ReactionSystemElafibranor 80 mgElafibranor 120 mg
HepatomegalyHepatobiliary disorders
Gastroenteritis viralInfections and infestations
AsthmaRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT03883607 adverse events section.

Sponsor's own description

The study was being conducted in order to assess the pharmacokinetics and the safety of elafibranor following once daily administration of two dose levels of elafibranor (80 milligrams \[mg\] and 120mg) during 3 months in children and adolescent population (8 to 17 years of age) with non alcoholic steatohepatitis (NASH).

Publications & conference data

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

  1. Transcriptional Regulation of Metabolic Pathways via Lipid-Sensing Nuclear Receptors PPARs, FXR, and LXR in NASH.
    Cariello M, Piccinin E, Moschetta A. · · 2021 · cited 71× · PMID 33545430 · DOI 10.1016/j.jcmgh.2021.01.012
  2. Current Clinical Trial Status and Future Prospects of PPAR-Targeted Drugs for Treating Nonalcoholic Fatty Liver Disease.
    Kamata S, Honda A, Ishii I. · · 2023 · cited 42× · PMID 37627329 · DOI 10.3390/biom13081264
  3. Metabolic Fatty Liver Disease in Children: A Growing Public Health Problem.
    Le Garf S, Nègre V, Anty R, Gual P. · · 2021 · cited 39× · PMID 34944730 · DOI 10.3390/biomedicines9121915
  4. Current Therapeutical Approaches Targeting Lipid Metabolism in NAFLD.
    Vitulo M, Gnodi E, Rosini G, Meneveri R, et al · · 2023 · cited 21× · PMID 37628929 · DOI 10.3390/ijms241612748
  5. Recent advances in understanding and managing pediatric nonalcoholic fatty liver disease.
    Vittorio J, Lavine JE. · · 2020 · cited 18× · PMID 32509277 · DOI 10.12688/f1000research.24198.1
  6. Potential therapeutic strategies for MASH: from preclinical to clinical development.
    Xie Z, Li Y, Cheng L, Huang Y, et al · · 2024 · cited 11× · PMID 39872142 · DOI 10.1093/lifemeta/loae029
  7. An Open Label, Randomized, Multicenter Study of Elafibranor in Children With Nonalcoholic Steatohepatitis.
    Goyal NP, Mencin A, Newton KP, Durelle J, et al · · 2023 · cited 10× · PMID 37084342 · DOI 10.1097/mpg.0000000000003796
  8. Metabolic-Associated Steatotic Liver Disease (MASLD): A New Term for a More Appropriate Therapy in Pediatrics?
    Antonella M, Pietrobattista A, Maggiore G. · · 2024 · cited 6× · PMID 38651464 · DOI 10.3390/pediatric16020025

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