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NCT04048876

Study to Evaluate the Efficacy and Safety of CC-90001 in Participants With Non-alcoholic Steatohepatitis (NASH) and Liver Fibrosis

Terminated Phase 2 Results posted Last updated 7 June 2023
What this trial tests

Phase 2 trial testing CC-90001 in Non-alcoholic Fatty Liver Disease in 56 participants. Terminated before completion.

Timeline
14 August 2019
Primary endpoint
28 September 2021
28 September 2021

Quick facts

Lead sponsorCelgene
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment56
Start date14 August 2019
Primary completion28 September 2021
Estimated completion28 September 2021
Sites142 locations across France, Japan, United Kingdom, Germany, Poland, South Korea, Canada, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Celgene — full company profile →

Who can join

18 and older, any sex, with Non-alcoholic Fatty Liver Disease or Liver Cirrhosis. 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.

Percentage of Participants Who Achieve a ≥1 Stage Improvement in Liver Fibrosis Using the NASH CRN Histological Scoring System at Week 52 Primary · From baseline up to week 52

Percentage of participants who achieve a ≥1 stage improvement in liver fibrosis using the NASH CRN Histological Scoring System at Week 52. A participant with a change of ≤ -1 from baseline in fibrosis stage is considered as an improvement responder for this endpoint. The NASH CRN Histologic Scoring System comprised: steatosis (0 to 3) lobular inflammation (0 to 3) hepatocellular ballooning (0 to 2) fibrosis disease stage (0 to 4) * Stage 0 - None; * Stage 1a - Mild (delicate) zone 3 perisinusoidal fibrosis; * Stage 1b - Moderate (dense) zone 3 perisinusoidal fibrosis; * Stage 1c - Portal/pe

GroupValue95% CI
CC-90001 100mg15.41.92 – 45.45
CC-90001 200mg00 – 21.80
CC-90001 400mg7.70.19 – 36.03
Placebo6.70.17 – 31.95
Percentage of Participants With no Worsening of Steatohepatitis and ≥1 Stage Improvement in Liver Fibrosis Score at Week 52 Secondary · From baseline up to week 52

Percentage of participants with no worsening of steatohepatitis and ≥1 stage improvement in liver fibrosis score at week 52 using the NASH CRN Histological Scoring System at Week 52. A participant with a change of ≥ -1 from baseline in fibrosis stage and no worsening in steatohepatitis is considered as an improvement responder for this endpoint. The NASH CRN Histologic Scoring System comprised: steatosis (0 to 3) lobular inflammation (0 to 3) hepatocellular ballooning (0 to 2) fibrosis disease stage (0 to 4) * Stage 0 - None; * Stage 1a - Mild (delicate) zone 3 perisinusoidal fibrosis; * St

GroupValue95% CI
CC-90001 100mg15.41.92 – 45.45
CC-90001 200mg00 – 21.80
CC-90001 400mg7.70.19 – 36.03
Placebo6.70.17 – 31.95
Percentage of Participants With Improvement in Total NAS Secondary · From baseline up to week 52

Percentage of participants with an improvement of ≥ 2 points in the total NAS with improvement in more than one category of steatosis, lobular inflammation, and hepatocellular ballooning, and no worsening of liver fibrosis at Week 52. A participant with a change of ≤ -2 from baseline in total NAS, a change of ≤ -1 from baseline in more than one subscore, and a change of ≤ 0 from baseline in fibrosis stage is considered as a responder for this endpoint.

GroupValue95% CI
CC-90001 100mg7.70.19 – 36.03
CC-90001 200mg6.70.17 – 31.95
CC-90001 400mg15.41.92 – 45.45
Placebo13.31.66 – 40.46
Percentage of Participants With Resolution of NASH Secondary · From baseline up to week 52

Percentage of participants who demonstrate absence of ballooning, and lobular inflammation score of 0 or 1 at Week 52. Absence of ballooning is defined as a score of 0 in hepatocellular ballooning. A participant with a score of 0 in ballooning, a score of 0 or 1 in lobular inflammation is considered as a responder for this endpoint.

GroupValue95% CI
CC-90001 100mg15.41.92 – 45.45
CC-90001 200mg00.00 – 21.80
CC-90001 400mg7.70.19 – 36.03
Placebo6.70.17 – 31.95
Percentage of Participants With Resolution of NASH With no Worsening of Liver Fibrosis Secondary · From baseline up to week 52

Percentage of participants who demonstrate absence of ballooning, and lobular inflammation score of 0 or 1 and no worsening of liver fibrosis at Week 52 Absence of ballooning is defined as a score of 0 in hepatocellular ballooning. Worsening of fibrosis stage was defined as progression of NASH CRN fibrosis stage. A participant with a score of 0 in ballooning, a score of 0 or 1 in lobular inflammation, and a change of ≤ 0 from baseline in fibrosis stage is considered as a responder for this endpoint.

GroupValue95% CI
CC-90001 100mg15.41.92 – 45.45
CC-90001 200mg00.00 – 21.80
CC-90001 400mg7.70.19 – 36.03
Placebo6.70.17 – 31.95
Percentage of Participants Who Progressed to Cirrhosis Secondary · From baseline up to week 52

Percentage of participants who progressed to cirrhosis

GroupValue95% CI
CC-90001 100mg00 – 24.71
CC-90001 200mg00.00 – 21.80
CC-90001 400mg7.70.19 – 36.03
Placebo6.70.17 – 31.95
Mean Change From Baseline in Liver Biochemistry Secondary · From baseline up to week 52

Mean change from Baseline in serum aspartate aminotransferase (AST), alanine aminotransferase (ALT) and γ-glutamyl transferase (GGT)

ALT (U/L)
GroupValue95% CI
CC-90001 100mg26.0± 19.80
CC-90001 400mg-22.3± 14.19
Placebo-6.5± 21.92
AST (U/L)
GroupValue95% CI
CC-90001 100mg9.5± 10.61
CC-90001 400mg-17.0± 10.15
Placebo7.0± 4.24
GGT (U/L)
GroupValue95% CI
CC-90001 100mg13.0± 28.28
CC-90001 400mg-6.3± 5.86
Placebo2.5± 58.69
Mean Change From Baseline in Metabolic Parameters Secondary · From baseline up to week 52

Mean change from baseline in total low density cholesterol (LDL) high density cholesterol (HDL), and triglycerides

HDL (mmol/L)
GroupValue95% CI
CC-90001 100mg0.005± 0.0354
CC-90001 400mg0.147± 0.2155
Placebo0.120± 0.2687
LDL (mmol/L)
GroupValue95% CI
CC-90001 100mg0.970± 0.4525
CC-90001 400mg0.623± 0.3785
Placebo-1.395± 1.3223
Triglycerides (mmol/L)
GroupValue95% CI
CC-90001 100mg-0.135± 0.0495
CC-90001 400mg0.027± 0.2650
Placebo-0.805± 0.5445
Cmax Secondary · Day 1 and at Week 4

Cmax is defined as maximum plasma concentration of the drug

Day 1
GroupValue95% CI
CC-90001 100mg501.0± NA
CC-90001 400mg2938.8± 44.94
Week 4
GroupValue95% CI
CC-90001 100mg352.0± NA
CC-90001 400mg2610.0± NA
Tmax Secondary · Day 1 and at Week 4

Tmax is defined is the time to maximum plasma concentration

Day 1
GroupValue95% CI
CC-90001 100mg2.02 – 2
CC-90001 400mg2.02 – 2
Week 4
GroupValue95% CI
CC-90001 100mg2.02 – 2
CC-90001 400mg4.04 – 4
AUC (0-t) Secondary · Day 1 and at Week 4

Area under the plasma concentration time-curve. AUC from time 0 to the last time of quantifiable concentration

Day 1
GroupValue95% CI
CC-90001 100mg2322.7± NA
CC-90001 400mg26803.9± 62.87
Week 4
GroupValue95% CI
CC-90001 100mg2530.5± NA
CC-90001 400mg20918.8± NA
AUC t Secondary · Day 1 and at Week 4

Area under the plasma concentration time-curve. AUC over the dosing interval.

Day 1
GroupValue95% CI
CC-90001 100mg2322.7± NA
CC-90001 400mg27173.7± 59.71
Week 4
GroupValue95% CI
CC-90001 100mg2530.5± NA
CC-90001 400mg21182.1± NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events: up to 108 weeks All-cause mortality: participants were assessed from date of randomization to study completion. All-Cause Mortality: up to 108 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

CC-90001 100 mg
Serious: 2/13 (15%)
Deaths: 0/13
CC-90001 200 mg
Serious: 1/15 (7%)
Deaths: 0/15
CC-90001 400 mg
Serious: 2/13 (15%)
Deaths: 0/13
Placebo
Serious: 0/15 (0%)
Deaths: 0/15
Active Treatment Phase CC-90001 200 mg Following Placebo
Serious: 0/1 (0%)
Deaths: 0/1
Active Treatment Phase CC-90001 400 mg Following Placebo
Serious: 0/1 (0%)
Deaths: 0/1

Serious adverse events (7 terms)

ReactionSystemCC-90001 100 mgCC-90001 200 mgCC-90001 400 mgPlaceboActive Treatment Phase CC-…Active Treatment Phase CC-…
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
AppendicitisInfections and infestations
COVID-19Infections and infestations
Ligament sprainInjury, poisoning and procedural complications
Spinal retrolisthesisMusculoskeletal and connective tissue disorders
Colon cancer metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (93 terms — click to expand)

ReactionSystemCC-90001 100 mgCC-90001 200 mgCC-90001 400 mgPlaceboActive Treatment Phase CC-…Active Treatment Phase CC-…
NauseaGastrointestinal disorders
COVID-19Infections and infestations
HeadacheNervous system disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
FatigueGeneral disorders
Urinary tract infectionInfections and infestations
Allergic eosinophiliaBlood and lymphatic system disorders
EosinophiliaBlood and lymphatic system disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
Atrioventricular block first degreeCardiac disorders
TinnitusEar and labyrinth disorders
VertigoEar and labyrinth disorders
Abdominal discomfortGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Chronic gastritisGastrointestinal disorders
Dry mouthGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Epigastric discomfortGastrointestinal disorders
EructationGastrointestinal disorders
FlatulenceGastrointestinal disorders
Frequent bowel movementsGastrointestinal disorders
HaematocheziaGastrointestinal disorders
Hiatus herniaGastrointestinal disorders
Large intestine polypGastrointestinal disorders
Salivary hypersecretionGastrointestinal disorders
VomitingGastrointestinal disorders
AstheniaGeneral disorders
Injection site painGeneral disorders
Non-cardiac chest painGeneral disorders
PainGeneral disorders
PyrexiaGeneral disorders
AppendicitisInfections and infestations
BronchitisInfections and infestations
CystitisInfections and infestations
Gastroenteritis viralInfections and infestations

Most-reported serious reactions: Abdominal pain, Constipation, Appendicitis, COVID-19, Ligament sprain, Spinal retrolisthesis, Colon cancer metastatic.

Data from ClinicalTrials.gov NCT04048876 adverse events section.

Sponsor's own description

This is a Phase 2, randomized, double-blind, placebo-controlled, multicenter, multinational, dose-finding study evaluating the efficacy of three treatment doses of CC-90001 compared with placebo, in Non-alcoholic Steatohepatitis (NASH) participants with Stage 2, Stage 3 liver fibrosis. This study is designed to assess response to treatment on measures of fibrosis and other efficacy parameters. It will also assess dose response and overall safety.

Publications & conference data

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

  1. 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
  2. Pathophysiology and Treatment Options for Hepatic Fibrosis: Can It Be Completely Cured?
    Khanam A, Saleeb PG, Kottilil S. · · 2021 · cited 86× · PMID 34064375 · DOI 10.3390/cells10051097
  3. Obesity, non-alcoholic fatty liver disease and hepatocellular carcinoma: current status and therapeutic targets.
    Chen Y, Wang W, Morgan MP, Robson T, et al · · 2023 · cited 37× · PMID 37361533 · DOI 10.3389/fendo.2023.1148934
  4. Efficacy and safety of anti-hepatic fibrosis drugs.
    Damiris K, Tafesh ZH, Pyrsopoulos N. · · 2020 · cited 30× · PMID 33244194 · DOI 10.3748/wjg.v26.i41.6304
  5. Non-kinase targeting of oncogenic c-Jun N-terminal kinase (JNK) signaling: the future of clinically viable cancer treatments.
    Latham SL, O'Donnell YEI, O'Donnell YEI, Croucher DR. · · 2022 · cited 13× · PMID 36454622 · DOI 10.1042/bst20220808
  6. Glucagon-like peptide 1 agonists are potentially useful drugs for treating metabolic dysfunction-associated steatotic liver disease.
    Soresi M, Giannitrapani L. · · 2024 · cited 11× · PMID 39193573 · DOI 10.3748/wjg.v30.i30.3541
  7. Potential Therapeutic Targets and Promising Agents for Combating NAFLD.
    Umemura A, Kataoka S, Okuda K, Seko Y, et al · · 2022 · cited 11× · PMID 35453652 · DOI 10.3390/biomedicines10040901
  8. Nonalcoholic Steatohepatitis Promoting Kinases.
    Ibrahim SH, Hirsova P, Malhi H, Gores GJ. · · 2020 · cited 10× · PMID 32526787 · DOI 10.1055/s-0040-1713115

Verify or expand the search:

Other trials of CC-90001

Trials testing the same drug.

Other recruiting trials for Non-alcoholic Fatty Liver Disease

Currently open trials in the same condition.

Other Celgene trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04048876.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing