Primary Objective: \- To evaluate the dose response relationship of SAR425899 compared to placebo on resolution of non-alcoholic steatohepatitis (NASH) with no worsening of fibrosis in diabetic and non-diabetic patients with histopathologically-confirmed NASH. Secondary Objectives: * To assess the effect of SAR425899 on overall non-alcoholic fatty liver disease (NAFLD) activity score (NAS), individual components of NAS (steatosis, hepatocyte ballooning, and lobular inflammation), and fibrosis score. * To assess to the effect of SAR425899 on MRI-PDFF (Magnetic Resonance Imaging-determined Proton Density Fat Fraction) derived parameters (total liver fat, liver volume, and fractional liver fat content). * To assess the effect of SAR425889 on body weight and waist/hip circumference ratio. * To assess SAR425899 pharmacokinetics. * To assess safety and tolerability of SAR425899.
Study duration per participant will be approximately 64 weeks, consisting of up to 8 weeks screening plus 52 weeks treatment and 4 weeks post treatment follow-up.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Resolution of Non-alcoholic steatohepatitis (NASH)
Percentage of participants with absence of hepatocyte ballooning (NAFLD - non-alcoholic fatty liver disease - activity score, NAS = 0) without worsening of fibrosis score at week 52. -
Time frame: Week 52
No hepatocyte ballooning, lobular inflammation score 0 or 1, without worsening of fibrosis
Percentage of participants with absence of hepatocyte ballooning (NAS = 0), lobular inflammation NAS = 0 or 1, without worsening of fibrosis score at week 52.
Time frame: Week 52
Change in overall NAFLD activity score (NAS)
Change from baseline to week 52 in overall NAFLD activity score (NAS).
Time frame: Baseline to week 52
Change in NAS individual components
Change from baseline to week 52 in individual components of NAS (steatosis).
Time frame: Baseline to week 52
Change in NAS individual components
Change from baseline to week 52 in individual components of NAS (hepatocyte ballooning).
Time frame: Baseline to week 52
Change in NAS individual components
Change from baseline to week 52 in individual components of NAS (lobular inflammation).
Time frame: Baseline to week 52
Change in fibrosis score
Change from baseline to week 52 in fibrosis score.
Time frame: Baseline to week 52
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Major adverse cardiac events
Number of patients with major cardiac events
Time frame: Baseline to week 52
Change in Magnetic Resonance Imaging-determined Proton Density Fat Fraction (MRI-PDFF)
Change from baseline to week 26 and to week 52 in MRI-PDFF-derived total liver fat, liver volume and fractional liver fat content.
Time frame: Baseline to week 26 and week 52
Improvement of fibrosis without worsening of hepatocyte ballooning component of NAS
Percentage of participants with improvement of fibrosis by at least 1 stage without worsening of hepatocyte ballooning component of NAS at week 52
Time frame: Week 52
Change in body weight
Change from baseline to week 52 in body weight
Time frame: Baseline to week 52
Change in waist circumference
Change from baseline to week 52 in waist circumference
Time frame: Baseline to week 52
Change in hip circumference
Change from baseline to week 52 in hip circumference
Time frame: Baseline to week 52
Change in waist to hip ratio
Change from baseline to week 52 in waist to hip ratio
Time frame: Baseline to week 52
Assessment of pharmacokinetic (PK) parameter: AUC0-24
Area under the concentration-time curve from 0 to 24 hours (AUC0-24)
Time frame: Week 52
Assessment of PK parameter: Cmax
Observed maximum plasma concentration after administration (Cmax)
Time frame: Week 52
Assessment of PK parameter: Ctrough
Plasma concentration immediately prior to treatment administration during repeat dosing levels (Ctrough)
Time frame: Baseline to week 52