A Phase 2 study with 4 treatment groups of two differing doses and matched placebos designed to evaluate the safety (including hepatic safety), tolerability and pharmacodynamic effects of two dose levels of MEDI0382 in obese subjects with non-alcoholic fatty liver disease (NAFLD)/non-alcoholic steatohepatitis (NASH). The subjects will have biopsy-confirmed NAFLD/NASH with liver fibrosis stage F1, F2 or F3. Approximately 72 subjects will be randomized
This is a randomized, double-blind, placebo-controlled, study to evaluate the safety (including hepatic safety), tolerability and pharmacodynamic effects of two dose levels of MEDI0382 in obese subjects with non-alcoholic fatty liver disease (NAFLD)/non-alcoholic steatohepatitis (NASH). The subjects will have biopsy-confirmed NAFLD/NASH with liver fibrosis stage F1, F2 or F3. Approximately 72 subjects will be randomized across multiple study sites.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
74
MEDI0382 high dose administered subcutaneously
Placebo for MEDI0382 high dose administered subcutaneously
MEDI0382 low dose administered subcutaneously
Research Site
Tucson, Arizona, United States
Safety (Including Hepatic Safety) and Tolerability of MEDI0382 Compared With Placebo: Number of Participants With TEAE and SAE
The number and percentage of treatment emergent adverse events (TEAE) and serious adverse events (SAE) through the end of the follow-up period
Time frame: Day 1 - Day 161
Immunogenicity Profile Defined by Presence of Anti-drug Antibodies (ADA): ADA Titer (if Confirmed Positive)
Development of ADA titer (if confirmed positive)
Time frame: Day 1 - Day 161 (Baseline, Week 6, Week 12, Week 16, Week 19 and Week 23)
Immunogenicity Profile Defined by Presence of Anti-drug Antibodies (ADA): Number of Participants With Development of ADA
Development of ADA during treatment and follow-up
Time frame: Day 1 - Day 161
Change From Baseline to Week 19 in Hepatic Fat Fraction (HFF)
Change from baseline is defined as the week 19 post-baseline value minus the baseline value. The Analysis of Covariance (ANCOVA) model was used to fit change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Liver Volume
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
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Placebo for MEDI0382 low dose administered subcutaneously
Research Site
Canoga Park, California, United States
Research Site
Chula Vista, California, United States
Research Site
Coronado, California, United States
Research Site
La Jolla, California, United States
Research Site
Lincoln, California, United States
Research Site
Los Angeles, California, United States
Research Site
Montclair, California, United States
Research Site
Torrance, California, United States
Research Site
Westminster, California, United States
...and 17 more locations
Percent Change From Baseline to Week 19 in Liver Fat Volume
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Visceral Adipose Tissue
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Subcutaneous Adipose Tissue
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Liver Diffusion
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Abdominal Sagittal Diameter
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Abdominal Transversal Diameter
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Alanine Aminotransferase (ALT)
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Gamma Glutamyl Transferase (GGT)
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Aspartate Aminotransferase (AST)
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Percent Change From Baseline to Week 19 in Body Weight
Percent change from baseline is calculated as the week 19 post-baseline value minus the baseline value divided by the baseline value \*100. The Analysis of Covariance (ANCOVA) model was used to fit percent change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19
Change From Baseline to Week 19 in Body Mass Index (BMI)
Change from baseline is defined as the week 19 post-baseline value minus the baseline value. The Analysis of Covariance (ANCOVA) model was used to fit change at week 19. The group of treatment was considered as a fixed effect of the model while the baseline value as covariate. Last observation carried forward (LOCF) method was applied to handle missing data.
Time frame: Baseline to week 19