Phase 2 · Semaglutide

NCT03987074 trial results

A Proof of Concept, Open-Label Study Evaluating the Safety, Tolerability, and Efficacy of Monotherapy and Combination Regimens in Subjects With Nonalcoholic Steatohepatitis (NASH)

Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) (percentage of participants), First dose date up to Week 24 plus 30 days. Semaglutide: 81.0; Semaglutide + Firsocostat 20 mg: 86.4; Semaglutide + Cilofexor 30 mg: 81.8; Semaglutide + Cilofexor 100 mg: 72.7; Semaglutide + Firsocostat 20 mg + Cilofexor 30 mg: 90.5.

Participants
109
Status
completed
Completed
2020-07-13
Sponsor
Gilead Sciences

As posted on ClinicalTrials.gov (NCT03987074), updated at source Jul 15, 2021. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What NCT03987074 measured first

Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)percentage of participants · First dose date up to Week 24 plus 30 days · number
Semaglutiden=21Semaglutide + Firsocostat 20 mgn=22Semaglutide + Cilofexor 30 mgn=22Semaglutide + Cilofexor 100 mgn=22Semaglutide + Firsocostat 20 mg + Cilofexor 30 mgn=21
81.086.481.872.790.5
Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalitiespercentage of participants · First dose date up to 24 weeks plus 30 days · number
MeasureSemaglutiden=21Semaglutide + Firsocostat 20 mgn=22Semaglutide + Cilofexor 30 mgn=22Semaglutide + Cilofexor 100 mgn=22Semaglutide + Firsocostat 20 mg + Cilofexor 30 mgn=21
Grade 161.963.636.450.066.7
Grade 223.822.731.818.29.5
Grade 30.04.50.00.00.0
Grade 40.00.00.09.10.0
Side effects by arm

Side effects in NCT03987074

Percent of participants affected, First dose date up to 24 weeks plus 30 days. The most common events the registry lists.

EventSemaglutideSemaglutide + Firsocostat 20 mgSemaglutide + Cilofexor 30 mgSemaglutide + Cilofexor 100 mgSemaglutide + Firsocostat 20 mg + Cilofexor 30 mg
Any serious event4.8%0%0%4.5%0%
Nausea42.9%13.6%36.4%27.3%66.7%
Vomiting4.8%9.1%9.1%4.5%28.6%
Decreased appetite19%18.2%27.3%0%14.3%
Constipation9.5%9.1%22.7%13.6%23.8%
Diarrhoea23.8%18.2%22.7%4.5%14.3%
Arthralgia23.8%0%0%9.1%0%
Abdominal pain4.8%18.2%4.5%4.5%9.5%
Gastrooesophageal reflux disease0%18.2%4.5%0%0%
Hypoglycaemia0%9.1%18.2%0%0%
Abdominal pain upper14.3%4.5%4.5%0%9.5%
Abdominal distension0%13.6%0%0%0%
Early satiety4.8%13.6%0%0%0%
Fatigue9.5%4.5%13.6%4.5%9.5%
Gastroenteritis0%4.5%0%13.6%4.8%
Dizziness9.5%4.5%13.6%9.1%0%
Headache4.8%13.6%4.5%4.5%4.8%
Dyspepsia9.5%4.5%9.1%4.5%4.8%
Eructation4.8%0%4.5%0%9.5%
Pyrexia0%0%0%0%9.5%
Upper respiratory tract infection4.8%4.5%9.1%0%9.5%
Dysuria4.8%0%0%4.5%9.5%
Rhinitis allergic0%4.5%0%0%9.5%
Pruritus0%0%4.5%9.1%9.5%
Vision blurred0%0%9.1%0%0%
Visual impairment0%9.1%0%0%0%
The trial

How NCT03987074 was run

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

  • Semaglutide: Semaglutide 0.24 mg - 2.4 mg (dose escalated over 16 weeks) for 24 weeks
  • Semaglutide + Firsocostat 20 mg: Semaglutide 0.24 mg - 2.4 mg (dose escalated over 16 weeks) + firsocostat 20 mg for 24 weeks
  • Semaglutide + Cilofexor 30 mg: Semaglutide 0.24 mg - 2.4 mg (dose escalated over 16 weeks) + cilofexor 30 mg for 24 weeks
  • Semaglutide + Cilofexor 100 mg: Semaglutide 0.24 mg - 2.4 mg (dose escalated over 16 weeks) + cilofexor 100 mg for 24 weeks
  • Semaglutide + Firsocostat 20 mg + Cilofexor 30 mg: Semaglutide 0.24 mg - 2.4 mg (dose escalated over 16 weeks) + firsocostat 20 mg + cilofexor 30 mg for 24 weeks
Who could join the trial

Key Inclusion Criteria: * Historical liver biopsy consistent with NASH with stage 2-3 fibrosis according to NASH Clinical Research Network (CRN) classification OR clinical diagnosis of nonalcoholic fatty liver disease and screening FibroTest, magnetic resonance imaging - proton density fat fraction (MRI-PDFF), and FibroScan * Screening laboratory parameters, as determined by central laboratory: * Alanine aminotransferase (ALT) ≤ 5 x upper limit of the normal range (ULN) * Estimated glomerular filtration rate (eGFR) ≥ 30 milliliter/minute (mL/min), as calculated by the Modification of Diet in Renal Disease (MDRD) study equation * HbA1c ≤ 9.5% * International normalized ratio (INR) ≤ 1.2, unless due to therapeutic anti-coagulation therapy * Platelet count ≥ 100,000/μL * Total bilirubin \< 1.3 x ULN unless alternate etiology such as Gilbert's syndrome present * Calcitonin ≤ 100 ng/L * Body Mass Index (BMI) \> 23 kg/m\^2 and body weight of \> 60 kg Key Exclusion Criteria: * Any historical liver biopsy consistent with cirrhosis * Any history of decompensated liver disease, including ascites, hepatic encephalopathy, or variceal bleeding * Other causes of liver disease, including but not limited to: alcoholic liver disease, hepatitis B, hepatitis C, autoimmune disorders (eg, primary biliary cholangitis (PBC), primary sclerosing cholangitis (PSC), autoimmune hepatitis), drug-induced hepatotoxicity, Wilson disease, clinically significant iron overload, or alpha-1-antitrypsin deficiency requiring treatment * History of liver transplantation * History of hepatocellular carcinoma * History of pancreatitis (acute or chronic) * Personal or first degree relative(s) history of multiple endocrine neoplasia type 2 or medullary thyroid carcinoma * Treatment with glucagon-like peptide-1 receptor agonists (GLP-1 RA) in the period from 90 days prior to the date of the Screening Visit * Individuals on antidiabetic medications must be on a stable dose for at least 90 days prior to the date of the Screening Visit and in the period between the date of the Screening Visit and Enrollment (Day -14) Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Published papers

Papers from NCT03987074

Trial averages do not predict what one person will experience. Results are shown as the registry posts them, without interpretation.

GLPcompare is an informational data platform, not a medical provider or pharmacy. Nothing here is medical advice, a diagnosis, or a recommendation to start, stop, or change any treatment. Data is aggregated from public sources and can be incomplete or out of date. Always confirm with a licensed clinician and the current FDA label.