Phase 2 · Survodutide

NCT04771273 trial results

Multicenter, Double-blind, Parallel-group, Randomized, 48 Weeks, Dose-ranging, Placebo-controlled Phase II Trial to Evaluate Efficacy, Safety and Tolerability of Multiple Subcutaneous (s.c.) Doses of BI 456906 in Patients With Non-alcoholic Steatohepatitis (NASH) and Fibrosis.

Improvement (Yes/ no) From Baseline in Liver Histological Findings Based on Liver Biopsy After 48 Weeks of Treatment in Patients With NASH (NAS ≥ 4, Fibrosis F1-F3) - Actual Maintenance Treatment (Percentage of participants), At baseline and at 48 weeks.. Survodutide 2.4 mg - Actual Maintenance Treatment: 38.7; Survodutide 4.8 mg - Actual Maintenance Treatment: 63.8; Survodutide 6.0 mg - Actual Maintenance Treatment: 55.8; Placebo - Actual Maintenance Treatment: 15.2.

Participants
295
Status
completed
Completed
2023-12-21
Sponsor
Boehringer Ingelheim

As posted on ClinicalTrials.gov (NCT04771273), updated at source Dec 3, 2024. Read again whenever the registry updates it. Registry figures can differ from a published paper, which may use another analysis.

Primary outcome

What NCT04771273 measured first

Improvement (Yes/ no) From Baseline in Liver Histological Findings Based on Liver Biopsy After 48 Weeks of Treatment in Patients With NASH (NAS ≥ 4, Fibrosis F1-F3) - Actual Maintenance TreatmentPercentage of participants · At baseline and at 48 weeks. · number
Survodutide 2.4 mg - Actual Maintenance Treatmentn=93Survodutide 4.8 mg - Actual Maintenance Treatmentn=69Survodutide 6.0 mg - Actual Maintenance Treatmentn=52Placebo - Actual Maintenance Treatmentn=79
38.763.855.815.2
Improvement (Yes/ no) From Baseline in Liver Histological Findings Based on Liver Biopsy After 48 Weeks of Treatment in Patients With NASH (NAS ≥ 4, Fibrosis F1-F3) - Planned Maintenance Treatmentpercentage of participants · At baseline and after 48 weeks of treatment. · number
Survodutide 2.4 mg - Planned Maintenance Treatmentn=73Survodutide 4.8 mg - Planned Maintenance Treatmentn=72Survodutide 6.0 mg - Planned Maintenance Treatmentn=74Placebo - Planned Maintenance Treatmentn=74
46.662.543.213.5
Side effects by arm

Side effects in NCT04771273

Percent of participants affected, [All-Cause Mortality], [Serious Adverse Events], [Other Adverse Events]: From first study drug administration until last study drug administration plus 28 days of residual effect period (REP), up to.... The most common events the registry lists.

EventSurvodutide 2.4 mg - Actual Maintenance TreatmentSurvodutide 4.8 mg - Actual Maintenance TreatmentSurvodutide 6.0 mg - Actual Maintenance TreatmentPlacebo - Actual Maintenance Treatment
Any serious event5.4%10.1%9.6%6.3%
Nausea64.5%66.7%63.5%27.8%
Diarrhoea40.9%53.6%55.8%25.3%
Vomiting40.9%47.8%28.8%7.6%
Constipation17.2%17.4%28.8%17.7%
Headache22.6%17.4%11.5%16.5%
COVID-1920.4%21.7%9.6%20.3%
Decreased appetite21.5%13%15.4%10.1%
Dyspepsia15.1%8.7%21.2%3.8%
Fatigue19.4%14.5%15.4%8.9%
Nasopharyngitis6.5%17.4%7.7%12.7%
Abdominal distension16.1%14.5%17.3%8.9%
Eructation12.9%13%15.4%2.5%
Flatulence8.6%8.7%15.4%5.1%
Arthralgia4.3%5.8%9.6%15.2%
Urinary tract infection7.5%1.4%13.5%6.3%
Back pain8.6%4.3%13.5%8.9%
Abdominal pain12.9%7.2%9.6%5.1%
Dizziness11.8%7.2%5.8%7.6%
Early satiety2.2%2.9%11.5%1.3%
Gastrooesophageal reflux disease8.6%10.1%5.8%6.3%
Cough5.4%1.4%3.8%10.1%
Malaise2.2%1.4%9.6%0%
Alopecia0%1.4%7.7%0%
Rash1.1%4.3%7.7%3.8%
Injection site bruising3.2%1.4%1.9%7.6%
Secondary outcomes

What else it measured

Improvement of Liver Fat Content (Yes/ no) Defined as at Least 30% Relative Reduction in Liver Fat Content After 48 Weeks of Treatment Compared to Baseline Assessed by MRI-PDFF - Actual Maintenance TreatmentPercentage of participants · At baseline and after 48 weeks. · number
Survodutide 2.4 mg - Actual Maintenance Treatmentn=93Survodutide 4.8 mg - Actual Maintenance Treatmentn=69Survodutide 6.0 mg - Actual Maintenance Treatmentn=52Placebo - Actual Maintenance Treatmentn=79
50.566.776.916.5
Improvement of Liver Fat Content (Yes/ no) Defined as at Least 30% Relative Reduction in Liver Fat Content After 48 Weeks of Treatment Compared to Baseline Assessed by MRI-PDFF - Planned Maintenance TreatmentPercentage of participants · At baseline and at 48 weeks. · number
Survodutide 2.4 mg - Planned Maintenance Treatmentn=73Survodutide 4.8 mg - Planned Maintenance Treatmentn=72Survodutide 6.0 mg - Planned Maintenance Treatmentn=74Placebo - Planned Maintenance Treatmentn=74
63.066.756.813.5
Absolute Change of Liver Fat Content From Baseline After 48 Weeks of Treatment Assessed by MRI-PDFF - Actual Maintenance Treatmentpercentage of liver fat content · MMRM included measurements from baseline and at Week 28 and at Week 48 after first drug administration. MMRM estimates of absolute change from baseline to Week 48 is reported. · least squares mean
Survodutide 2.4 mg - Actual Maintenance Treatmentn=68Survodutide 4.8 mg - Actual Maintenance Treatmentn=60Survodutide 6.0 mg - Actual Maintenance Treatmentn=51Placebo - Actual Maintenance Treatmentn=73
-10.48(-11.92 to -9.04)-12.80(-14.32 to -11.28)-12.96(-14.62 to -11.30)-1.89(-3.26 to -0.51)
Absolute Change of Liver Fat Content From Baseline After 48 Weeks of Treatment Assessed by MRI-PDFF - Planned Maintenance Treatmentpercentage of liver fat content · MMRM included measurements from baseline and at Week 28 and at Week 48 after first drug administration. MMRM estimates of absolute change from baseline to Week 48 is reported. · least squares mean
Survodutide 2.4 mg - Planned Maintenance Treatmentn=61Survodutide 4.8 mg - Planned Maintenance Treatmentn=64Survodutide 6.0 mg - Planned Maintenance Treatmentn=58Placebo - Planned Maintenance Treatmentn=69
-10.73(-12.25 to -9.22)-12.40(-13.90 to -10.91)-12.48(-14.06 to -10.89)-1.61(-3.04 to -0.19)
Percent Change of Liver Fat Content From Baseline After 48 Weeks of Treatment Assessed by MRI-PDFF - Actual Maintenance Treatmentpercent change of liver fat content · MMRM included measurements from baseline and at Week 28 and at Week 48 after first drug administration. MMRM estimates of percent change from baseline to Week 48 is reported. · least squares mean
Survodutide 2.4 mg - Actual Maintenance Treatmentn=68Survodutide 4.8 mg - Actual Maintenance Treatmentn=60Survodutide 6.0 mg - Actual Maintenance Treatmentn=51Placebo - Actual Maintenance Treatmentn=73
-50.92(-58.05 to -43.80)-62.79(-70.26 to -55.32)-64.30(-72.48 to -56.12)-7.28(-14.06 to -0.50)
Percent Change of Liver Fat Content From Baseline After 48 Weeks of Treatment Assessed by MRI-PDFF - Planned Maintenance Treatmentpercent change of liver fat content · MMRM included measurements from baseline and at Week 28 and at Week 48 after first drug administration. MMRM estimates of percent change from baseline to Week 48 is reported. · least squares mean
Survodutide 2.4 mg - Planned Maintenance Treatmentn=61Survodutide 4.8 mg - Planned Maintenance Treatmentn=64Survodutide 6.0 mg - Planned Maintenance Treatmentn=58Placebo - Planned Maintenance Treatmentn=69
-52.20(-59.66 to -44.75)-60.82(-68.16 to -53.48)-61.97(-69.78 to -54.16)-5.71(-12.70 to 1.28)
Improvement of Fibrosis (Yes/ no) Defined as at Least One Stage Decrease in Fibrosis Stage After 48 Weeks of Treatment Assessed by Liver Biopsy - Actual Maintenance TreatmentPercentage of participants · At baseline and after 48 weeks of treatment. · number
Survodutide 2.4 mg - Actual Maintenance Treatmentn=93Survodutide 4.8 mg - Actual Maintenance Treatmentn=69Survodutide 6.0 mg - Actual Maintenance Treatmentn=52Placebo - Actual Maintenance Treatmentn=79
30.134.844.221.5
Improvement of Fibrosis (Yes/ no) Defined as at Least One Stage Decrease in Fibrosis Stage After 48 Weeks of Treatment Assessed by Liver Biopsy - Planned Maintenance TreatmentPercentage of participants · At baseline and after 48 weeks of treatment. · number
Survodutide 2.4 mg - Planned Maintenance Treatmentn=73Survodutide 4.8 mg - Planned Maintenance Treatmentn=72Survodutide 6.0 mg - Planned Maintenance Treatmentn=74Placebo - Planned Maintenance Treatmentn=74
34.236.133.821.6
Absolute Change From Baseline in NAS After 48 Weeks of Treatment Assessed by Liver Biopsy - Actual Maintenance Treatmentunits on a scale · At baseline and 48 weeks of treatment. · mean
Survodutide 2.4 mg - Actual Maintenance Treatmentn=56Survodutide 4.8 mg - Actual Maintenance Treatmentn=53Survodutide 6.0 mg - Actual Maintenance Treatmentn=44Placebo - Actual Maintenance Treatmentn=66
-2.8(1.8)-3.2(1.8)-3.3(2.0)-0.4(1.6)
Absolute Change From Baseline in NAS After 48 Weeks of Treatment Assessed by Liver Biopsy - Planned Maintenance Treatmentunits on a scale · At baseline and 48 weeks of treatment. · mean
Survodutide 2.4 mg - Planned Maintenance Treatmentn=53Survodutide 4.8 mg - Planned Maintenance Treatmentn=55Survodutide 6.0 mg - Planned Maintenance Treatmentn=48Placebo - Planned Maintenance Treatmentn=63
-2.8(1.8)-3.2(1.8)-3.3(1.9)-0.2(1.5)
The trial

How NCT04771273 was run

This study is open for men and women with a liver disease called nonalcoholic steatohepatitis (NASH) and liver fibrosis. The purpose of the study is to find out whether a medicine called BI 456906 helps patients with NASH and liver fibrosis. The study tests 3 different doses of BI 456906 to find the dose that helps best. Participants are put into 4 groups randomly, which means by chance. There are 3 groups that each receive a different dose of BI 456906 and there is 1 group that receives placebo. BI 456906 and placebo are given as an injection under the skin once per week. The placebo injection looks like the BI 456906 injection but does not contain any medicine. Participants are in the study for a little over 1 year (60 weeks). During this time, they visit the study site several times and have some video calls in addition. At the visits, the study doctors take different measurements. To see whether the treatment works, the doctors take a very small sample of liver tissue (biopsy) from each participant at the start and at the end of the study. They also examine the liver by ultrasound and MRI. The doctors also regularly check the general health of the participants.

  • Survodutide 2.4 mg - planned maintenance treatment
  • Survodutide 4.8 mg - planned maintenance treatment
  • Survodutide 6.0 mg - planned maintenance treatment
  • Placebo - planned maintenance treatment
Who could join the trial

Inclusion Criteria: 1. Male or female patients ≥ 18 years (or who are of legal age in countries where that is greater than 18 years) and ≤ 80 years of age at time of consent. 2. Diagnosis of non-alcoholic steatohepatitis (NASH) (Non-alcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) ≥ 4, with at least 1 point in inflammation and ballooning each) and fibrosis stage F1-F3 proven by a biopsy conducted during the screening period or by a historical biopsy conducted within the last 6 months prior to randomization and stable body weight defined as less than 5% self-reported change in body weight between the historical biopsy and randomization, if a historical biopsy is used. 3. Liver fat fraction ≥ 8% measured by Magnetic Resonance Imaging (MRI)-Proton Density Fat Fraction (PDFF) and liver stiffness \> 6.0 kPa measured by FibroScan® at Visit 1 (if biopsy is scheduled during the screening period MRI-PDFF and FibroScan® assessments have to be performed prior to the biopsy). However, the diagnosis of NASH and fibrosis at liver biopsy (including historical biopsy) is the primary assessment to establish patient eligibility. 4. Patients willing and able to undergo liver biopsies per protocol as judged by the Investigator. 5. Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial. 6. Women of childbearing potential (WOCBP)1 must be willing and able to use two forms of effective contraception where at least one form is highly effective methods of birth control per International Council on Harmonisation (ICH) M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the patient information. Further inclusion criteria apply. Exclusion Criteria: 1. Current or history of significant alcohol consumption (defined as intake of \> 210 g/ week in males and \> 140 g/ week in females on average over a consecutive period of more than 3 months) or inability to reliably quantify alcohol consumption based on Investigator judgement within the last 5 years. 2. Intake of medications historically associated with liver injury, hepatic steatosis or steatohepatitis within 12 weeks prior to Visit 1. Intake of restricted medications or any medications considered likely to interfere with the safe conduct of the trial. 3. History of other forms of chronic liver disease (e.g., viral hepatitis, autoimmune liver disease, primary biliary sclerosis, primary sclerosing cholangitis, Wilson's disease, hemochromatosis, Alpha-1 Antitrypsin (A1At) deficiency, history of liver transplantation). Hepatitis B and C testing will be done at Visit 1. Patients with positive Hepatitis B surface antigen (HBsAg) should be excluded. Patients treated for hepatitis C must have a negative RNA test at screening and also be Hepatitis C Virus (HCV) RNA negative for at least 3 years prior to screening in order to be...

Published papers

Papers from NCT04771273

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

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