Nonalcoholic Steatohepatitis (NASH) With FibrosisPhase 3RESOLVE-ITNCT02704403
Phase 3 Study to Evaluate the Efficacy and Safety of Elafibranor Versus Placebo in Patients With Nonalcoholic Steatohepatitis (NASH)
A Phase 3 study testing Elafibranor in people with Nonalcoholic Steatohepatitis (NASH) With Fibrosis, run by Genfit at 326 sites in 25 countries.
Trial summary
The primary objectives of this study are to evaluate the effect of Elafibranor treatment compared to placebo on 1) histological improvement and 2) all-cause mortality and liver-related outcomes in patients with nonalcoholic steatohepatitis (NASH) and fibrosis. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Nonalcoholic Steatohepatitis (NASH) With Fibrosis
- What is being tested?
- Elafibranor
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,157 participants
- Where
- 326 sitesin 25 countries
- Study dates
- Mar 2016to 28 Oct 2020
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males or females aged from 18 to 75 years inclusive at first screening visit.
- Must provide signed written informed consent and agree to comply with the study protocol.
- Females participating in this study must be of nonchildbearing potential or using highly efficient contraception for the full duration of the study and for 1 month after the end of treatment, as described below:
- Cessation of menses for at least 12 months due to ovarian failure,
- Surgical sterilization such as bilateral oopherectomy, hysterectomy, or medically documented ovarian failure
- If requested by local IRB regulations and/or National laws, sexual abstinence may be considered adequate (the reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the patient)
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- Using a highly effective nonhormonal method of contraception (bilateral tubal occlusion, vasectomized partner, or intra-uterine device)
- Double contraception with barrier AND highly effective hormonal method of contraception (oral, intravaginal, or transdermal combined estrogen and progestogen hormonal contraception associated with inhibition of ovulation; oral, injectable, or implantable progestogen-only hormonal contraception associated with inhibition of ovulation; or intrauterine hormone-releasing system). The hormonal contraception must be started at least 1 month prior to Randomization.
- Histological confirmation of steatohepatitis on a diagnostic liver biopsy by central reading of the slides (biopsy obtained within 6 months prior to randomization or during the screening period) with at least 1 in each component of the NAS score (steatosis scored 0-3, ballooning degeneration scored 0-2, and lobular inflammation scored 0-3).
- NAS score ≥4.
- Fibrosis stage of 1 or greater and below 4, according to the NASH CRN fibrosis staging system.
- Stable dose of vitamin E, polyunsaturated fatty acids, or ursodeoxycholic acid from at least 6 months prior to diagnostic liver biopsy
- For participants with type 2 diabetes, glycemia must be controlled. If glycemia is controlled by antidiabetic drugs, change in anti-diabetic therapy must follow these requirements:
- No qualitative change 6 months prior to diagnostic liver biopsy up to Randomization (i.e., implementation of a new anti-diabetic therapy) for participants treated with metformin, gliptins, sulfonylureas, sodium/glucose cotransporter (SGLT) 2 inhibitors, glucagon-like peptide (GLP)-1 agonists, or insulin. Dose changes of these medications are allowed in the 6 months prior to diagnostic liver biopsy, except for GLP-1 agonists, which must remain on stable dose in the 6 months prior to diagnostic liver biopsy.
- No implementation of GLP-1 agonists and SGLT2 inhibitors up to 72 weeks of treatment (Visit 7).
- Initiation of any other antidiabetic drugs is allowed after Randomization based on treating physicians' judgment, except for glitazones which are prohibited 6 months prior to diagnostic liver biopsy until the end of treatment.
Who cannot join
- Known heart failure (Grade I to IV of New York Heart Association classification).
- History of efficient bariatric surgery within 5 years prior to screening.
- Uncontrolled hypertension during the Screening Period despite optimal antihypertensive therapy
- Type 1 diabetes participants .
- Participants with decompensated diabetes (HbA1c>9%).
- Participants with a history of clinically significant acute cardiac event within 6 months prior to screening
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- Weight loss of more than 5% within 6 months prior to randomization
- Compensated and decompensated cirrhosis
- Current or recent history (<5 years) of significant alcohol consumption
- Pregnant or lactating females or females planning to become pregnant during the study period.
- Other well documented causes of chronic liver disease according to standard diagnostic procedures
- Participants with previous exposure to Elafibranor
- Prohibited concomitant medication
- Any medical conditions that may diminish life expectancy to less than 2 years including known cancers.
- Evidence of any other unstable or untreated clinically significant immunological, endocrine, hematological, gastrointestinal, neurological, neoplastic or psychiatric disease.
- Mental instability or incompetence, such that the validity of informed consent or ability to be compliant with the study is uncertain.
- Participants with biological criteria exclusion as per effective protocol
Trial locations and contacts
326 sites in 25 countries.
326 sites in 25 countries
United States153 sites
Southwest Gastroenterology Associates
Albuquerque, New Mexico, 87109
Texas Clinical Research Institute
Arlington, Texas, 76012
Asheville Gastroenterology Associates
Asheville, North Carolina, 28801
Summit Clinical Research
Athens, Georgia, 30607
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Piedmont Atlanta Hospital
Atlanta, Georgia, 30309
Atlanta Medical Center, Inc.
Atlanta, Georgia, 30312
Johns Hopkins Hospital
Baltimore, Maryland, 21205
Walter Reed National Military Medical Center
Bethesda, Maryland, 20889
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Excel Medical Clinical Trials LLC
Boca Raton, Florida, 33434
Tufts Medical Center
Boston, Massachusetts, 02111
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center (BIDMC)
Boston, Massachusetts, 02215
University at Buffalo, Clinical and Translational Research Center
Buffalo, New York, 14203
The Institute for Liver Health
Chandler, Arizona, 85224
UNC Health Care System
Chapel Hill, North Carolina, 27599
Ralph H. Johnson VA Medical Center
Charleston, South Carolina, 29401
Medical University of South Carolina (MUSC)
Charleston, South Carolina, 29425
Medical University of South Carolina
Charleston, South Carolina, 29425
Carolinas Medical Center
Charlotte, North Carolina, 28204
University of Virginia Health System
Charlottesville, Virginia, 22908
University of Virginia
Charlottesville, Virginia, 22908
Northwestern Memorial Hospital - Arkes Family Pavilion
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60637
The University of Chicago Medical Center
Chicago, Illinois, 60637
University of Chicago
Chicago, Illinois, 60637
GW Research, Inc.
Chula Vista, California, 91910
Consultants for Clinical Research
Cincinnati, Ohio, 45249
Ohio Gastroenterology & Liver Institute
Cincinnati, Ohio, 45249
University of Cincinnati Physicians Company , LLC
Cincinnati, Ohio, 45267
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210
Southern California Research Center
Coronado, California, 92118
Methodist Dallas Medical Center
Dallas, Texas, 75203
Liver Center of Texas
Dallas, Texas, 75234
Henry Ford Health System, Division of Gastroenterology & Hepatology
Detroit, Michigan, 48202
Integrity Clinical Research LLC
Doral, Florida, 33166
Digestive Health Specialists of the Southeast
Dothan, Alabama, 36305
Duke Gastroenterology
Durham, North Carolina, 22710
South Denver Gastroenterology
Englewood, Colorado, 80113
Inova Fairfax Medical Campus - Center for Liver Disease
Falls Church, Virginia, 22042
Cumberland Research Associates, LLC
Fayetteville, North Carolina, 28304
Gastrointestinal Associates & Endoscopy Center
Flowood, Mississippi, 39232
Baylor All Saints Medical Center - Baylor Research Institute
Fort Worth, Texas, 76104
University of California, San Francisco, Fresno Community Regional Medical Center
Fresno, California, 93701-2302
Fresno Clinical Research Center
Fresno, California, 93720
University of California, San Francisco, Fresno Community Regional Medical Center
Fresno, California, 93721
University of Florida
Gainesville, Florida, 32610
DHAT Research Institute
Garland, Texas, 75044
The Institute for Liver Health
Glendale, Arizona, 85306
Gastroenterology Associates of Hazard
Hazard, Kentucky, 41701
Associates in Gastroenterology, PLC
Hermitage, Tennessee, 37076
The Queen's Medical Center
Honolulu, Hawaii, 96813
Baylor College of Medicine
Houston, Texas, 77030
Liver Associates of Texas, P.A.
Houston, Texas, 77030
Research Specialists of Texas
Houston, Texas, 77030
Centex Studies Inc.
Houston, Texas, 77058
Gulf Coast Research Group LLC
Houston, Texas, 77098
Brooke Army Medical Center
Houston, Texas, 78234
Carolinas Center for Liver Disease, Carolinas HealthCare System/Atrium Health
Huntersville, North Carolina, 28078
Nature Coast Clinical Research
Inverness, Florida, 34452
University of Mississippi Medical Center
Jackson, Mississippi, 39216
Mayo Clinic Hospital
Jacksonville, Florida, 32224
St. Luke's Liver Transplant & Specialist
Kansas City, Missouri, 64111
Kansas City VA Medical Center
Kansas City, Missouri, 64128
Kansas City Research Institute
Kansas City, Missouri, 64131
Scripps Clinic Torrey Pines
La Jolla, California, 92037
University of California - San Diego
La Jolla, California, 92037
Florida Digestive Health Specialists, LLP
Lakewood Rch, Florida, 34211-4930
Atlantic Gastroenterology Associates, LLC
Lakewood Rch, Florida, 34211
University of Kentucky Chandler Medical Center
Lexington, Kentucky, 40536
Liver Wellness Center
Little Rock, Arkansas, 72205
Gastroenterology Consultants of San Antonio
Live Oak, Texas, 78233
Loma Linda University Medical Center - Transplantation Insitute
Loma Linda, California, 92354
VA Long Beach Healthcare System
Long Beach, California, 90822
Keck Hospital of USC
Los Angeles, California, 90033
Ruane Clinical Research Group Inc.
Los Angeles, California, 90036
Cedars Sinai Medical Center
Los Angeles, California, 90048
Gastrointestinal Biosciences Clinical Trials LLC
Los Angeles, California, 90067
Veterans Affaires Greater Los Angeles Healthcare System, West LA VA Medical Center
Los Angeles, California, 90073
Veterans Affairs Greater Los Angeles Healthcare System
Los Angeles, California, 90073
University of Louisville Medical / Dental Complex
Louisville, Kentucky, 40202
Hofstra Northwell School of Medicine
Manhasset, New York, 11030
Gastrointestinal Specialists of Georgia, PC
Marietta, Georgia, 30060-8949
Loyola University Chicago
Maywood, Illinois, 60153
Centex Studies Inc
McAllen, Texas, 78504
Methodist University Hospital
Memphis, Tennessee, 38103
Miami VA Healthcare System
Miami, Florida, 33125-1624
University of Miami - Miller School of Medicine
Miami, Florida, 33136
University of Miami - Schiff Center for Liver Diseases
Miami, Florida, 33136
Diabetes & Endocrinology Consultants
Morehead City, North Carolina, 28557
Quality Medical Research, PLLC
Nashville, Tennessee, 37211
Rutgers, Robert Wood Johnson Medical School
New Brunswick, New Jersey, 89030
Yale University School of Medicine, Section of Digestive Diseases
New Haven, Connecticut, 65200
Tulane University School of Medicine
New Orleans, Louisiana, 70112
Concorde Medical Group
New York, New York, 10016
New York University Langone Medical Center
New York, New York, 10016
Weill Medical College of Cornell University
New York, New York, 10021
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
New York-Presbyterian Hospital - Columbia University Medical Center
New York, New York, 10032
Beth Israel Medical Center
New York, New York, 45267
Rutgers, New Jersey Medical School
Newark, New Jersey, 07103
Bon Secours Liver Institute of Virginia - Newport News
Newport News, Virginia, 23602
Alliance Clinical Research
Oceanside, California, 92056
National Research Institute
Panorama City, California, 91402
Drexel University, College of Medicine
Philadelphia, Pennsylvania, 19102
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Temple University Health System
Philadelphia, Pennsylvania, 19140
Albert Einstein Medical Center
Philadelphia, Pennsylvania, 19141
Banner University Medical Center Phoenix
Phoenix, Arizona, 85006
Dignity Health St. Joseph's Hospital
Phoenix, Arizona, 85013
Mayo Clinic Hospital
Phoenix, Arizona, 85054
UPMC Montefiore
Pittsburgh, Pennsylvania, 15213
Premier Medical Group
Poughkeepsie, New York, 12601
Alliance Clinical Research
Poway, California, 92064
Rhode Island Hospital
Providence, Rhode Island, 02903
Wake Research Associates
Raleigh, North Carolina, 27612
Bon Secours Liver Institute of Virginia - Richmond
Richmond, Virginia, 23226
Hunter Holmes McGuire VA Medical Center
Richmond, Virginia, 23249
Virginia Commonwealth University
Richmond, Virginia, 23298
Kaiser Permanente Shady Grove Medical Center
Rockville, Maryland, 20850
Pinnacle Clinical Research, PLLC
Rollingwood, Texas, 78746
University of California, Davis Medical Center
Sacramento, California, 95817
University of Utah School of Medicine
Salt Lake City, Utah, 84132
The Texas Liver Institute, Inc.
San Antonio, Texas, 78215
Pinnacle Clinical Research, PLLC
San Antonio, Texas, 78229
University of California, San Diego Airway Research and Clinical Trials Center
San Diego, California, 92103
Medical Associates Research Group, Inc.
San Diego, California, 92123
VA San Diego HealthCare System
San Diego, California, 92161
Quest Clinical Research
San Francisco, California, 94115
Sutter West Bay Hospitals dba California Pacific Medical Center
San Francisco, California, 94115
University of California, San Francisco, Medical Center at Parnassus
San Francisco, California, 94143
Harborview Medical Center
Seattle, Washington, 98104-2420
Swedish Organ Transplant and Liver Center
Seattle, Washington, 98104
Louisiana Research Center, LLC
Shreveport, Louisiana, 71105
Texas Digestive Consultants (TDDC)
Southlake, Texas, 76092-9167
Kaiser Permanente Springfield Medical Center
Springfield, Virginia, 22150
Saint Louis University School of Medicine
St Louis, Missouri, 63104
Piedmont Healthcare
Statesville, North Carolina, 28677
Montefiore Medical Center
The Bronx, New York, 10467
Institute for Liver Health
Tucson, Arizona, 85711
Adobe Clinical Research, LLC
Tucson, Arizona, 85712
The University of Arizona College of Medicine Liver Research Institute
Tucson, Arizona, 85724-0001
Options Health Research, LLC
Tulsa, Oklahoma, 74104-4017
Ventura Clinical Trials
Ventura, California, 93003
Victoria Gastroenterology
Victoria, Texas, 77904
Georgetown University Hospitals
Washington D.C., District of Columbia, 20007
Sibley Memorial Hospital
Washington D.C., District of Columbia, 20016
South Florida Center of Gastroenterology, PA
Wellington, Florida, 33414
Trial Management Associates
Wilmington, North Carolina, 28403
University of Massachusetts Memorial Medical Center
Worcester, Massachusetts, 06155
Florida Medical Clinic, PA
Zephyrhills, Florida, 33542
France18 sites
CHU Amiens Picardie
Amiens, 80054
CHU Angers
Angers, 49933
Hôpital Antoine-Béclère
Clamart, 92140
Hôpital Beaujon
Clichy, 92110
Hôpital Henri Mondor
Créteil, 94000
CHU Limoges - Hôpital Dupuytren
Limoges, 87042
Hôpital de la Croix-Rousse
Lyon, 69004
Hôpital Saint Joseph
Marseille, 13285
CHRU Montpellier- Hôpital Saint Eloi
Montpellier, 34295
CHU de Nantes - Hôpital Laennec
Nantes, 44093
CHU de Nice- Hôpital de l'Archet II
Nice, 06202
Hôpital Saint-Antoine
Paris, 75012
Hopital Pitie-Salpetriere
Paris, 75013
Hôpital Cochin
Paris, 75014
Hôpital Haut-Lévêque
Pessac, 33604
CHU Toulouse - Hôpital Purpan
Toulouse, 31059
CHU Nancy - Hôpital Brabois
Vandœuvre-lès-Nancy, 54511
Hôpital Paul Brousse
Villejuif, 94800
Germany18 sites
Universitätsklinikum RWTH Aachen
Aachen, 52074
Liver Center
Berlin, 10969
Gastroenterologie am Bayerischen Platz/ Gastro-Studien
Berlin
Universitätsklinikum Bonn
Bonn, 53127
Universitätsklinikum Köln
Cologne, Northwest, 50937
Universitätsklinikum Köln
Cologne, 50937
Universitätsklinikum Essen
Essen, 45147
Universitätsklinikum Frankfurt - Goethe Universität
Frankfurt, 60590
Universitätsklinikum Freiburg
Freiburg im Breisgau, 79106
Asklepios Klinik St. Georg
Hamburg, 20099
Universitätsklinikum Hamburg-Eppendorf (UKE)
Hamburg, 20246
Medizinische Hochschule Hannover (MHH)
Hanover, 30625
Universitätsklinikum Heidelberg
Heidelberg, 69120
EUGASTRO GmbH
Leipzig, 04103
Universitätsklinikum Leipzig
Leipzig, 04103
Universitätsklinikum Magdeburg
Magdeburg, 39120
Universitätsmedizin der Johannes Gutenberg-Universität Mainz
Mainz, 55131
Universitätsklinikum Würzburg
Würzburg, 97080
Argentina14 sites
Hospital Alemán
Buenos Aires, 1118
Centro de Investigación y Prevención Cardiovascular SA (CIPREC)
Buenos Aires, 1119
Fundación Sanatorio Güemes
Buenos Aires, 1180
Hospital Italiano de Buenos Aires
Buenos Aires, 1181
Hospital Británico de Buenos Aires
Buenos Aires, 1280
CCBR Clinical Research
Buenos Aires, 1430
Sanatorio Güemes
Caba, Buenos Aires, 1180AAX
Axismed S.R.L
CABA, Buenos Aires, C1430CKE
Centro De Hepatologia Ciudad de La Plata
La Plata, 1704
Hospital Universitario Austral
Pilar, 1629
Dim Clinica Privada
Ramos Mejía, 1704
Hospital Provincial del Centenario
Rosario, 2000
Instituto Medico Alas
Salta, A4400ERH
Instituto de Investigaciones Clinicas San Nicolas SRL
San Nicolás de los Arroyos, Buenos Aires, 2900
Australia12 sites
Flinders Medical Centre
Bedford Park, 5042
Box Hill Hospital
Box Hill, 3128
Monash Medical Centre Clayton
Clayton, 3168
Concord Repatriation General Hospital
Concord, 2139
St. Vincent's Hospital Melbourne
Fitzroy, 3065
Austin Hospital
Heidelberg, 3084
Nepean Hospital
Kingswood, 2747
The St George Hospital
Kogarah, 2217
The Alfred Hospital
Melbourne, 3004
Fiona Stanley Hospital
Murdoch, 6150
Sir Charles Gairdner Hospital (SCGH)
Nedlands, 6009
Westmead Hospital
Westmead, 2145
United Kingdom12 sites
University Hospitals Birmingham NHS foundation Trust
Birmingham, B15 2TT
Addenbrooke's Hospital
Cambridge, CB2 0QQ
Frimley Park Hospital NHS Foundation Trust
Frimley, GU16 7UJ
Hull and East Yorkshire Hospitals NHS Trust - Hull Royal Infirmary
Hull, HU3 2JZ
Bart Health NHS Trust- Royal London Hospital
London, E1 1BB
The Royal Free London NHS Foundation Trust - The Royal Free Hospital
London, NW3 2QG
Guy's and St Thomas' NHS Foundation Trust - St Thomas' Hospital
London, SE1 7EH
St George's University Hospitals NHS Foundation Trust - St George's Hospital
London, SW170QT
The Newcastle upon Tyne Hospitals NHS Foundation Trust - Freeman Hospital
Newcastle upon Tyne, NE7 7DN
Nottingham University Hospitals NHS FoundationTrust - Queen's Medical Centre
Nottingham, NG7 2UH
Plymouth Hospitals NHS Trust - Derriford Hospital
Plymouth, PL6 8DH
Portsmouth Hospitals NHS Trust - Queen Alexandra Hospital
Portsmouth, PO6 3LY
Canada11 sites
University of Calgary, Cumming School of Medicine
Calgary, AB, T2N 4Z6
Monteregie Centre de Recherche
Greenfield Park, Quebec, J4V 2H1
Queen Elizabeth II Health Sciences Centre, Nova Scotia Health Authority
Halifax, B3H 1V7
The Montreal Chest Institute
Montreal, Quebec, H4A 3J1
Mc Gill University Health Centre (MUHC)
Montreal, H4A 3J1
Toronto General Hospital
Toronto, Ontario, M5G 2C4
Toronto Western Hospital
Toronto, Ontario, M5G 2C4
Toronto Liver Centre
Toronto, Ontario, M6H 3M1
LAIR Centre
Vancouver, British Columbia, V5Z 1H2
Vancouver General Hospital (VGH) - Gordon and Leslie Diamond Health Care Centre
Vancouver, British Columbia, V5Z 1M9
University of Manitoba
Winnipeg, MB, R3E 3P4
Italy9 sites
Azienda Ospedaliero-Universitaria di Bologna Policlinico S. Orsola-Malpighi
Bologna, 40138
Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
Milan, 20122
Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli"
Naples, 80131
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Palermo, 90127
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Palermo, 90141
Policlinico Tor Vergata
Roma, 00133
Fondazione Policlinico Universitario Agostino Gemelli
Roma, 00168
Ospedale Casa Sollievo della Sofferenza I.R.C.C.S.
San Giovanni Rotondo, 71013
Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino - Ospedale Molinette
Torino, 10126
Spain9 sites
Hospital de la Santa Creu i Sant Pau
Barcelona, 8025
Hospital Universitario Vall d'Hebron
Barcelona, 8035
Hospital Clinic i Provincial
Barcelona, 8036
Hospital Universitario 12 de Octubre
Madrid, 128041
Hospital Universitario Puerta de Hierro
Majadahonda, 28222
Hospital Universitario Virgen de la Victoria
Málaga, 29010
Complexo Hospitalario Universitario de Pontevedra
Pontevedra, 36071
Hospital Universitario Marqués de Valdecilla
Santander, 39008
Campus Hospital Universitario Virgen del Rocío - Instituto de Biomedicina de Sevilla (IBIS)
Seville, 41014
Belgium7 sites
Hôpital Erasme
Brussels, 1070
Universitair Ziekenhuis Brussel
Brussels, 1090
Cliniques Universitaires Saint-Luc
Brussels, 1200
Universitair Ziekenhuis Antwerpen
Edegem, 2650
Universitair Ziekenhuis Gent
Ghent, 9000
Universitair Ziekenhuis Leuven
Leuven, 3000
Centre Hospitalier de Wallonie Picardie (CHWAPI)
Tournai, 7500
Colombia7 sites
Solano&Terront Servicios Médicos LTDA - Unidad Integral de Endocrinologia UNIENDO
Bogotá, Bogota D.C., 110221
Fundación Cardio Infantil - Instituto de Cardiología
Bogotá, 04073-5820
Fundación Valle del Lili
Cali, 760032
Centro Medico Imbanaco
Cali, 760042
Fundacion Hospitalaria San Vicente de Paul
Medellín, 050010
Hospital Universitario San Vicente de Paul Fundación
Medellín, 50010
Hospital Pablo Tobon Uribe
Medellín, 50034
Chile6 sites
Hospital de La Serena
La Serena, 1710209
Alta Salud
Los Ángeles, 4430035
Hospital Clínico UC
Santiago, 8330024
Hospital Clínico Universidad de Chile
Santiago, 8380456
Centro de Estudios Clinicos Barros Luco SPA (Patients seen, Fibroscan stored and Drug Shipment)
Santiago, 8910108
Clínica Reñaca
Viña del Mar, 2540488
Mexico6 sites
Centro de Investigación Clínica del Pacífico, S.A de C.V.
Acapulco, 39670
Hospital Maria Auxiliadora
Guadalajara
Hospital Angeles Clinica Londres
México, DIF, 6700
Médica Sur
Mexico City, 14050
Consultorio Medico
Mexico City
Accelerium S de RL de C.V.
Monterrey
Portugal6 sites
Centro Hospitalar e Universitário de Coimbra, EPE - Hospitais da Universidade de Coimbra
Coimbra, 3000-075
Centro Hospitalar Lisboa Central, EPE - Hospital Santo António dos Capuchos
Lisbon, 1169-050
Centro Hospitalar de Lisboa Norte, EPE - Hospital Santa Maria
Lisbon, 1649-035
Centro Hospitalar de São João, EPE - Hospital de São João
Porto, 4200-319
Centro Hospitalar de São João
Porto, 4200-319
Centro Hospita de Tras-os-Montes e Alto Douro, EPE
Vila Real, 5000-508
Russia6 sites
FSBRI "Federal Research Center of nutrition and biotechnology
Moscow, 109240
I. M. Sechenov - First Moscow State Medical University
Moscow, 119991
M. F. Vladimirsky - Clinical Research Institution of Moscow Region
Moscow, 129110
Military medical academy n. a. S.M. Kirov
Saint Petersburg, 194044
City Clinical Hospital No. 31
Saint Petersburg, 197110
St Petersburg State Budgetary Healthcare Institution City Clinical Hospital N°31
Saint Petersburg, 197110
Turkey (Türkiye)6 sites
Ankara Üniversitesi Tıp Fakültesi
Ankara, 6100
Istanbul Universitesi Istanbul Tip Fakultesi
Çapa, 34093
Bezmiâlem Vakıf Üniversitesi
Fatih, 34093
Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi
Istanbul, 34766
Ege Üniversitesi
Izmir, 35040
Marmara Üniversitesi Eğitim ve Araştırma Hastanesi
Pendik, 34890
Czechia4 sites
Fakultní Nemocnice Brno
Brno, 625 00
Research Site S.R.O.
Pilsen, 30100
Research Site, s.r.o
Pilsen, 30100
KlinMed s.r.o.
Prague, 120 00
Netherlands4 sites
Vrije Universiteit Medical Center
Amsterdam, 1081 HZ
Academisch Medisch Centrum
Amsterdam, 1105 AZ
Maastricht UMC+
Maastricht, 6229 HX
Radboud UMC
Nijmegen, 6525 GA
Puerto Rico4 sites
Caparra Internal Medicine Research Center
Rio Grande, 00745
Klinical Investigations Group, LLC
San Juan, 00909
Fundacion de Investigacion de Diego
San Juan, 00927
Fundación de Investigación
San Juan, 909
Romania4 sites
Institutul National de Boli Infectioase "Prof. Dr. Matei Bals"
Bucharest, 021105
Institutul Clinic Fundeni
Bucharest, 022328
SC Cabinet Particular Policlinic Algomed SRL
Timișoara, 300002
Spitalul Clinic Judetean de Urgenta "Pius Brinzeu" Timisoara
Timișoara, 300736
Switzerland4 sites
INSELSPITAL, University Hospital Bern
Bern, 3010
Centre Hospitalier Universitaire Vaudois (CHUV)
Lausanne, 1011
Kantonsspital St. Gallen
Sankt Gallen, 9007
UniversitätsSpital Zürich
Zurich, 8091
South Africa3 sites
Tiervlei Trial Centre
Cape Town, 7530
Mediclinic Constantiaberg
Cape Town, 7800
Phoenix Pharma (Pty) Ltd
Port Elizabeth, 6001
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase III Study to Evaluate the Efficacy and Safety of Elafibranor in Patients With Nonalcoholic Steatohepatitis (NASH) and Fibrosis
The primary objectives of this study are to evaluate the effect of Elafibranor treatment compared to placebo on 1) histological improvement and 2) all-cause mortality and liver-related outcomes in patients with nonalcoholic steatohepatitis (NASH) and fibrosis.
- Being tested
- Elafibranor, Placebo
- Keywords
- Elafibranor, NASH, Nonalcoholic steatohepatitis, Fatty liver disease, Fibrosis
- Medical subject headings
- Non-alcoholic Fatty Liver Disease, Fibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ElafibranorDrug
Also called GFT505
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| 120 mg Elafibranor | Experimental | Coated tablets dosed at 120mg Elafibranor; oral administration; one tablet per day before breakfast with a glass of water Receives: Drug: Elafibranor |
| Placebo | Placebo comparator | Coated placebo tablets; oral administration; one tablet per day before breakfast with a glass of water Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Elafibranor-treated Participants Relative to Placebo Achieving Resolution of Nonalcoholic Steatohepatitis Without Worsening of Fibrosis
To evaluate the effect of Elafibranor compared to placebo on liver histology in nonalcoholic steatohepatitis (NASH) participants with fibrosis by assessing the following endpoint: The number of Elafibranor-treated participants relative to placebo achieving NASH resolution without worsening of fibrosis. This outcome measure is for the surrogate endpoint analysis.
Measured: Measurement at 72 weeks
Time to Long-term Outcome Composed of All-cause Mortality, Cirrhosis, and Liver-related Clinical Outcomes
Composite long-term outcome measured by the number of participants with the onset of any of the adjudicated events, composed of death due to any cause, histological liver cirrhosis, and the full list of portal hypertension/cirrhosis related events as follows: liver transplantation; model for end stage liver disease (MELD) score greater than or equal to 15 for participants with baseline score less than or equal to 12, and onset of variceal bleeding requiring hospitalization, hepatic encephalopathy with West Haven/Conn score greater than or equal to 2 and requiring hospitalization, spontaneous bacterial peritonitis, and ascites requiring treatment. The MELD scale ranges from 6 to 40, showing how much a participant needs a liver transplant: higher number is more urgent. The West Haven/Conn scale is 5-point (0 to 4) grading severity of hepatic encephalopathy: higher score means worse hepatic encephalopathy. This outcome measure is for the long-term endpoint analysis.
Measured: From first randomization up to early termination of the study corresponding to 54 months (54 months being the longest duration for any given participant)
Secondary outcomes (7)
Number of Elafibranor-treated Participants Relative to Placebo Achieving Improvement of Fibrosis of at Least 1 Stage
To evaluate the effect of Elafibranor compared to placebo on liver histology in nonalcoholic steatohepatitis (NASH) participants by assessing the following endpoint: The number of Elafibranor-treated participants relative to placebo achieving improvement of liver fibrosis of at least 1 stage according to NASH Clinical Research Network (CRN) Scoring. As the primary efficacy objective was not met, the secondary efficacy endpoints were not formally tested. This outcome measure is for the surrogate endpoint analysis.
Measured: Measurements at 72 weeks
Change From Baseline of Hemoglobin A1c (HbA1c) in Diabetic Participants After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
Hemoglobin A1c (HbA1c) were tested at Week 72. Changes from baseline in HbA1c at Week 72 were evaluated. As the primary efficacy objective was not met, the secondary efficacy endpoints were not formally tested. This outcome measure is for the surrogate endpoint analysis.
Measured: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of High-density Lipoprotein (HDL) Cholesterol After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
High-density lipoprotein (HDL) cholesterol was tested at Week 72. Changes from baseline in HDL cholesterol were evaluated at Week 72. As the primary efficacy objective was not met, the secondary efficacy endpoints were not formally tested. This outcome measure is for the surrogate endpoint analysis.
Measured: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of Low-density Lipoprotein (LDL) Cholesterol After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
Low-density lipoprotein (LDL) cholesterol was tested at Week 72. Changes from baseline in LDL cholesterol were evaluated at Week 72. As the primary efficacy objective was not met, the secondary efficacy endpoints were not formally tested. This outcome measure is for the surrogate endpoint analysis.
Measured: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of Homeostatic Model Assessment-IR (HOMA-IR) After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo in Non-diabetic Participants
Homeostatic model assessment-IR (HOMA-IR) was tested at Week 72. Changes from baseline in HOMA-IR were evaluated at Week 72. As the primary efficacy objective was not met, the secondary efficacy endpoints were not formally tested. This outcome measure is for the surrogate endpoint analysis.
Measured: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of Non-high Density Lipoprotein Cholesterol After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
Non-high density lipoprotein (HDL) cholesterol was tested at Week 72. Changes from baseline in non-HDL cholesterol were evaluated at Week 72. As the primary efficacy objective was not met, the secondary efficacy endpoints were not formally tested. This outcome measure is for the surrogate endpoint analysis.
Measured: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of Triglycerides After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
Triglycerides was tested at Week 72. Changes from baseline in triglycerides were evaluated at Week 72. As the primary efficacy objective was not met, the secondary efficacy endpoints were not formally tested. This outcome measure is for the surrogate endpoint analysis.
Measured: Measurements after 72 weeks of treatment and up to study termination
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Mar 2016 (estimated)
- Study startMar 2016
- Primary completion28 Oct 2020
- Study completion28 Oct 2020
Why it stopped: Study did not meet the predefined primary surrogate efficacy endpoint, no safety issues identified
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Nonalcoholic Steatohepatitis (NASH) With FibrosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 2,157 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genfit
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Carol Addy, MD MMSc, Study director, Genfit
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02704403
- Sponsor's protocol ID
- GFT505-315-1
- Other IDs
- 2015-005385-38, 2015
- Acronym
- RESOLVE-IT
- Status last verified
- Feb 2022
- First submitted
- 16 Feb 2016
- Last updated
- 23 Mar 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 23 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase III Study to Evaluate the Efficacy and Safety of Elafibranor in Patients With Nonalcoholic Steatohepatitis (NASH) and Fibrosis
- ClinicalTrials.gov ID
- NCT02704403
- Acronym / sponsor ID
- RESOLVE-IT / GFT505-315-1
- Keywords
- Elafibranor, NASH, Nonalcoholic steatohepatitis, Fatty liver disease, Fibrosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study did not meet the predefined primary surrogate efficacy endpoint, no safety issues identified
- Enrolment
- 2,157 participants (actual)
- Lead sponsor
- GenfitIndustry (pharma, biotech, devices)
- Study start
- Mar 2016
- Primary completion
- 28 Oct 2020 (actual)
- Study completion
- 28 Oct 2020 (actual)
- First posted
- 10 Mar 2016 (estimated)
- Results
- Posted 23 Mar 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objectives of this study are to evaluate the effect of Elafibranor treatment compared to placebo on 1) histological improvement and 2) all-cause mortality and liver-related outcomes in patients with nonalcoholic steatohepatitis (NASH) and fibrosis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 120 mg Elafibranor | Experimental | Drug: ElafibranorCoated tablets dosed at 120mg Elafibranor; oral administration; one tablet per day before breakfast with a glass of water |
| Placebo | Placebo comparator | Drug: PlaceboCoated placebo tablets; oral administration; one tablet per day before breakfast with a glass of water |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Males or females aged from 18 to 75 years inclusive at first screening visit.
- Must provide signed written informed consent and agree to comply with the study protocol.
- Females participating in this study must be of nonchildbearing potential or using highly efficient contraception for the full duration of the study and for 1 month after the end of treatment, as described below:
- Histological confirmation of steatohepatitis on a diagnostic liver biopsy by central reading of the slides (biopsy obtained within 6 months prior to randomization or during the screening period) with at least 1 in each component of the NAS score (steatosis scored 0-3, ballooning degeneration scored 0-2, and lobular inflammation scored 0-3).
- NAS score ≥4.
Key exclusion criteria (17 listed)
- Known heart failure (Grade I to IV of New York Heart Association classification).
- History of efficient bariatric surgery within 5 years prior to screening.
- Uncontrolled hypertension during the Screening Period despite optimal antihypertensive therapy
- Type 1 diabetes participants .
- Participants with decompensated diabetes (HbA1c>9%).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ElafibranorAlso: GFT505 | Drug | 120 mg Elafibranor |
| Placebo | Drug | Placebo |
Primary outcome
Number of Elafibranor-treated Participants Relative to Placebo Achieving Resolution of Nonalcoholic Steatohepatitis Without Worsening of Fibrosis
Time frame: Measurement at 72 weeks
To evaluate the effect of Elafibranor compared to placebo on liver histology in nonalcoholic steatohepatitis (NASH) participants with fibrosis by assessing the following endpoint: The number of Elafibranor-treated participants relative to placebo achieving NASH resolution without worsening of fibrosis. This outcome measure is for the surrogate endpoint analysis.
Time to Long-term Outcome Composed of All-cause Mortality, Cirrhosis, and Liver-related Clinical Outcomes
Time frame: From first randomization up to early termination of the study corresponding to 54 months (54 months being the longest duration for any given participant)
Composite long-term outcome measured by the number of participants with the onset of any of the adjudicated events, composed of death due to any cause, histological liver cirrhosis, and the full list of portal hypertension/cirrhosis related events as follows: liver transplantation; model for end stage liver disease (MELD) score greater than or equal to 15 for participants with baseline score less than or equal to 12, and onset of variceal bleeding requiring hospitalization, hepatic encephalopathy with West Haven/Conn score greater than or equal to 2 and requiring hospitalization, spontaneous bacterial peritonitis, and ascites requiring treatment. The MELD scale ranges from 6 to 40, showing how much a participant needs a liver transplant: higher number is more urgent. The West Haven/Conn scale is 5-point (0 to 4) grading severity of hepatic encephalopathy: higher score means worse hepatic encephalopathy. This outcome measure is for the long-term endpoint analysis.
7 secondary outcomes
Number of Elafibranor-treated Participants Relative to Placebo Achieving Improvement of Fibrosis of at Least 1 Stage
Time frame: Measurements at 72 weeks
Change From Baseline of Hemoglobin A1c (HbA1c) in Diabetic Participants After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
Time frame: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of High-density Lipoprotein (HDL) Cholesterol After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
Time frame: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of Low-density Lipoprotein (LDL) Cholesterol After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
Time frame: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of Homeostatic Model Assessment-IR (HOMA-IR) After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo in Non-diabetic Participants
Time frame: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of Non-high Density Lipoprotein Cholesterol After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
Time frame: Measurements after 72 weeks of treatment and up to study termination
Change From Baseline of Triglycerides After 72 Weeks of Treatment in Elafibranor-treated Participants Relative to Placebo
Time frame: Measurements after 72 weeks of treatment and up to study termination
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Mar 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Carol Addy, MD MMSc study director
Genfit
326 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Elafibranor in people with Nonalcoholic Steatohepatitis (NASH) With Fibrosis, run by Genfit at 326 sites in 25 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 23 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 326 sites in United States, France, Germany, Argentina, Australia and 20 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Mar 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Elafibranor-treated Participants Relative to Placebo Achieving Resolution of Nonalcoholic Steatohepatitis Without Worsening of Fibrosis (time frame: Measurement at 72 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Mar 2022.