Nonalcoholic SteatohepatitisPhase 3AURORANCT03028740
AURORA: A Study for the Efficacy and Safety of Cenicriviroc (CVC) for the Treatment of Liver Fibrosis in Adults With Nonalcoholic Steatohepatitis (NASH)
A Phase 3 study testing Cenicriviroc in people with Nonalcoholic Steatohepatitis, run by Tobira Therapeutics, Inc. at 346 sites in 28 countries.
Trial summary
The AURORA study will be conducted to confirm the efficacy and safety of cenicriviroc (CVC) for the treatment of liver fibrosis in adult participants with NASH. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Nonalcoholic Steatohepatitis
- What is being tested?
- Cenicriviroc
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,778 participants
- Where
- 346 sitesin 28 countries
- Study dates
- 5 Apr 2017to 9 Mar 2021
- 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
- Male and female participants aged between 18-75 years
- Ability to understand and sign a written informed consent form (ICF)
- Histological evidence of NASH based on central reading of the Screening biopsy
- Participants included in Part 1 must have histopathological evidence of Stage 2 or 3 liver fibrosis per the NASH CRN System based on central reading of the Screening biopsy slides. Participants newly randomized in Part 2 must have histological evidence of Stage 3 liver fibrosis per the NASH CRN System, based on central reading of the Screening period biopsy slides. Historical biopsy can be used, provided the criteria listed on Item 3a above are fulfilled.
- Females of childbearing potential and males participating in the study must agree to use at least 2 approved methods of contraception throughout the duration of the study and for 30 days after stopping study drug. Females who are postmenopausal must have documentation of cessation of menses for ≥12 months and serum follicle-stimulating hormone (FSH) ≥30 milliunits (mU)/milliliter (mL) at Screening.
Who cannot join
- Inability to undergo a liver biopsy
- Hepatitis B surface antigen (HBsAg) positive
- Hepatitis C antibody (HCVAb) positive
- Human immunodeficiency virus (HIV)-1 or HIV-2 infection
- Prior or planned liver transplantation
- Other known causes of chronic liver disease
Show all 24Show fewer
- History or presence of cirrhosis and/or hepatic decompensation including ascites, hepatic encephalopathy or variceal bleeding
- Alcohol consumption greater than 21 units/week for males or 14 units/week for females
- Aspartate transaminase (AST) >200 International units (IU)/liter (L) in males and females at Screening
- Alanine transaminase (ALT) >250 IU/L in males and >200 IU/L in females at Screening
- Hemoglobin A1c (HbA1c) >10% at Screening
- Serum albumin <3.5 gram (g)/deciliter (dL) at Screening
- Estimated glomerular filtration rate (eGFR) < 50 mL/minute (min)/1.73 meter (m)^2 according to the Modification of Diet in Renal Disease (MDRD) equation
- Platelet count <100,000/millimeter (mm)^3
- Total bilirubin >1.5 milligram (mg)/dL
- International normalized ratio (INR) >1.3
- Model of end stage liver disease (MELD) score >12
- Weight reduction, defined as ≥7% of body weight, through bariatric surgery in the past 5 years or bariatric surgery planned during the conduct of the study (including gastric banding and sleeve surgery)
- History of malignancy within the past 5 years or ongoing malignancy other than basal cell carcinoma, or resected noninvasive cutaneous squamous cell carcinoma
- Active, serious infections that require parenteral antibiotic or antifungal therapy within 30 days prior to Screening Visit
- Clinically significant cardiovascular or cerebrovascular disease within the past 3 months
- Females who are pregnant or breastfeeding
- Current or anticipated treatment with radiation therapy, cytotoxic chemotherapeutic agents and immunomodulating agents (eg, interleukins, interferons, cyclosporine, tacrolimus) except for vaccines or short-term corticosteroids
- Receiving a glucagon-like peptide 1 (GLP-1) receptor agonist, a dipeptidyl peptidase 4 (DPP-4) inhibitor, a sodium-glucose cotransporter 2 (SGLT2) and/or sodium-glucose cotransporter (SGLT1) inhibitor, or a thiazolidinedione (TZD) for less than 6 months prior to the Screening period liver biopsy. Participants on a stable therapy with a GLP-1 receptor agonist, DPP-4 inhibitor, SGLT1 and/or SGLT2 inhibitor, or a TZD for at least 6 months prior to the Screening liver biopsy may be considered eligible. (Important Note: if a historical biopsy is to be used, participants need to be on stable therapy for at least 6 months prior to the day historical liver biopsy was performed).
Trial locations and contacts
346 sites in 28 countries.
346 sites in 28 countries
United States204 sites
Texas Clinical Research Institute
Arlington, Texas, 76012
Summit Clinical Research, LLC
Athens, Georgia, 30607
Digestive Healthcare of Georgia - Atlanta
Atlanta, Georgia, 30309
Piedmont Healthcare INC.
Atlanta, Georgia, 30309
Innovative Medical Research of South Florida, Inc.
Aventura, Florida, 33180
Franco Felizarta MD
Bakersfield, California, 93301
Mercy Medical Center
Baltimore, Maryland, 21202
Delta Research Partners, LLC
Bastrop, Louisiana, 71220
Hassman Research Institute
Berlin, New Jersey, 08009
Eastern Pennsylvania Gastroenterology and Liver Specialist
Bethlehem, Pennsylvania, 18017
National Diabetes and Obesity Research Institute
Biloxi, Mississippi, 39532
Summit Internal Medicine
Birmingham, Alabama, 35243
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Gastroenterology Associates of Fairfield County
Bridgeport, Connecticut, 06606
Investigators Research Group, LLC
Brownsburg, Indiana, 46112
Lahey Hospital & Medical Center
Burlington, Massachusetts, 01805
Hope Clinical Research
Canoga Park, California, 91303
Digestive Disease Associates
Catonsville, Maryland, 21228
The Institute for Liver Health
Chandler, Arizona, 85224
Investigational Drug Service, The University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27514
Carolinas Medical Center
Charlotte, North Carolina, 28204
Mount Vernon Clinical Research
Chattanooga, Tennessee, 37421
Clinical Research Professionals
Chesterfield, Missouri, 63005
Northwestern University
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60612
GW Research
Chula Vista, California, 91910
eStudySite
Chula Vista, California, 91911
Consultants for Clinical Research
Cincinnati, Ohio, 45249
Gastro Florida
Clearwater, Florida, 33761
MetroHealth Medical Center
Cleveland, Ohio, 44109
Iowa Digestive Disease Center
Clive, Iowa, 50325
Peak Gastroenterology Associates
Colorado Springs, Colorado, 80907
Gastro Center of Maryland
Columbia, Maryland, 21045
The Ohio University - Gastroenterology, Hepatology
Columbus, Ohio, 43210
Northeast GI Research Division
Concord, North Carolina, 28027
Hi Tech and Global Research, LLC
Coral Gables, Florida, 33134
Southern California Research Center
Coronado, California, 92118
Citrus Valley Gastroenterology
Covina, California, 91722
Avant Research Associates LLC
Crowley, Louisiana, 70526
Cullman Clinical Trials
Cullman, Alabama, 35055
Partners in Clinical Research
Cumberland, Rhode Island, 02864
Top Medical Research, Inc
Cutler Bay, Florida, 33189
Methodist Dallas Medical Center
Dallas, Texas, 75203
Liver Center of Texas
Dallas, Texas, 75234
Synexus
Dallas, Texas, 75234
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Henry Ford Health System
Detroit, Michigan, 48202
ICR Sites
Doral, Florida, 33166
Digestive Health Specialists of the Southeast
Dothan, Alabama, 36305
Physician's Research Options, LLC
Draper, Utah, 84020
Duke University
Durham, North Carolina, 27710
TriWest Research Associates
El Cajon, California, 92020
South Denver Gastroenterology, PC
Englewood, Colorado, 80113
Gastroenterology Associates of Northern Virginia
Fairfax, Virginia, 22031
Inova Fairfax Medical Campus
Falls Church, Virginia, 22042
Cumberland Research Associates, LLC
Fayetteville, North Carolina, 28304
GastroIntestinal Associates
Flowood, Mississippi, 39232
San Antonio Military Medical Center
Fort Sam Houston, Texas, 78234
Baylor Scott & White All Saints Medical Center - Ft. Worth
Fort Worth, Texas, 76104
Texas Digestive Disease Consultants - Fort Worth
Fort Worth, Texas, 76104
University of San Francisco, Fresno Medical Education Program
Fresno, California, 93701
Fresno Clinical Research Center (FCRC)
Fresno, California, 93720
Digestive Health Associates of Texas-Rockwall
Garland, Texas, 75044
Gastro One
Germantown, Tennessee, 38138
Woodholme Gastroenterology Associates
Glen Burnie, Maryland, 21061
Victory Clinical Research
Greenbelt, Maryland, 20770
Carolina Research
Greenville, North Carolina, 27834
Meritus Center for Clinical Research
Hagerstown, Maryland, 21742
Digestive Health Research
Hermitage, Tennessee, 37076
Qway Research, LLC
Hialeah, Florida, 33010
Therapeutic Concepts, PA
Houston, Texas, 77004
Pioneer Research Solutions, Inc.
Houston, Texas, 77009
Liver Associates of Texas
Houston, Texas, 77030-3002
Baylor College of Medicine
Houston, Texas, 77030
Michael E. DeBakey VA Medical Center (MEDVAMC)
Houston, Texas, 77030
St. Luke's Medical Center
Houston, Texas, 77030
Biopharma Informatic, LLC
Houston, Texas, 77043
Centex Studies
Houston, Texas, 77058
Biopharma Informatic, LLC
Houston, Texas, 77084
Amir Ali Hassan, MD, PA
Houston, Texas, 77089
Marshall University Joan C. Edwards School of Medicine
Huntington, West Virginia, 25701
National Research Institute
Huntington Park, California, 90255
Indianapolis Gastroenterology Research Foundation
Indianapolis, Indiana, 46237
Gastroenterology Associates - Crystal River
Inverness, Florida, 34452
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
Mayo Clinic College of Medicine
Jacksonville, Florida, 32224
East Tennessee Research Institute
Johnson City, Tennessee, 37604
University of Kansas Medical Center
Kansas City, Kansas, 66160
University of California San Diego
La Jolla, California, 92037
eStudySite
La Mesa, California, 91942
C-1 Headlands, Inc.
Lake Charles, Louisiana, 70601
Meridien Research
Lakeland, Florida, 33803
Florida Digestive Health Specialists
Lakewood Rch, Florida, 34211
Om Research
Lancaster, California, 93534
Machuca Family Medicine
Las Vegas, Nevada, 89104
Jubilee Clinical Research, Inc.
Las Vegas, Nevada, 89106
Sierra Clinical Research
Las Vegas, Nevada, 89106
Excel Clinical Research
Las Vegas, Nevada, 89109
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Digestive Health Research
Lebanon, Tennessee, 37090
Arkansas Diagnostic Center
Little Rock, Arkansas, 72205
Southern California Kaiser Permanente, Los Angeles Medical Center
Los Angeles, California, 90027
GastroIntestinal Biosciences
Los Angeles, California, 90036
Global Research Institute
Los Angeles, California, 90036
Ruane Medical and Liver Health Institute
Los Angeles, California, 90036
Cedars-Sinai Medical Group
Los Angeles, California, 90048
National Research Institute
Los Angeles, California, 90057
Gastroenterology Associates of Central Georgia
Macon, Georgia, 31201
Objective GI D/B/A North Alabama GI Research Center
Madison, Alabama, 35758
Meridien Research
Maitland, Florida, 32751
Minnesota Gastroenterology, P.A.
Maplewood, Minnesota, 55117
GI Specialists of Georgia - Marietta Office
Marietta, Georgia, 30060
Tandem Clinical Research
Marrero, Louisiana, 70072
Centex Studies, Inc.
McAllen, Texas, 78504
UT-Memphis, Methodist University Hospital
Memphis, Tennessee, 38104
Clinical Pharmacology of Miami, LLC
Miami, Florida, 33014
Bruce W. Carter Department of Veterans Affairs Medical Center
Miami, Florida, 33125
Optimus U Corporation
Miami, Florida, 33125
University of Miami Hospital
Miami, Florida, 33136
Sanchez Clinical Research, Inc
Miami, Florida, 33157
Genoma Research Group Inc.
Miami, Florida, 33165
Medical Professional Clinical Research Center, INC
Miami, Florida, 33165
ProLive Medical Research
Miami, Florida, 33175
San Marcus Research Clinic
Miami Lakes, Florida, 33014
Intermountain Medical Center
Murray, Utah, 84107
United Medical Doctors
Murrieta, California, 92563
Vanderbilt University
Nashville, Tennessee, 37232-1610
Aquiant Research
New Albany, Indiana, 47150
Yale University - New Haven
New Haven, Connecticut, 06511
Tulane University School of Medicine
New Orleans, Louisiana, 70112
Ochsner Medical Center
New Orleans, Louisiana, 70121
Nola Research Works, LLC
New Orleans, Louisiana, 70125
Advanced Research Institute, Inc.
New Port Richey, Florida, 34653
Beth Israel Medical Center
New York, New York, 10003
NYU Langone Health - Perlmutter Cancer Center
New York, New York, 10016
Mount Sinai Medical Center
New York, New York, 10029
Tandem Clinical Research
New York, New York, 10033
Weill Cornell Medical College
New York, New York, 10065
Liver Institute of Virginia
Newport News, Virginia, 23602
Digestive and Liver Disease Specialists
Norfolk, Virginia, 23502
University Medical Group
North Providence, Rhode Island, 02908
Digestive Disease Specialist, Inc.
Oklahoma City, Oklahoma, 73112
Bioclinical Research Alliance
Orlando, Florida, 32806
Omega Research Maitland, LLC
Orlando, Florida, 32810
Palmtree Clinical Research Inc.
Palm Springs, California, 92262
IMIC, Inc
Palmetto Bay, Florida, 33157
Innovation Medical Research Center
Palmetto Bay, Florida, 33157
National Research Institute
Panorama City, California, 91402
Pasadena Liver Center
Pasadena, California, 91105
LinQ Research, LLC
Pearland, Texas, 77584
Gastroenterology Associates of Pensacola
Pensacola, Florida, 32503
UPMC -Center for Liver Diseases
Pittsburgh, Pennsylvania, 15213
VA Pittsburgh Healthcare System
Pittsburgh, Pennsylvania, 15240
Advanced Medical Research
Port Orange, Florida, 32127
Care Access Research, Pottsville
Pottsville, Pennsylvania, 17901
Alliance Clinical Research LLC
Poway, California, 92064
Wake Research Associates
Raleigh, North Carolina, 27612
Rapid City Medical Center
Rapid City, South Dakota, 57701
Amici Clinical Research
Raritan, New Jersey, 08869
Stanford School of Medicine, Center for Clinical Sciences Research
Redwood City, California, 94063
Inland Empire Liver Foundation
Rialto, California, 92377-4697
McGuire Veterans Affairs Medical Center
Richmond, Virginia, 23249
VCU Medical Center
Richmond, Virginia, 23298
Advanced Clinical Research - Center for Digestive Health
Riverton, Utah, 84065
Gastroenterology Consultants of Southwest Virginia Research
Roanoke, Virginia, 24014
University of Utah
Salt Lake City, Utah, 84132
Quality Research Inc.
San Antonio, Texas, 78209
American Research Corporation
San Antonio, Texas, 78215
Clinical Trials of Texas Inc
San Antonio, Texas, 78229
Diabetes & Glandular Disease Clinic, P.A. (DGD)
San Antonio, Texas, 78229
Endeavor Clinical Trials, LLC
San Antonio, Texas, 78229
Southern Star Research Institute, LLC SAGACT PLLC.
San Antonio, Texas, 78229
Anson Medicine
San Antonio, Texas, 78260
Precision Research Institute
San Diego, California, 92114
Southern California Permanente Medical Group
San Diego, California, 92154
UCSF School of Medicine
San Francisco, California, 94143-0538
Harborview Medical Center
Seattle, Washington, 98104
Swedish Medical Center
Seattle, Washington, 98104
Liver Institute Northwest
Seattle, Washington, 98105
University of Washington Medical Center
Seattle, Washington, 98195
Louisiana Research Center
Shreveport, Louisiana, 71105
Digestive Research Alliance of Michiana
South Bend, Indiana, 46635
Saint Louis University
St Louis, Missouri, 63104
Washington University School of Medicine
St Louis, Missouri, 63110
Mount Olympus Medical Research, LLC
Sugar Land, Texas, 77479
Tampa General Hospital
Tampa, Florida, 33606
Guardian Angel Research Center
Tampa, Florida, 33614
Bioclinica Research
The Villages, Florida, 32162
Kansas Medical Clinic-Gastroenterology
Topeka, Kansas, 66606
Adobe Gastroenterology Research, LLC
Tucson, Arizona, 85712
Del Sol Research Management, LLC
Tucson, Arizona, 85712
Del Sol Research Management LLC
Tucson, Arizona, 85745
Options Health Research
Tulsa, Oklahoma, 74104
Upland Clinical Research
Upland, California, 91786
Island View GI
Ventura, California, 93003
Care Access Research-Warwick
Warwick, Rhode Island, 02886
Texas Digestive Disease Consultants
Webster, Texas, 77598
Clinical Trials of America LLC
West Monroe, Louisiana, 71291
Western States Clinical Research, Inc.
Wheat Ridge, Colorado, 80033
PMG Research of Winston-Salem
Winston-Salem, North Carolina, 27103
Umass Memorial Medical Center
Worcester, Massachusetts, 01655
Digestive Disease Associates, LTD
Wyomissing, Pennsylvania, 19610
Florida Medical Clinic
Zephyrhills, Florida, 33542
United Kingdom15 sites
University Hospitals Birmingham NHS Foundation Trust
Birmingham, England, B15 2TH
Synexus Hexham Clinical Research Centre
Hexham, NE46 1QJ
Hull and East Yorkshire Hospitals NHS Trust
Hull, England, HU3 2JZ
Synexus Lancashire Clinical Research Centre
Lancaster, PR7 7NA
St James's University Hospital
Leeds, West Yorkshire, LS97TF
Royal Free London NHS Foundation Trust
London, England, NW3 2QG
Kings College Hospital NHS Foundation Trust
London, England, SE5 9RS
Chelsea and Westminster Hospital NHS Foundation Trust
London, England, SW10 9NH
Barts Health NHS Trust The Royal London Hospital
London, E1 1BB
Luton and Dunstable Hospital NHS Foundation Trust
Luton, England, LU4 0DZ
University Hospital of South Manchester NHS Foundation Trust
Manchester, M23 9LT
Newcastle Upon the Tyne Hospitals
Newcastle, England, NE2 7DN
Nottingham Digestive Diseases Biomedical Research Unit
Nottingham, England, NG7 2UH
Plymouth Hospitals NHS Trust
Plymouth, England, PL6 8DH
Royal Stoke University Hospital
Stoke-on-Trent, England, ST4 6QG
France14 sites
Hapital Sud Service d'Hepato- Gastroentarologie
Amiens, Picardie, 80054
Center Hospitalier Universitaire d'Angers
Angers, Pays de la Loire Region, 49000
Centre Hospitalier Regional et Universitaire de Besancon - L'Hopital Jean Minjoz
Besançon, Franche-Comte, 25030
Hopital Avicenne
Bobigny, 93000
Centre Hospitalier Universitaire Estaing
Clermont-Ferrand, Aubergne, 63003
Departement d'Hacpatologie
Clichy, Île-de-France Region, 92110
Centre Hospitalier Universitaire Grenoble
Grenoble, Auvergne-Rhône-Alpes, 38700
CHU de Montpellier
Montpellier, Languedoc-Roussillon, 34295
Centre Hospitalier Universitaire de Nice Hôpital l'Archet
Nice, Provence-Alpes-Côte d'Azur Region, 06202
Hôpital Saint Antoine
Paris, Île-de-France Region, 75571
CHU De Bordeaux - Hôpital Haût-Lévèque CMC Magellan Unita de Recherche Clinique
Pessac, Aquitaine, 33604
Centre Hospitalier Universitaire de Rennes- Hôpital Pontchaillou
Rennes, Brittany Region, 35033
Centre Hospitalier Universitaire de Rouen CHU de Rouen Hopital Charles-Nicolle
Rouen, Normandy, 76000
CHU de Strasbourg
Strasbourg, Alsace, 67091
Germany13 sites
Uniklinik RWTH Aachen
Aachen, North Rhine-Westphalia, 52074
Praxis Driesener Strasse
Berlin, 10439
Synexus Clinical Research GmbH, Prüfzentrum Berlin
Berlin, 12627
Charité Universitätsmedizin Berlin
Berlin, 13353
Uniklinik Köln
Cologne, North Rhine-Westphalia, 50937
Synexus Clinical Research GmbH, Prüfzentrum Frankfurt
Frankfurt am Main, Hesse, 60313
Universitätsklinikum Hamburg Eppendorf
Hamburg, 20246
Medizinische Hochschule Hannover
Hanover, Lower Saxony, 30625
Gastroenterologische Gemeinschaftspraxis
Herne, Nordhein-Westfalen, 44623
Universitätsklinikum des Saarlandes
Homburg, Saarland, 66427
Universitätsklinikum Leipzig
Leipzig, Saxony, 04103
Universitätsmedizin der Johannes Gutenberg Universität Mainz
Mainz, Rhineland-Palatinate, 55131
Philipps-Universität und Universitätsklinikum Gießen und Marburg GmbH
Marburg, Hesse, 35043
Poland13 sites
Szpital Specjalistyczny Nr 1 w Bytomiu
Bytom, Silesian Voivodeship, 41-902
Synexus Polska Sp. Z o.o. Oddzial w Czestochowie
Częstochowa, 0 42-202
Synexus Polska Sp. z o.o. Oddzial w Gdansku
Gdansk, 80-382
Synexus Polska Sp. z o.o. Oddzial w Gdyni ul.
Gdynia, 81-537
Synexus SCM Sp. z o.o. Oddzial
Katowice, 40-040
Synexus Polska Sp. z o.o. Oddział w Łodzi
Lodz, Łódź Voivodeship, 90-127
Wojewódzki Specjalistyczny Szpital im. dr Wl. Bieganskiego w Lodzi
Lódz, Łódź Voivodeship, 91-347
ID Clinic Arkadiusz Pisula
Mysłowice, Silesian Voivodeship, 41400-400
Synexus Polska Sp z o o Oddzial w Poznaniu
Poznan, Wielkopolska, 60 702-702
Synexus Polska Sp. z o.o. Oddział w Warszawie
Warsaw, 01-192
Centrum Badan Klinicznych Piotr Napora Lekarze Spólka Partnerska
Wroclaw, Lower Silesian Voivodeship, 51-162
EMC Instytut Medyczny
Wroclaw, Lower Silesian Voivodeship, 54-144
Synexus Polska Sp. z o.o. Oddzial we Wroclawiu
Wroclaw, Wroclaw, 50-381
Spain13 sites
Complejo Hospitalario Torrecardenas
Almería, 4009
Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916
Hospital del Mar
Barcelona, 08003
Hospital Universitari Vall d'Hebrón
Barcelona, 08035
Hospital Universitario Donostia
Donostia / San Sebastian, Guipuzcoa, 20014
Hospital General Universitario Gregorio Marañon
Madrid, 28007
Hospital Universitario Ramón Y Cajal
Madrid, 28034
Hospital Clínico Universitario Virgen de la Victoria
Málaga, 29010
Hospital Universitario Marqués de Valdecilla
Santander, 39008
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Universitario Nuestra Senora de Valme
Seville, 41014
Consorci Hospital General Universitari de València
Valencia, 46014
Hospital Universitari i Politecnic La Fe de Valencia
Valencia, 46026
Israel9 sites
Rambam Health Care Campus - Rambam Medical Center
Haifa, 31999
Carmel Medical Center
Haifa, 34362
Shaare Zedek Medical Center
Jerusalem, 91031
Hadassah Medical Center, Institute of Gastroenterology and Liver Diseases
Jerusalem, 91120
Galilee Medical Center
Nahariya, 22100
EMMS MC
Nazareth, Jerusalem, 91031
Rabin Medical Center Beilinson Hospital
Petah Tikva, 49100
Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
Sheba Medical Center
Tel HaShomer, 52621
Australia8 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Flinders Medical Center
Adelaide, South Australia, 5042
Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050
Monash Medical Centre
Clayton, Victoria, 3168
Austin Health
Heidelberg, Victoria, 3084
Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
Saint George Hospital
Kogarah, New South Wales, 2217
Royal Perth Hospital
Perth, Western Australia, 6000
Italy8 sites
Azienda Ospedaliera Universitaria Careggi SOD Medicina Interna ed Epatologia
Florence, 50134
ASST Grande Ospedale Metropolitano Niguarda
Milan, Milano, 20162
ASST Santi Paolo e Carlo
Milan, 20142
Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
Palermo, 90127
Fondazione Policlinico Tor Vergata
Roma, 00133
Fondazione Policlinico Universitario Agostino Gemelli
Roma, 00168
Istituto Clinico Humanitas
Rozzano, Milano, 20089
Ospedale Casa Sollievo della Sofferenza
San Giovanni Rotondo, Foggia, 71013
Belgium6 sites
Hôpital Erasme
Brussels, Brussels Capital, 1070
Cliniques Universitaires Saint-Luc
Brussels, 1200
Universitair Ziekenhuis Antwerpen
Edegem, Antwerpen, 2650
Algemeen Ziekenhuis Maria Middelares
Ghent, Oost-Vlaanderen, 9000
Universitair Ziekenhuis Gent
Ghent, Oost-Vlaanderen, 9000
Centre Hospitalier Chretien CHC
Liège, 4000
Canada6 sites
William Osler Health Centre, Brampton Memorial Hospital Campus
Brampton, Ontario, L6R 3J7
University of Calgary Liver Unit
Calgary, Alberta, T2N 4Z6
Ecogene-21
Chicoutimi, Quebec, G7H 7K9
Bailey Health Clinic
Edmonton, Alberta, T5H 4B9
Toronto Liver Centre
Toronto, Ontario, M6H 3M1
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9
Brazil4 sites
Hospital das Clínicas da Universidade Federal de Minas Gerais
Belo Horizonte, Minas Gerais, 30130-100
Hospital Universitário Clementino Fraga Filho
Rio de Janeiro, 21941-913
Faculdade de Medicina de São José do Rio Preto Hospital de Base
São José do Rio Preto, São Paulo, 15090-000
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
São Paulo, 05403-000
Mexico4 sites
JM Research - Cuernavaca
Cuernavaca, Morelos, 62290
Consultorio Dra. Maria Sarai Gonzalez Huezo
Metepec, 52140
Consultorio Médico Dr. Alma Laura Ladron de Guevara
Mexico City, Mexico City, 06700
Investigaciones Medicas Cisneros
Monterrey, Nuevo León, 64000
Austria3 sites
Universitatsklinik far Innere Medizin
Graz, Styria, 8036
Universitatsklinik far Innere Medizin II
Innsbruck, Tyrol, 6020
Klinikum Wels-Grieskirchen
Wels, Upper Austria, 4600
Hungary3 sites
SYNEXUS Magyarország Kft. - Budapest DRS
Budapest, 1036
Synexus Magyarorszag Egeszsegugyi Szolgaltato Kft
Debrecen, 4025
Somogy Megyei Kaposi Mór Oktató Kórház
Kaposvár, Somogy County, 7400-7400
Russia3 sites
Clinic Professor Gorbakova
Krasnogorsk, Moscow, 143405
Sklifosovsky Scientific Research Institution of Emergency Care
Moscow, 129090
Moscow Regional Research and Clinical Institute M.F. Vladimirsky
Moscow, 129110
Taiwan3 sites
Chia-Yi Christian Hospital
Chiayi City, Chiayi, 60002
China Medical University Hospital
Taichung, Taichung City, 404
Chang Gung Medical Foundation-LinKou Branch
Taoyuan, 333
Greece2 sites
Thomopoulos Gastroenterology Dept.
Patra, Peloponnese, 26504
Hippokratio Hospital
Thessaloniki, 54642
Hong Kong2 sites
Prince of Wales Hospital
Shatin, New Territories, 00852
Alice Ho Miu Ling Nethersole Hospital
Shatin, New Territories
New Zealand2 sites
Auckland City Hospital
Grafton, Auckland, 1023
Middlemore Clinical Trials
Papatoetoe, Auckland, 2025
Portugal2 sites
Unidade Local de Saúde do Alto Minho
Viana do Castelo, 4904-858
Presa-Ramos
Vila Real, Lordelo, 5000-508
Puerto Rico2 sites
Clinical Research Puerto Rico
San Juan, PR, 00909-1711
Fundacion de Investigacion De Diego
San Juan, 00927
Switzerland2 sites
Universitaetsspital Bern Inselspital
Bern, 3010
Kantonsspital St.Gallen Klinik für
Sankt Gallen, Canton of St. Gallen, 9007
Chile1 site
Centro de Investigaciones Clínicas Viña del Mar
Viña del Mar, Valparaiso, 2540488
Romania1 site
Institutul Regional de Gastroenterologie si Hepatologie Prof. Dr. O Fodor
Cluj-Napoca, Cluj, 400162
About this study
Official title: AURORA: A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Cenicriviroc for the Treatment of Liver Fibrosis in Adult Subjects With Nonalcoholic Steatohepatitis
The AURORA study will be conducted to confirm the efficacy and safety of cenicriviroc (CVC) for the treatment of liver fibrosis in adult participants with NASH.
Read the detailed description
The AURORA study will be conducted in 2 parts. Part 1 will examine the surrogate endpoint of improvement in fibrosis of at least 1 stage (nonalcoholic steatohepatitis clinical research network [NASH CRN]) and no worsening of steatohepatitis at Month 12. Participants from Part 1 will continue into Part 2 and additional participants will be newly randomized in Part 2 to determine long-term clinical outcomes composed of histopathologic progression to cirrhosis, liver-related clinical outcomes, and all-cause mortality.
- Conditions
- Nonalcoholic Steatohepatitis
- Being tested
- Placebo, Cenicriviroc
- Medical subject headings
- Non-alcoholic Fatty Liver Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Cenicriviroc placebo-matching, tablet, orally, once daily for up to approximately 40 months.
CenicrivirocDrug
Also called CVC
Cenicriviroc, 150 mg, tablet, orally, once daily for up to approximately 40 months.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received cenicriviroc placebo-matching, tablet, orally, once daily for up to approximately 40 months. Receives: Drug: Placebo |
| Cenicriviroc 150 mg | Experimental | Participants received cenicriviroc, 150 milligrams (mg), tablet, orally, once daily for up to approximately 40 months. Receives: Drug: Cenicriviroc |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage and No Worsening of Steatohepatitis on Liver Histology at Month 12
Fibrosis stage was evaluated using the Nonalcoholic Steatohepatitis Clinical Research Network (NASH CRN) Fibrosis Staging System with stages: 0=none; 1=perisinusoidal or periportal; 1A=mild, zone 3, perisinusoidal; 1B=moderate, zone 3, perisinusoidal; 1C=portal/periportal; 2=perisinusoidal and portal/periportal; 3=bridging fibrosis; 4=cirrhosis. No worsening of steatohepatitis was defined as no worsening of lobular inflammation or hepatocellular ballooning grade as per scoring in relevant nonalcoholic fatty liver disease activity score (NAS) categories. NAS is a semiquantitative scoring system based on the unweighted sum of: steatosis (0=<5% to 3=>66%), lobular inflammation (0=no foci to 3=>4 foci/200x), and hepatocellular ballooning (0=none to 2=many cells/prominent ballooning) scores. Improvement in fibrosis is a decrease in the NASH CRN fibrosis stage.
Measured: Month 12
Time to First Occurrence of Adjudicated Events in the Full Study Cohort
Time to first occurrence from Baseline was defined as the number of days from the first dose of randomized investigational product to the onset of the first occurrence of any of the following adjudicated events: death (all cause), histopathologic progression to cirrhosis, liver transplant, model for end stage liver disease (MELD) score ≥15, ascites, hospitalization for onset of: variceal bleed, hepatic encephalopathy, spontaneous bacterial peritonitis. MELD is a scoring system for assessing the severity of chronic liver disease and uses the participant's values for total bilirubin, serum creatinine, and the international normalized ratio for prothrombin time to predict survival. MELD score ranges from 6 (less ill) to 40 (gravely ill) with scores and mortality probability being: Score 40=71.3% mortality; Scores 30-39=52.6% mortality; Scores 20-29=19.6% mortality; Scores10-19=6.0% mortality; Score 9 or less=1.9% mortality.
Measured: From first dose of study drug to onset of first occurrence of the event (Up to approximately 42 months)
Secondary outcomes (11)
Part 1: Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages and No Worsening of Steatohepatitis on Liver Histology at Month 12
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages: 0=none; 1=perisinusoidal or periportal; 1A=mild, zone 3, perisinusoidal; 1B=moderate, zone 3, perisinusoidal; 1C=portal/periportal; 2=perisinusoidal and portal/periportal; 3=bridging fibrosis; 4=cirrhosis. No worsening of steatohepatitis was defined as no worsening of lobular inflammation or hepatocellular ballooning grade as per scoring in relevant NAS categories. NAS is a semiquantitative scoring system based on the unweighted sum of: steatosis (0=<5% to 3=>66%), lobular inflammation (0=no foci to 3=>4 foci/200x), and hepatocellular ballooning (0=none to 2=many cells/prominent ballooning) scores. Improvement in fibrosis is a decrease in the NASH CRN fibrosis stage.
Measured: Month 12
Part 1: Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage Regardless of Effect on Steatohepatitis at Month 12
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages 0=none, 1=perisinusoidal or periportal, 1A=mild, zone 3, perisinusoidal, 1B=moderate, zone 3, perisinusoidal, 1C=portal/periportal, 2=perisinusoidal and portal/periportal, 3=bridging fibrosis, 4=cirrhosis.
Measured: Month 12
Part 1: Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages Regardless of Effect on Steatohepatitis at Month 12
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages 0=none, 1=perisinusoidal or periportal, 1A=mild, zone 3, perisinusoidal, 1B=moderate, zone 3, perisinusoidal, 1C=portal/periportal, 2=perisinusoidal and portal/periportal, 3=bridging fibrosis, 4=cirrhosis.
Measured: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage and No Worsening of Steatohepatitis on Liver Biopsy at Month 12 in the Full Study Cohort
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages: 0=none; 1=perisinusoidal or periportal; 1A=mild, zone 3, perisinusoidal; 1B=moderate, zone 3, perisinusoidal; 1C=portal/periportal; 2=perisinusoidal and portal/periportal; 3=bridging fibrosis; 4=cirrhosis. No worsening of steatohepatitis was defined as no worsening of lobular inflammation or hepatocellular ballooning grade as per scoring in relevant NAS categories. NAS is a semiquantitative scoring system based on the unweighted sum of: steatosis (0=<5% to 3=>66%), lobular inflammation (0=no foci to 3=>4 foci/200x), and hepatocellular ballooning (0=none to 2=many cells/prominent ballooning) scores. Improvement in fibrosis is a decrease in the NASH CRN fibrosis stage.
Measured: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage Regardless of Effect on Steatohepatitis on Liver Biopsy at Month 12 in the Full Study Cohort
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages 0=none, 1=perisinusoidal or periportal, 1A=mild, zone 3, perisinusoidal, 1B=moderate, zone 3, perisinusoidal, 1C=portal/periportal, 2=perisinusoidal and portal/periportal, 3=bridging fibrosis, 4=cirrhosis.
Measured: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages and No Worsening of Steatohepatitis on Liver Biopsy at Month 12 in the Full Study Cohort
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages: 0=none; 1=perisinusoidal or periportal; 1A=mild, zone 3, perisinusoidal; 1B=moderate, zone 3, perisinusoidal; 1C=portal/periportal; 2=perisinusoidal and portal/periportal; 3=bridging fibrosis; 4=cirrhosis. No worsening of steatohepatitis was defined as no worsening of lobular inflammation or hepatocellular ballooning grade as per scoring in relevant NAS categories. NAS is a semiquantitative scoring system based on the unweighted sum of: steatosis (0=<5% to 3=>66%), lobular inflammation (0=no foci to 3=>4 foci/200x), and hepatocellular ballooning (0=none to 2=many cells/prominent ballooning) scores. Improvement in fibrosis is a decrease in the NASH CRN fibrosis stage.
Measured: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages Regardless of Effect on Steatohepatitis on Liver Biopsy at Month 12 in the Full Study Cohort
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages 0=none, 1=perisinusoidal or periportal, 1A=mild, zone 3, perisinusoidal, 1B=moderate, zone 3, perisinusoidal, 1C=portal/periportal, 2=perisinusoidal and portal/periportal, 3=bridging fibrosis, 4=cirrhosis.
Measured: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage and No Worsening of Steatohepatitis on Liver Biopsy at Month 60 in the Full Study Cohort
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages: 0=none; 1=perisinusoidal or periportal; 1A=mild, zone 3, perisinusoidal; 1B=moderate, zone 3, perisinusoidal; 1C=portal/periportal; 2=perisinusoidal and portal/periportal; 3=bridging fibrosis; 4=cirrhosis. No worsening of steatohepatitis was defined as no worsening of lobular inflammation or hepatocellular ballooning grade as per scoring in relevant NAS categories. NAS is a semiquantitative scoring system based on the unweighted sum of: steatosis (0=<5% to 3=>66%), lobular inflammation (0=no foci to 3=>4 foci/200x), and hepatocellular ballooning (0=none to 2=many cells/prominent ballooning) scores. Improvement in fibrosis is a decrease in the NASH CRN fibrosis stage.
Measured: Month 60
Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage Regardless of Effect on Steatohepatitis on Liver Biopsy at Month 60 in the Full Study Cohort
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages 0=none, 1=perisinusoidal or periportal, 1A=mild, zone 3, perisinusoidal, 1B=moderate, zone 3, perisinusoidal, 1C=portal/periportal, 2=perisinusoidal and portal/periportal, 3=bridging fibrosis, 4=cirrhosis.
Measured: Month 60
Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages and No Worsening of Steatohepatitis on Liver Biopsy at Month 60 in the Full Study Cohort
Fibrosis stage was evaluated using the NASH CRN Fibrosis Staging System with stages: 0=none; 1=perisinusoidal or periportal; 1A=mild, zone 3, perisinusoidal; 1B=moderate, zone 3, perisinusoidal; 1C=portal/periportal; 2=perisinusoidal and portal/periportal; 3=bridging fibrosis; 4=cirrhosis. No worsening of steatohepatitis was defined as no worsening of lobular inflammation or hepatocellular ballooning grade as per scoring in relevant NAS categories. NAS is a semiquantitative scoring system based on the unweighted sum of: steatosis (0=<5% to 3=>66%), lobular inflammation (0=no foci to 3=>4 foci/200x), and hepatocellular ballooning (0=none to 2=many cells/prominent ballooning) scores. Improvement in fibrosis is a decrease in the NASH CRN fibrosis stage.
Measured: Month 60
Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages Regardless of Effect on Steatohepatitis on Liver Biopsy at Month 60 in the Full Study Cohort
Fibrosis stage was evaluated using NASH CRN Fibrosis Staging System with stages 0=None, 1=Perisinusoidal or periportal, 1A=Mild, zone 3, perisinusoidal, 1B=Moderate, zone 3, perisinusoidal, 1C=Portal/periportal, 2=Perisinusoidal and portal/periportal, 3=Bridging fibrosis, 4=Cirrhosis.
Measured: Month 60
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jan 2017 (estimated)
- Study start5 Apr 2017
- Primary completion12 Jan 2021
- Study completion9 Mar 2021
Why it stopped: This study was terminated early due to lack of efficacy based on the results of the planned interim analysis of Part 1 data.
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Nonalcoholic SteatohepatitisStudies 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,778 participants (actual)
Sponsor and investigators
- Lead sponsor
- Tobira Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Gerardo Rodriguez, Study director, Allergan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03028740
- Sponsor's protocol ID
- 3152-301-002
- Other IDs
- 2016-004566-26, 1001, 2016
- Acronym
- AURORA
- Status last verified
- Nov 2021
- First submitted
- 13 Jan 2017
- Last updated
- 10 Mar 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Anstee QM, Neuschwander-Tetri BA, Wai-Sun Wong V, Abdelmalek MF, Rodriguez-Araujo G, Landgren H, Park GS, Bedossa P, Alkhouri N, Tacke F, Sanyal AJ. Cenicriviroc Lacked Efficacy to Treat Liver Fibrosis in Nonalcoholic Steatohepatitis: AURORA Phase III Randomized Study. Clin Gastroenterol Hepatol. 2024 Jan;22(1):124-134.e1. doi: 10.1016/j.cgh.2023.04.003. Epub 2023 Apr 13.
PubMed 37061109
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- AURORA: A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Cenicriviroc for the Treatment of Liver Fibrosis in Adult Subjects With Nonalcoholic Steatohepatitis
- ClinicalTrials.gov ID
- NCT03028740
- Acronym / sponsor ID
- AURORA / 3152-301-002
- Conditions
- Nonalcoholic Steatohepatitis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: This study was terminated early due to lack of efficacy based on the results of the planned interim analysis of Part 1 data.
- Enrolment
- 1,778 participants (actual)
- Lead sponsor
- Tobira Therapeutics, Inc.Industry (pharma, biotech, devices)
- Study start
- 5 Apr 2017 (actual)
- Primary completion
- 12 Jan 2021 (actual)
- Study completion
- 9 Mar 2021 (actual)
- First posted
- 23 Jan 2017 (estimated)
- Results
- Posted 10 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 AURORA study will be conducted to confirm the efficacy and safety of cenicriviroc (CVC) for the treatment of liver fibrosis in adult participants with NASH.
Detailed description
The AURORA study will be conducted in 2 parts. Part 1 will examine the surrogate endpoint of improvement in fibrosis of at least 1 stage (nonalcoholic steatohepatitis clinical research network [NASH CRN]) and no worsening of steatohepatitis at Month 12. Participants from Part 1 will continue into Part 2 and additional participants will be newly randomized in Part 2 to determine long-term clinical outcomes composed of histopathologic progression to cirrhosis, liver-related clinical outcomes, and all-cause mortality.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboParticipants received cenicriviroc placebo-matching, tablet, orally, once daily for up to approximately 40 months. |
| Cenicriviroc 150 mg | Experimental | Drug: CenicrivirocParticipants received cenicriviroc, 150 milligrams (mg), tablet, orally, once daily for up to approximately 40 months. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male and female participants aged between 18-75 years
- Ability to understand and sign a written informed consent form (ICF)
- Histological evidence of NASH based on central reading of the Screening biopsy
- Participants included in Part 1 must have histopathological evidence of Stage 2 or 3 liver fibrosis per the NASH CRN System based on central reading of the Screening biopsy slides. Participants newly randomized in Part 2 must have histological evidence of Stage 3 liver fibrosis per the NASH CRN System, based on central reading of the Screening period biopsy slides. Historical biopsy can be used, provided the criteria listed on Item 3a above are fulfilled.
- Females of childbearing potential and males participating in the study must agree to use at least 2 approved methods of contraception throughout the duration of the study and for 30 days after stopping study drug. Females who are postmenopausal must have documentation of cessation of menses for ≥12 months and serum follicle-stimulating hormone (FSH) ≥30 milliunits (mU)/milliliter (mL) at Screening.
Key exclusion criteria (24 listed)
- Inability to undergo a liver biopsy
- Hepatitis B surface antigen (HBsAg) positive
- Hepatitis C antibody (HCVAb) positive
- Human immunodeficiency virus (HIV)-1 or HIV-2 infection
- Prior or planned liver transplantation
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 |
|---|---|---|
| PlaceboCenicriviroc placebo-matching, tablet, orally, once daily for up to approximately 40 months. | Drug | Placebo |
| CenicrivirocAlso: CVCCenicriviroc, 150 mg, tablet, orally, once daily for up to approximately 40 months. | Drug | Cenicriviroc 150 mg |
Primary outcome
Part 1: Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage and No Worsening of Steatohepatitis on Liver Histology at Month 12
Time frame: Month 12
Fibrosis stage was evaluated using the Nonalcoholic Steatohepatitis Clinical Research Network (NASH CRN) Fibrosis Staging System with stages: 0=none; 1=perisinusoidal or periportal; 1A=mild, zone 3, perisinusoidal; 1B=moderate, zone 3, perisinusoidal; 1C=portal/periportal; 2=perisinusoidal and portal/periportal; 3=bridging fibrosis; 4=cirrhosis. No worsening of steatohepatitis was defined as no worsening of lobular inflammation or hepatocellular ballooning grade as per scoring in relevant nonalcoholic fatty liver disease activity score (NAS) categories. NAS is a semiquantitative scoring system based on the unweighted sum of: steatosis (0=<5% to 3=>66%), lobular inflammation (0=no foci to 3=>4 foci/200x), and hepatocellular ballooning (0=none to 2=many cells/prominent ballooning) scores. Improvement in fibrosis is a decrease in the NASH CRN fibrosis stage.
Time to First Occurrence of Adjudicated Events in the Full Study Cohort
Time frame: From first dose of study drug to onset of first occurrence of the event (Up to approximately 42 months)
Time to first occurrence from Baseline was defined as the number of days from the first dose of randomized investigational product to the onset of the first occurrence of any of the following adjudicated events: death (all cause), histopathologic progression to cirrhosis, liver transplant, model for end stage liver disease (MELD) score ≥15, ascites, hospitalization for onset of: variceal bleed, hepatic encephalopathy, spontaneous bacterial peritonitis. MELD is a scoring system for assessing the severity of chronic liver disease and uses the participant's values for total bilirubin, serum creatinine, and the international normalized ratio for prothrombin time to predict survival. MELD score ranges from 6 (less ill) to 40 (gravely ill) with scores and mortality probability being: Score 40=71.3% mortality; Scores 30-39=52.6% mortality; Scores 20-29=19.6% mortality; Scores10-19=6.0% mortality; Score 9 or less=1.9% mortality.
11 secondary outcomes
Part 1: Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages and No Worsening of Steatohepatitis on Liver Histology at Month 12
Time frame: Month 12
Part 1: Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage Regardless of Effect on Steatohepatitis at Month 12
Time frame: Month 12
Part 1: Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages Regardless of Effect on Steatohepatitis at Month 12
Time frame: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage and No Worsening of Steatohepatitis on Liver Biopsy at Month 12 in the Full Study Cohort
Time frame: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage Regardless of Effect on Steatohepatitis on Liver Biopsy at Month 12 in the Full Study Cohort
Time frame: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages and No Worsening of Steatohepatitis on Liver Biopsy at Month 12 in the Full Study Cohort
Time frame: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages Regardless of Effect on Steatohepatitis on Liver Biopsy at Month 12 in the Full Study Cohort
Time frame: Month 12
Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage and No Worsening of Steatohepatitis on Liver Biopsy at Month 60 in the Full Study Cohort
Time frame: Month 60
Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage Regardless of Effect on Steatohepatitis on Liver Biopsy at Month 60 in the Full Study Cohort
Time frame: Month 60
Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages and No Worsening of Steatohepatitis on Liver Biopsy at Month 60 in the Full Study Cohort
Time frame: Month 60
Percentage of Participants With Improvement in Fibrosis by at Least 2 Stages Regardless of Effect on Steatohepatitis on Liver Biopsy at Month 60 in the Full Study Cohort
Time frame: Month 60
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37061109Anstee QM, Neuschwander-Tetri BA, Wai-Sun Wong V, Abdelmalek MF, Rodriguez-Araujo G, Landgren H, Park GS, Bedossa P, Alkhouri N, Tacke F, Sanyal AJ. Cenicriviroc Lacked Efficacy to Treat Liver Fibrosis in Nonalcoholic Steatohepatitis: AURORA Phase III Randomized Study. Clin Gastroenterol Hepatol. 2024 Jan;22(1):124-134.e1. doi: 10.1016/j.cgh.2023.04.003. Epub 2023 Apr 13.
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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.
Gerardo Rodriguez study director
Allergan
346 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cenicriviroc in people with Nonalcoholic Steatohepatitis, run by Tobira Therapeutics, Inc. at 346 sites in 28 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 5 inclusion and 24 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 10 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 346 sites in United States, United Kingdom, France, Germany, Poland and 23 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 10 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?
Part 1: Percentage of Participants With Improvement in Fibrosis by at Least 1 Stage and No Worsening of Steatohepatitis on Liver Histology at Month 12 (time frame: Month 12). 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?
On the ClinicalTrials.gov record for NCT03028740, which also lists 1 linked publication.
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 10 Mar 2022.