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Non Alcoholic Steatohepatitis (NASH)Phase 2ELIVATENCT04065841

Efficacy, Safety and Tolerability of the Combination of Tropifexor & Licogliflozin and Each Monotherapy, Compared With Placebo in Adult Patients With NASH and Liver Fibrosis.

A Phase 2 study testing Tropifexor and Licogliflozin in people with Non Alcoholic Steatohepatitis (NASH), run by Novartis Pharmaceuticals at 80 sites in 24 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Randomized, double-blind, parallel-group, multicenter study to assess efficacy, safety, and tolerability of oral tropifexor \& licogliflozin combination therapy and each monotherapy, compared with placebo for treatment of adult patients with nonalcoholic steatohepatitis (NASH) and liver fibrosis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Non Alcoholic Steatohepatitis (NASH)
What is being tested?
Tropifexor and Licogliflozin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
234 participants
Where
80 sitesin 24 countries
Study dates
30 Dec 2019to 27 Oct 2022
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Presence of NASH with fibrosis confirmed by central reader's evaluation of liver biopsy obtained no more than 6 months before randomization as demonstrated by the following:
  • NASH using NAFLD Activity Score (NAS) ≥ 4 with at least 1 point each in inflammation and ballooning and
  • Fibrosis stage 2 or 3 using NASH CRN fibrosis criteria

Who cannot join

  • Type 1 diabetes mellitus
  • Uncontrolled type 2 diabetes defined as glycated hemoglobin (HbA1c) ≥ 9.0% at screening
  • HbA1c < 6.5% at screening in Type 2 diabetics currently treated with insulin or sulfonylureas
  • Clinical evidence of liver impairment as defined by the presence of any of the following abnormalities:
  • Platelet count < LLN (see Central laboratory manual).
  • Serum albumin < LLN (see Central laboratory manual).
Show all 13Show fewer
  • International Normalized Ratio (INR) > ULN (see Central laboratory manual).
  • ALT or AST > 5× ULN (confirmed by 2 values during screening).
  • Total bilirubin > ULN (see Central laboratory manual) (confirmed by 2 values during screening), including Gilbert's syndrome.
  • Alkaline phosphatase > 300 IU/L (confirmed by 2 values during screening).
  • History of esophageal varices, ascites or hepatic encephalopathy
  • Splenomegaly
  • MELD score >12

Trial locations and contacts

80 sites in 24 countries.

80 sites in 24 countries

United States28 sites
  • Southwest Gastroenterology Associates

    Albuquerque, New Mexico, 87109

  • Texas Clinical Research Institute

    Arlington, Texas, 76012

  • Clinical Research Professionals Inc

    Chesterfield, Missouri, 63005

  • Southern California Research Center

    Coronado, California, 92118

  • Dallas Diabetes and Endocrine Center

    Dallas, Texas, 75230

  • Integrity Clinical Rsh LLC

    Doral, Florida, 33166

  • Gut PC Digestive Health Specialist

    Dothan, Alabama, 36305

  • Prisma Health

    Greenville, South Carolina, 29605

  • Digestive Disease Research

    Greenwood, South Carolina, 29646

  • Summit Medical Care

    Hermitage, Tennessee, 37076

  • Southern Therapy and Adv Res LLC

    Jackson, Mississippi, 39216

  • Galenus Group

    Lehigh Acres, Florida, 33936

  • Clinical Trials Of America LLC

    Lenoir, North Carolina, 28645

  • Velocity Clinical Trials

    Los Angeles, California, 90057

  • Northwell Health

    Manhasset, New York, 11030

  • Genoma Research Group Inc

    Miami, Florida, 33165-7574

  • Diabetes And Endocrinology Conslt

    Morehead City, North Carolina, 28557

  • California Liver Research Institute

    Pasadena, California, 91105

  • American Research Corporation at Texas Liver Institute

    San Antonio, Texas, 78215

  • Clinical Trials of Texas

    San Antonio, Texas, 78229

  • Endeavor Clinical Trials

    San Antonio, Texas, 78240

  • Medical Associates Research Group

    San Diego, California, 92123

  • Digestive Res Alliance of Michiana

    South Bend, Indiana, 46635

  • Pioneer Research Solutions

    Sugar Land, Texas, 77479

  • Palmetto Clinical Research

    Summerville, South Carolina, 29485

  • Options Health Research

    Tulsa, Oklahoma, 74104

  • San fernando Valley Health Institute

    Van Nuys, California, 91405

  • Island View Gastroenterology Associates

    Ventura, California, 93003

Other trials in United States

Brazil4 sites
  • Novartis Investigative Site

    Porto Alegre, Rio Grande do Sul, 90035-003

  • Novartis Investigative Site

    Salvador, Estado de Bahia, 40110-160

  • Novartis Investigative Site

    São Paulo, São Paulo, 04037-002

  • Novartis Investigative Site

    São Paulo, São Paulo, 05403-000

Other trials in Brazil

Germany4 sites
  • Novartis Investigative Site

    Berlin, 10825

  • Novartis Investigative Site

    Dresden, 01307

  • Novartis Investigative Site

    Essen, 45147

  • Novartis Investigative Site

    Mainz, 55131

Other trials in Germany

Italy4 sites
  • Novartis Investigative Site

    Milan, MI, 20122

  • Novartis Investigative Site

    Padova, PD, 35128

  • Novartis Investigative Site

    Palermo, PA, 90127

  • Novartis Investigative Site

    Rozzano, MI, 20089

Other trials in Italy

Japan4 sites
  • Novartis Investigative Site

    Izumo, Shimane, 693 8501

  • Novartis Investigative Site

    Saga, Saga-ken, 849-8501

  • Novartis Investigative Site

    Takamatsu, Kagawa-ken, 760 8557

  • Novartis Investigative Site

    Yokohama, Kanagawa, 236-0004

Other trials in Japan

Mexico4 sites
  • Novartis Investigative Site

    Cuauhtémoc, Mexico City, 06700

  • Novartis Investigative Site

    Guadalajara, Jalisco, 44130

  • Novartis Investigative Site

    México, 22381

  • Novartis Investigative Site

    Monterrey, Nuevo León, 64460

Other trials in Mexico

Russia4 sites
  • Novartis Investigative Site

    Novosibirsk, 630090

  • Novartis Investigative Site

    Saint Petersburg, 199034

  • Novartis Investigative Site

    Saint Petersburg, 199226

  • Novartis Investigative Site

    Samara, 443063

Other trials in Russia

Colombia3 sites
  • Novartis Investigative Site

    Bogotá, 110131

  • Novartis Investigative Site

    Medellín, Antioquia, 050001

  • Novartis Investigative Site

    Rionegro, Antioquia, 054047

Other trials in Colombia

Spain3 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    Madrid, 28009

  • Novartis Investigative Site

    Madrid, 28046

Other trials in Spain

Bulgaria2 sites
  • Novartis Investigative Site

    Sofia, 1413

  • Novartis Investigative Site

    Sofia, 1784

Other trials in Bulgaria

Chile2 sites
  • Novartis Investigative Site

    Valdivia, Los Ríos Region, 5110683

  • Novartis Investigative Site

    Viña del Mar, Valparaiso, 2540364

Other trials in Chile

Singapore2 sites
  • Novartis Investigative Site

    Singapore, 119074

  • Novartis Investigative Site

    Singapore, 169608

Other trials in Singapore

South Africa2 sites
  • Novartis Investigative Site

    Cape Town, 7531

  • Novartis Investigative Site

    Port Elizabeth, Eastern Cape, 6001

Other trials in South Africa

South Korea2 sites
  • Novartis Investigative Site

    Dongjak Gu, Seoul, 07061

  • Novartis Investigative Site

    Seoul, 03080

Other trials in South Korea

Taiwan2 sites
  • Novartis Investigative Site

    Kaohsiung City, 80756

  • Novartis Investigative Site

    Tainan, 70403

Other trials in Taiwan

United Kingdom2 sites
  • Novartis Investigative Site

    Aberdeen, Grampian Region, AB25 2ZN

  • Novartis Investigative Site

    London, SE5 9RS

Other trials in United Kingdom

Argentina1 site
  • Novartis Investigative Site

    San Juan Bautista, Buenos Aires, C1073ABA

Other trials in Argentina

Belgium1 site
  • Novartis Investigative Site

    Mechelen, 2800

Other trials in Belgium

Canada1 site
  • Novartis Investigative Site

    Montreal, Quebec, H4A 3J1

Other trials in Canada

Denmark1 site
  • Novartis Investigative Site

    Aarhus N, 8200

Other trials in Denmark

Estonia1 site
  • Novartis Investigative Site

    Tallinn, 10617

Other trials in Estonia

India1 site
  • Novartis Investigative Site

    New Delhi, National Capital Territory of Delhi, 110070

Other trials in India

Puerto Rico1 site
  • FDI Clinical Research

    San Juan, 00927

Other trials in Puerto Rico

Turkey (Türkiye)1 site
  • Novartis Investigative Site

    Istanbul, Topkapi, 34010

Other trials in Turkey (Türkiye)

About this study

Official title: A Randomized, Double-blind, Parallel-group, Multicenter Study to Assess Efficacy, Safety, and Tolerability of Oral Tropifexor (LJN452) & Licogliflozin (LIK066) Combination Therapy and Each Monotherapy, Compared With Placebo for Treatment of Adult Patients With Nonalcoholic Steatohepatitis (NASH) and Liver Fibrosis.(ELIVATE)

Randomized, double-blind, parallel-group, multicenter study to assess efficacy, safety, and tolerability of oral tropifexor \& licogliflozin combination therapy and each monotherapy, compared with placebo for treatment of adult patients with nonalcoholic steatohepatitis (NASH) and liver fibrosis.

Read the detailed description

The study consisted of 1) a screening period, 2) a treatment period starting from randomization on Day 0 and running to Week 48, and 3) a follow-up period of 4 weeks after the last dose of study treatment. The study duration from first dose of study medication was 52 weeks.

Being tested
Tropifexor, Licogliflozin, Placebo
Keywords
NASH, Non alcoholic steatohepatitis, Tropifexor, LJN452, Licogliflozin, LIK066, Placebo
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.

  • TropifexorDrug

    Also called LJN452

    100mcg+30mcg+10mcg capsules of tropifexor taken orally every day until the 140 mcg capsule of tropifexor taken orally every day is produced, then patients will switch to the single 140mcg capsule taken orally every day

  • LicogliflozinDrug

    Also called LIK066

    30mg tablet of licoglifozin taken orally every day

  • PlaceboOther

    licogliflozin placebo + tropifexor placebo

Study groups in NCT04065841
Study groupRoleWhat they receive
Arm A: combination therapyExperimentalCombination therapy arm: tropifexor 140 mcg capsule + licogliflozin 30 mg tablet, once daily orally
Receives: Drug: Tropifexor; Drug: Licogliflozin
Arm B: tropifexor monotherapyExperimentalTropifexor monotherapy arm: tropifexor 140 mcg capsule (+ placebo matching licogliflozin tablet), once daily orally
Receives: Drug: Tropifexor
Arm C: licogliflozin monotherapyExperimentalLicogliflozin monotherapy arm: licogliflozin 30 mg tablet (+ placebo matching tropifexor capsule), once daily orally
Receives: Drug: Licogliflozin
Arm D: PlaceboPlacebo comparatorPlacebo arm: placebo matching tropifexor capsule + placebo matching licogliflozin tablet, once daily
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Histological Improvement: Number and Percentage of Participants Who Responded at Week 48 Compared With Baseline

    Response was defined as at least a one-stage improvement in fibrosis without worsening of nonalcoholic steatohepatitis (NASH)

    Fibrosis staging and Nonalcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) based on steatosis, lobular inflammation, and hepatocyte ballooning assessment were determined by a Study Central Reader. NASH CRN fibrosis criteria: Stage 0 = no fibrosis; Stage 1 = centrilobular pericellular fibrosis (or periportal fibrosis in children); Stage 2 = centrilobular and periportal fibrosis; Stage 3 = bridging fibrosis; and Stage 4 = cirrhosis.

    Measured: Baseline, Week 48

  2. Number and Percentage of Participants With Resolution of NASH and no Worsening of Fibrosis

    Fibrosis staging and Nonalcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) based on steatosis, lobular inflammation, and hepatocyte ballooning assessment were determined by a Study Central Reader. NASH CRN fibrosis criteria: Stage 0 = no fibrosis; Stage 1 = centrilobular pericellular fibrosis (or periportal fibrosis in children); Stage 2 = centrilobular and periportal fibrosis; Stage 3 = bridging fibrosis; and Stage 4 = cirrhosis.

    Measured: 48 weeks

Secondary outcomes (8)
  1. Number and Percentage of Participants Who Achieved Resolution of NASH and no Worsening of Fibrosis OR Improvement in Fibrosis by at Least One Stage Without Worsening of NASH

    Fibrosis staging and Nonalcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) based on steatosis, lobular inflammation, and hepatocyte ballooning assessment were determined by a Study Central Reader. NASH CRN fibrosis criteria: Stage 0 = no fibrosis; Stage 1 = centrilobular pericellular fibrosis (or periportal fibrosis in children); Stage 2 = centrilobular and periportal fibrosis; Stage 3 = bridging fibrosis; and Stage 4 = cirrhosis.

    Measured: 48 weeks

  2. Number and Percentage of Participants With at Least One Stage Improvement in Fibrosis

    Fibrosis staging and Nonalcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) based on steatosis, lobular inflammation, and hepatocyte ballooning assessment were determined by a Study Central Reader. NASH CRN fibrosis criteria: Stage 0 = no fibrosis; Stage 1 = centrilobular pericellular fibrosis (or periportal fibrosis in children); Stage 2 = centrilobular and periportal fibrosis; Stage 3 = bridging fibrosis; and Stage 4 = cirrhosis.

    Measured: 48 weeks

  3. Number and Percentage of Participants With at Least Two Stage Improvement in Fibrosis Without Worsening of NASH

    Fibrosis staging and Non-alcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) based on steatosis, lobular inflammation, and hepatocyte ballooning assessment were determined by a Study Central Reader. NASH CRN fibrosis criteria: Stage 0 = no fibrosis; Stage 1 = centrilobular pericellular fibrosis (or periportal fibrosis in children); Stage 2 = centrilobular and periportal fibrosis; Stage 3 = bridging fibrosis; and Stage 4 = cirrhosis.

    Measured: 48 weeks

  4. Number and Percentage of Participants Achieving 5% or More Reduction in Body Weight at Week 48 Compared With Baseline

    Whether the participants had 5% or more reduction in body weight.

    Measured: Baseline, Week 48

  5. Change From Baseline to Week 48 in Percent Liver Fat Content Based on Magnetic Resonance Imaging - Proton Density Fat Fraction (MRI - PDFF)

    Change in liver fat content based on MRI-PDFF.

    Measured: Baseline, Week 48

  6. Change From Baseline in Alanine Transaminase (ALT) Over Time

    To determine the relationship of investigational treatment and markers of hepatic inflammation in NASH.

    Measured: Baseline to Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, follow-up (up to 62 weeks)

  7. Change From Baseline in Aspartate Aminotransferase (AST) Over Time

    To determine the relationship of investigational treatment and markers of hepatic inflammation in NASH.

    Measured: Baseline to Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, follow-up (up to 62 weeks)

  8. Change From Baseline in Gamma-glutamyltransferase (GGT) Over Time

    To determine the relationship of investigational treatment and markers of hepatic inflammation in NASH.

    Measured: Baseline to Weeks 2, 4, 8, 12, 16, 20, 24, 32, 40, 48, follow-up (up to 62 weeks)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Aug 2019
  2. Study start30 Dec 2019
  3. Primary completion27 Oct 2022
  4. Study completion27 Oct 2022

Why it stopped: The sponsor made a business decision to stop development of the trial drugs. The decision to stop the trial early was not because of any safety concerns.

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
234 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04065841
Sponsor's protocol ID
CLJN452D12201C
Other IDs
2019-002324-32, 2019
Acronym
ELIVATE
Status last verified
Jan 2025
First submitted
19 Aug 2019
Last updated
28 Jan 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing access to patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to protect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Tropifexor and Licogliflozin in people with Non Alcoholic Steatohepatitis (NASH), run by Novartis Pharmaceuticals at 80 sites in 24 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 3 inclusion and 13 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 28 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 80 sites in United States, Brazil, Germany, Italy, Japan and 19 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 26 Dec 2023). 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?

Histological Improvement: Number and Percentage of Participants Who Responded at Week 48 Compared With Baseline (time frame: Baseline, Week 48). 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 28 Jan 2025.

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