Nonalcoholic SteatohepatitisPhase 2NASHNCT05011305
Saroglitazar Magnesium for the Treatment of Nonalcoholic Steatohepatitis With Fibrosis
A Phase 2 study testing Saroglitazar Magnesium 2 mg and Saroglitazar Magnesium 4 mg in people with Nonalcoholic Steatohepatitis and Fibrosis, run by Zydus Therapeutics Inc. at 129 sites in 4 countries.
Trial summary
Saroglitazar Magnesium for the Treatment of Nonalcoholic Steatohepatitis Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Nonalcoholic Steatohepatitis, Fibrosis
- What is being tested?
- Saroglitazar Magnesium 2 mg and Saroglitazar Magnesium 4 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 189 participants
- Where
- 129 sitesin 4 countries
- Study dates
- 18 Aug 2021to 12 Sep 2025
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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, between 18 and 75 years of age, both inclusive at screening.
- BMI ≤45 kg/m²
- Histological confirmation of NASH with liver fibrosis by central pathologist on a diagnostic liver biopsy with a NAS ≥4 with at least one-point score in each of the three components of the NAFLD activity score [NAS] (steatosis scored 0-3, ballooning degeneration scored 0-2, and lobular inflammation scored 0-3) and NASH by pattern recognition Note: The biopsy must not have been performed more than 24 weeks before randomization.
- The subjects must have a stable body weight (no more than 5% change) between the time of biopsy and randomization.
- Fibrosis stage 2 and 3, according to the NASH CRN fibrosis staging, reported by central pathologist.
- If the subjects have type 2 diabetes mellitus, then it must be moderately controlled with HbA1c ≤ 9.5% and on a stable dose of permitted anti-diabetic medication for at least 90 days before screening until randomization.
- If the subjects are taking vitamin E > 400 IU/day, then it must be on a stable dose for at least 24 weeks prior to screening or, if a historical biopsy is used, at least 24 weeks prior to baseline liver biopsy until randomization.
- Must provide written informed consent and agree to comply with the trial protocol.
Who cannot join
- Consumption of >2 units of alcohol per day (>14 units per week) if male and >1 units of alcohol per day (>7 units per week) if female for at least 12 consecutive weeks within 5 years before screening (Note: 1 unit = 12 ounces of beer, 4 ounces of wine or 1 ounce of spirits/hard liquor)
- History or presence of other concomitant liver diseases at screening:
- Chronic hepatitis B (HBV) or hepatitis C virus (HCV) infection (However, If the subject has been treated for the HCV infection and has been cured at least 5 years from screening, such subjects can be enrolled in the study)
- Primary biliary cholangitis (PBC)
- Primary sclerosing cholangitis (PSC)
- Definite autoimmune liver disease or overlap syndrome
Show all 55Show fewer
- Alcoholic liver disease
- Hemochromatosis
- Wilsons disease
- Alpha-1 antitrypsin deficiency
- Subject with known cirrhosis, either based on histology, clinical criteria or any non-invasive diagnostic modality, within 24 weeks prior to the randomization.
- Evidence of portal hypertension (low platelet count, esophageal varices, ascites, history of hepatic encephalopathy, splenomegaly) at screening.
- Treatment with glucagon-like peptide-1 receptor agonists (GLP-1RAs), sodium glucose cotransporter- 2 (SGLT-2) inhibitors, and dipeptidyl peptidase 4 inhibitors (gliptins) unless stable for 120 days prior to screening or, if a historical biopsy is used, from 120 days prior to baseline liver biopsy until randomization.
- Use of concurrent medications prior to screening including:
- Anti-NASH therapy(s) including S-adenosyl methionine (SAMe), ursodeoxycholic acid (UDCA), and obeticholic acid in the period from 90 days prior to screening or, if a historical biopsy is used, from 90 days prior to baseline liver biopsy until randomization. For resmetirom; 120 days prior to screening or if a historical biopsy is used, from 120 days prior to baseline liver biopsy until randomization.
- Antidiabetic mediation which may impact NASH histology including thiazolidinediones (pioglitazone, rosiglitazone) in the period from 90 days prior to screening or, if a historical biopsy is used, from 90 days prior to baseline liver biopsy until randomization.
- Immune modulatory agents including anti-TNF-α therapies (infliximab, adalimumab, etanercept) or anti-integrin therapy (namixilab) in the period from 28 days prior to screening or if a historical biopsy is used from 28 days prior to baseline liver biopsy until randomization.
- Any treatment or anticipated initiation (intended use for more than 14 consecutive days) of medications known to have an effect on steatosis (e.g. treatment with corticosteroids [topical and inhaled are allowed]), methotrexate, tamoxifen, valproic acid, amiodarone or tetracycline, estrogens in doses higher than used in oral contraceptives, vitamin A, L-asparaginase, valproate, chloroquine, or antiretroviral drugs in the period from 28 days prior to screening or, if a historical biopsy is used, from 28 days prior to baseline liver biopsy until randomization.
- Treatment with orlistat, zonisamide, topiramate, phentermine, lorcaserin, bupropion, or naltrexone alone, or in combination or any other medication, that could promote weight loss, in the opinion of the investigator, in the period from 28 days prior to screening or if a historical biopsy is used from 28 days prior to baseline liver biopsy until randomization.
- Changing doses of statins (simvastatin, pitavastatin, pravastatin, atorvastatin, fluvastatin, lovastatin, rosuvastatin) or fibrates (clofibrate, Fenofibrate) in the 90 days preceding screening until randomization.
- Use of drugs that are known CYP2C8 inhibitors/substrate in the 28 days preceding screening until randomization.
- History of liver transplant
- Any weight reduction surgery in the 2 years prior to screening or planned during the study (weight reduction surgery is disallowed during the study), and malabsorptive weight loss surgery (Rouxen-Y or distal gastric bypass) at any time prior to screening.
- Note: Lap banding, if the band has been removed >6 months before baseline liver biopsy, or intragastric balloon, if the balloon has been removed > 6 months before baseline liver biopsy, is allowed.
- Type 1 diabetes mellitus
- History of stomach or intestinal surgery or resection within the six months prior to screening that would potentially alter absorption and/or excretion of orally administered drugs as judged by the investigator.
- Unstable cardiovascular disease, including:
- unstable angina, (i.e., new or worsening symptoms of coronary heart disease) in the 90 days before screening and throughout the screening period; acute coronary syndrome in the 24 weeks before screening and throughout the screening period;
- acute myocardial infarction in the 90 days before screening and throughout the screening period; or heart failure of New York Heart Association class (III - IV), worsening congestive heart failure, or coronary artery intervention, in the 24 weeks before screening and throughout the screening period.
- history of unstable cardiac dysrhythmias
- uncontrolled hypertension at screening
- stroke or transient ischemic attack in the 24 weeks before screening
- History of myopathies or evidence of active muscle disease demonstrated by CPK ≥ 5 times ULN at screening.
- For subjects with elevated baseline ALT, AST, or ALP; ALT, AST, or ALP exceeding by more than 50% at Visit 2 reading compared to Visit 1 Note: If the ALT, AST or ALP values at Visit 2 exceed by more than 50% from Visit 1, then a third value will be measured to assess for the trend. If the third value shows continued increase ≥ 10%, then subject is considered ineligible for randomization.
- Any of the following laboratory values at screening:
- Hemoglobin <9 g/dL
- WBC count <2.5 × 103/µL
- Neutrophil count <1.5 × 103/µL
- Platelets <140 × 103/µL [if low platelet count is due to reasons other than liver disease as assessed by a hematologist, participants may be eligible if the platelet count is > 75 x 103/µL] as per investigator's discretion]
- INR ≥ 1.3 (in the absence of anticoagulants)
- Total bilirubin > ULN except in Gilbert's syndrome. In subjects with known Gilbert's syndrome, direct bilirubin > 2 x ULN
- Albumin <3.5 g/dL
- eGFR <60 mL/min/1.73 m2
- ALP ≥ 2x ULN
- ALT or AST ≥ 250 U/L
- Participation in any other therapeutic clinical study and on active treatment in the past 90 days of the screening.
- History of benign or malignant bladder tumors, and/or hematuria or has current hematuria except due to a urinary tract infection.
- History of malignancy in the past 5 years and/or active neoplasm with the exception of resolved superficial nonmelanoma skin cancer.
- Known allergy, sensitivity or intolerance to the study drug, comparator or formulation ingredients.
- Pregnancy-related exclusions, including:
- Pregnant/lactating female (including positive pregnancy test at screening)
- Pregnancy should be avoided by male and female participants either by true abstinence or the use of an acceptable effective contraceptive measures for the duration of the study and for at least 1 month after the end of the study treatment
- History or other evidence of severe illness or any other conditions that would make the subject, in the opinion of the investigator, unsuitable for the study (such as poorly controlled psychiatric disease, HIV, coronary artery disease or active gastrointestinal conditions that might interfere with drug absorption)
- Receiving an elemental diet or parenteral nutrition.
- Chronic pancreatitis or pancreatic insufficiency.
Trial locations and contacts
129 sites in 4 countries.
129 sites in 4 countries
United States101 sites
Zydus US002
Arlington, Texas, 76012
Zydus US018
Asheville, North Carolina, 28801
Zydus US039
Aurora, Colorado, 80045
Zydus US051
Austin, Texas, 78745
Zydus US101
Austin, Texas, 78757
Zydus US089
Bellaire, Texas, 77401
Zydus US032
Birmingham, Alabama, 35294
Zydus US017
Boston, Massachusetts, 02215
Zydus US105
Brownsville, Texas, 78520
Zydus US015
Charleston, South Carolina, 29401
Zydus US030
Charleston, South Carolina, 29425
Zydus US027
Charlotte, North Carolina, 28204
Zydus US092
Chesterfield, Michigan, 48047
Zydus US118
Chula Vista, California, 91911
Zydus US010
Cincinnati, Ohio, 45044
Zydus US009
Cincinnati, Ohio, 45267-0595
Zydus US122
Clearwater, Florida, 33761
Zydus US035
Cleveland, Ohio, 44109
Zydus US074
Columbia, Missouri, 65201
Zydus US073
Columbia, South Carolina, 29204
Zydus US107
Dalton, Georgia, 30720
Zydus US095
Edinburg, Texas, 78539
Zydus US106
Edinburg, Texas, 78539
Zydus US057
Fort Myers, Florida, 33907
Zydus US061
Fort Worth, Texas, 76104
Zydus US041
Fresno, California, 93720
Zydus US113
Gainesville, Georgia, 30501
Zydus US111
Gardena, California, 90247
Zydus US075
Greenwood, South Carolina, 29646
Zydus US108
Hallandale, Florida, 33009
Zydus US011
Hermitage, Tennessee, 37067
Zydus US060
Hershey, Pennsylvania, 17033
Zydus US096
Hialeah Gardens, Florida, 33016
Zydus US079
Homewood, Alabama, 35209
Zydus US071
Houma, Louisiana, 70363
Zydus US067
Houston, Texas, 77030
Zydus US109
Houston, Texas, 77030
Zydus US005
Houston, Texas, 77058
Zydus US110
Houston, Texas, 77079
Zydus US013
Huntington Park, California, 90255
Zydus US020
Indianapolis, Indiana, 46202
Zydus US049
Kansas City, Kansas, 66160
Zydus US120
Kansas City, Missouri, 64131
Zydus US117
Katy, Texas, 77084
Zydus US065
La Jolla, California, 92037
Zydus US003
Lakeland, Florida, 33803
Zydus US016
Lakewood Rch, Florida, 34211
Zydus US094
Lancaster, California, 93534
Zydus US125
Largo, Florida, 33777
Zydus US080
Long Beach, California, 90808
Zydus US090
Long Beach, California, 90815
Zydus US022
Los Angeles, California, 90027
Zydus US062
Los Angeles, California, 90033
Zydus US001
Maitland, Florida, 32751
Zydus US124
Maitland, Florida, 32751
Zydus US070
Manassas, Virginia, 20110
Zydus US069
Manhasset, New York, 11030
Zydus US114
Marietta, Georgia, 30060
Zydus US014
Marrero, Louisiana, 70072
Zydus US007
Miami, Florida, 33014
Zydus US024
Miami, Florida, 33135
Zydus US034
Miami, Florida, 33136
Zydus US038
Miami, Florida, 33136
Zydus US121
Miami, Florida, 33155
Zydus US054
Miami, Florida, 33173
Zydus US098
Miami Lakes, Florida, 33016
Zydus US023
Murrieta, California, 92563
Zydus US099
Naples, Florida, 34102
Zydus US028
Nashville, Tennessee, 37232
Zydus US066
New York, New York, 10033
Zydus US081
Ocala, Florida, 34471
Zydus US088
Ogden, Utah, 84405
Zydus US052
Orange, California, 92868
Zydus US085
Orlando, Florida, 32806
Zydus US012
Panorama City, California, 91402
Zydus US053
Philadelphia, Pennsylvania, 19141
Zydus US047
Phoenix, Arizona, 85013
Zydus US104
Port Orange, Florida, 32127
Zydus US116
Reno, Nevada, 89511
Zydus US082
Richmond, Virginia, 23236
Zydus US021
Richmond, Virginia, 23298
Zydus US115
Saint Paul, Minnesota, 55101
Zydus US031
San Antonio, Texas, 78215
Zydus US103
San Antonio, Texas, 78222
Zydus US036
San Antonio, Texas, 78229
Zydus US102
San Antonio, Texas, 78229
Zydus US043
San Antonio, Texas, 78234
Zydus US008
San Antonio, Texas, 78240
Zydus US119
Savannah, Georgia, 31406
Zydus US077
Sparta, New Jersey, 07871
Zydus US072
Springboro, Ohio, 45066
Zydus US112
Summerville, South Carolina, 29485
Zydus US025
Tucson, Arizona, 85712
Zydus US087
Tucson, Arizona, 85712
Zydus US029
Tucson, Arizona, 85724
Zydus US078
Waco, Texas, 76712
Zydus US100
West Des Moines, Iowa, 50652
Zydus US123
West Monroe, Louisiana, 71291
Zydus US076
Wichita Falls, Texas, 76301
Zydus US004
Winter Park, Florida, 32789
Zydus US019
Wyoming, Michigan, 49519
Turkey (Türkiye)14 sites
Zydus TR003
Adana, 01240
Zydus TR002
Ankara, 06230
Zydus TR001
Ankara, 06800
Zydus TR004
Bursa, 16059
Zydus TR005
Gaziantep, 27310
Zydus TR009
Istanbul, 34093
Zydus TR008
Istanbul, 34760
Zydus TR007
Izmir, 35100
Zydus TR006
Izmir, 35150
Zydus TR011
Kayseri, 38039
Zydus TR010
Kocaeli, 41000
Zydus TR012
Mersin, 33110
Zydus TR013
Rize, 53020
Zydus TR014
Trabzon, 61080
Argentina13 sites
Zydus AR004
Buenos Aires, B1629ODT
Zydus AR001
CABA, C1056ABJ
Zydus AR013
CABA, C1180AAX
Zydus AR007
CABA, C1199ABB
Zydus AR006
CABA, C1221ADC
Zydus AR005
CABA, C1264AAA
Zydus AR008
CABA, C1425AGC
Zydus AR012
CABA, C1426ABP
Zydus AR003
CABA, CP143CKE
Zydus AR009
Mar del Plata, B7600
Zydus AR011
Mar del Plata
Zydus AR002
Ramos Mejía
Zydus AR010
Rosario, S2002KDS
About this study
Official title: A Phase 2b, Prospective, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate Efficacy and Safety of Saroglitazar Magnesium in Subjects With Nonalcoholic Steatohepatitis and Fibrosis
Saroglitazar Magnesium for the Treatment of Nonalcoholic Steatohepatitis
Read the detailed description
A Phase 2b, Prospective, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate Efficacy and Safety of Saroglitazar Magnesium in Subjects with Nonalcoholic Steatohepatitis and Fibrosis.
- Conditions
- Nonalcoholic Steatohepatitis, Fibrosis
- Being tested
- Saroglitazar Magnesium 2 mg, Saroglitazar Magnesium 4 mg, Placebo
- Keywords
- Saroglitazar Magnesium, Nonalcoholic Steatohepatitis, NASH, 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.
Saroglitazar Magnesium 2 mgDrug
Also called Investigational Product
Patients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast without food, for the duration of treatment.
Saroglitazar Magnesium 4 mgDrug
Also called Investigational Product
Patients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast without food, for the duration of treatment.
PlaceboDrug
Also called Comparator Agent
Patients randomly assigned to this group will receive Placebo tablet orally once daily in the morning before breakfast without food, for the duration of treatment.
| Study group | Role | What they receive |
|---|---|---|
| Saroglitazar Magnesium 2 mg | Experimental | Saroglitazar Magnesium 2 mg tablet orally administered once daily in the morning before breakfast without food, for the duration of treatment. Receives: Drug: Saroglitazar Magnesium 2 mg |
| Saroglitazar Magnesium 4 mg | Experimental | Saroglitazar Magnesium 4 mg tablet orally administered once daily in the morning before breakfast without food, for the duration of treatment. Receives: Drug: Saroglitazar Magnesium 4 mg |
| Placebo | Placebo comparator | Placebo tablet orally administered once daily in the morning before breakfast without food, for the duration of treatment. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Resolution of steatohepatitis with no worsening of fibrosis
Resolution of steatohepatitis is defined as absent fatty liver disease or isolated or simple steatosis without steatohepatitis and a NAS of 0-1 for inflammation, 0 for ballooning, and any value for Steatosis
Measured: 52 Weeks/EOT
Secondary outcomes (12)
Improvement in liver fibrosis with no increase in NAS for ballooning, inflammation or steatosis
Proportion of subjects achieving improvement in liver fibrosis (reduction of at least one stage) with no increase in NAS for ballooning, inflammation or steatosis
Measured: Week 52/EOT
2 points improvement in NAS
Proportion of subjects with at least 2 points improvement in NAS at Week 52/EOT with at least 1-point improvement in either ballooning or inflammation and no worsening of liver fibrosis
Measured: Week 52/EOT
Improvement in steatosis, ballooning, inflammation and fibrosis from liver biopsy
Proportion of subjects with ≥1 point improvement in steatosis, ballooning, inflammation and fibrosis
Measured: Week 52/EOT
Decrease in SAF score on liver biopsy
Proportion of subjects with decrease in SAF score ≥2 combining hepatocellular inflammation and ballooning without worsening of fibrosis
Measured: Week 52/EOT
Histological score changes in steatosis, ballooning, inflammation, and fibrosis
Change from baseline in steatosis, ballooning, inflammation, and fibrosis
Measured: Week 52/EOT
Change in liver enzyme parameters including (ALT, AST, ALP, GGT, total bilirubin, albumin)
Change from baseline in liver enzyme parameters (ALT, AST, ALP, GGT, total bilirubin, albumin)
Measured: Week 52/EOT
Change in non-invasive markers of steatosis
Change from baseline in non-invasive markers of steatosis (Enhanced Liver Fibrosis [ELF] test, Fibrosis 4 [FIB 4], APRI [AST to Platelet Ratio Index], NFS [NAFLD Fibrosis Score], PRO-C3)
Measured: Week 52/EOT
Change in n lipid parameters including (TG, LDLC, TC, HDL-C, non-HDL-C, VLDL-C
Change from baseline in lipid parameters (TG, LDLC, TC, HDL-C, non-HDL-C, VLDL-C)
Measured: Week 52/EOT
Change in body weight (any change from baseline)
Change from baseline in body weight
Measured: Week 52/EOT
Change in insulin resistance marker, HOMA-IR
Change from baseline in insulin resistance marker (HOMA-IR)
Measured: Week 52/EOT
Change in inflammatory markers including (CK-18 [M30], IL-6, CRP)
Change from baseline in inflammatory markers (CK-18 [M30], IL-6, CRP)
Measured: Week 52/EOT
Change in glucose homeostasis markers including (HbA1c, FPG)
Change from baseline in glucose homeostasis markers (HbA1c, FPG)
Measured: Week 52/EOT
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Aug 2021
- Study start18 Aug 2021
- Primary completion12 Sep 2025
- Study completion12 Sep 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 180 subjects randomized in a 1:1:1 ratio to Saroglitazar 2 mg, Saroglitazar 4 mg or Placebo.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 189 participants (actual)
Sponsor and investigators
- Lead sponsor
- Zydus Therapeutics Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Deven V. Parmar, MD, FCP, Study director, Zydus Therapeutics Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05011305
- Sponsor's protocol ID
- SARO.20.002
- Acronym
- NASH
- Status last verified
- Sep 2026
- First submitted
- 11 Jul 2021
- Last updated
- 21 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b, Prospective, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate Efficacy and Safety of Saroglitazar Magnesium in Subjects With Nonalcoholic Steatohepatitis and Fibrosis
- ClinicalTrials.gov ID
- NCT05011305
- Acronym / sponsor ID
- NASH / SARO.20.002
- Conditions
- Nonalcoholic Steatohepatitis, Fibrosis
- Keywords
- Saroglitazar Magnesium, Nonalcoholic Steatohepatitis, NASH, Fibrosis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 189 participants (actual)
- Lead sponsor
- Zydus Therapeutics Inc.Industry (pharma, biotech, devices)
- Study start
- 18 Aug 2021 (actual)
- Primary completion
- 12 Sep 2025 (actual)
- Study completion
- 12 Sep 2025 (actual)
- First posted
- 18 Aug 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Saroglitazar Magnesium for the Treatment of Nonalcoholic Steatohepatitis
Detailed description
A Phase 2b, Prospective, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate Efficacy and Safety of Saroglitazar Magnesium in Subjects with Nonalcoholic Steatohepatitis 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
- 3
- Model description
- 180 subjects randomized in a 1:1:1 ratio to Saroglitazar 2 mg, Saroglitazar 4 mg or Placebo.
| Arm | Type | Receives |
|---|---|---|
| Saroglitazar Magnesium 2 mg | Experimental | Drug: Saroglitazar Magnesium 2 mgSaroglitazar Magnesium 2 mg tablet orally administered once daily in the morning before breakfast without food, for the duration of treatment. |
| Saroglitazar Magnesium 4 mg | Experimental | Drug: Saroglitazar Magnesium 4 mgSaroglitazar Magnesium 4 mg tablet orally administered once daily in the morning before breakfast without food, for the duration of treatment. |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo tablet orally administered once daily in the morning before breakfast without food, for the duration of treatment. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Males or females, between 18 and 75 years of age, both inclusive at screening.
- BMI ≤45 kg/m²
- Histological confirmation of NASH with liver fibrosis by central pathologist on a diagnostic liver biopsy with a NAS ≥4 with at least one-point score in each of the three components of the NAFLD activity score [NAS] (steatosis scored 0-3, ballooning degeneration scored 0-2, and lobular inflammation scored 0-3) and NASH by pattern recognition Note: The biopsy must not have been performed more than 24 weeks before randomization.
- The subjects must have a stable body weight (no more than 5% change) between the time of biopsy and randomization.
- Fibrosis stage 2 and 3, according to the NASH CRN fibrosis staging, reported by central pathologist.
Key exclusion criteria (55 listed)
- Consumption of >2 units of alcohol per day (>14 units per week) if male and >1 units of alcohol per day (>7 units per week) if female for at least 12 consecutive weeks within 5 years before screening (Note: 1 unit = 12 ounces of beer, 4 ounces of wine or 1 ounce of spirits/hard liquor)
- History or presence of other concomitant liver diseases at screening:
- Subject with known cirrhosis, either based on histology, clinical criteria or any non-invasive diagnostic modality, within 24 weeks prior to the randomization.
- Evidence of portal hypertension (low platelet count, esophageal varices, ascites, history of hepatic encephalopathy, splenomegaly) at screening.
- Treatment with glucagon-like peptide-1 receptor agonists (GLP-1RAs), sodium glucose cotransporter- 2 (SGLT-2) inhibitors, and dipeptidyl peptidase 4 inhibitors (gliptins) unless stable for 120 days prior to screening or, if a historical biopsy is used, from 120 days prior to baseline liver biopsy until randomization.
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 |
|---|---|---|
| Saroglitazar Magnesium 2 mgAlso: Investigational ProductPatients randomly assigned to this group will receive Saroglitazar Magnesium 2 mg tablet orally once daily in the morning before breakfast without food, for the duration of treatment. | Drug | Saroglitazar Magnesium 2 mg |
| Saroglitazar Magnesium 4 mgAlso: Investigational ProductPatients randomly assigned to this group will receive Saroglitazar Magnesium 4 mg tablet orally once daily in the morning before breakfast without food, for the duration of treatment. | Drug | Saroglitazar Magnesium 4 mg |
| PlaceboAlso: Comparator AgentPatients randomly assigned to this group will receive Placebo tablet orally once daily in the morning before breakfast without food, for the duration of treatment. | Drug | Placebo |
Primary outcome
Resolution of steatohepatitis with no worsening of fibrosis
Time frame: 52 Weeks/EOT
Resolution of steatohepatitis is defined as absent fatty liver disease or isolated or simple steatosis without steatohepatitis and a NAS of 0-1 for inflammation, 0 for ballooning, and any value for Steatosis
12 secondary outcomes
Improvement in liver fibrosis with no increase in NAS for ballooning, inflammation or steatosis
Time frame: Week 52/EOT
2 points improvement in NAS
Time frame: Week 52/EOT
Improvement in steatosis, ballooning, inflammation and fibrosis from liver biopsy
Time frame: Week 52/EOT
Decrease in SAF score on liver biopsy
Time frame: Week 52/EOT
Histological score changes in steatosis, ballooning, inflammation, and fibrosis
Time frame: Week 52/EOT
Change in liver enzyme parameters including (ALT, AST, ALP, GGT, total bilirubin, albumin)
Time frame: Week 52/EOT
Change in non-invasive markers of steatosis
Time frame: Week 52/EOT
Change in n lipid parameters including (TG, LDLC, TC, HDL-C, non-HDL-C, VLDL-C
Time frame: Week 52/EOT
Change in body weight (any change from baseline)
Time frame: Week 52/EOT
Change in insulin resistance marker, HOMA-IR
Time frame: Week 52/EOT
Change in inflammatory markers including (CK-18 [M30], IL-6, CRP)
Time frame: Week 52/EOT
Change in glucose homeostasis markers including (HbA1c, FPG)
Time frame: Week 52/EOT
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Sep 2026.
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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.
Deven V. Parmar, MD, FCP study director
Zydus Therapeutics Inc.
129 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Saroglitazar Magnesium 2 mg and Saroglitazar Magnesium 4 mg in people with Nonalcoholic Steatohepatitis and Fibrosis, run by Zydus Therapeutics Inc. at 129 sites in 4 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 8 inclusion and 55 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: finished, as of the sponsor's last update on 21 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 129 sites in United States, Turkey (Türkiye), Argentina, Puerto Rico. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Resolution of steatohepatitis with no worsening of fibrosis (time frame: 52 Weeks/EOT). 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 21 Sep 2026.