AzTrials
AzTrials

NASH - Nonalcoholic SteatohepatitisPhase 2LEGENDNCT05232071

Placebo-controlled, Proof-of-concept Study to Evaluate the Safety and Efficacy of Lanifibranor Alone and in Combination With SGLT2 Inhibitor EmpaGliflozin in patiEnts With NASH and Type 2 Diabetes Mellitus

A Phase 2 study testing Lanifibranor and Empagliflozin in people with NASH - Nonalcoholic Steatohepatitis and Diabetes Mellitus, Type 2, run by Inventiva Pharma at 42 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The study in the T2DM population is intended to confirm the lanifibranor effect versus placebo on glycemic control and assess a positive effect of the combination of lanifibranor with an SGLT2 inhibitor on glycemic control. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Lanifibranor and Empagliflozin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
39 participants
Where
42 sitesin 5 countries
Study dates
29 Jun 2022to 4 Jun 2024
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

  • Male or female, aged ≥ 18 years at the time of signing informed consent
  • Diagnosis of NASH, based on histology or cT1≥875ms assessed by LiverMultiScan or cT1≥825ms assessed by LiverMultiScan and hepatic fat content ≥ 10% assessed by MRI-PDFF at screening
  • HbA1c at screening ≥ 7.0 and ≤ 10.0%, on diet alone, or on metformin and/or dipeptidyl peptidase 4 inhibitor (DPP-IVi) therapy. Both with doses to be stable for 3 months
  • Negative pregnancy test at Screening for females of childbearing potential or at least two-year post-menopausal.

Who cannot join

  • Liver-related:
  • Documented causes of chronic liver disease other than NASH
  • Histologically documented liver cirrhosis (fibrosis stage F4)
  • History or current diagnosis of hepatocellular carcinoma (HCC)
  • History of or planned liver transplant
  • Documented history of human immunodeficiency virus (HIV) infection
Show all 29Show fewer
  • ALT or AST > 5 × upper limit of normal (ULN)
  • Abnormal liver function as defined by central laboratory evaluation:
  • Albumin < LLN INR ≥ 1.3 (unless patient is on anticoagulants) Total bilirubin level ≥ 1.5 mg/dL (25.7 µmol/L) (patients with a documented history of Gilbert's syndrome can be enrolled if direct bilirubin is ≤ 0.45 mg/dL (7.7 μmol/L) )
  • Hemoglobin < 110 g/L (11 g/dL) for females and < 120 g/L (12 g/dL) for males
  • WBC < LLN. A lower count is acceptable in patients with benign ethnic neutropenia, if considered to be clinical insignificant by the investigator
  • Platelet count < 140,000/µL
  • ALP > 2 × ULN
  • Patient currently receiving any approved treatment for NASH or obesity
  • Current or recent history (< 5 years) of significant alcohol consumption
  • Administration of drugs known to produce hepatic steatosis in the 6 months prior to Screening.
  • Diabetes related:
  • Diabetes mellitus other than type 2
  • Diabetic ketoacidosis at Screening
  • Current treatment with glucagon-like peptide-1 receptor agonists (GLP-1RA), insulin or sulfonylurea or treatment within the last 3 months prior to Screening
  • Patients on pioglitazone in the last 12 months prior to Screening.
  • Patients on metformin, DPP-IVi, thiazide or furosemide diuretics, beta-blockers, or other chronic medications with known adverse effects on glucose tolerance levels, unless on stable doses in last 3 months
  • Obesity related:
  • BMI>45 kg/m2 at screening
  • Introduction of an anti-obesity drug or restrictive bariatric surgery in the past 12 months prior to Screening or planned bariatric surgery through Week 24.
  • Cardiovascular related:
  • 21. History of or current unstable cardiac dysrhythmias 22. Unstable heart failure 23. Uncontrolled hypertension 24. Stroke or transient ischemic attack
  • General safety:
  • 25. Significant systemic or major illnesses other than liver disease and pulmonary disease, organ transplantation, serious psychiatric disease, that, in the opinion of the investigator, would preclude treatment with lanifibranor and/or adequate follow up 26. Renal impairment measured as estimated Glomerular Filtration Rate (eGFR) value < 60 mL/min 27. Concomitant treatment with PPAR-⍺ agonists (fibrates) 28. Patients on Vitamin E at doses ≥ 400 IU/day; doses of ≥ 400 IU/day are allowed when no qualitative change in dose for 6 months prior to Screening 29. Have a known hypersensitivity to any of the IMPs 30. Previous exposure to lanifibranor or empagliflozin 31. Present pregnancy/lactation 32. Metallic implant of any sort that prevents MRI examination 33. Participation in any clinical trial of an approved or non approved investigational medicinal product/device within 3 months from Screening or five half-lives of the investigational drug from Screening.

Trial locations and contacts

42 sites in 5 countries.

42 sites in 5 countries

United States26 sites
  • Accelemed Research Institute

    Austin, Texas, 78745

  • Harvard Medical School

    Boston, Massachusetts, 02115

  • Institute for Liver Health dba Arizona Liver Health

    Chandler, Arizona, 85224

  • University of Virginia

    Charlottesville, Virginia, 22908

  • ARcare Center for Clinical Research

    Conway, Arkansas, 72032

  • Dallas Diabetes Research Center

    Dallas, Texas, 75230

  • AIG Digestive Disease Research

    Florham Park, New Jersey, 07932

  • Cure Clinical Research, LLC

    Fountain Valley, California, 92708

  • Velocity Clinical Research

    Gardena, California, 90247

  • Digestive Health Research

    Hermitage, Tennessee, 37076

  • Birmingham Digestive Health Research

    Homewood, Alabama, 35209

  • National Research Institute

    Huntington Park, California, 90255

  • Indiana University School of Medicine

    Indianapolis, Indiana, 46202

  • Florida Research Institute

    Lakewood Rch, Florida, 34211

  • Galenus Group

    Lehigh Acres, Florida, 33936

  • ARcare Center for Clinical Research

    Little Rock, Arkansas, 72205

  • Tandem Clinical Research - New Orleans Area Site

    Marrero, Louisiana, 70072

  • Prolive Medical Research

    Miami, Florida, 33175

  • Cadena Care Institute, LLC

    Poway, California, 92064

  • Central Virginia VA Healthcare System

    Richmond, Virginia, 23249

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • American Research Corporation

    San Antonio, Texas, 78215

  • Diabetes & Glandular Disease Clinic, P.A.

    San Antonio, Texas, 78229

  • Digestive Health Research of Southern California

    South Bend, Indiana, 46635

  • Impact Research Institute

    Waco, Texas, 76710

  • Digestive Health Research of North Texas

    Wichita Falls, Texas, 76301

Other trials in United States

France6 sites
  • CHU Angers_Service d'hepatogastro-enterologie

    Angers, 49000

  • CHU Limoges

    Limoges, 87042

  • Hopital Saint Antoine

    Paris, 75012

  • CHU Bordeaux

    Pessac, 33604

  • Chu Rangueil

    Toulouse, 31059

  • HGE CHRU Nancy

    Vandœuvre-lès-Nancy, 54500

Other trials in France

Belgium5 sites
  • CUB Erasme Hospital

    Brussels, 1070

  • Cliniques Universitaires Saint-Luc

    Brussels, 1200

  • Universitair Ziekenhuis Antwerpen

    Edegem, 2650

  • AZ Maria Middelares

    Ghent, 9000

  • UZ GENT

    Ghent, 9000

Other trials in Belgium

United Kingdom4 sites
  • Hull University Teaching Hospital

    Hull, HU32JZ

  • King's College Hospital

    London, SE59RS

  • St Georges Hospital

    London, SW17 0QT

  • Royal Victoria Infirmary

    Newcastle upon Tyne, NE1 7RU

Other trials in United Kingdom

Netherlands1 site
  • Amsterdam UMC

    Amsterdam, 1105 AZ

Other trials in Netherlands

About this study

Official title: A Placebo-controlled, Proof-of-concept Study to Evaluate the Safety and Efficacy of Lanifibranor Alone and in Combination With the Sodium-glucose Transport Protein 2 (SGLT2) Inhibitor EmpaGliflozin in patiEnts With Non-alcoholic Steatohepatitis (NASH) and Type 2 Diabetes Mellitus (T2DM)

The study in the T2DM population is intended to confirm the lanifibranor effect versus placebo on glycemic control and assess a positive effect of the combination of lanifibranor with an SGLT2 inhibitor on glycemic control.

Being tested
Lanifibranor, Placebo, Empagliflozin
Medical subject headings
Non-alcoholic Fatty Liver Disease, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LanifibranorDrug

    800 mg

  • PlaceboDrug

    Placebo to match

  • EmpagliflozinDrug

    Also called Jardiance

    10 mg

Study groups in NCT05232071
Study groupRoleWhat they receive
Lanifibranor (800 mg/day)ExperimentalLanifibranor (800 mg/day): two film-coated tablets of 400 mg each, once-a-day (QD) with food. For oral use. QD for 24 weeks.
Receives: Drug: Lanifibranor
Matching placeboPlacebo comparatorTwo lanifibranor placebo-matching tablets once-a-day (QD) with food. For oral use. QD for 24 weeks.
Receives: Drug: Placebo
Lanifibranor (800 mg/day) plus Empagliflozin (10mg/day)ExperimentalLanifibranor (800 mg/day): two film-coated tablets of 400 mg each plus one empagliflozin film-coated tablet of 10 mg (10mg/day), once-a-day (QD) with food. For oral use. QD for 24 weeks
Receives: Drug: Lanifibranor; Drug: Empagliflozin

What is being measured

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

  1. Absolute Change in HbA1c

    Effect of lanifibranor alone compared to placebo and the effect of lanifibranor in combination with empagliflozin compared to placebo on absolute change in HbA1c from baseline (Week 0) to Week 24

    Measured: From Baseline to Week 24

Secondary outcomes (8)
  1. Change in Liver Tests (ALT)

    Defined as Absolute Change from Baseline

    Measured: from Baseline to Week 24

  2. Change in Liver Tests (AST)

    Defined as Absolute Change from Baseline

    Measured: from Baseline to Week 24

  3. Percentage Change in Insulin Resistance and Glycaemic Control (HOMA-IR)

    HOMA-IR : The homeostatic model assessment for insulin resistance (HOMA-IR) is a method used to quantify insulin resistance, and was derived by the central laboratory from glucose and insulin values using the formula (Fasting glucose mg/dL x fasting insulin µIU/mL) / 405.

    Lower values are considered better outcome.

    Measured: from Baseline to Week 24

  4. Change in Insulin Resistance and Glycaemic Control (Insulin)

    Defined as Relative Change from Baseline

    Measured: from Baseline to Week 24

  5. Change in Insulin Resistance and Glycaemic Control (Adiponectin)

    Defined as Fold Change from Baseline

    Measured: from Baseline to Week 24

  6. Change in Lipid Parameters (HDL Cholesterol)

    Defined as Relative Change

    Measured: from Baseline to Week 24

  7. Change in Body Weight and Body Composition (Body Weight)

    Defined as Relative Change from Baseline

    Measured: from Baseline to Week 24

  8. Change in Body Weight and Body Composition (VAT/SAT Ratio)

    Ratio VAT / SAT - Results for Relative Change from Baseline VAT : MRI L3 visceral adipose tissue SAT : MRI L3 subcutaneous adipose tissue

    Measured: from Baseline to Week 24

Timeline

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

  1. First posted9 Feb 2022
  2. Study start29 Jun 2022
  3. Primary completion8 May 2024
  4. Study completion4 Jun 2024

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
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
39 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05232071
Sponsor's protocol ID
337HNAS21016
Other IDs
2021-005057-87
Acronym
LEGEND
Status last verified
Sep 2026
First submitted
26 Jan 2022
Last updated
9 Sep 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lanifibranor and Empagliflozin in people with NASH - Nonalcoholic Steatohepatitis and Diabetes Mellitus, Type 2, run by Inventiva Pharma at 42 sites in 5 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 4 inclusion and 29 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 9 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 42 sites in United States, France, Belgium, United Kingdom, Netherlands. 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 9 Sep 2026). 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?

Absolute Change in HbA1c (time frame: From Baseline to Week 24). 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 9 Sep 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in