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NON-ALCOHOLIC STEATOHEPATITISPhase 2NCT06054815

Study to Evaluate the Efficacy and Safety of DA-1241 in Subjects With Presumed NASH

A Phase 2 study testing DA-1241 and Sitagliptin in people with NON-ALCOHOLIC STEATOHEPATITIS, run by NeuroBo Pharmaceuticals Inc. at 18 sites in United States.

Completed

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

Official record
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Trial summary

A multicenter, randomized, double-blind, placebo-controlled, parallel, Phase 2a clinical trial to evaluate the efficacy and safety of DA 1241 in subjects with presumed non-alcoholic steatohepatitis (NASH). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
NON-ALCOHOLIC STEATOHEPATITIS
What is being tested?
DA-1241 and Sitagliptin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
109 participants
Where
18 sitesUnited States
Study dates
14 Sep 2023to 30 Oct 2024
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

  • Subjects who are able to understand and sign informed consent before the conduct of any protocol specific screening procedures.
  • Subjects who are male or female, aged 18 to 75 years inclusive at the time of consent.
  • Female subjects of childbearing potential:
  • Must agree to abide by contraception requirements, must not be lactating, and avoid pregnancy during study participation from the first Screening visit until 30 days after the last dose of study drug.
  • Must commit to an additional method of birth control in addition to male partners agreeing to use condoms with spermicide, throughout the study including for at least 30 days after the last dose of the study drug:
  • True abstinence: Refraining from heterosexual intercourse when this is in line with the preferred and usual lifestyle of the subject (periodic abstinence [eg, calendar, ovulation, symptothermal, post ovulation methods] and withdrawal are not acceptable).
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  • Combined (containing estrogen and progestogen) hormonal birth control (oral, intravaginal, injectable, or transdermal) associated with inhibition of ovulation initiated at least 30 days before dose administration.
  • Progestogen only hormonal birth control (oral, injectable, or implantable) associated with inhibition of ovulation initiated at least 30 days before study dose administration.
  • Bilateral tubal occlusion/ligation.
  • Intrauterine device (IUD).
  • Intrauterine hormone releasing system (IUS).
  • Vasectomized partner.
  • Female subjects of non-childbearing potential do not need to use birth control during or after study drug treatment if considered of non-childbearing potential due to any of the following criteria:
  • Premenopausal female with permanent sterility or permanent infertility as due to one of the following:
  • Permanent sterility due to a hysterectomy, bilateral salpingectomy, bilateral oophorectomy.
  • Non-surgical permanent infertility due to Mullerian agenesis, androgen insensitivity, or gonadal dysgenesis; Investigator discretion should be applied to determining study entry for these individuals.
  • Postmenopausal female subjects, with no menses for 12 or more months without an alternative medical cause AND a follicle stimulating hormone (FSH) level ≥ 40 IU/L.
  • Male subjects who are sexually active with a female partner of childbearing potential must agree to use male condoms and spermicide, even if the male subject has undergone a successful vasectomy (males with vasectomy can use condoms without spermicide), from Day 1 until at least 30 days after the last dose of the study drug.
  • Subjects with a BMI > 23 kg/m2 at first Screening Period visit.
  • Subjects with a qualifying ALT result (40 IU/L ≤ ALT < 200 IU/L) as determined by the laboratory assessment at the first Screening Period visit.
  • Subjects with a confirmed NASH diagnosis or conditions consistent with NASH.
  • Subjects with an HbA1c ≥ 5.7% and < 9.5% (5.7% ≤ HbA1c < 9.5%).
  • Subjects with ≥ 8% hepatic fat on MRI after confirming a qualifying ALT result at Screening.
  • Subjects with CAP score by FibroScan® of ≥ 290 dB/m at the time of the first Screening Period visit.
  • Subjects with 7 kPa ≤ VCTE score by FibroScan® < 14 kPa at the time of the first Screening Period visit.
  • For subjects receiving stable doses of the following medications prior to the first Screening Period visit, the following conditions applied:
  • Sodium-glucose cotransporter-2 (SGLT-2): no dose changes for at least 12 weeks prior to the first Screening Period visit.
  • Insulin and oral antidiabetic medications or drugs for dyslipidemia: no dose changes for at least 8 weeks prior to the first Screening Period visit; defined as a change of no more than a ± 25% in total daily dose of insulin during this period.
  • Vitamin E > 400 I/U: daily dose of ≤ 800 I/U, stable for at least 12 weeks prior to the first Screening Period visit.
  • HMG-CoA Reductase Inhibitor (statins): no dose changes for at least 8 weeks prior to the first Screening Period visit.

Who cannot join

  • Subjects who have used an investigational agent within 30 days or 5 elimination half-lives; whichever is longer prior to the first Screening Period visit.
  • Subjects diagnosed with liver disease other than NASH (eg, chronic viral hepatitis, decompensated cirrhosis, autoimmune hepatitis, hemochromatosis, Wilson's disease, α-1-antitrypsin deficiency, primary biliary cholangitis, drug-induced liver disease).
  • Subjects who have a positive test result for hepatitis A virus immunoglobulin M, hepatitis B surface antigen, hepatitis B core antibody, hepatitis C virus antibody, or reactive human immunodeficiency virus (HIV) after providing a qualifying ALT result at the first Screening Period visit, or who have a known history of HIV infection. However, subjects with a positive hepatitis C virus antibody could be eligible after undergoing reflex testing (HCV-RNA negative) and evaluation by the Investigator.
  • Clinically significant laboratory results as evaluated by the Investigator after providing a qualifying ALT result at the first Screening Period visit. Subjects will be excluded if:
  • AST ≥ 200 U/L
  • Platelets ≤ 150,000/mm3
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  • Albumin < 3.8 g/dL
  • Total bilirubin ≥ 1.5 mg/dl, except with clinical diagnosis of Gilbert's syndrome
  • Direct bilirubin > 0.3 mg/dL
  • Phosphatidylethanol > 40 ng/mL
  • INR > 1.3 in the absence of anticoagulants
  • Subjects with an estimated glomerular filtration rate < 60 mL/min/1.73m2 based on modification of Diet in Renal Disease (MDRD) formula.
  • Subjects with a corrected QT interval by Fridericia (QTcF) of > 450 ms in males, and > 470 ms in females.
  • Subjects who are taking one or more of the following medications:
  • Within 12 weeks prior to the first Screening Period visit: i. Medication that is known to cause or worsen fatty liver disease (amiodarone, valproate, tamoxifen, methotrexate, etc.) for > 14 days. ii. Medication for weight loss. iii. Chronic use of systemic corticosteroids for > 14 days; however, administration of intranasal, topical, or inhaled corticosteroids is allowed. iv. DPP-4 inhibitors, thiazolidinediones (TZDs), or GLP-1 agonists.
  • St. John's Wort or consuming grapefruit juice within 2 weeks prior to the first Screening Period visit.
  • Digoxin, strong CYP3A4 inhibitors (a ≥ 10-fold increase in AUC of sensitive substrate), or strong CYP3A4 inducers (decreases the AUC of sensitive index substrates of a given metabolic pathway ≥ 80% increase) received within 5 half-lives or 14 days (whichever is longer) prior to the first Screening Period visit.
  • Subjects who cannot get an MRI scan.
  • Subjects who have a history of cirrhosis, a VCTE ≥ 14 kPa, portal hypertension as evidenced by a history of splenomegaly > 15 cm, ascites, hepatic encephalopathy, varices on imaging/endoscopy or history of variceal bleeding, or a Model for End Stage Liver Disease (MELD) score > 10.
  • Subjects who have undergone bariatric surgery within 5 years prior to the first Screening Period visit after confirming a qualifying ALT result or are planning bariatric surgery during the clinical trial.
  • Subjects with a history of malignancy within 2 years prior to the first Screening Period visit. However, subjects who have completed all cancer therapies with no evidence of active malignancy within the 2 years prior to the first Screening Period visit will be allowed, except for squamous cell or basal cell carcinoma of the skin definitively treated > 12 weeks prior to the first Screening Period visit.
  • Subjects who have a presence of clinically significant cardiac (including Grade III/IV heart failure as defined by the New York Heart Association Criteria [Appendix 10.2]). This includes subjects with a history of myocardial infarction, unstable angina, percutaneous coronary intervention, coronary artery bypass graft, or stroke within 90 days prior to the first Screening Period visit.
  • Subjects with a history of acute cardiovascular disease (uncontrolled arrhythmia, unstable angina, myocardial infarction, stroke, transient ischemic attack, cerebrovascular disease, etc.) within 12 weeks prior to the first Screening Period visit.
  • Subjects with a history of drug abuse or alcohol addiction within 12 weeks prior to the first Screening Period visit.
  • Subjects with a positive screen for drugs of abuse (ie, amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiate metabolite, and phencyclidine). Subjects who have been prescribed benzodiazepine or opiates for stable chronic medical illness may still qualify for the study at the discretion of the Investigator and review of the Medical Monitor.
  • Subjects who have physical (severe disorders in liver, heart, kidney, lung, blood, endocrine system, musculoskeletal system, gastrointestinal system, etc.) or mental (cognitive impairment, mental illness) conditions that may affect the subject's ability to participate in the clinical trial.
  • If female, subjects who are pregnant or lactating or intend to become pregnant during the clinical trial.
  • If male, subjects who intend to impregnate a partner.
  • Subjects who intend to donate ova or sperm during the clinical trial.
  • Subjects with known or suspected intolerance or hypersensitivity to IPs, closely-related compounds, or any of the stated ingredients.
  • Subjects with a weight change of > 10% measured at the first Screening Period and TP1 visits.
  • Subjects who cannot communicate reliably with the Investigator or are unlikely to cooperate with the requirements of the clinical trial.
  • Subjects with any conditions which, in the opinion of the Investigator, would make the subject unsuitable for enrollment or could interfere with the subject's participation in, or completion of, the clinical trial.

Trial locations and contacts

18 sites in 1 country.

18 sites in 1 country

United States18 sites
  • Southern California Research Center

    Coronado, California, 92118

  • Integrity Clinical Research, LLC

    Doral, Florida, 33122

  • South Texas Research Institute - A Pinnacle Entity

    Edinburg, Texas, 78539

  • Dallas Research Institute, LLC

    Farmers Branch, Texas, 75234

  • AIG Digestive Disease Research

    Florham Park, New Jersey, 07932

  • GI Associates & Endoscopy Center

    Flowood, Mississippi, 39232

  • Pinnacle Clinical Research - Georgetown

    Georgetown, Texas, 78626

  • Pioneer Research Solutions Inc.

    Houston, Texas, 77099

  • Clinical Pharmacology of Miami, LLC

    Miami, Florida, 33014

  • Suncoast Research Group, LLC

    Miami, Florida, 33135

  • Floridian Clinical Research

    Miami Lakes, Florida, 33016

  • Catalina Research Institute, LLC

    Montclair, California, 91763

  • Velocity Clinical Research, Panorama City

    Panorama City, California, 91402

  • Inland Empire Clinical Trials, LLC

    Rialto, California, 92377

  • American Research Corporation

    San Antonio, Texas, 78215

  • Pinnacle Clinical Research - San Antonio

    San Antonio, Texas, 78229

  • Apex Mobile Clinical Research, LLC

    San Antonio, Texas, 78258

  • Liver Institute Northwest

    Seattle, Washington, 98105

Other trials in United States

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel, Phase 2a Clinical Trial to Evaluate the Efficacy and Safety of DA-1241 in Subjects With Presumed Non-alcoholic Steatohepatitis (NASH)

A multicenter, randomized, double-blind, placebo-controlled, parallel, Phase 2a clinical trial to evaluate the efficacy and safety of DA 1241 in subjects with presumed non-alcoholic steatohepatitis (NASH).

Read the detailed description

Clinical trial DA1241_NASH_IIa is a multicenter, randomized, double-blind, placebo-controlled, parallel-arm, Phase 2a clinical trial to evaluate the efficacy and safety of DA-1241 in subjects with presumed NAFLD.

Part 1 of this clinical trial intends to explore the efficacy of DA-1241 in subjects with NASH after administration of oral DA-1241 at varying doses or identical placebo in 3 treatment groups for 16 weeks/112 days.

Part 2 intends to explore the efficacy of DA-1241 in subjects with NASH after administration of oral DA-1241 in combination with sitagliptin versus an identical placebo for 16 weeks/112 days.

Being tested
DA-1241, Sitagliptin, DA-1241 Placebo, Sitagliptin Placebo
Keywords
NASH, NON-ALCOHOLIC STEATOHEPATITIS
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.

  • DA-1241Drug

    Route of Administration: Oral, with subjects in a fasting state

  • SitagliptinDrug

    Route of Administration: Oral, with subjects in a fasting state

  • DA-1241 PlaceboDrug

    Route of Administration: Oral, with subjects in a fasting state

  • Sitagliptin PlaceboDrug

    Route of Administration: Oral, with subjects in a fasting state

Study groups in NCT06054815
Study groupRoleWhat they receive
Part 1 Group 1ExperimentalDA-1241 Dose 1 In Part 1: Participants will be randomized into 3 treatment groups and will be dosed with: DA-1241 or placebo in a 1:2:1 ratio.
Receives: Drug: DA-1241; Drug: DA-1241 Placebo; Drug: Sitagliptin Placebo
Part 1 Group 2ExperimentalDA-1241 Dose 2 In Part 1: Participants will be randomized into 3 treatment groups and will be dosed with: DA-1241 or placebo in a 1:2:1 ratio.
Receives: Drug: DA-1241; Drug: Sitagliptin Placebo
Part 1 Group 3.1Placebo comparatorDA-1241 Placebo and Sitagliptin Placebo In Part 1: Participants will be randomized into 3 treatment groups and will be dosed with: DA-1241 or placebo in a 1:2:1 ratio.
Receives: Drug: DA-1241 Placebo; Drug: Sitagliptin Placebo
Part 2 Group 3.2Placebo comparatorDA-1241 Placebo and Sitagliptin Placebo In Part 2: Participants will be randomized into 2 treatment groups and will be dosed with: DA-1241 in combination with sitagliptin (DA-1241/sitagliptin) or DA-1241/ sitagliptin placebo in a 2:1 ratio.
Receives: Drug: DA-1241 Placebo; Drug: Sitagliptin Placebo
Part 2 Group 4ExperimentalDA-1241 and Sitagliptin In Part 2: Participants will be randomized into 2 treatment groups and will be dosed with: DA-1241 in combination with sitagliptin (DA-1241/sitagliptin) or DA-1241/ sitagliptin placebo in a 2:1 ratio.
Receives: Drug: DA-1241; Drug: Sitagliptin

What is being measured

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

  1. Change alanine transaminase (ALT) levels

    To explore the efficacy (change from baseline in alanine transaminase [ALT]) of DA-1241 in subjects at risk of NASH or subjects with non-alcoholic fatty liver disease (NAFLD) after administration of oral DA-1241 at varying doses of placebo and in combination with sitagliptin.

    Measured: Baseline to Day 112

Secondary outcomes (12)
  1. ALT Normalization

    Proportion of subjects with normalization of ALT: < 30 IU/L

    Measured: Baseline to Day 112

  2. AST, GGT, ALP

    Absolute change in aspartate transaminase (AST), gamma glutamyl transpeptidase (GGT), and alkaline phosphatase (ALP).

    Measured: Baseline to Day 112

  3. Total cholesterol, LDL, HDL, triglyceride, and free fatty acids

    Absolute change in total cholesterol, low and high-density lipoprotein cholesterol, triglyceride, and free fatty acids from baseline.

    Measured: Baseline to Day 112

  4. A1c

    Absolute change in hemoglobin A1c (HbA1c) (%).

    Measured: Baseline to Day 112

  5. Glucose

    Absolute change in fasting plasma glucose (mg/dL).

    Measured: Baseline to Day 112

  6. Fasting insulin

    Absolute change in fasting insulin.

    Measured: Baseline to Day 112

  7. HOMA-IR

    Absolute change in Homeostatic Model Assessment for Insulin Resistance (HOMA-IR).

    Measured: Baseline to Day 112

  8. Adipo-IR

    Absolute change in adipose tissue insulin resistance index (adipo-IR).

    Measured: Baseline to Day 112

  9. CAP

    Absolute change in controlled attenuation parameter (CAP) score assessed by FibroScan®.

    Measured: Baseline to Day 112

  10. VCTE

    Absolute change in vibration-controlled transient elastography (VCTE) score assessed by FibroScan®.

    Measured: Baseline to Day 112

  11. FAST

    Absolute change in FibroScan®- AST (FAST) score.

    Measured: Baseline to Day 112

  12. Body weight

    Absolute change in body weight.

    Measured: Baseline to Day 112

Timeline

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

  1. First posted26 Sep 2023
  2. Study start14 Sep 2023
  3. Primary completion24 Oct 2024
  4. Study completion30 Oct 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
Double blind
Who is masked
Participant, Investigator
Enrolment
109 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06054815
Sponsor's protocol ID
DA1241_NASH_IIa
Status last verified
Nov 2024
First submitted
5 Sep 2023
Last updated
14 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing DA-1241 and Sitagliptin in people with NON-ALCOHOLIC STEATOHEPATITIS, run by NeuroBo Pharmaceuticals Inc. at 18 sites in United States.

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 30 inclusion and 33 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 14 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States. 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?

Change alanine transaminase (ALT) levels (time frame: Baseline to Day 112). 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 14 Nov 2024.

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