A Phase 3 Study Evaluating Efficacy and Safety of Lanifibranor Followed by an Active Treatment Extension in Adult Patients With (NASH) and Fibrosis Stages F2 and F3 ( NATiV3 )
Purpose
This Phase 3 study is conducted to evaluate lanifibranor in adults with NASH and liver fibrosis histological stage F2 or F3
Condition
- NASH - Nonalcoholic Steatohepatitis
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Male or female, aged ≥18 years at the time of signing informed consent 2. Upon central biopsy reading process: diagnosis of NASH according to the Steatosis-Activity-Fibrosis (SAF): 1. Steatosis score ≥1 2. Activity score: A3 or A4 3. Fibrosis score: F2 or F3 3. No qualitative change in dose for the drugs listed below: 1. Antidiabetic treatment if glucagon-like peptide-1 receptor agonists (GLP1 receptor agonists) or sodium-glucose co-transporter-2 inhibitors (SGLT2 inhibitors): for at least 3 months 2. Vitamin E (if at a dose ≥400 IU/day): for at least 6 months 3. Statins: for at least 3 months 4. No qualitative change in dose for all other chronically administered drugs for at least 3 months prior to Screening 5. Weight stable for 6 months prior to Screening and between the qualifying liver biopsy and Baseline (no more than 5% change for both periods) 6. Negative serum pregnancy test at study Screening for females of childbearing potential confirmed by central laboratory. Females of childbearing potential must practice a consistent and proper use of highly effective method of contraception throughout the study and for 1 month after treatment discontinuation.
Exclusion Criteria
Liver-related: 1. Documented causes of chronic liver disease other than NASH 2. Histologically documented liver cirrhosis (fibrosis stage F4) 3. History or current diagnosis of hepatocellular carcinoma (HCC) 4. History of or planned liver transplant 5. Positive human immunodeficiency virus (HIV) serology 6. ALT or AST >5 × ULN 7. AST<0.6 ULN if the liver biopsy has to be performed in the scope of the study 8. Abnormal synthetic liver function as defined by Screening central laboratory evaluation 9. Haemoglobin <110 g/L (11 g/dL) for females and <120 g/L (12 g/dL) for males 10. Patient currently receiving any approved treatment for NASH or obesity 11. Current or recent history (<5 years) of significant alcohol consumption 12. Treatment with drugs that may cause non-alcoholic fatty liver disease (NAFLD) administered for at least 2 weeks within 12 months prior to qualifying liver biopsy Glycaemia related: 13. HbA1c >9% at Screening 14. Diabetes mellitus other than type 2 15. Current treatment with insulin 16. Treatment with PPAR-gamma agonists (thiazolidinediones [TZDs]) 12 months before screening or historical biopsy. Obesity related: 17. Bariatric surgery: Restrictive procedures are allowed, if performed >6 months prior to the qualifying liver biopsy; malabsorptive procedures and procedures combining both restrictive and malabsorptive methods are not allowed within 5 years of the qualifying liver biopsy. Cardiovascular related: 18. History of heart failure with reduced left ventricular ejection fraction (LVEF) 19. Atrial fibrillation requiring anticoagulation 20. Unstable heart failure 21. Uncontrolled hypertension at Screening (values >160/100 mm Hg) General safety: 22. Women currently breastfeeding 23. Previous exposure to lanifibranor 24. Participation in any clinical trial investigational medicinal product/device within 3 months from Screening or 5 half-lives from Screening, whichever is longer 25. Concomitant treatment with PPAR-alpha agonists (fibrates)
Study Design
- Phase
- Phase 3
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Lanifibranor (IVA 337) (800 mg/day) |
2 Lanifibranor tablets 400mg + 1 Placebo to match tablet with food --> once a day (quaque die, QD) |
|
Experimental Lanifibranor (IVA 337) (1200 mg/day) |
3 Lanifibranor tablets 400mg with food --> once a day (quaque die, QD) |
|
Placebo Comparator Matching placebo |
3 Placebo to match tablets with food --> once a day (quaque die, QD) |
|
Recruiting Locations
Anniston, Alabama 36207
Pankaj Kashyap, Doctor
Birmingham, Alabama 35209
Charles Dasher, Doctor
Dothan, Alabama 36305
Samuel Tarwater, Doctor
Madison, Alabama 60602
Jason Lockette, Doctor
Chandler, Arizona 85224-5688
Anita Kohli, Doctor
Peoria, Arizona 85381
Ann Moore, Doctor
Phoenix, Arizona 85013
Justin Reynolds, Doctor
Tucson, Arizona 85351
Parag Chokshi, Droctor
Tucson, Arizona 85712
Sam Moussa, Doctor
Tucson, Arizona 85712
Naim Alkhouri, Doctor
Tucson, Arizona 85715
Fadi Deeb, Doctor
Conway, Arkansas 72032
Landon Humphrey, Doctor
Little Rock, Arkansas 72205
Senthil Raghavan, Doctor
Little Rock, Arkansas 72205
Alonzo Williams, Doctor
North Little Rock, Arkansas 72117
Scott Wofford, Doctor
Bakersfield, California 93301
Franco Felizarta, Doctor
Camarillo, California 93011
Karen Simon, Doctor
Chula Vista, California 91910
Gregory Wiener, Doctor
Chula Vista, California 91911
Michael Waters, Doctor
Fountain Valley, California 92708
Ramprasad Dandillaya, Doctor
Huntington Park, California 92704
Julie Vu, Doctor
Lancaster, California 93534
Kumaravel Perumalsamy, Doctor
Los Angeles, California 90057
Leibowitz Mark, Doctor
Panorama City, California 91402
Robert Jenders, Doctor
Pasadena, California 91105
Edward Mena, MD
Poway, California 92064
Kevin Merkes, Doctor
Rancho Cucamonga, California 91730
David Scarpino, Doctor
Redwood City, California 94063
Natalie Torok, Doctor
Rialto, California 92377
Zeid Kayali, MD
San Diego, California 92111
Tuan Nguyen, Doctor
San Francisco, California 64107
Raphael Merriman, Doctor
San Francisco, California 94115
Maurizio Bonacini, Doctor
San Jose, California 95128
Huy Trinh, Doctor
Thousand Oaks, California 91360
Mahendra Patel, Doctor
Van Nuys, California 91405
Jeffrey London, Doctor
Englewood, Colorado 80113
Marcelo Kugelmas, MD
Bridgeport, Connecticut 06610
Caroline Loeser, Doctor
New Haven, Connecticut 06520
Joseph Lim, Doctor
Boca Raton, Florida 33434
Seth Baum, Doctor
Bradenton, Florida 34208
Patrick Weston, Doctor
Clearwater, Florida 33761
Sureka Bollepalli, Doctor
Clearwater, Florida 33762
Glamour Tejinder, Doctor
Coral Gables, Florida 33134
Jorge Beato, Doctor
Cutler Bay, Florida 33189
Jose Ruiz, Doctor
Lakewood Ranch, Florida 34211
Souvik Sarkar, Doctor
Lehigh Acres, Florida 33936
Edgardo Castillo, Doctor
Miami, Florida 33012
Pablo Guala, Doctor
Miami, Florida 33122
Sander Fernandez, Doctor
Miami, Florida 33125
Yaneicy Gonzalez Rojas, Doctor
Miami, Florida 33136
Eugene Schiff, Doctor
Miami, Florida 33155
Jorge Amaya, Doctor
Miami, Florida 33157
Francisco Macias, Doctor
Miami, Florida 33165
Pilar Trueba, Doctor
Miami, Florida 33165
Angel Vento, Doctor
Miami, Florida 33173
Maria Hernandez, Doctor
Miami, Florida 33175
Rosa Suarez, Doctor
Miami, Florida 33176
Orlando Puente, Doctor
New Port Richey, Florida 34653
Curtis Freedland, Doctor
Ocoee, Florida 34761
William Kelly Bowman, Doctor
Orlando, Florida 32804
Ayman Koteish, Doctor
Orlando, Florida 32825
Sheela Harinath, MD
Palmetto Bay, Florida 33157
Miguel Rodriguez, Doctor
Pembroke Pines, Florida 33027
Luis del Prado Rodriguez, Doctor
Pensacola, Florida 32503
Elizabeth Maley, Doctor
Plantation, Florida 33317
Yaneth Trujillo, Doctor
Pompano Beach, Florida 33064
Naval Parikh, Doctor
Sarasota, Florida 34420
Guy Neff, Doctor
Tampa, Florida 33606
Nyingi Kemmer, Doctor
Wellington, Florida 33414
Lyle Hurwitz, MD
Weston, Florida 33331
Zaralambos Zervos, MD
Zephyrhills, Florida 33542
Tawfik Chami, MD
Athens, Georgia 30607
Jeffrey Williams, Doctor
Atlanta, Georgia 30309
Michael Galambos, Doctor
College Park, Georgia 30349
Linda Martinez, Doctor
Columbus, Georgia 31904
Michael Steinbook, Doctor
Dalton, Georgia 30720
Pablo E. Perez, Doctor
LaGrange, Georgia 30240
Ravi Kamepalli, Doctor
Chicago, Illinois 60611
Amanda Cheung, MD
Chicago, Illinois 60611
Mary Rinella, MD
Skokie, Illinois 60077
Liana Billings, Doctor
Hammond, Indiana 46324
Mohan Kesani, Doctor
Clive, Iowa 50325
Rajalakshmi Iyer, Doctor
Iowa City, Iowa 52242
Antonio Sanchez, Doctor
Kansas City, Kansas 66160
Parag Chokshi, Doctor
Kansas City, Kansas 66160
Winston Dunn, Doctor
Topeka, Kansas 66606
Shekhar Challa, Doctor
Lexington, Kentucky 40506-0032
Alla Grigorian, Doctor
Baton Rouge, Louisiana 70809
John McDonald, Doctor
Houma, Louisiana 70363
Conar Fitton, Doctor
Lafayette, Louisiana 70503
Stephen Abshire, Doctor
Metairie, Louisiana 70006
George Catinis, Doctor
Metairie, Louisiana 70006
Adil Fatakia, Doctor
Shreveport, Louisiana 71103
Humberto Aguilar, Doctor
Annapolis, Maryland 21401
Epstein Michael, Doctor
Baltimore, Maryland 21202
Paul Thuluvath, Doctor
Baltimore, Maryland 21287
James Hamilton
Chevy Chase, Maryland 20815
Mohammed Ali, Doctor
Columbia, Maryland 21045
Rudrajit Rai, Doctor
Greenbelt, Maryland 20770
Raja Mohi-ud-din, Doctor
Boston, Massachusetts 02114
Kathleen Corey, Doctor
Boston, Massachusetts 02118
Arpan Mohanty, Doctor
Boston, Massachusetts 02215
Michelle Lai, Doctor
Chesterfield, Michigan 48047
Ronald Fogel, Doctor
Detroit, Michigan 48202
Humberto Gonzalez, Doctor
Wyoming, Michigan 49519
Allan Coates, Doctor
Wyoming, Michigan 49519
Ammar Hassan, Doctor
Minneapolis, Minnesota 55413
Ibrahim Hanouneh, Doctor
Rochester, Minnesota 55905
Harmeet Malhi, Doctor
Flowood, Mississippi 39232
Pierce Dotherow, Doctor
Chesterfield, Missouri 63005
Alexander Beyzer, Doctor
Columbia, Missouri 65201
Michael D. Williams, Doctor
Kansas City, Missouri 64131
Bradley Freilich, MD
Saint Louis, Missouri 63104
Brent Neuschwander-Tetri, Doctor
Saint Louis, Missouri 63110
Kevin Korenblat, Doctor
Las Vegas, Nevada 89106
Vishvinder Sharma, MD
Albuquerque, New Mexico 87109
Antoine Jakiche, Doctor
Buffalo, New York 14203
Ajay Chaudhuri, Doctor
New York, New York 10021
Sonal Kumar, Doctor
New York, New York 10029
Augusto Villanueva, Doctor
New York, New York 10033
Lincoln Hernandez, MD
Rochester, New York 14642
Jonathan Huang, MD
Staten Island, New York 10310
Kavan Patel, Doctor
Charlotte, North Carolina 28207
Jason Wilson, Doctor
Concord, North Carolina 28027
Matthew Myers, Doctor
Durham, North Carolina 27710
Anna Mae Diehl, Doctor
Fayetteville, North Carolina 28304
John Poulos, Doctor
Morehead City, North Carolina 28557
Kathryn Lucas, Doctor
Winston-Salem, North Carolina 27103
Laura Patwa, MD
Cincinnati, Ohio 45249
Ravi Ravinuthala, Doctor
Cleveland, Ohio 44106
Pierre Gholam, Doctor
Columbus, Ohio 43201
Na Li, MD
Columbus, Ohio 43213
Samir Arora, Doctor
Dayton, Ohio 45414
Cassandra Steimle, Doctor
Dublin, Ohio 43016
Ryan Gaible, MD
Mentor, Ohio 44060
Keith Friedenberg, Doctor
Westlake, Ohio 44145
Mousab Tabbaa, Doctor
Oklahoma City, Oklahoma 73112
Joykumar Patel, Doctor
Tulsa, Oklahoma 74104
Harvey Tatum, Doctor
Pittsburgh, Pennsylvania 15240
Obaid Shaikh, Doctor
Pittsburgh, Pennsylvania 15261
Jaideep Behari, Doctor
Charleston, South Carolina 29425
Don Rockey, Doctor
Summerville, South Carolina 29485
Colby Grossman, Doctor
West Columbia, South Carolina 29169
Tasha Boone, MD
Germantown, Tennessee 38138
Ziad Younes, Doctor
Nashville, Tennessee 37232
Andrew Scanga, Doctor
Arlington, Texas 76012
Reem Ghalib, Doctor
Austin, Texas 78745
Nomita Kim, Doctor
Austin, Texas 78757
Jacques Benun, Doctor
Brownsville, Texas 78520
Dimple Desai, Doctor
Cedar Park, Texas 78613
Michael Zimmerman, Doctor
Dallas, Texas 75203
Parvez Mantry, Doctor
Dallas, Texas 75234
Abdullah Mubarak, MD
Dallas, Texas 75246
Apurva Modi, Doctor
Denison, Texas 75020
Hesham Elgouhari, Doctor
Edinburg, Texas 78539
Rashmee Patil, Doctor
Forney, Texas 75126
Shilpi Mittal, Doctor
Fort Sam Houston, Texas 78234
Johanna Hollweg, Doctor
Friendswood, Texas 77546
Soto Efrain, Doctor
Garland, Texas 75044
Harry Sarles, Doctor
Georgetown, Texas 78626
Jacques Benun, Doctor
Georgetown, Texas 78628
Murray Snook, Doctor
Houston, Texas 77030
David Victor, Doctor
Houston, Texas 77030
Victor Ankoma-Sey, Doctor
Houston, Texas 77030
Joseph Galati, Doctor
Houston, Texas 77030
Joseph Galati, MD
Houston, Texas 77034
Natarajan Bala, Doctor
Houston, Texas 77036
Nicola Abate, Doctor
Houston, Texas 77079
Mazen Noureddin, MD
Houston, Texas 77099
Francisco Velazquez, Doctor
Lubbock, Texas 79410
Adam Hughston, MD
Mansfield, Texas 76063
Moustafa Youssef, MD
McAllen, Texas 78504
Mario Echavarria, MD
McAllen, Texas 78504
Mario Echavarria, MD
San Antonio, Texas 78209
Robert Morin, Doctor
San Antonio, Texas 78215
Leonel Reyes, Doctor
San Antonio, Texas 78215
Eric Lawitz, Doctor
San Antonio, Texas 78215
Rohit Loomba, MD
San Antonio, Texas 78229
Madhavi Rudraraju, Doctor
Sherman, Texas 75092
Irfanullah Yusufzai, Doctor
Waco, Texas 76710
Nadege Gunn, Doctor
Waco, Texas 76712
Hanumantha Ancha, Doctor
Webster, Texas 77598
Nikhil Inamdar, MD
Webster, Texas 77598
Jignesh Shah, Doctor
Wichita Falls, Texas 76301
Joshua Stagg, MD
Draper, Utah 84020
David Jack, Doctor
Salt Lake City, Utah 84132
Juan Gallegos-Orozco, Doctor
Burlington, Vermont 05401
Steven Lidofsky, MD
Charlottesville, Virginia 22903
Stephen Caldwell, Doctor
Fairfax, Virginia 22031
Bezawit Tekola, Doctor
Falls Church, Virginia 22042
Stephen Clement, Doctor
Manassas, Virginia 20110
Myung Choi, Doctor
Newport News, Virginia 23602
Mitchell Shiffman, Doctor
Norfolk, Virginia 23502
Alan Tieu, Doctor
Richmond, Virginia 23236
Omer Khalid, Doctor
Richmond, Virginia 23249
Michael Fuchs, MD
Richmond, Virginia 23284
Velimir Luketic, Doctor
Seattle, Washington 98105
Kris Kowdley, MD
Milwaukee, Wisconsin 53226
Kia Saeian, MD
San Juan, Puerto Rico 00927
Grisell Ortiz-Lasanta, Doctor
More Details
- NCT ID
- NCT04849728
- Status
- Recruiting
- Sponsor
- Inventiva Pharma
Detailed Description
Primary objectives This Phase 3 study is conducted to evaluate lanifibranor in adults with NASH and liver fibrosis stage F2 or F3 and consists of 2 sequential parts - an initial double-blind placebo-controlled (DBPC) period (Part A) followed by a double-blind active treatment extension (ATE) period (Part B), with the following primary objectives: Part A To assess the safety and efficacy of lanifibranor compared to placebo on 'NASH resolution and improvement of fibrosis' assessed by liver histology. Part B To assess the safety of lanifibranor beyond the DBPC period. Secondary objectives Key secondary objectives of Part 1: - To assess the effect of lanifibranor compared to placebo on NASH resolution and no worsening of fibrosis - To assess the effect of lanifibranor compared to placebo on improvement of fibrosis with no worsening of NASH Other secondary objectives of both Part 1 and Part 2: - To assess the effect of lanifibranor on other key histological features of NASH (only for DBPC period) - To assess the effect of lanifibranor on NASH resolution and improvement of fibrosis in diabetic patients (only for DBPC period) - To assess the effect of lanifibranor on liver tests - To assess the effect of lanifibranor on glycaemic parameters - To assess the effect of lanifibranor on lipid parameters - To assess the effect of lanifibranor on liver stiffness and steatosis assessed by elastography. - To assess the effect of lanifibranor on health-related quality of life - To assess the safety of lanifibranor - To assess population PK modeling through plasma levels of lanifibranor using sparse sampling scheme (only for DBPC period)