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 Sex
- 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 4830198, Alabama 4829764 36207
Pankaj Kashyap, Doctor
Birmingham 4049979, Alabama 4829764 35209
Charles Dasher, Doctor
Dothan 4059102, Alabama 4829764 36305
Samuel Tarwater, Doctor
Madison 4074267, Alabama 4829764 60602
Jason Lockette, Doctor
Chandler 5289282, Arizona 5551752 85224-5688
Anita Kohli, Doctor
Peoria 5308480, Arizona 5551752 85381
Ann Moore, Doctor
Phoenix 5308655, Arizona 5551752 85013
Justin Reynolds, Doctor
Tucson 5318313, Arizona 5551752 85351
Parag Chokshi, Droctor
Tucson 5318313, Arizona 5551752 85712
Sam Moussa, Doctor
Tucson 5318313, Arizona 5551752 85712
Naim Alkhouri, Doctor
Tucson 5318313, Arizona 5551752 85715
Fadi Deeb, Doctor
Conway 4106458, Arkansas 4099753 72032
Landon Humphrey, Doctor
Little Rock 4119403, Arkansas 4099753 72205
Senthil Raghavan, Doctor
Little Rock 4119403, Arkansas 4099753 72205
Alonzo Williams, Doctor
North Little Rock 4124112, Arkansas 4099753 72117
Scott Wofford, Doctor
Bakersfield 5325738, California 5332921 93301
Franco Felizarta, Doctor
Camarillo 5333180, California 5332921 93011
Karen Simon, Doctor
Chula Vista 5336899, California 5332921 91910
Gregory Wiener, Doctor
Chula Vista 5336899, California 5332921 91911
Michael Waters, Doctor
Fountain Valley 5350207, California 5332921 92708
Ramprasad Dandillaya, Doctor
Huntington Park 5358736, California 5332921 92704
Julie Vu, Doctor
Lancaster 5364940, California 5332921 93534
Kumaravel Perumalsamy, Doctor
Los Angeles 5368361, California 5332921 90057
Leibowitz Mark, Doctor
Panorama City 5380932, California 5332921 91402
Robert Jenders, Doctor
Pasadena 5381396, California 5332921 91105
Edward Mena, MD
Poway 5384690, California 5332921 92064
Kevin Merkes, Doctor
Rancho Cucamonga 5385955, California 5332921 91730
David Scarpino, Doctor
Redwood City 5386834, California 5332921 94063
Natalie Torok, Doctor
Rialto 5387288, California 5332921 92377
Zeid Kayali, MD
San Diego 5391811, California 5332921 92111
Tuan Nguyen, Doctor
San Francisco 5391959, California 5332921 64107
Raphael Merriman, Doctor
San Francisco 5391959, California 5332921 94115
Maurizio Bonacini, Doctor
San Jose 5392171, California 5332921 95128
Huy Trinh, Doctor
Thousand Oaks 5402405, California 5332921 91360
Mahendra Patel, Doctor
Van Nuys 5405693, California 5332921 91405
Jeffrey London, Doctor
Englewood 5421250, Colorado 5417618 80113
Marcelo Kugelmas, MD
Bridgeport 5282804, Connecticut 4831725 06610
Caroline Loeser, Doctor
New Haven 4839366, Connecticut 4831725 06520
Joseph Lim, Doctor
Boca Raton 4148411, Florida 4155751 33434
Seth Baum, Doctor
Bradenton 4148708, Florida 4155751 34208
Patrick Weston, Doctor
Clearwater 4151316, Florida 4155751 33761
Sureka Bollepalli, Doctor
Clearwater 4151316, Florida 4155751 33762
Glamour Tejinder, Doctor
Coral Gables 4151871, Florida 4155751 33134
Jorge Beato, Doctor
Cutler Bay 6332309, Florida 4155751 33189
Jose Ruiz, Doctor
Lakewood Rch 7255365, Florida 4155751 34211
Souvik Sarkar, Doctor
Lehigh Acres 4161785, Florida 4155751 33936
Edgardo Castillo, Doctor
Miami 4164138, Florida 4155751 33012
Pablo Guala, Doctor
Miami 4164138, Florida 4155751 33122
Sander Fernandez, Doctor
Miami 4164138, Florida 4155751 33125
Yaneicy Gonzalez Rojas, Doctor
Miami 4164138, Florida 4155751 33136
Eugene Schiff, Doctor
Miami 4164138, Florida 4155751 33155
Jorge Amaya, Doctor
Miami 4164138, Florida 4155751 33157
Francisco Macias, Doctor
Miami 4164138, Florida 4155751 33165
Pilar Trueba, Doctor
Miami 4164138, Florida 4155751 33165
Angel Vento, Doctor
Miami 4164138, Florida 4155751 33173
Maria Hernandez, Doctor
Miami 4164138, Florida 4155751 33175
Rosa Suarez, Doctor
Miami 4164138, Florida 4155751 33176
Orlando Puente, Doctor
New Port Richey 4165869, Florida 4155751 34653
Curtis Freedland, Doctor
Ocoee 4166776, Florida 4155751 34761
William Kelly Bowman, Doctor
Orlando 4167147, Florida 4155751 32804
Ayman Koteish, Doctor
Orlando 4167147, Florida 4155751 32825
Sheela Harinath, MD
Palmetto Bay 4167634, Florida 4155751 33157
Miguel Rodriguez, Doctor
Pembroke Pines 4168139, Florida 4155751 33027
Luis del Prado Rodriguez, Doctor
Pensacola 4168228, Florida 4155751 32503
Elizabeth Maley, Doctor
Plantation 4168782, Florida 4155751 33317
Yaneth Trujillo, Doctor
Pompano Beach 4169014, Florida 4155751 33064
Naval Parikh, Doctor
Sarasota 4172131, Florida 4155751 34420
Guy Neff, Doctor
Tampa 4174757, Florida 4155751 33606
Nyingi Kemmer, Doctor
Wellington 4177703, Florida 4155751 33414
Lyle Hurwitz, MD
Weston 4178003, Florida 4155751 33331
Zaralambos Zervos, MD
Zephyrhills 4178941, Florida 4155751 33542
Tawfik Chami, MD
Athens 4180386, Georgia 4197000 30607
Jeffrey Williams, Doctor
Atlanta 4180439, Georgia 4197000 30309
Michael Galambos, Doctor
College Park 4188815, Georgia 4197000 30349
Linda Martinez, Doctor
Columbus 4188985, Georgia 4197000 31904
Michael Steinbook, Doctor
Dalton 4190581, Georgia 4197000 30720
Pablo E. Perez, Doctor
La Grange 4204230, Georgia 4197000 30240
Ravi Kamepalli, Doctor
Chicago 4887398, Illinois 4896861 60611
Amanda Cheung, MD
Chicago 4887398, Illinois 4896861 60611
Mary Rinella, MD
Skokie 4911600, Illinois 4896861 60077
Liana Billings, Doctor
Hammond 4921100, Indiana 4921868 46324
Mohan Kesani, Doctor
Clive 4852065, Iowa 4862182 50325
Rajalakshmi Iyer, Doctor
Iowa City 4862034, Iowa 4862182 52242
Antonio Sanchez, Doctor
Kansas City 4273837, Kansas 4273857 66160
Parag Chokshi, Doctor
Kansas City 4273837, Kansas 4273857 66160
Winston Dunn, Doctor
Topeka 4280539, Kansas 4273857 66606
Shekhar Challa, Doctor
Lexington 4297983, Kentucky 6254925 40506-0032
Alla Grigorian, Doctor
Baton Rouge 4315588, Louisiana 4331987 70809
John McDonald, Doctor
Houma 4328010, Louisiana 4331987 70363
Conar Fitton, Doctor
Lafayette 4330145, Louisiana 4331987 70503
Stephen Abshire, Doctor
Metairie 4333177, Louisiana 4331987 70006
George Catinis, Doctor
Metairie 4333177, Louisiana 4331987 70006
Adil Fatakia, Doctor
Shreveport 4341513, Louisiana 4331987 71103
Humberto Aguilar, Doctor
Annapolis 4347242, Maryland 4361885 21401
Epstein Michael, Doctor
Baltimore 4347778, Maryland 4361885 21202
Paul Thuluvath, Doctor
Baltimore 4347778, Maryland 4361885 21287
James Hamilton
Chevy Chase 4351335, Maryland 4361885 20815
Mohammed Ali, Doctor
Columbia 4352053, Maryland 4361885 21045
Rudrajit Rai, Doctor
Greenbelt 4356847, Maryland 4361885 20770
Raja Mohi-ud-din, Doctor
Boston 4930956, Massachusetts 6254926 02114
Kathleen Corey, Doctor
Boston 4930956, Massachusetts 6254926 02118
Arpan Mohanty, Doctor
Boston 4930956, Massachusetts 6254926 02215
Michelle Lai, Doctor
Chesterfield 4988681, Michigan 5001836 48047
Ronald Fogel, Doctor
Detroit 4990729, Michigan 5001836 48202
Humberto Gonzalez, Doctor
Wyoming 5015618, Michigan 5001836 49519
Allan Coates, Doctor
Wyoming 5015618, Michigan 5001836 49519
Ammar Hassan, Doctor
Minneapolis 5037649, Minnesota 5037779 55413
Ibrahim Hanouneh, Doctor
Rochester 5043473, Minnesota 5037779 55905
Harmeet Malhi, Doctor
Flowood 4426822, Mississippi 4436296 39232
Pierce Dotherow, Doctor
Chesterfield 4381072, Missouri 4398678 63005
Alexander Beyzer, Doctor
Columbia 4381982, Missouri 4398678 65201
Michael D. Williams, Doctor
Kansas City 4393217, Missouri 4398678 64131
Bradley Freilich, MD
St Louis 4407066, Missouri 4398678 63104
Brent Neuschwander-Tetri, Doctor
St Louis 4407066, Missouri 4398678 63110
Kevin Korenblat, Doctor
Las Vegas 5506956, Nevada 5509151 89106
Vishvinder Sharma, MD
Albuquerque 5454711, New Mexico 5481136 87109
Antoine Jakiche, Doctor
Buffalo 5110629, New York 5128638 14203
Ajay Chaudhuri, Doctor
New York 5128581, New York 5128638 10021
Sonal Kumar, Doctor
New York 5128581, New York 5128638 10029
Augusto Villanueva, Doctor
New York 5128581, New York 5128638 10033
Lincoln Hernandez, MD
Rochester 5134086, New York 5128638 14642
Jonathan Huang, MD
Staten Island 5139568, New York 5128638 10310
Kavan Patel, Doctor
Charlotte 4460243, North Carolina 4482348 28207
Jason Wilson, Doctor
Concord 4461574, North Carolina 4482348 28027
Matthew Myers, Doctor
Durham 4464368, North Carolina 4482348 27710
Anna Mae Diehl, Doctor
Fayetteville 4466033, North Carolina 4482348 28304
John Poulos, Doctor
Morehead City 4480153, North Carolina 4482348 28557
Kathryn Lucas, Doctor
Winston-Salem 4499612, North Carolina 4482348 27103
Laura Patwa, MD
Cincinnati 4508722, Ohio 5165418 45249
Ravi Ravinuthala, Doctor
Cleveland 5150529, Ohio 5165418 44106
Pierre Gholam, Doctor
Columbus 4509177, Ohio 5165418 43201
Na Li, MD
Columbus 4509177, Ohio 5165418 43213
Samir Arora, Doctor
Dayton 4509884, Ohio 5165418 45414
Cassandra Steimle, Doctor
Dublin 5152333, Ohio 5165418 43016
Ryan Gaible, MD
Mentor 5162645, Ohio 5165418 44060
Keith Friedenberg, Doctor
Westlake 5176517, Ohio 5165418 44145
Mousab Tabbaa, Doctor
Oklahoma City 4544349, Oklahoma 4544379 73112
Joykumar Patel, Doctor
Tulsa 4553433, Oklahoma 4544379 74104
Harvey Tatum, Doctor
Pittsburgh 5206379, Pennsylvania 6254927 15240
Obaid Shaikh, Doctor
Pittsburgh 5206379, Pennsylvania 6254927 15261
Jaideep Behari, Doctor
Charleston 4574324, South Carolina 4597040 29425
Don Rockey, Doctor
Summerville 4597919, South Carolina 4597040 29485
Colby Grossman, Doctor
West Columbia 4600541, South Carolina 4597040 29169
Tasha Boone, MD
Germantown 4624601, Tennessee 4662168 38138
Ziad Younes, Doctor
Nashville 4644585, Tennessee 4662168 37232
Andrew Scanga, Doctor
Arlington 4671240, Texas 4736286 76012
Reem Ghalib, Doctor
Austin 4671654, Texas 4736286 78745
Nomita Kim, Doctor
Austin 4671654, Texas 4736286 78757
Jacques Benun, Doctor
Brownsville 4676740, Texas 4736286 78520
Dimple Desai, Doctor
Cedar Park 4679867, Texas 4736286 78613
Michael Zimmerman, Doctor
Dallas 4684888, Texas 4736286 75203
Parvez Mantry, Doctor
Dallas 4684888, Texas 4736286 75234
Abdullah Mubarak, MD
Dallas 4684888, Texas 4736286 75246
Apurva Modi, Doctor
Denison 4685892, Texas 4736286 75020
Hesham Elgouhari, Doctor
Edinburg 4688275, Texas 4736286 78539
Rashmee Patil, Doctor
Forney 4691833, Texas 4736286 75126
Shilpi Mittal, Doctor
Fort Sam Houston 7267736, Texas 4736286 78234
Johanna Hollweg, Doctor
Friendswood 4692521, Texas 4736286 77546
Soto Efrain, Doctor
Garland 4693003, Texas 4736286 75044
Harry Sarles, Doctor
Georgetown 4693342, Texas 4736286 78626
Jacques Benun, Doctor
Georgetown 4693342, Texas 4736286 78628
Murray Snook, Doctor
Houston 4699066, Texas 4736286 77030
David Victor, Doctor
Houston 4699066, Texas 4736286 77030
Victor Ankoma-Sey, Doctor
Houston 4699066, Texas 4736286 77030
Joseph Galati, Doctor
Houston 4699066, Texas 4736286 77030
Joseph Galati, MD
Houston 4699066, Texas 4736286 77034
Natarajan Bala, Doctor
Houston 4699066, Texas 4736286 77036
Nicola Abate, Doctor
Houston 4699066, Texas 4736286 77079
Mazen Noureddin, MD
Houston 4699066, Texas 4736286 77099
Francisco Velazquez, Doctor
Lubbock 5525577, Texas 4736286 79410
Adam Hughston, MD
Mansfield 4709013, Texas 4736286 76063
Moustafa Youssef, MD
McAllen 4709796, Texas 4736286 78504
Mario Echavarria, MD
McAllen 4709796, Texas 4736286 78504
Mario Echavarria, MD
San Antonio 4726206, Texas 4736286 78209
Robert Morin, Doctor
San Antonio 4726206, Texas 4736286 78215
Leonel Reyes, Doctor
San Antonio 4726206, Texas 4736286 78215
Eric Lawitz, Doctor
San Antonio 4726206, Texas 4736286 78215
Rohit Loomba, MD
San Antonio 4726206, Texas 4736286 78229
Madhavi Rudraraju, Doctor
Sherman 4728328, Texas 4736286 75092
Irfanullah Yusufzai, Doctor
Waco 4739526, Texas 4736286 76710
Nadege Gunn, Doctor
Waco 4739526, Texas 4736286 76712
Hanumantha Ancha, Doctor
Webster 4740423, Texas 4736286 77598
Nikhil Inamdar, MD
Webster 4740423, Texas 4736286 77598
Jignesh Shah, Doctor
Wichita Falls 4741752, Texas 4736286 76301
Joshua Stagg, MD
Draper 5774001, Utah 5549030 84020
David Jack, Doctor
Salt Lake City 5780993, Utah 5549030 84132
Juan Gallegos-Orozco, Doctor
Burlington 5234372, Vermont 5242283 05401
Steven Lidofsky, MD
Charlottesville 4752031, Virginia 6254928 22903
Stephen Caldwell, Doctor
Fairfax 4758023, Virginia 6254928 22031
Bezawit Tekola, Doctor
Falls Church 4758390, Virginia 6254928 22042
Stephen Clement, Doctor
Manassas 4771401, Virginia 6254928 20110
Myung Choi, Doctor
Newport News 4776024, Virginia 6254928 23602
Mitchell Shiffman, Doctor
Norfolk 4776222, Virginia 6254928 23502
Alan Tieu, Doctor
Richmond 4781708, Virginia 6254928 23236
Omer Khalid, Doctor
Richmond 4781708, Virginia 6254928 23249
Michael Fuchs, MD
Richmond 4781708, Virginia 6254928 23284
Velimir Luketic, Doctor
Seattle 5809844, Washington 5815135 98105
Kris Kowdley, MD
Milwaukee 5263045, Wisconsin 5279468 53226
Kia Saeian, MD
San Juan 4568127, 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)