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MASLD/MASH (Metabolic Dysfunction-Associated Steatotic Liver Disease / Metabolic Dysfunction-Associated Steatohepatitis)Phase 2NCT03938246

Study of TVB-2640 in Subjects With Non-Alcoholic Steatohepatitis (NASH)

A Phase 2 study testing TVB-2640 25 mg (US), TVB-2640 50 mg (US) and TVB-2640 50 mg (China) in people with MASLD/MASH (Metabolic Dysfunction-Associated Steatotic Liver Disease / Metabolic Dysfunction-Associated Steatohepatitis), run by Sagimet Biosciences Inc. at 23 sites in 2 countries.

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

This is a Phase 2 multi-center, randomized, single-blind, placebo-controlled study to evaluate the safety and efficacy of TVB-2640 in subjects with non-alcoholic steatohepatitis (NASH), a type of fatty liver disease. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
TVB-2640 25 mg (US), TVB-2640 50 mg (US) and TVB-2640 50 mg (China)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
142 participants
Where
23 sitesin 2 countries
Study dates
22 Mar 2019to 2 Oct 2021
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

  • Aged ≥ 18 years with a body mass index (BMI) ≤40 kg/m2.
  • Prior liver biopsy within 24 months of randomization with fibrosis Stage 1 to 3 and a non-alcoholic fatty liver disease (NAFLD) activity score (NAS) of ≥ 4 with at least a score of 1 in each of the following NAS components:
  • Steatosis
  • Ballooning degeneration
  • Lobular inflammation
  • AND
Show all 11Show fewer
  • Confirmation of ≥ 8% liver fat content on MRI-PDFF.
  • OR, if prior biopsy is not available:
  • Either overweight or obese or diabetic or ALT ≥ 30 U/L or fatty liver on ultrasound and at least one more feature of metabolic syndrome by Adult Treatment Panel III (ATP III) criteria.
  • AND
  • Magnetic resonance elastography (MRE) ≥ 2.5 kPa and MRI-PDFF ≥ 8% during screening.

Who cannot join

  • Subjects meeting any of the following criteria are not eligible for enrollment in the study.
  • History of significant alcohol consumption for a period of more than 3 consecutive months within 1 year prior to screening.
  • Note: Significant alcohol consumption is defined as average of > 20 g/day in female subjects and > 30 g/day in male subjects.
  • Type 1 diabetes.
  • Uncontrolled Type 2 diabetes defined as:
  • HbA1c ≥ 9.5% during screening. (Subjects with HbA1c ≥ 9.5% may be rescreened).
Show all 11Show fewer
  • Basal insulin dose adjustment > 10% within 60 days prior to enrollment.
  • Requirement for glucagon-like peptide analogue or a complex oral anti-diabetic (OAD) regimen (3 or more OADs) within 6 months of screening.
  • History of severe hypoglycemia (symptomatic hypoglycemia requiring outside assistance to regain normal neurologic status) within the previous year.
  • Note: Individual diabetes regimens will be reviewed by Investigator and may be adjusted based on American Diabetes Association guidelines.
  • Presence of cirrhosis on liver biopsy (Stage 4 fibrosis) or imaging.

Trial locations and contacts

23 sites in 2 countries.

23 sites in 2 countries

United States12 sites
  • Texas Diabetes and Endocrinology - Austin

    Austin, Texas, 78749

  • Texas Digestive Disease Consultants - Cedar Park

    Cedar Park, Texas, 78613

  • ProSciento

    Chula Vista, California, 91911

  • Texas Digestive Disease Consultants - Dallas

    Dallas, Texas, 75246

  • Texas Digestive Disease Consultant - Ft Worth

    Fort Worth, Texas, 76104

  • Panax

    Miami Lakes, Florida, 33014

  • Catalina Research Institute

    Montclair, California, 91763

  • Lucas Research

    Morehead City, North Carolina, 28557

  • Clinical Trials Research

    Sacramento, California, 95821

  • Pinnacle Clinical Research - San Antonio

    San Antonio, Texas, 78229

  • University of California San Diego (UCSD)

    San Diego, California, 92037

  • Texas Digestive Disease Consultants - Webster

    Webster, Texas, 77598

Other trials in United States

China11 sites
  • Beijing Friendship Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100069

  • Beijing YouAn Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100069

  • Foshan First People's Hospital

    Foshan, Guangdong, 528000

  • Nanfang Hospital

    Guangzhou, Guangdong, 510080

  • The First Affiliated Hospital, Sun Yat-Sen University

    Guangzhou, Guangdong, 510080

  • The Third Affiliated Hospital, Sun Yat-Sen University

    Guangzhou, Guangdong, 510080

  • The Affiliated Hospital of Hangzhou Normal University

    Hangzhou, Zhejiang, 310015

  • The Second Hospital of Nanjing

    Nanjing, Jiangsu, 210000

  • Ruijin Hospital, Shanghai JiaoTong University School of Medicine

    Shanghai, Shanghai Municipality, 200336

  • Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine

    Shanghai, Shanghai Municipality, 200336

  • Shanghai Tongren Hospital, Shanghai JiaoTong University School of Medicine

    Shanghai, Shanghai Municipality, 200336

Other trials in China

About this study

Official title: A Phase 2, Multi-Center, Single-Blind, Randomized, Placebo-Controlled Study of TVB-2640 in Subjects With Non-Alcoholic Steatohepatitis (FASCINATE-1)

This is a Phase 2 multi-center, randomized, single-blind, placebo-controlled study to evaluate the safety and efficacy of TVB-2640 in subjects with non-alcoholic steatohepatitis (NASH), a type of fatty liver disease. Subjects will be randomly assigned to 1 of 2 treatment groups (TVB-2640 at one of three doses or placebo). Following randomization, subjects will begin the 12-week treatment period and will receive once daily TVB-2640 or placebo.

Being tested
TVB-2640 25 mg (US), TVB-2640 50 mg (US), Placebo (US), TVB-2640 50 mg (China), Placebo (China)
Keywords
NASH, Non-Alcoholic Steatohepatitis, Fatty Liver Disease, Fatty Liver, Liver Diseases, FASN, Fatty Acid Synthase Inhibitor
Medical subject headings
Non-alcoholic Fatty Liver Disease, Fatty Liver, Liver Diseases

What participants receive

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

  • TVB-2640 25 mg (US)Drug

    Oral dose, tablet, daily dosing

  • TVB-2640 50 mg (US)Drug

    Oral dose, tablet, daily dosing

  • Placebo (US)Drug

    Oral dose, tablet, daily dosing

  • TVB-2640 50 mg (China)Drug

    Oral dose, tablet, daily dosing

  • Placebo (China)Drug

    Oral dose, tablet, daily dosing

  • TVB-2640 75 mg (US)Drug

    Oral dose, tablet, daily dosing

Study groups in NCT03938246
Study groupRoleWhat they receive
TVB-2640 25 mg (US)ExperimentalSubjects randomly assigned to receive the study drug will take TVB-2640 tablet orally every day for 12 week treatment period. The dose is to be taken at the same time of the day, with each dose separated by 24 hours (±4 hours).
Receives: Drug: TVB-2640 25 mg (US)
TVB-2640 50 mg (US)ExperimentalSubjects randomly assigned to receive the study drug will take TVB-2640 tablet orally every day for 12 week treatment period. The dose is to be taken at the same time of the day, with each dose separated by 24 hours (±4 hours).
Receives: Drug: TVB-2640 50 mg (US)
Placebo (US)Placebo comparatorSubjects randomly assigned to placebo will receive placebo tablets orally once a day under the same conditions and frequency as described for TVB-2640.
Receives: Drug: Placebo (US)
TVB-2640 50 mg (China)ExperimentalSubjects randomly assigned to receive the study drug will take TVB-2640 tablet orally every day for 12 week treatment period. The dose is to be taken at the same time of the day, with each dose separated by 24 hours (±4 hours).
Receives: Drug: TVB-2640 50 mg (China)
Placebo (China)Placebo comparatorSubjects randomly assigned to placebo will receive placebo tablets orally once a day under the same conditions and frequency as described for TVB-2640.
Receives: Drug: Placebo (China)
TVB-2640 75 mg (US)ExperimentalAfter completion of Cohorts 1 and 2, and if no stopping criteria are met upon review by the Independent SRC, an additional TVB-2640 75 mg open-label Cohort 3 will open in the US
Receives: Drug: TVB-2640 75 mg (US)

What is being measured

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

  1. Percent Change in Hepatic Fat Fraction by Magnetic Resonance Imaging Proton Density Fat Fraction (MRI-PDFF) From Baseline

    As determined by MRI-PDFF

    Measured: 12 weeks

Secondary outcomes (2)
  1. Percentage of Subjects With at Least a 30% Reduction in Liver Fat at Week 12.

    As determined by MRI-PDFF

    Measured: 12 weeks

  2. Percentage of Change From Baseline in Alanine Aminotransferase (ALT)

    Measured: 12 weeks

Timeline

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

  1. First posted6 May 2019
  2. Study start22 Mar 2019
  3. Primary completion2 Oct 2021
  4. Study completion2 Oct 2021

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
Model description
Subjects will be randomly assigned to experimental or placebo arms.
Masking
Single blind
Who is masked
Participant
Enrolment
142 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03938246
Sponsor's protocol ID
3V2640-CLIN-005
Status last verified
Dec 2024
First submitted
24 Apr 2019
Last updated
19 Dec 2024
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Loomba R, Mohseni R, Lucas KJ, Gutierrez JA, Perry RG, Trotter JF, Rahimi RS, Harrison SA, Ajmera V, Wayne JD, O'Farrell M, McCulloch W, Grimmer K, Rinella M, Wai-Sun Wong V, Ratziu V, Gores GJ, Neuschwander-Tetri BA, Kemble G. TVB-2640 (FASN Inhibitor) for the Treatment of Nonalcoholic Steatohepatitis: FASCINATE-1, a Randomized, Placebo-Controlled Phase 2a Trial. Gastroenterology. 2021 Nov;161(5):1475-1486. doi: 10.1053/j.gastro.2021.07.025. Epub 2021 Jul 23.

    PubMed 34310978

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TVB-2640 25 mg (US), TVB-2640 50 mg (US) and TVB-2640 50 mg (China) in people with MASLD/MASH (Metabolic Dysfunction-Associated Steatotic Liver Disease / Metabolic Dysfunction-Associated Steatohepatitis), run by Sagimet Biosciences Inc. at 23 sites in 2 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 11 inclusion and 11 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 19 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States, China. 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 19 Dec 2024). 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?

Percent Change in Hepatic Fat Fraction by Magnetic Resonance Imaging Proton Density Fat Fraction (MRI-PDFF) From Baseline (time frame: 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03938246, which also lists 1 linked publication.

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 19 Dec 2024.

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Clinical Trial NCT03938246 | AzTrials