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.
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
- Conditions the study is for
- MASLD/MASH (Metabolic Dysfunction-Associated Steatotic Liver Disease / Metabolic Dysfunction-Associated Steatohepatitis)
- 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
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
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 group | Role | What they receive |
|---|---|---|
| TVB-2640 25 mg (US) | Experimental | Subjects 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) | Experimental | Subjects 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 comparator | Subjects 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) | Experimental | Subjects 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 comparator | Subjects 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) | Experimental | After 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.
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)
Percentage of Subjects With at Least a 30% Reduction in Liver Fat at Week 12.
As determined by MRI-PDFF
Measured: 12 weeks
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.
- First posted6 May 2019
- Study start22 Mar 2019
- Primary completion2 Oct 2021
- Study completion2 Oct 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for MASLD/MASH (Metabolic Dysfunction-Associated Steatotic Liver Disease / Metabolic Dysfunction-Associated Steatohepatitis)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Sagimet Biosciences Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Rohit Loomba, MD, Principal investigator, UCSD
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 19 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multi-Center, Single-Blind, Randomized, Placebo-Controlled Study of TVB-2640 in Subjects With Non-Alcoholic Steatohepatitis (FASCINATE-1)
- ClinicalTrials.gov ID
- NCT03938246
- Acronym / sponsor ID
- 3V2640-CLIN-005
- Keywords
- NASH, Non-Alcoholic Steatohepatitis, Fatty Liver Disease, Fatty Liver, Liver Diseases, FASN, Fatty Acid Synthase Inhibitor
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 142 participants (actual)
- Lead sponsor
- Sagimet Biosciences Inc.Industry (pharma, biotech, devices)
- Study start
- 22 Mar 2019 (actual)
- Primary completion
- 2 Oct 2021 (actual)
- Study completion
- 2 Oct 2021 (actual)
- First posted
- 6 May 2019 (actual)
- Results
- Posted 19 Dec 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 6
- Model description
- Subjects will be randomly assigned to experimental or placebo arms.
| Arm | Type | Receives |
|---|---|---|
| TVB-2640 25 mg (US) | Experimental | Drug: TVB-2640 25 mg (US)Subjects 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). |
| TVB-2640 50 mg (US) | Experimental | Drug: TVB-2640 50 mg (US)Subjects 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). |
| Placebo (US) | Placebo comparator | Drug: Placebo (US)Subjects randomly assigned to placebo will receive placebo tablets orally once a day under the same conditions and frequency as described for TVB-2640. |
| TVB-2640 50 mg (China) | Experimental | Drug: TVB-2640 50 mg (China)Subjects 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). |
| Placebo (China) | Placebo comparator | Drug: Placebo (China)Subjects randomly assigned to placebo will receive placebo tablets orally once a day under the same conditions and frequency as described for TVB-2640. |
| TVB-2640 75 mg (US) | Experimental | Drug: TVB-2640 75 mg (US)After 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 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- 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:
- AND
- Confirmation of ≥ 8% liver fat content on MRI-PDFF.
- 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.
Key exclusion criteria (11 listed)
- 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:
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TVB-2640 25 mg (US)Oral dose, tablet, daily dosing | Drug | TVB-2640 25 mg (US) |
| TVB-2640 50 mg (US)Oral dose, tablet, daily dosing | Drug | TVB-2640 50 mg (US) |
| Placebo (US)Oral dose, tablet, daily dosing | Drug | Placebo (US) |
| TVB-2640 50 mg (China)Oral dose, tablet, daily dosing | Drug | TVB-2640 50 mg (China) |
| Placebo (China)Oral dose, tablet, daily dosing | Drug | Placebo (China) |
| TVB-2640 75 mg (US)Oral dose, tablet, daily dosing | Drug | TVB-2640 75 mg (US) |
Primary outcome
Percent Change in Hepatic Fat Fraction by Magnetic Resonance Imaging Proton Density Fat Fraction (MRI-PDFF) From Baseline
Time frame: 12 weeks
As determined by MRI-PDFF
2 secondary outcomes
Percentage of Subjects With at Least a 30% Reduction in Liver Fat at Week 12.
Time frame: 12 weeks
Percentage of Change From Baseline in Alanine Aminotransferase (ALT)
Time frame: 12 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Dec 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34310978Loomba 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.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Rohit Loomba, MD principal investigator
UCSD
23 sites in 2 countries: see every site and its status.
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.