Nonalcoholic Steatohepatitis (NASH)Phase 1/2NCT04004325
A Study of FT 4101 in Overweight/Obese Participants With Non-alcoholic Steatohepatitis
A Phase 1/2 study testing FT-4101 and Deuterated Water in people with Nonalcoholic Steatohepatitis (NASH) and Overweight or Obesity, run by Forma Therapeutics, Inc. at 2 sites in United States.
Trial summary
This Phase 1/2 study will evaluate safety, efficacy, PK, and PD of FT-4101 as a single agent in overweight/obese subjects with NASH. The study may be conducted in up to 2 dosing cohorts. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Nonalcoholic Steatohepatitis (NASH), Overweight or Obesity
- What is being tested?
- FT-4101 and Deuterated Water
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 14 participants
- Where
- 2 sitesUnited States
- Study dates
- 17 May 2019to 20 Jan 2020
- Phase
- Phase 1/2
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Meets all of the following criteria:
- CAP ≥ 300 dB/m by FibroScan® OR Liver biopsy within 24 months, consistent with NASH with stage 2-3 fibrosis
- Screening MRI-PDFF with ≥ 10% steatosis.
- Body mass index (BMI) > 25.0 to < 45.0 kg/m2
- Stable body weight
- Subjects with T2DM may also be included, if:
Show all 11Show fewer
- Subject with T2DM is on stable doses of metformin monotherapy (subjects on combination therapy of metformin and sulfonylurea (SU) need to undergo washout period prior to dosing) with no changes in medication within the previous 6 months
- HbA1c < 9% (one retest is permitted with the result of the last test being conclusive)
- Fasting plasma glucose (FPG) < 240 mg/dL (<13.3 mmol/L)
- Waist circumference ≤ 57 inches
- Female subjects must be non-pregnant and non-lactating
Who cannot join
- Type 1 diabetes and type 2 diabetic subjects on insulin therapy
- Diabetic complications, such as acute proliferative retinopathy
- Recurrent severe hypoglycemia or hypoglycemic unawareness or recent severe ketoacidosis
- History of, or active, chronic liver disease due to alcohol, auto-immune, primary biliary cholangitis, HIV, HBV or active HCV-infection, Wilson's, α-1-antitrypsin deficiency, hemochromatosis, etc., and not due to NASH disease
- History of clinically significant or decompensated chronic liver disease including esophageal varices, ascites, encephalopathy or any hospitalization for treatment of chronic liver disease; or MELD score ≥ 10.
- History of significant cirrhosis of the liver
Show all 26Show fewer
- Alcohol consumption greater than 14 drinks per week for men or greater than 7 drinks per week for women and/or positive alcohol breath test
- Introduction of an anti-obesity drug in the past 6 months prior to screening
- History of gastrointestinal malabsorptive bariatric surgery, any other gastrointestinal surgery that may induce malabsorption, history of bowel resection > 20 cm, any malabsorption disorder, severe gastroparesis, any GI procedure for weight loss, as well as clinically significant gastrointestinal disorders within less than 5 years
- Ingestion of drugs known to produce hepatic steatosis including corticosteroids, high- dose estrogens, methotrexate, tetracycline or amiodarone in the previous 6 months
- History of, or current cardiac dysrhythmias and/or a history of cardiovascular disease events, including congestive heart failure, unstable coronary artery disease, myocardial infarction
- Significant systemic or major illnesses other than liver disease, including cerebrovascular disease, pulmonary disease, renal failure, organ transplantation, serious psychiatric disease, malignancy that, in the opinion of the investigator, would preclude treatment with FT-4101 and/or adequate follow up
- History of chronic skin conditions such as psoriasis, eczema or any recurring rash/dermatitis requiring oral or topical corticosteroids or other topical applications within 12 months
- Hair loss or unexplained alopecia within 12 months
- History of chronic eye conditions, Sjögren syndrome or any history of dry eyes or allergic conjunctivitis requiring artificial tears or medicated eye drops or previous refractive surgery within 12 months (Subjects with dry eyes due to wearing contact lenses are eligible)
- History of major depression, anxiety, suicidal behavior or attempts, or other unstable psychiatric disorders (within 2 years of screening), requiring medical treatment
- Uncontrolled hypertension
- Any device or other contraindication with the MRI examination
- Ingestion of deuterated water within the previous 6 months
- Positive test for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), or human immunodeficiency virus type 1 (HIV-1) or type 2 (HIV-2) antibody
- Participation in any other clinical interventional study receiving active treatment within the previous 30 days or 5 half-lives, whichever is longer
- Unable to abstain from smoking during confinement periods
- History of illicit drug abuse
- Clinically under the effect of marijuana at screening
- Unwillingness to abstain from grapefruit (grapefruit containing food and beverages), star fruit (carambola), pomegranate, Seville orange and other food components that may interact with CYP3A4 from check-in throughout the entire course of the study
- Donation or loss of > 500 mL of blood or blood product within 56 days of dosing
Trial locations and contacts
2 sites in 1 country.
United States2 sites
ProSciento, Inc.
Chula Vista, California, 91911
Catalina Research Institute
Montclair, California, 91763
About this study
Official title: A Phase 1/2, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety, Tolerability and Efficacy of FT-4101 in Overweight/Obese Subjects With NASH
This Phase 1/2 study will evaluate safety, efficacy, PK, and PD of FT-4101 as a single agent in overweight/obese subjects with NASH.
The study may be conducted in up to 2 dosing cohorts.
- Being tested
- FT-4101, FT-4101 placebo, Deuterated Water
- Medical subject headings
- Non-alcoholic Fatty Liver Disease, Overweight, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FT-4101Drug
FT-4101 will be supplied as active capsules and will be administered per the protocol defined frequency and dose level.
FT-4101 placeboDrug
FT-4101 placebo will be supplied as placebo capsule matching in size and color to all the active capsules and will be administered per the protocol defined frequency and dose level.
Deuterated WaterOther
Deuterated water will be provided as individual ready-to-use, single dose bottles each containing 50 mL of deuterated water (70%).
| Study group | Role | What they receive |
|---|---|---|
| Cohort A | Experimental | Not described Receives: Drug: FT-4101; Drug: FT-4101 placebo; Other: Deuterated Water |
| Cohort B | Experimental | Not described Receives: Drug: FT-4101; Drug: FT-4101 placebo; Other: Deuterated Water |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
TEAEs were defined as an adverse events (AEs) with an onset that occurred after receiving the first dose of the study drug (AE start date greater than or equal to [>=] first dose date) and within 30 days after receiving the last dose of the study drug (AE start date - last dose date less than or equal to [<=] 30). Number of participants with TEAEs are reported.
Measured: From start of study drug administration up to 20 weeks
Number of Participants With Clinically Significant Changes in Laboratory Values
Number of participants with clinically significant changes in laboratory values (hematology, serum chemistry, and urinalysis) are reported.
Measured: Up to 20 weeks
Number of Participants With Clinically Significant Changes in Physical Examination
Number of participants with clinically significant changes in physical examination are reported.
Measured: Up to 20 weeks
Change From Baseline in Vital Signs: Blood Pressure (BP)
Change from baseline in blood pressure (systolic and diastolic) are reported.
Measured: Baseline, Day 92
Change From Baseline in Vital Signs: Heart Rate (HR)
Change from baseline in heart rate is reported.
Measured: Baseline, Day 92
Change From Baseline in Vital Signs: Respiratory Rate
Change from baseline in respiratory rate is reported.
Measured: Baseline, Day 92
Change From Baseline in Vital Signs: Temperature
Change from baseline in temperature is reported.
Measured: Baseline, Day 92
Change From Baseline in 12-lead Electrocardiogram (ECG) Parameters: ECG Mean Heart Rate
Change from baseline in ECG mean heart rate is reported.
Measured: Baseline, Day 92
Change From Baseline in 12-lead ECG Parameters: QT Interval
Change from baseline in QT interval is reported.
Measured: Baseline, Day 92
Change From Baseline in 12-lead ECG Parameters: PR Interval
Change from baseline in PR interval is reported.
Measured: Baseline, Day 92
Change From Baseline in 12-lead ECG Parameters: QRS Interval
Change from baseline in QRS interval is reported.
Measured: Baseline, Day 92
Change From Baseline in 12-lead ECG Parameters: RR Interval
Change from baseline in RR interval is reported.
Measured: Baseline, Day 92
Change From Baseline in 12-lead ECG Parameters: QTc (Corrected) Using the Fridericia Correction (QTcF) Interval
Change from baseline in QTcF interval is reported.
Measured: Baseline, Day 92
Percent Change From Baseline in Liver Fat on Magnetic Resonance Imaging- Proton Density Fat Fraction (MRI-PDFF)
Percent change from baseline in liver fat on MRI-PDFF is reported.
Measured: At week 12
Change From Baseline in Liver Fat on Magnetic Resonance Imaging- Proton Density Fat Fraction (MRI-PDFF)
Change from baseline in percentage of liver fat on MRI-PDFF is reported.
Measured: At week 12
Secondary outcomes (11)
Change From Baseline in Liver Fat on MRI-PDFF
Change from baseline in percentage of liver fat on MRI-PDFF is reported.
Measured: At week 6
Percent Change From Baseline in Liver Fat on MRI-PDFF
Percent change from baseline in liver fat on MRI-PDFF is reported.
Measured: At week 6
Percentage of Participants Experiencing a Relative Reduction of 30% or Greater of Liver Fat as Assessed by MRI-PDFF
Percentage of participants experiencing a relative reduction of 30% or greater of liver fat as assessed by MRI-PDFF at week 12 are reported.
Measured: At week 12
Change From Baseline in Alanine Aminotransferase (ALT)
Change from baseline in ALT is reported.
Measured: Baseline, Day 92
Change From Baseline in Aspartate Aminotransferase (AST)
Change from baseline in AST is reported.
Measured: Baseline, Day 92
Change From Baseline in Gamma-glutamyl Transferase (γGT)
Change from baseline in γGT is reported.
Measured: Baseline, Day 92
Change From Baseline in Alkaline Phosphatase
Change from baseline in alkaline phosphatase is reported.
Measured: Baseline, Day 92
Change From Baseline in Total Bilirubin
Change from baseline in total bilirubin is reported.
Measured: Baseline, Day 92
Maximum Plasma Concentration (Cmax) of FT-4101
Maximum plasma concentration (Cmax) of FT-4101 is reported
Measured: Cycle 1 (Day 1), Cycle 4 (Day 14); each Cycle length = 21 days
Area Under the Concentration-time Curve for a Dosing Interval (AUCtau) of FT-4101
Measured: Cycle 1 (Day 1), Cycle 4 (Day 14); each Cycle length = 21 days
Data for This Endpoint Was Not Collected and Analysed.
Measured: Cycle 1 (Day 1), Cycle 4 (Day 14); each Cycle length = 21 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jul 2019
- Study start17 May 2019
- Primary completion20 Jan 2020
- Study completion20 Jan 2020
Why it stopped: sponsor decision
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.
- Other trials for Nonalcoholic Steatohepatitis (NASH)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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 14 participants (actual)
Sponsor and investigators
- Lead sponsor
- Forma Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- ProSciento, Inc.
- Responsible party
- Sponsor
- Investigators
- Clinical Transparency (dept. 2834), MD, Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04004325
- Sponsor's protocol ID
- 4101-MET-201
- Status last verified
- Oct 2025
- First submitted
- 10 Jun 2019
- Last updated
- 20 Oct 2025
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety, Tolerability and Efficacy of FT-4101 in Overweight/Obese Subjects With NASH
- ClinicalTrials.gov ID
- NCT04004325
- Acronym / sponsor ID
- 4101-MET-201
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: sponsor decision
- Enrolment
- 14 participants (actual)
- Lead sponsor
- Forma Therapeutics, Inc.Industry (pharma, biotech, devices)
- Collaborators
- ProSciento, Inc.
- Study start
- 17 May 2019 (actual)
- Primary completion
- 20 Jan 2020 (actual)
- Study completion
- 20 Jan 2020 (actual)
- First posted
- 2 Jul 2019 (actual)
- Results
- Posted 21 Nov 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This Phase 1/2 study will evaluate safety, efficacy, PK, and PD of FT-4101 as a single agent in overweight/obese subjects with NASH.
The study may be conducted in up to 2 dosing cohorts.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cohort A | Experimental | Drug: FT-4101, Drug: FT-4101 placebo, Other: Deuterated Water |
| Cohort B | Experimental | Drug: FT-4101, Drug: FT-4101 placebo, Other: Deuterated Water |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Meets all of the following criteria:
- Body mass index (BMI) > 25.0 to < 45.0 kg/m2
- Stable body weight
- Subjects with T2DM may also be included, if:
- Waist circumference ≤ 57 inches
Key exclusion criteria (26 listed)
- Type 1 diabetes and type 2 diabetic subjects on insulin therapy
- Diabetic complications, such as acute proliferative retinopathy
- Recurrent severe hypoglycemia or hypoglycemic unawareness or recent severe ketoacidosis
- History of, or active, chronic liver disease due to alcohol, auto-immune, primary biliary cholangitis, HIV, HBV or active HCV-infection, Wilson's, α-1-antitrypsin deficiency, hemochromatosis, etc., and not due to NASH disease
- History of clinically significant or decompensated chronic liver disease including esophageal varices, ascites, encephalopathy or any hospitalization for treatment of chronic liver disease; or MELD score ≥ 10.
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 |
|---|---|---|
| FT-4101FT-4101 will be supplied as active capsules and will be administered per the protocol defined frequency and dose level. | Drug | Cohort A, Cohort B |
| FT-4101 placeboFT-4101 placebo will be supplied as placebo capsule matching in size and color to all the active capsules and will be administered per the protocol defined frequency and dose level. | Drug | Cohort A, Cohort B |
| Deuterated WaterDeuterated water will be provided as individual ready-to-use, single dose bottles each containing 50 mL of deuterated water (70%). | Other | Cohort A, Cohort B |
Primary outcome
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: From start of study drug administration up to 20 weeks
TEAEs were defined as an adverse events (AEs) with an onset that occurred after receiving the first dose of the study drug (AE start date greater than or equal to [>=] first dose date) and within 30 days after receiving the last dose of the study drug (AE start date - last dose date less than or equal to [<=] 30). Number of participants with TEAEs are reported.
Number of Participants With Clinically Significant Changes in Laboratory Values
Time frame: Up to 20 weeks
Number of participants with clinically significant changes in laboratory values (hematology, serum chemistry, and urinalysis) are reported.
Number of Participants With Clinically Significant Changes in Physical Examination
Time frame: Up to 20 weeks
Number of participants with clinically significant changes in physical examination are reported.
Change From Baseline in Vital Signs: Blood Pressure (BP)
Time frame: Baseline, Day 92
Change from baseline in blood pressure (systolic and diastolic) are reported.
Change From Baseline in Vital Signs: Heart Rate (HR)
Time frame: Baseline, Day 92
Change from baseline in heart rate is reported.
Change From Baseline in Vital Signs: Respiratory Rate
Time frame: Baseline, Day 92
Change from baseline in respiratory rate is reported.
Change From Baseline in Vital Signs: Temperature
Time frame: Baseline, Day 92
Change from baseline in temperature is reported.
Change From Baseline in 12-lead Electrocardiogram (ECG) Parameters: ECG Mean Heart Rate
Time frame: Baseline, Day 92
Change from baseline in ECG mean heart rate is reported.
Change From Baseline in 12-lead ECG Parameters: QT Interval
Time frame: Baseline, Day 92
Change from baseline in QT interval is reported.
Change From Baseline in 12-lead ECG Parameters: PR Interval
Time frame: Baseline, Day 92
Change from baseline in PR interval is reported.
Change From Baseline in 12-lead ECG Parameters: QRS Interval
Time frame: Baseline, Day 92
Change from baseline in QRS interval is reported.
Change From Baseline in 12-lead ECG Parameters: RR Interval
Time frame: Baseline, Day 92
Change from baseline in RR interval is reported.
Change From Baseline in 12-lead ECG Parameters: QTc (Corrected) Using the Fridericia Correction (QTcF) Interval
Time frame: Baseline, Day 92
Change from baseline in QTcF interval is reported.
Percent Change From Baseline in Liver Fat on Magnetic Resonance Imaging- Proton Density Fat Fraction (MRI-PDFF)
Time frame: At week 12
Percent change from baseline in liver fat on MRI-PDFF is reported.
Change From Baseline in Liver Fat on Magnetic Resonance Imaging- Proton Density Fat Fraction (MRI-PDFF)
Time frame: At week 12
Change from baseline in percentage of liver fat on MRI-PDFF is reported.
11 secondary outcomes
Change From Baseline in Liver Fat on MRI-PDFF
Time frame: At week 6
Percent Change From Baseline in Liver Fat on MRI-PDFF
Time frame: At week 6
Percentage of Participants Experiencing a Relative Reduction of 30% or Greater of Liver Fat as Assessed by MRI-PDFF
Time frame: At week 12
Change From Baseline in Alanine Aminotransferase (ALT)
Time frame: Baseline, Day 92
Change From Baseline in Aspartate Aminotransferase (AST)
Time frame: Baseline, Day 92
Change From Baseline in Gamma-glutamyl Transferase (γGT)
Time frame: Baseline, Day 92
Change From Baseline in Alkaline Phosphatase
Time frame: Baseline, Day 92
Change From Baseline in Total Bilirubin
Time frame: Baseline, Day 92
Maximum Plasma Concentration (Cmax) of FT-4101
Time frame: Cycle 1 (Day 1), Cycle 4 (Day 14); each Cycle length = 21 days
Area Under the Concentration-time Curve for a Dosing Interval (AUCtau) of FT-4101
Time frame: Cycle 1 (Day 1), Cycle 4 (Day 14); each Cycle length = 21 days
Data for This Endpoint Was Not Collected and Analysed.
Time frame: Cycle 1 (Day 1), Cycle 4 (Day 14); each Cycle length = 21 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Oct 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
Related trials for Nonalcoholic Steatohepatitis (NASH)
Not yet recruiting
Efficacy of Carnitine Complex in Improving Hepatic Steatosis in Potential Liver Donors
Hepatic Steatosis, Fatty Liver
RecruitingPhase 3
A Study Evaluating Efruxifermin in Subjects With Non-Cirrhotic Nonalcoholic Steatohepatitis (NASH)/Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Fibrosis
NASH With Fibrosis, MASH With Fibrosis
Recruiting
NAFLD Clinical Care Pathway
NAFLD, MASLD
RecruitingPhase 3
Trial to Evaluate ALN-CIDEB in Adults With Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)
Metabolic Dysfunction-Associated Steatotic Liver Disease, MASLD
RecruitingPhase 1
A Study of Efimosfermin Alfa in Adults With Hepatic Impairment
Non-alcoholic Fatty Liver Disease
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.
Clinical Transparency (dept. 2834), MD study director
Novo Nordisk A/S
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing FT-4101 and Deuterated Water in people with Nonalcoholic Steatohepatitis (NASH) and Overweight or Obesity, run by Forma Therapeutics, Inc. at 2 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 11 inclusion and 26 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: stopped early, as of the sponsor's last update on 20 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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 21 Nov 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?
Number of Participants With Treatment-emergent Adverse Events (TEAEs) (time frame: From start of study drug administration up to 20 weeks). The study lists 15 primary outcomes in all. 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 20 Oct 2025.