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. 2022 Feb 21;43(5):1180–1190. doi: 10.1038/s41401-022-00860-3

Table 2.

On-going combinatory phase II trials for NASHa

Name/Trial in registry Combination Mechanism of action Participant selection & duration Primary endpoints

ELIVATE

(NCT04065841)

Tropifexor plus Licogliflozin FXR agonist & SGLTs inhibitor 380 participants, NASH with fibrosis (F2/3), 48 weeks At least one stage of improvement in fibrosis without worsening of NASH

TANDEM

(NCT03517540)

Tropifexor plus Cenicriviroc FXR agonist & CCR2/5 antagonist 193 participants, NASH with fibrosis (F2/3), 48 weeks Occurrence of adverse events and serious adverse events

NEXSCOT

(NCT04147195)

Tropifexor plus LYS006 FXR agonist & leukotriene A4 hydrolase inhibitor 250 participants, NASH with T2D, 21 weeks TEAEs & SAEsb
NCT04702490 MET409 plus Empagliflozin FXR agonist & Sodium-glucose cotransporter 2 inhibitors (SGLT2i) 120 participants, NASH with T2D, 12–16 weeks Incidence of adverse events
NCT03646292 Pioglitazone plus Empagliflozin Thiazolidinediones (TZD) & SGLT2i 60 participants, NASH with T2D, 6 months Liver fat change measured by MRI-PDFF

CONTROL

(NCT02633956)

Obeticholic acid plus Atorvastatin FXR agonist & HMG CoA reductase inhibitor 84 participants, NASH with fibrosis (F1–F4), 16 weeks LDL concentration and particle size
NCT03776175c PF-06865571 plus PF-05221304 Diacylglycerol acyltransferase 2 (DGAT2) inhibitor & acetyl CoA carboxylase (ACC) inhibitor

99 participants, NAFLD,

6 weeks

Percent change from baseline in liver fat measured by MRI-PDFF
NCT04399538 PF-06865571 plus PF-05221304 DGAT2 inhibitor & ACC inhibitor

180 participants, NAFLD,

6 weeks

Percent change from baseline in liver fat measured by MRI-PDFF

MIRNA

(NCT04321031)

PF-06865571 plus PF-05221304 DGAT2 inhibitor & ACC inhibitor 450 participants, NASH with fibrosis (F2/3), 48 weeks Resolution of NASH without worsening of fibrosis or improvement in fibrosis by 1 > /= or both
NCT03987074 Semaglutide + Cilofexor + Firsocostat GLP1 receptor agonist & FXR agonist & ACC inhibitor 109 participants, NASH with fibrosis (F2/3), 24 weeks TEAEs
NCT04971785 Semaglutide + (Cilofexor or/and Firsocostat) GLP1 receptor agonist & FXR agonist & ACC inhibitor 440 participants, NASH with compensated cirrhosis (F4), 72 weeks

1. At least one stage of improvement in fibrosis without worsening of NASH

2. NASH resolution

ATLAS

(NCT03449446)

Selonsertib + Firsocostat + Cilofexor ASK1 inhibitor & ACC inhibitor & FXR agonist 395 participants, NASH with bridging fibrosis or compensated cirrhosis (F3/4), 48 weeks TEAEs & at least one stage of improvement in fibrosis without worsening of NASH
NCT02781584

Selonsertib + Firsocostat,

Cilofexor,

Fenofibrate or

Vascepa

ASK1 inhibitor & ACC inhibitor & FXR agonist & PPAR-α activator & icosapent ethyl 220 participants, NASH with fibrosis (F2/3), 12 weeks TEAEs
NCT04235205 Elobixibat + Cholestyramine Ileal bile acid transporter (IBAT) inhibitor & bile acid sequestrant 100 participants, NASH with fibrosis (F1–F3), 16 weeks Absolute change in serum LDL-C

PUVENAFLD

(NCT04198805)

Vitamin E + Omega-3 fatty acid Antioxidant

200 participants, NAFLD,

6 months

Change in liver fat content relative to baseline
NCT04193982 Vitamin E + Saraglitazar + Lifestyle Changes Antioxidant & PPARα/γ agonist 250 participants, NAFLD/NASH, 6 months Change in fibrosis score
NCT05016882 NNC0194 0499 + Semaglutide + NNC0174 0833 GLP1 receptor agonist & islet amyloid polypeptide (IAPP) analogue 672 participants, NASH with fibrosis (F2–F4), 52 weeks Improvement in liver fibrosis and no worsening of NASH
ICAN (NCT04781933) Probiotics and Glutamine, Quercetin, Vitamin E, Curcumin, Silybin, Pectin Complex 60 participants, NASH with fibrosis (F2/3), 52 weeks resolution of NASH, and no worsening of fibrosis

Probiotics = Lactobacillus rhamnosus GG, Bifidobacterium breve BR03, Lactobacillus plantaru.

aAll information summarized in this table is from www.clinicaltrials.gov, and is traceable according to NCT number.

bTEAEs Treatment-emergent adverse events, SAEs Treatment-emergent serious adverse events.

cThis trial was completed.