Table 2.
Name/Trial in registry | Combination | Mechanism of action | Participant selection & duration | Primary endpoints |
---|---|---|---|---|
ELIVATE |
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 |
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 |
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 |
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 |
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 |
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 |
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.