Clinical trial

Evaluation of Efficacy, Safety and Tolerability of NGM282 (Aldafermin) in a Phase 2b, Randomized, Double-blind, Placebo-controlled, Multi-center Study in Subjects With Compensated Cirrhosis Due to Nonalcoholic Steatohepatitis (ALPINE 4)

Name
282-CC-207
Description
A multi-center evaluation of aldafermin in a randomized, double-blind, placebo-controlled study in subjects with compensated cirrhosis.
Trial arms
Trial start
2020-03-23
Estimated PCD
2023-01-04
Trial end
2023-02-23
Status
Completed
Phase
Early phase I
Treatment
aldafermin
aldafermin
Arms:
Daily 0.3 mg dose, Daily 1 mg dose, Daily 3 mg dose
Placebo
Placebo for aldafermin
Arms:
Placebo
Size
160
Primary endpoint
Improvement in Enhanced Liver Fibrosis (ELF) score.
48 weeks
Safety assessed by reported and observed adverse events.
48 weeks
Eligibility criteria
Key Inclusion Criteria: 1. Liver biopsy consistent with NASH cirrhosis. 2. Compensated cirrhosis due to NASH. Key Exclusion Criteria: 1. Other causes of liver disease including but not limited to alcoholic liver disease, hepatitis B, hepatitis C, autoimmune disorders, primary biliary cirrhosis, drug-induced hepatotoxicity, Wilson's disease, hemochromatosis, and alpha-1-anti-trypsin definition based on medical history and/or centralized read of liver histology. 2. Evidence of drug induced steatohepatitis secondary to amiodarone, corticosteroids, estrogens, methotrexate, tetracycline, or other medications known to cause hepatic steatosis. 3. History of hepatic decompensation including variceal bleeding, ascites, or hepatic encephalopathy. 4. Model of end stage liver disease (MELD) score \>12. Other protocol-defined inclusion/exclusion criteria could apply.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 160, 'type': 'ACTUAL'}}
Updated at
2023-06-13

1 organization

1 product

2 indications

Product
aldafermin
Indication
Cirrhosis