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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT04210245




Registration number
NCT04210245
Ethics application status
Date submitted
16/12/2019
Date registered
24/12/2019
Date last updated
13/06/2023

Titles & IDs
Public title
Study of Aldafermin (NGM282) in Subjects With Compensated Cirrhosis (ALPINE 4)
Scientific title
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)
Secondary ID [1] 0 0
282-CC-207
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Compensated Cirrhosis 0 0
Nonalcoholic Steatohepatitis 0 0
Condition category
Condition code
Oral and Gastrointestinal 0 0 0 0
Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
Metabolic and Endocrine 0 0 0 0
Metabolic disorders
Diet and Nutrition 0 0 0 0
Obesity
Inflammatory and Immune System 0 0 0 0
Connective tissue diseases
Inflammatory and Immune System 0 0 0 0
Other inflammatory or immune system disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Other interventions - aldafermin
Other interventions - Placebo

Experimental: Daily 0.3 mg dose - Administered by subcutaneous injection

Experimental: Daily 1 mg dose - Administered by subcutaneous injection

Experimental: Daily 3 mg dose - Administered by subcutaneous injection

Placebo Comparator: Placebo - Administered by subcutaneous injection


Other interventions: aldafermin
aldafermin

Other interventions: Placebo
Placebo for aldafermin
Intervention code [1] 0 0
Other interventions
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Improvement in Enhanced Liver Fibrosis (ELF) score.
Timepoint [1] 0 0
48 weeks
Primary outcome [2] 0 0
Safety assessed by reported and observed adverse events.
Timepoint [2] 0 0
48 weeks

Eligibility
Key inclusion criteria
Key

1. Liver biopsy consistent with NASH cirrhosis.

2. Compensated cirrhosis due to NASH.

Key
Minimum age
18 Years
Maximum age
75 Years
Sex
Both males and females
Can healthy volunteers participate?
No
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.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
23/03/2020
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
23/02/2023
Sample size
Target
Accrual to date
Final
160
Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
Recruitment hospital [1] 0 0
NGM Clinical Study Site - Camperdown
Recruitment hospital [2] 0 0
NGM Clinical Study Site - Westmead
Recruitment hospital [3] 0 0
NGM Clinical Study Site - Adelaide
Recruitment hospital [4] 0 0
NGM Clinical Study Site - Bedford Park
Recruitment hospital [5] 0 0
NGM Clinical Study Site - Clayton
Recruitment hospital [6] 0 0
NGM Clinical Study Site - Fitzroy
Recruitment hospital [7] 0 0
NGM Clinical Study Site - Heidelberg
Recruitment hospital [8] 0 0
NGM Clinical Study Site - Melbourne
Recruitment postcode(s) [1] 0 0
- Camperdown
Recruitment postcode(s) [2] 0 0
- Westmead
Recruitment postcode(s) [3] 0 0
- Adelaide
Recruitment postcode(s) [4] 0 0
- Bedford Park
Recruitment postcode(s) [5] 0 0
- Clayton
Recruitment postcode(s) [6] 0 0
- Fitzroy
Recruitment postcode(s) [7] 0 0
- Heidelberg
Recruitment postcode(s) [8] 0 0
- Melbourne
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Arizona
Country [2] 0 0
United States of America
State/province [2] 0 0
Arkansas
Country [3] 0 0
United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Florida
Country [5] 0 0
United States of America
State/province [5] 0 0
Georgia
Country [6] 0 0
United States of America
State/province [6] 0 0
Illinois
Country [7] 0 0
United States of America
State/province [7] 0 0
Maryland
Country [8] 0 0
United States of America
State/province [8] 0 0
Massachusetts
Country [9] 0 0
United States of America
State/province [9] 0 0
Mississippi
Country [10] 0 0
United States of America
State/province [10] 0 0
Missouri
Country [11] 0 0
United States of America
State/province [11] 0 0
North Carolina
Country [12] 0 0
United States of America
State/province [12] 0 0
Tennessee
Country [13] 0 0
United States of America
State/province [13] 0 0
Texas
Country [14] 0 0
United States of America
State/province [14] 0 0
Virginia
Country [15] 0 0
United States of America
State/province [15] 0 0
Washington
Country [16] 0 0
Belgium
State/province [16] 0 0
Brussels
Country [17] 0 0
France
State/province [17] 0 0
Paris
Country [18] 0 0
France
State/province [18] 0 0
Pessac Cedex
Country [19] 0 0
Germany
State/province [19] 0 0
Leipzig
Country [20] 0 0
Hong Kong
State/province [20] 0 0
Shatin
Country [21] 0 0
Poland
State/province [21] 0 0
Wroclaw
Country [22] 0 0
Puerto Rico
State/province [22] 0 0
San Juan
Country [23] 0 0
United Kingdom
State/province [23] 0 0
London

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
NGM Biopharmaceuticals, Inc
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
A multi-center evaluation of aldafermin in a randomized, double-blind, placebo-controlled
study in subjects with compensated cirrhosis.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04210245
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
NGM Study Director
Address 0 0
NGM Biopharmaceuticals
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT04210245