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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/NCT04771273




Registration number
NCT04771273
Ethics application status
Date submitted
24/02/2021
Date registered
25/02/2021
Date last updated
30/04/2024

Titles & IDs
Public title
A Study to Test Safety and Efficacy of BI456906 in Adults With Non-alcoholic Steatohepatitis (NASH) and Fibrosis (F1-F3)
Scientific title
Multicenter, Double-blind, Parallel-group, Randomized, 48 Weeks, Dose-ranging, Placebo-controlled Phase II Trial to Evaluate Efficacy, Safety and Tolerability of Multiple Subcutaneous (s.c.) Doses of BI 456906 in Patients With Non-alcoholic Steatohepatitis (NASH) and Fibrosis.
Secondary ID [1] 0 0
2020-002723-11
Secondary ID [2] 0 0
1404-0043
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Non-alcoholic Steatohepatitis (NASH) 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

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - BI 456906
Treatment: Drugs - Placebo

Experimental: BI 456906 low dose - low dose

Experimental: BI 456906 medium dose - medium dose

Experimental: BI 456906 high dose - high dose

Placebo Comparator: Placebo - Placebo


Treatment: Drugs: BI 456906
BI 456906

Treatment: Drugs: Placebo
Placebo
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of patients with histological improvement of NASH (NAS reduction of 2 or more points) after 48 weeks of treatment
Timepoint [1] 0 0
Week 48
Secondary outcome [1] 0 0
Improvement of liver fat content (yes/no) defined as at least 30 percent (%) relative reduction in liver fat content after 48 weeks of treatment compared to baseline
Timepoint [1] 0 0
Week 48
Secondary outcome [2] 0 0
Absolute and relative change of liver fat content from baseline after 48 weeks of treatment assessed by MRI-PDFF
Timepoint [2] 0 0
Week 48
Secondary outcome [3] 0 0
Improvement of fibrosis (yes/no) defined as at least one stage decrease in fibrosis stage after 48 weeks of treatment assessed by liver biopsy
Timepoint [3] 0 0
Week 48
Secondary outcome [4] 0 0
Absolute change from baseline in NAS after 48 weeks of treatment assessed by liver biopsy
Timepoint [4] 0 0
Week 48

Eligibility
Key inclusion criteria
1. Male or female patients = 18 years (or who are of legal age in countries where that is
greater than 18 years) and = 80 years of age at time of consent.

2. Diagnosis of non-alcoholic steatohepatitis (NASH) (Non-alcoholic Fatty Liver Disease
(NAFLD) Activity Score (NAS) = 4, with at least 1 point in inflammation and ballooning
each) and fibrosis stage F1-F3 proven by a biopsy conducted during the screening
period or by a historical biopsy conducted within the last 6 months prior to
randomization and stable body weight defined as less than 5% self-reported change in
body weight between the historical biopsy and randomization, if a historical biopsy is
used.

3. Liver fat fraction = 8% measured by Magnetic Resonance Imaging (MRI)-Proton Density
Fat Fraction (PDFF) and liver stiffness > 6.0 kPa measured by FibroScan® at Visit 1
(if biopsy is scheduled during the screening period MRI-PDFF and FibroScan®
assessments have to be performed prior to the biopsy). However, the diagnosis of NASH
and fibrosis at liver biopsy (including historical biopsy) is the primary assessment
to establish patient eligibility.

4. Patients willing and able to undergo liver biopsies per protocol as judged by the
Investigator.

5. Signed and dated written informed consent in accordance with ICH-GCP and local
legislation prior to admission to the trial.

6. Women of childbearing potential (WOCBP)1 must be willing and able to use two forms of
effective contraception where at least one form is highly effective methods of birth
control per International Council on Harmonisation (ICH) M3 (R2) that result in a low
failure rate of less than 1% per year when used consistently and correctly. A list of
contraception methods meeting these criteria is provided in the patient information.

Further inclusion criteria apply.
Minimum age
18 Years
Maximum age
80 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
1. Current or history of significant alcohol consumption (defined as intake of > 210 g/
week in males and > 140 g/ week in females on average over a consecutive period of
more than 3 months) or inability to reliably quantify alcohol consumption based on
Investigator judgement within the last 5 years.

2. Intake of medications historically associated with liver injury, hepatic steatosis or
steatohepatitis within 12 weeks prior to Visit 1. Intake of restricted medications or
any medications considered likely to interfere with the safe conduct of the trial.

3. History of other forms of chronic liver disease (e.g., viral hepatitis, autoimmune
liver disease, primary biliary sclerosis, primary sclerosing cholangitis, Wilson's
disease, hemochromatosis, Alpha-1 Antitrypsin (A1At) deficiency, history of liver
transplantation). Hepatitis B and C testing will be done at Visit 1. Patients with
positive Hepatitis B surface antigen (HBsAg) should be excluded. Patients treated for
hepatitis C must have a negative RNA test at screening and also be Hepatitis C Virus
(HCV) RNA negative for at least 3 years prior to screening in order to be eligible for
the trial.

4. Suspicion, diagnosis, or history of hepatocellular carcinoma (HCC), or any documented
active or suspected malignancy or history of malignancy within 5 years prior to
screening, except appropriately treated basal cell carcinoma of the skin or in situ
carcinoma of uterine cervix.

5. Personal or family history of medullary thyroid carcinoma or multiple endocrine
neoplasia syndrome type 2, manifest hypo- or hyperthyroidism at Visit 1.

6. History of chronic or acute pancreatitis or elevation of serum lipase/amylase > 2x ULN
or fasting serum triglyceride levels of > 500 mg/dL (> 5.65 mmol/L) at screening.

7. Known history of HIV (Human Immunodeficiency Virus) infection and/or tuberculosis
and/or an acute COVID-19 infection at Visit 1 (confirmed by SARS CoV-2 RT-PCR test).
Further exclusion criteria 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
27/04/2021
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
21/12/2023
Sample size
Target
Accrual to date
Final
295
Recruitment in Australia
Recruitment state(s)
QLD,VIC
Recruitment hospital [1] 0 0
Gold Coast University Hospital - Southport
Recruitment hospital [2] 0 0
Monash Medical Centre - Clayton
Recruitment hospital [3] 0 0
Royal Melbourne Hospital - Parkville
Recruitment postcode(s) [1] 0 0
4215 - Southport
Recruitment postcode(s) [2] 0 0
3168 - Clayton
Recruitment postcode(s) [3] 0 0
3050 - Parkville
Recruitment outside Australia
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Alabama
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Virginia
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Austria
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Graz
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Innsbruck
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Linz
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Belgium
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Edegem
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Ontario
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Israel
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Palermo
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Rozzano (MI)
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Torino
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Lisboa
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Porto
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Barcelona
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Pontevedra
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Sevilla
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Spain
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Valencia
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Taiwan
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ChiaYi
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Taiwan
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Kaohsiung
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Taiwan
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Tainan
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Taiwan
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Taoyuan County
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United Kingdom
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Birmingham
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United Kingdom
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Hexham
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Liverpool
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London
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United Kingdom
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Nottingham

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Boehringer Ingelheim
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
This study is open for men and women with a liver disease called nonalcoholic steatohepatitis
(NASH) and liver fibrosis. The purpose of the study is to find out whether a medicine called
BI 456906 helps patients with NASH and liver fibrosis. The study tests 3 different doses of
BI 456906 to find the dose that helps best. Participants are put into 4 groups randomly,
which means by chance. There are 3 groups that each receive a different dose of BI 456906 and
there is 1 group that receives placebo. BI 456906 and placebo are given as an injection under
the skin once per week. The placebo injection looks like the BI 456906 injection but does not
contain any medicine.

Participants are in the study for a little over 1 year (60 weeks). During this time, they
visit the study site several times and have some video calls in addition. At the visits, the
study doctors take different measurements. To see whether the treatment works, the doctors
take a very small sample of liver tissue (biopsy) from each participant at the start and at
the end of the study. They also examine the liver by ultrasound and MRI. The doctors also
regularly check the general health of the participants.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04771273
Trial related presentations / publications
Public notes

Contacts
Principal investigator
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Address 0 0
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Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
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Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT04771273