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Clinical Trials List

Protocol NumberCLJN452D12201C
NCT Number(ClinicalTrials.gov Identfier)NCT04065841

2019-12-01 - 2022-09-02

Phase II

Not yet recruiting1

Recruiting2

ICD-10K74.4

Secondary biliary cirrhosis

ICD-10K75.81

Nonalcoholic steatohepatitis (NASH)

ICD-10K76.0

Fatty (change of) liver, not elsewhere classified

ICD-10K76.89

Other specified diseases of liver

ICD-10R16.2

Hepatomegaly with splenomegaly, not elsewhere classified

ICD-9571.8

Other chronic nonalcoholic liver disease

A randomized, double-blind, parallel-group, multicenter study to assess efficacy, safety, and tolerability of oral tropifexor (LJN452) & licogliflozin (LIK066) combination therapy and each monotherapy compared with placebo, for treatment of adult participants with nonalcoholic steatohepatitis (NASH) and liver fibrosis (ELIVATE).

  • Trial Applicant

    NOVARTIS (TAIWAN) CO., LTD.

  • Sponsor

    Novartis Pharmaceuticals

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2025/08/20

Investigators and Locations

Principal Investigator Yi-Cheng Chen

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator Pin-Nan Cheng

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Non Alcoholic Steatohepatitis (NASH)

Objectives

Study to compare tropifexor and licogliflozin in combination and each monotherapy with placebo for efficacy, safety, and tolerability in patients with NASH and fibrosis (stage 2 or 3) as per NASH CRN histological score.

Test Drug

LJN452/LIK066

Active Ingredient

licogliflozin
tropifexor

Dosage Form

Hard gelatin capsule
Film-coated tablets

Dosage

0.01/0.03/0.1
10

Endpoints

Primary Outcome Measures:
1. Whether the participant achieves at least one stage of improvement in fibrosis without worsening of NASH (YES/NO)
2. Whether the participant has resolution of NASH without worsening of fibrosis (YES/NO)

Secondary Outcome Measures:
1. Whether the participant achieves resolution of NASH and no worsening of fibrosis OR improvement in fibrosis by at least one stage without worsening of NASH (YES/NO).
2. Whether the participant has at least one stage improvement in fibrosis (YES/NO).
3. Whether the participant has at least two stage improvement in fibrosis without worsening of NASH (YES/NO).
4. Whether the participant has 5% or more reduction in body weight (YES/NO).
5. Change in liver fat content based on MRI - PDFF (in 40% of participants).
6. Change in ALT and AST over time.
7. Change in GGT over time.
8. Occurrence of adverse events, serious adverse events, adverse events resulting in discontinuation of study treatment, adverse events of special interest and changes in vital signs and laboratory parameters .

Inclution Criteria

1. NASH using NAFLD Activity Score (NAS) ≥ 4 with at least 1 point each in inflammation and ballooning and,
2. Fibrosis stage 2 or 3 using NASH CRN fibrosis criteria.

Exclusion Criteria

1.Type 1 diabetes mellitus.
2.Uncontrolled type 2 diabetes defined as glycated hemoglobin (HbA1c) ≥ 9.0% at screening.
3.HbA1c < 6.5% at screening in Type 2 diabetics currently treated with insulin or sulfonylureas.
4.Clinical evidence of liver impairment as defined by the presence of any of the following abnormalities:
--Platelet count < LLN (see Central laboratory manual).
--Serum albumin < LLN (see Central laboratory manual).
--International Normalized Ratio (INR) > ULN (see Central laboratory manual).
--ALT or AST > 5× ULN (confirmed by 2 values during screening).
--Total bilirubin > ULN (see Central laboratory manual) (confirmed by 2 values during screening), including Gilbert's syndrome.
--Alkaline phosphatase > 300 IU/L (confirmed by 2 values during screening).
--History of esophageal varices, ascites or hepatic encephalopathy.
--Splenomegaly.
--MELD score >12.

The Estimated Number of Participants

  • Taiwan

    6-14 participants

  • Global

    380 participants