STELLAR-3: Safety and Efficacy of Selonsertib in Adults With Nonalcoholic Steatohepatitis (NASH) and Bridging (F3) Fibrosis
Study Details
Study Description
Brief Summary
The primary objective of this study is to evaluate whether selonsertib (SEL; GS-4997) can cause fibrosis regression and reduce progression to cirrhosis and associated complications in adults with NASH and bridging (F3) fibrosis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: SEL 18 mg Randomized Phase: Selonsertib (SEL) 18 mg tablet + placebo to match SEL 6 mg tablet for 240 weeks Open-Label (OL) Phase: Participants who experience a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, will be offered the option to roll over into an OL phase to receive OL SEL 18 mg for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Drug: SEL
Tablets administered orally once daily
Other Names:
Drug: Placebo to match SEL 6 mg
Tablets administered orally once daily
|
Experimental: SEL 6 mg Randomized Phase: SEL 6 mg tablet + placebo to match SEL 18 mg tablet for 240 weeks OL Phase: Participants who experience a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, will be offered the option to roll over into an OL phase to receive OL SEL 18 mg for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Drug: SEL
Tablets administered orally once daily
Other Names:
Drug: Placebo to match SEL 18 mg
Tablets administered orally once daily
|
Placebo Comparator: Placebo Randomized Phase: Placebo to match SEL 6 mg tablet + placebo to match SEL 18 mg tablet for 240 weeks OL Phase: Participants who experience a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, will be offered the option to roll over into an OL phase to receive OL SEL 18 mg for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Drug: Placebo to match SEL 6 mg
Tablets administered orally once daily
Drug: Placebo to match SEL 18 mg
Tablets administered orally once daily
|
Outcome Measures
Primary Outcome Measures
- Percentage of Participants Who Achieved a ≥ 1-Stage Improvement in Fibrosis According to the Nonalcoholic Steatohepatitis (NASH) Clinical Research Network (CRN) Classification Without Worsening of NASH at Week 48 [Week 48]
Fibrosis improvement was defined as ≥ 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Worsening of NASH was defined as ≥ 1 point increase from baseline in hepatocellular ballooning or lobular inflammation according to the Non-Alcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) criteria. As defined by NAS, hepatocellular ballooning ranges from 0-2 and lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation.
- Event-Free Survival (EFS) at Week 240 as Assessed by Time to First Clinical Event [Week 240]
EFS was assessed by the time to the first clinical event, including progression to cirrhosis on liver biopsy, liver decompensation events, liver transplantation, and all-cause mortality.
Secondary Outcome Measures
- Percentage of Participants Who Had Progression to Cirrhosis at Week 48 [Week 48]
Progression to cirrhosis was defined as a change in NASH CRN fibrosis stage from < 4 at baseline to 4 at Week 48.
- Percentage of Participants Who Had a ≥ 1-Stage Improvement in Fibrosis Without Worsening of NASH at Week 240 [Week 240]
Fibrosis improvement was defined as ≥ 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Worsening of NASH was defined as ≥ 1 point increase from baseline in hepatocellular ballooning or lobular inflammation according to the NAS criteria. As defined by NAS, hepatocellular ballooning ranges from 0-2 and lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation.
- Percentage of Participants Who Had a ≥ 1-Stage Improvement in Fibrosis at Week 48 [Week 48]
Fibrosis improvement was defined as ≥ 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis).
- Percentage of Participants Who Had a ≥ 1-Stage Improvement in Fibrosis at Week 240 [Week 240]
Fibrosis improvement was defined as ≥ 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis).
- Percentage of Participants Who Had NASH Resolution Without Worsening of Fibrosis at Week 48 [Week 48]
NASH resolution was defined as lobular inflammation of 0 or 1 from ≥ 1 at baseline and hepatocellular ballooning of 1 from a value ≥ 1 at baseline; both criteria were necessary conditions. Evaluable participants had baseline lobular inflammation and hepatocellular ballooning ≥ 1. Worsening of Fibrosis was defined by an increase in Fibrosis stage from 3 to 4 as defined by NASH CRN.
- Percentage of Participants Who Had NASH Resolution Without Worsening of Fibrosis at Week 240 [Week 240]
NASH resolution was defined as lobular inflammation of 0 or 1 from ≥ 1 at baseline and hepatocellular ballooning of 1 from a value ≥ 1 at baseline; both criteria were necessary conditions. Evaluable participants had baseline lobular inflammation and hepatocellular ballooning ≥ 1. Worsening of Fibrosis was defined by an increase in Fibrosis stage from 3 to 4 as defined by NASH CRN.
Eligibility Criteria
Criteria
Key Inclusion Criteria:
-
Liver biopsy consistent with NASH and bridging (F3 fibrosis) according to the NASH Clinical Research Network (CRN) classification in the opinion of the central reader
-
Has the following laboratory parameters at the screening visit:
-
Alanine aminotransferase (ALT) ≤ 8 x upper limit of normal (ULN)
-
Creatinine Clearance (CLcr) ≥ 30 milliliter/minute (mL/min), as calculated by the Cockcroft-Gault equation
-
Hemoglobin A1c (HbA1c) ≤ 9.5% (or serum fructosamine ≤ 381 μmol if HbA1c is unable to be resulted)
-
Total bilirubin ≤ 1.3 x ULN (unless an alternate etiology such as Gilbert's syndrome or hemolytic anemia is present)
Key Exclusion Criteria:
-
Prior history of decompensated liver disease including clinical ascites, hepatic encephalopathy (HE), or variceal bleeding
-
Child-Pugh (CP) score > 6, as determined at screening, unless due to therapeutic anti-coagulation
-
Model for End-stage Liver Disease (MELD) score > 12, as determined at screening, unless due to therapeutic anti-coagulation
-
Other causes of liver disease including, but not limited to, alcoholic liver disease, hepatitis B, hepatitis C, autoimmune disorders, drug-induced hepatotoxicity, Wilson disease, iron overload, and alpha-1-antitryspin deficiency, based on medical history and/ or centralized review of liver histology.
-
History of liver transplantation
-
Current or history of hepatocellular carcinoma (HCC)
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Institute of Liver Health | Chandler | Arizona | United States | 85224 |
2 | Banner University Medical Center-Phoenix | Phoenix | Arizona | United States | 85006 |
3 | St. Joseph's Hospital and Medical Center | Phoenix | Arizona | United States | 85013 |
4 | Mayo Clinic | Phoenix | Arizona | United States | 85054 |
5 | University of Arizona | Tucson | Arizona | United States | 85724 |
6 | Baptist Medical Center | Little Rock | Arkansas | United States | 72204 |
7 | Arkansas Gastroenterology | North Little Rock | Arkansas | United States | 72204 |
8 | eStudySite | Chula Vista | California | United States | 91911 |
9 | Southern California Liver Centers | Coronado | California | United States | 92673 |
10 | United Gastroenterologists | Costa Mesa | California | United States | 92626 |
11 | TriWest Research Associates, LLC | El Cajon | California | United States | 92020 |
12 | Fresno Clinical Research Center | Fresno | California | United States | 93720 |
13 | University of California San Diego (UCSD) | La Jolla | California | United States | 92103 |
14 | Ruane Clinical Research Group | Los Angeles | California | United States | 90036 |
15 | Cedars Sinai Medical Center | Los Angeles | California | United States | 90048 |
16 | VA Greater Los Angeles Healthcare System | Los Angeles | California | United States | 90073 |
17 | eStudySite | Oceanside | California | United States | 92056 |
18 | California Liver Institute | Pasadena | California | United States | 91105 |
19 | Inland Empire Liver Foundation | Rialto | California | United States | 92377 |
20 | University of California, Davis Medical Center | Sacramento | California | United States | 95817 |
21 | Medical Associates Research Group | San Diego | California | United States | 92123 |
22 | Kaiser Permanente | San Diego | California | United States | 92514 |
23 | California Pacific Medical Center - Sutter Pacific Medical Foundation San Francisco Center for Liver Disease Dept. of Transplant | San Francisco | California | United States | 94115 |
24 | Mission Gastroenterology and Hepatology | San Francisco | California | United States | 94115 |
25 | University of California San Francisco (UCSF) | San Francisco | California | United States | 94143 |
26 | Silicon Valley Research Institute | San Jose | California | United States | 95128 |
27 | University of Colorado | Aurora | Colorado | United States | 80045 |
28 | Yale University School of Medicine | New Haven | Connecticut | United States | 06510 |
29 | Integrity Clinical Research, LLC | Doral | Florida | United States | 33166 |
30 | UF Hepatology Research at CTRB | Gainesville | Florida | United States | 32610 |
31 | UF Health Jacksonville-Gastroenterology Emerson | Jacksonville | Florida | United States | 32207 |
32 | Florida Research Institute | Lakewood Ranch | Florida | United States | 34211 |
33 | Sunrise Medical Research, Inc | Lauderdale Lakes | Florida | United States | 33319 |
34 | Sunrise Research Institute | Miami | Florida | United States | 33130 |
35 | Schiff Center for Liver Diseases/University of Miami | Miami | Florida | United States | 33136 |
36 | Genoma Research Group, Inc | Miami | Florida | United States | 33165 |
37 | Advanced Research Institute | New Port Richey | Florida | United States | 34653 |
38 | Avail Clinical Research, LLC | Orange City | Florida | United States | 32763 |
39 | South Florida Center of Gastroenterology, PA | Wellington | Florida | United States | 33414 |
40 | Florida Medical Clinic, PA | Zephyrhills | Florida | United States | 33540 |
41 | Digestive Healthcare of Georgia | Atlanta | Georgia | United States | 30309 |
42 | Piedmont Transplant Institute | Atlanta | Georgia | United States | 30309 |
43 | Gastrointestinal Specialists of Georgia, PC | Marietta | Georgia | United States | 30060 |
44 | Northwestern Memorial Hospital; Clinical Research Unit | Chicago | Illinois | United States | 60611 |
45 | The University of Chicago Medical Center | Chicago | Illinois | United States | 60615 |
46 | NorthShore University Healthsystem | Glenview | Illinois | United States | 60026 |
47 | Indiana University Health - University Hospital | Indianapolis | Indiana | United States | 46202 |
48 | Indianapolis Gastroenterology Research Foundation | Indianapolis | Indiana | United States | 46237 |
49 | University of Iowa Hospitals and Clinics | Iowa City | Iowa | United States | 52242 |
50 | University of Kansas Medical Center | Kansas City | Kansas | United States | 66160 |
51 | Gastroenterology Associates of Hazard | Hazard | Kentucky | United States | 41707 |
52 | Delta Research Partners, LLC | Bastrop | Louisiana | United States | 71021 |
53 | Tulane University Health Sciences Center | New Orleans | Louisiana | United States | 70112 |
54 | Ocshner Medical Center | New Orleans | Louisiana | United States | 70121 |
55 | Louisiana Research Center, LLC | Shreveport | Louisiana | United States | 71105 |
56 | Mercy Medical Center | Baltimore | Maryland | United States | 21202 |
57 | Walter Reed National Military Medical Center | Bethesda | Maryland | United States | 20889 |
58 | Digestive Disease Associates, PA | Catonsville | Maryland | United States | 21228 |
59 | Meritus Center for Clinical Research | Hagerstown | Maryland | United States | 21472 |
60 | Henry Ford Health System | Detroit | Michigan | United States | 48202 |
61 | Gastroenterology Associates of Western Michigan, P.L.C. | Wyoming | Michigan | United States | 49519 |
62 | Huron Gastroenterology Associates/Center for Digestive Care | Ypsilanti | Michigan | United States | 48197 |
63 | University of Minnesota Medical Center - Fairview | Minneapolis | Minnesota | United States | 55455 |
64 | Mayo Clinic | Rochester | Minnesota | United States | 55095 |
65 | Southern Therapy and Advanced Research LLC (STAR) | Ridgeland | Mississippi | United States | 39157 |
66 | Saint Luke's Hospital of Kansas City | Kansas City | Missouri | United States | 64111 |
67 | Kansas City Gastroenterology and Hepatology | Kansas City | Missouri | United States | 64131 |
68 | Saint Louis University | Saint Louis | Missouri | United States | 63104 |
69 | eStudySite | Las Vegas | Nevada | United States | 89109 |
70 | Rutgers New Jersey Medical School- Doctors Office Center | Newark | New Jersey | United States | 07102 |
71 | University of Buffalo, Clinical and Translational Research Center | Buffalo | New York | United States | 14230 |
72 | Northwell Health - Sandra Atlas Bass Center for Liver Diseases | Manhasset | New York | United States | 11030 |
73 | Icahn School of Medicine at Mount Sinai Beth Israel | New York | New York | United States | 10003 |
74 | University of Rochester Medical Center | Rochester | New York | United States | 14642 |
75 | University of North Carolina at Chapel Hill / UNC School of Medicine | Chapel Hill | North Carolina | United States | 27599 |
76 | Duke University Medical Center - Duke South Clinics | Durham | North Carolina | United States | 27710 |
77 | Cumberland Research Associates, LLC | Fayetteville | North Carolina | United States | 28304 |
78 | Triad Clinical Trials LLC | Greensboro | North Carolina | United States | 27410 |
79 | Piedmont HealthCare, d/b/a Carolinas Center for Liver Disease | Huntersville | North Carolina | United States | 28078 |
80 | PMG Research of Rocky Mount, LLC | Rocky Mount | North Carolina | United States | 27804 |
81 | Piedmont HealthCare, d/b/a Carolinas Center for Liver Disease | Statesville | North Carolina | United States | 28625 |
82 | Digestive Health Specialists, PA | Winston-Salem | North Carolina | United States | 27103 |
83 | Consultants for Clinical Research | Cincinnati | Ohio | United States | 45249 |
84 | UC Health/Holmes Hospital | Cincinnati | Ohio | United States | 45267 |
85 | Northeast Clinical Research Center, LLC | Bethlehem | Pennsylvania | United States | 18017 |
86 | Hospital of the University of Pennsylvania- Perelman Center for Advanced Medicine | Philadelphia | Pennsylvania | United States | 19104 |
87 | Thomas Jefferson University | Philadelphia | Pennsylvania | United States | 19107 |
88 | UPMC - Center for Liver Diseases at the Thomas E. Starlz Institute | Pittsburgh | Pennsylvania | United States | 15213 |
89 | VA Pittsburgh Healthcare System | Pittsburgh | Pennsylvania | United States | 15240 |
90 | eStudySite | Pittsburgh | Pennsylvania | United States | 15251 |
91 | Guthrie Medical Group, PC | Sayre | Pennsylvania | United States | 18840 |
92 | University Gastroenterology | Providence | Rhode Island | United States | 02905 |
93 | Medical University of South Carolina | Charleston | South Carolina | United States | 29245 |
94 | Greenville Health System - Gastroenterology and Liver Center | Greenville | South Carolina | United States | 29605 |
95 | WR-ClinSearch, LLC | Chattanooga | Tennessee | United States | 37421 |
96 | Gastro One | Germantown | Tennessee | United States | 38138 |
97 | Quality Medical Research PLLC | Nashville | Tennessee | United States | 37211 |
98 | Vanderbilt University Medical Center - Digestive Disease Center | Nashville | Tennessee | United States | 37212 |
99 | Texas Clinical Research Institute, LLC | Arlington | Texas | United States | 76012 |
100 | Pinnacle Clinical Research, PLLC | Austin | Texas | United States | 78746 |
101 | Austin Center for Clinical Research | Austin | Texas | United States | 78756 |
102 | The Liver Institute at Methodist Dallas Medical Center | Dallas | Texas | United States | 75203 |
103 | Texas Digestive Disease Consultants | Dallas | Texas | United States | 75246 |
104 | Baylor Scott & White All Saints Medical Center | Fort Worth | Texas | United States | 76104 |
105 | Kelsey-Seybold Clinic | Houston | Texas | United States | 77025 |
106 | Baylor College of Medicine - Advanced Liver Therapies | Houston | Texas | United States | 77030 |
107 | VAMC & Baylor College | Houston | Texas | United States | 77030 |
108 | Pinnacle Clinical Research, PLLC | Live Oak | Texas | United States | 78233 |
109 | American Research Corporation, The Texas Liver Institute | San Antonio | Texas | United States | 78215 |
110 | Intermountain Liver Disease and Transplant Center | Murray | Utah | United States | 84107 |
111 | University of Utah Hospital | Salt Lake City | Utah | United States | 84132 |
112 | The University of Vermont Medical Center | Burlington | Vermont | United States | 05401 |
113 | University of Virginia Medical Center | Charlottesville | Virginia | United States | 22908 |
114 | Verity Research, Inc. | Fairfax | Virginia | United States | 22031 |
115 | Inova Fairfax Medical Campus | Falls Church | Virginia | United States | 22042 |
116 | Emeritas Research Group | Lansdowne Town Center | Virginia | United States | 20716 |
117 | Bon Secours St. Mary's Hospital of Richmond, Inc. d/b/a Bon Secours Liver Institute of Virginia | Newport News | Virginia | United States | 23602 |
118 | Digestive and Liver Disease Specialists | Norfolk | Virginia | United States | 23502 |
119 | Bon Secours St. Mary's Hospital of Richmond, Inc. d/b/a Bon Secours Liver Institute of Virginia | Richmond | Virginia | United States | 23226 |
120 | McGuire VA Medical Center | Richmond | Virginia | United States | 23249 |
121 | Virginia Commonwealth University | Richmond | Virginia | United States | 23298 |
122 | Virginia Mason | Seattle | Washington | United States | 98101 |
123 | Swedish Organ Transplant and Liver Center | Seattle | Washington | United States | 98104 |
124 | Froedtert Memorial Lutheran Hospital | Milwaukee | Wisconsin | United States | 53226 |
125 | Hospital Italiano de Buenos Aires | Buenos Aires | Argentina | 450 | |
126 | Instituto Oulton | Córdoba | Argentina | X5000JJS | |
127 | St. Vincent's Hospital Sydney | Darlinghurst | New South Wales | Australia | 2010 |
128 | St. George's Hospital | Kogarah | New South Wales | Australia | 2217 |
129 | Westmead Hospital | Westmead | New South Wales | Australia | 2145 |
130 | Royal Brisbane & Women's Hospital | Herston | Queensland | Australia | 4029 |
131 | Royal Adelaide Hospital | Adelaide | South Australia | Australia | 5000 |
132 | Monash Health, Monash Medical Centre | Clayton | Victoria | Australia | 3168 |
133 | St. Vincent's Hospital Melbourne | Fitzroy | Victoria | Australia | 3065 |
134 | Austin Hospital | Heidelberg | Victoria | Australia | 3084 |
135 | The Alfred Hospital, Alfred Health | Melbourne | Victoria | Australia | 3004 |
136 | Royal Perth Hospital | Perth | Western Australia | Australia | 6000 |
137 | Medizinische Universitat Graz, Universitatsklinik fue Innere Medizin | Graz | Austria | A-8036 | |
138 | Allgemeines Krankenhaus Wien | Vienna | Austria | 1090 | |
139 | CUB Hopital Erasme | Brussels | Belgium | 1070 | |
140 | UZ Brussel | Brussel | Belgium | 1090 | |
141 | Universitaire Ziekenhuizen Leuven | Leuven | Belgium | 3000 | |
142 | Hospital das Clínicas da Faculdade de Medicina de Botucatu - FMB/Universidade Estadual Paulista Julio de Mesquita Filho - UNESP | Botucatu | Brazil | 18618-000 | |
143 | Hospital de Clínicas de Porto Alegre - HCPA/UFRGS | Porto Alegre | Brazil | CEP 90035-903 | |
144 | Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP | Ribeirão Preto | Brazil | 14048-900 | |
145 | Hospital Das Clinicas Da Faculdade De Medicina Da Universidade De Sao Paulo | São Paulo | Brazil | 01246-903 | |
146 | Universidade Federal de São Paulo / Unidade Ambulatorial de Pesquisa Clínica - I (UAPC-I) | São Paulo | Brazil | 04040-003 | |
147 | University of Calgary Liver Unit (Heritage Medical Research Clinic) | Calgary | Alberta | Canada | T2N 4Z6 |
148 | University of Alberta Hospital - Walter C. Mackenzie Health Sciences Centre (WMC) | Edmonton | Alberta | Canada | T6G 2X8 |
149 | LAIR Centre | Vancouver | British Columbia | Canada | V5Z 1H2 |
150 | Gordon and Leslie Diamond Health Care Centre | Vancouver | British Columbia | Canada | V5Z 1M9 |
151 | (G.I.R.I.) GI Research Institute | Vancouver | British Columbia | Canada | V6Z 2K5 |
152 | PerCuro Clinical Research Ltd. | Victoria | British Columbia | Canada | V8T 5G4 |
153 | South Shore Medical Arts | Bridgewater | Nova Scotia | Canada | B4V 3N2 |
154 | William Osler Health System-Brampton Civic Hospital | Brampton | Ontario | Canada | |
155 | South Shore Medical Arts | London | Ontario | Canada | N6A 5A5 |
156 | Toronto Center for Liver Diseases (TCLD), Toronto General Hospital | Toronto | Ontario | Canada | M5G 2C4 |
157 | Chronic Viral Illness Service/Royal Victoria Hospital/McGill University Health Centre (MUHC) | Montréal | Quebec | Canada | H4A 3JI |
158 | Centre Hospitalier Universitaire d'Angers | Angers | France | 49033 | |
159 | Centre Hospitalier Universitaire Estaing | Clermont-Ferrand | France | 63003 | |
160 | Hopital Henri Mondor | Créteil | France | 94010 | |
161 | CHU de Grenoble- Hopital Michallon | Grenoble | France | 38043 | |
162 | Centre Hospitalier Regional Universitaire- Hopital Claude Huriez | Lille | France | 59000 | |
163 | CHU de Limoges- Hopital Dupuytren- Federation Hepatologie | Limoges | France | 87000 | |
164 | Hopital de la Croix Rousse | Lyon | France | 69317 | |
165 | Hôpital Saint Joseph | Marseille | France | 13008 | |
166 | Centre Hospitalier Universitaire de Nice- Hopital l'Archet 2 | Nice | France | 06200 | |
167 | Hopital Cochin | Paris | France | 75014 | |
168 | Hopital Beaujon | Pessac | France | 33600 | |
169 | Centre Hospitalier Universitaire de Bordeaux | Pessac | France | 33604 | |
170 | Centre Hospitalier Universitaire de Strasbourg- Nouvel Hopital Civil | Strasbourg | France | 67091 | |
171 | Centre Hospitalier Universitaire de Toulouse- Hopital Purpan | Toulouse | France | 31059 | |
172 | Hopital Paul Brousse | Villejuif | France | 94800 | |
173 | Uniklinik RWTH Aachen, Medizinische Klinik III | Aachen | Germany | 52074 | |
174 | Zentrum fur Infektiologie Berlin Prenzlauer Berg GmbH (zibp) | Berlin | Germany | 13353 | |
175 | Universitatsklinikum Bonn (AoR) | Bonn | Germany | 53105 | |
176 | Universitatsklinikum Frankfurt der Goethe-Universitat | Frankfurt | Germany | 60590 | |
177 | Medizinische Hochschule Hannover | Hanover | Germany | 30625 | |
178 | Uniklinikum des Saarlandes- Klinik fur Innere Medizin II | Homburg | Germany | 66421 | |
179 | Gastroenterologisch- Hepatologisches Zentrum Kiel | Kiel | Germany | 24146 | |
180 | Eugastro Gmbh | Leipzig | Germany | 04103 | |
181 | Johannes Gutenberg-Universitat | Mainz | Germany | 55131 | |
182 | Alice Ho Miu Ling Nethersole Hospital | Tai Po | Hong Kong | ||
183 | Tuen Mun Hospital | Tuen Mun | Hong Kong | ||
184 | Midas Multispecialty Hospital | Nagpur | Maharashtra | India | 440010 |
185 | Institute of Post Graduate Medical Education and Research / SSKM Hospital | Kolkata | India | 700020 | |
186 | Kasturba Medical College (KMC) Hospital | Mangalore | India | 575001 | |
187 | Global Hospital-Super Speciality & Transplant Centre (A Unit of Centre for Digestive and Kidney Diseases (India) Pvt. Ltd.) | Mumbai | India | 400012 | |
188 | Maharaja Agrasen Hospital | New Delhi | India | 110026 | |
189 | All India Institute of Medical Sciences | New Delhi | India | 110029 | |
190 | Fortis Flt. Lt. Rajan Dhall Hospital | New Delhi | India | 110070 | |
191 | Institute of Liver & Biliary Sciences | New Delhi | India | 110070 | |
192 | Rambam Health Care Campus | Haifa | Israel | 30196 | |
193 | The Lady Davis Carmel Medical Center | Haifa | Israel | 3436212 | |
194 | Holy Family hospital | Nazaret | Israel | 91008 | |
195 | The Chaim Sheba Medical Center | Ramat Gan | Israel | 52621 | |
196 | Tel-Aviv Sourasky Medical Center | Tel Aviv | Israel | 64239 | |
197 | Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico | Milan | Italy | 20122 | |
198 | Azienda Ospedaliera Universitaria Pisana | Pisa | Italy | 56124 | |
199 | IRCCS Ospedale Casa Sollievo Della Soferrenza | San Giovanni Rotondo | Italy | 71013 | |
200 | Chiba University Hospital | Chiba | Japan | 260-8670 | |
201 | Fukui-Ken Saiseikai Hospital | Fukui-shi | Japan | 918-8503 | |
202 | Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital | Hiroshima | Japan | 730-8619 | |
203 | Hiroshima University Hospital | Hiroshima | Japan | 734-8551 | |
204 | Tokyo Medical University Ibaraki Medical Center | Ibaraki | Japan | 300-0395 | |
205 | Juntendo University Shizuoka Hospital | Izunokuni | Japan | 410-2295 | |
206 | Kagoshima University Medical And Dental Hospital | Kagoshima | Japan | 890-8520 | |
207 | Kanazawa University Hospital | Kanagawa | Japan | 920-8641 | |
208 | Nara Medical University Hospital | Kashihara | Japan | 634-8522 | |
209 | Toranomon Hospital Kajigaya | Kawasaki | Japan | 105-8470 | |
210 | Shinkokura Hospital | Kitakyushu | Japan | 803-8505 | |
211 | Kumamoto Shinto General Hospital | Kumamoto | Japan | 862-8655 | |
212 | Kurume University Hospital | Kurume | Japan | 830-0011 | |
213 | University Hospital, Kyoto Prefectural University of Medicine | Kyoto | Japan | 602-8566 | |
214 | Shinshu University Hospital | Matsumoto | Japan | 390-8621 | |
215 | Toranomon Hospital | Minato | Japan | 105-8470 | |
216 | Miyazaki Medical Center Hospital | Miyazaki | Japan | 880-0003 | |
217 | Japanese Red Cross Musashino Hospital | Musashino | Japan | 180-8610 | |
218 | Aichi Medical University Hospital | Nagakute | Japan | 480-1195 | |
219 | Heart Life Hospital | Nakagami | Japan | 901-2492 | |
220 | Nara City Hospital | Nara | Japan | 630-8305 | |
221 | Hyogo College of Medicine Hospital | Nishinomiya | Japan | 663-8501 | |
222 | Kawasaki Medical School General Medical Center | Okayama | Japan | 700-808 | |
223 | Okayama University Hospital | Okayama | Japan | 700-8558 | |
224 | National Hospital Organization Osaka National Hospital | Osaka | Japan | 540-0006 | |
225 | Saga University Hospital | Saga | Japan | 849-8501 | |
226 | Hokkaido P.W.F.A.C. Sapporo-Kosei General Hospital | Sapporo | Japan | 600-0033 | |
227 | Tohoku Rosai Hospital | Sendai | Japan | 981-8563 | |
228 | National Center for Global Health and Medicine Hospital | Shinjuku-ku | Japan | 162-8655 | |
229 | Saiseikai Suita Hospital | Suita | Japan | 564-0013 | |
230 | Kagawa Prefectural Central Hospital | Takamatsu | Japan | 760-8557 | |
231 | Mie University Hospital | Tsu | Japan | 514-8507 | |
232 | Ehime University Hospital | Tōno | Japan | 7190295 | |
233 | Yamagata University Hospital | Yamagata | Japan | 990-9585 | |
234 | Yokohama City University Hospital | Yokohama | Japan | 236-0004 | |
235 | National Hospital Organization Nagasaki Medical Center | Ōmura | Japan | 856-8562 | |
236 | Hirakata Kohsai Hospital | Ōsaka | Japan | 573-0153 | |
237 | Keimyung University Dongsan Medical Center | Daegu | Korea, Republic of | 41931 | |
238 | Kyungpook National University Hospital | Daegu | Korea, Republic of | 700-721 | |
239 | National Health Insurance Service- Ilsan Hospital | Goyang-si | Korea, Republic of | 10444 | |
240 | Hanyang University Seoul Hospital | Seoul | Korea, Republic of | 04763 | |
241 | Asan Medical Center | Seoul | Korea, Republic of | 05505 | |
242 | Chung-Ang University Hospital | Seoul | Korea, Republic of | 06973 | |
243 | Severance Hospital, Yonsei University Health System | Seoul | Korea, Republic of | 120-752 | |
244 | Gangnam Severance Hospital | Seoul | Korea, Republic of | 135-720 | |
245 | Korea University Guro Hospital | Seoul | Korea, Republic of | 152-703 | |
246 | SMG-SNU Boramae Medical Center | Seoul | Korea, Republic of | 37061 | |
247 | Yonsei University Wonju Severance Christian Hospital | Wŏnju | Korea, Republic of | 26426 | |
248 | Hospital Selayang | Batu Caves | Malaysia | 68100 | |
249 | University of Malaya Medical Centre | Kuala Lumpur | Malaysia | 50603 | |
250 | Phylasis Clinicas Research S. de RL de CV. | Cuautitlán | Mexico | 54769 | |
251 | Consultorio Médico | Mexico City | Mexico | 6700 | |
252 | Investigaciones Medicas Cisneros SC | Monterrey | Mexico | 64000 | |
253 | University Medical Center Utrecht | Utrecht | Netherlands | 3508 GA | |
254 | Auckland City Hospital | Grafton | New Zealand | 1023 | |
255 | Szpital Specjalistyczny Nr 1 w Bytomiu, Oddzial Obserwacyjno-Zakazny i Hepatologii | Bytom | Poland | 41-902 | |
256 | Wojewodzki Specjalistyczny Szpital im. W. Bieganskiego | Łódź | Poland | 91-347 | |
257 | Centro Hospitalar de Tras-os-Montes e Alto Douro, E.P.E | Vila Real | Portugal | 5000 | |
258 | Klinical Investigations Group, LLC | San Juan | Puerto Rico | 00907 | |
259 | VA Caribbean Healthcare System | San Juan | Puerto Rico | 00921 | |
260 | Fundacion de Investigacion de Diego | San Juan | Puerto Rico | 00927 | |
261 | National University Hospital | Singapore | Singapore | 119074 | |
262 | Singapore General Hospital | Singapore | Singapore | 169856 | |
263 | Tan Tock Seng Hospital | Singapore | Singapore | 308433 | |
264 | Changi General Hospital Pte Ltd. | Singapore | Singapore | 529889 | |
265 | Khoo Teck Puat Hospital | Singapore | Singapore | 768828 | |
266 | Hospital del Mar | Barcelona | Spain | 08003 | |
267 | Hospital Universitari Vall d'Hebron | Barcelona | Spain | 08035 | |
268 | Hospital Clinic de Barcelona | Barcelona | Spain | 08036 | |
269 | Hospital Universitario La Paz | Madrid | Spain | 28046 | |
270 | Hospital Puerto de Hierro Majadahonda | Majadahonda | Spain | 28220 | |
271 | CHOP_Complejo Hospitalrio Universitario de Pontevedra | Pontevedra | Spain | 36071 | |
272 | Hospital Universitario Marques de Valdecilla | Santander | Spain | 39008 | |
273 | Hospital Universitario Virgen del Rocio | Sevilla | Spain | 41013 | |
274 | Hospital Universitari i Politecnic La Fe de Valencia | Valencia | Spain | 46026 | |
275 | Universitätsklinik für Viszerale Chirurgie und Medizin, Inselspital, Hepatologie | Bern | Switzerland | 3010 | |
276 | Istituto Cantonale di Patologia Locarno | Lugano | Switzerland | 6900 | |
277 | Changhua Christian Hospital | Chang-hua | Taiwan | 500 | |
278 | Ditmanson Medical Foundation Chia-Yi Christian Hospital | Chiayi City | Taiwan | 60002 | |
279 | Kaohsiung Medical University Chung-Ho Memorial Hospital | Kaohsiung | Taiwan | 80099 | |
280 | E-DA Hospital | Kaohsiung | Taiwan | 82445 | |
281 | Chang Gung Medical Foundation, Keelung Chang Gung Memorial Hospital | Keelung | Taiwan | 20401 | |
282 | Taichung Veterans General Hospital | Taichung | Taiwan | 40705 | |
283 | National Cheng Kung University Hospitalv | Tainan | Taiwan | 7428 | |
284 | National Taiwan University Hospital | Taipei | Taiwan | 10002 | |
285 | Mackay Memorial Hospital | Taipei | Taiwan | 10449 | |
286 | Cathay General Hospital | Taipei | Taiwan | 10630 | |
287 | Taipei Veterans General Hospital | Taipei | Taiwan | 11217 | |
288 | Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital | Taoyuan | Taiwan | 33305 | |
289 | Cambridge University Hospitals NHS Foundation Trust | Cambridge | United Kingdom | CB2 0QQ | |
290 | Derby Teaching Hospitals NHS FT | Derby | United Kingdom | DE22 3NE | |
291 | University Hospitals Birmingham NHS Foundation Trust | Edgbaston | United Kingdom | B15 2TH | |
292 | King's College Hospital NHS Foundation Trust | London | United Kingdom | SE5 9RS | |
293 | Imperial College Healthcare NHS Trust | London | United Kingdom | W21NY | |
294 | The Newcastle upon Tyne Hospitals NHS Foundation Trust | Newcastle upon Tyne | United Kingdom | NE2 3HH | |
295 | Norfolk and Norwich University Hospitals NHS Foundation Trust | Norwich | United Kingdom | NR4 7UY | |
296 | Nottingham University Hospitals NHS Trust | Nottingham | United Kingdom | NG7 2UH | |
297 | Portsmouth Hospitals NHS Trust | Portsmouth | United Kingdom | PO6 3LY | |
298 | Abertawe Bro Morgannwg University Health Board | Swansea | United Kingdom | SA2 8QA |
Sponsors and Collaborators
- Gilead Sciences
Investigators
- Study Director: Gilead Study Director, Gilead Sciences
Study Documents (Full-Text)
More Information
Publications
None provided.- GS-US-384-1943
- 2016-004374-18
Study Results
Participant Flow
Recruitment Details | Participants were enrolled at study sites in North America, Asia, Europe, Australia, South America, Puerto Rico, and New Zealand. The first participant was screened on 13 February 2017. The last study visit occurred on 19 June 2019. |
---|---|
Pre-assignment Detail | 2250 participants were screened. |
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo | Open-Label SEL 18 mg |
---|---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks. | Randomized Phase: Placebo-to-match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks. | Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Period Title: Randomized Phase | ||||
STARTED | 324 | 323 | 161 | 0 |
COMPLETED | 0 | 0 | 0 | 0 |
NOT COMPLETED | 324 | 323 | 161 | 0 |
Period Title: Randomized Phase | ||||
STARTED | 0 | 0 | 0 | 99 |
COMPLETED | 0 | 0 | 0 | 0 |
NOT COMPLETED | 0 | 0 | 0 | 99 |
Baseline Characteristics
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo | Total |
---|---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Total of all reporting groups |
Overall Participants | 322 | 321 | 159 | 802 |
Age (years) [Mean (Standard Deviation) ] | ||||
Mean (Standard Deviation) [years] |
57
(9.1)
|
57
(9.2)
|
57
(9.0)
|
57
(9.1)
|
Sex: Female, Male (Count of Participants) | ||||
Female |
181
56.2%
|
196
61.1%
|
76
47.8%
|
453
56.5%
|
Male |
141
43.8%
|
125
38.9%
|
83
52.2%
|
349
43.5%
|
Race/Ethnicity, Customized (Count of Participants) | ||||
American Indian or Alaska Native |
5
1.6%
|
1
0.3%
|
2
1.3%
|
8
1%
|
Asian |
88
27.3%
|
84
26.2%
|
41
25.8%
|
213
26.6%
|
Black |
8
2.5%
|
5
1.6%
|
2
1.3%
|
15
1.9%
|
White |
219
68%
|
227
70.7%
|
113
71.1%
|
559
69.7%
|
Other |
2
0.6%
|
3
0.9%
|
1
0.6%
|
6
0.7%
|
Not Permitted |
0
0%
|
1
0.3%
|
0
0%
|
1
0.1%
|
Race/Ethnicity, Customized (Count of Participants) | ||||
Not Hispanic or Latino |
269
83.5%
|
269
83.8%
|
137
86.2%
|
675
84.2%
|
Hispanic or Latino |
52
16.1%
|
48
15%
|
22
13.8%
|
122
15.2%
|
Not Permitted |
1
0.3%
|
4
1.2%
|
0
0%
|
5
0.6%
|
Region of Enrollment (Count of Participants) | ||||
United States |
161
50%
|
172
53.6%
|
80
50.3%
|
413
51.5%
|
Japan |
38
11.8%
|
23
7.2%
|
19
11.9%
|
80
10%
|
Canada |
16
5%
|
14
4.4%
|
8
5%
|
38
4.7%
|
France |
14
4.3%
|
10
3.1%
|
5
3.1%
|
29
3.6%
|
South Korea |
8
2.5%
|
13
4%
|
7
4.4%
|
28
3.5%
|
Australia |
9
2.8%
|
12
3.7%
|
3
1.9%
|
24
3%
|
Hong Kong |
10
3.1%
|
8
2.5%
|
6
3.8%
|
24
3%
|
Spain |
9
2.8%
|
10
3.1%
|
4
2.5%
|
23
2.9%
|
Taiwan |
7
2.2%
|
14
4.4%
|
0
0%
|
21
2.6%
|
United Kingdom |
8
2.5%
|
5
1.6%
|
7
4.4%
|
20
2.5%
|
India |
7
2.2%
|
4
1.2%
|
4
2.5%
|
15
1.9%
|
Germany |
4
1.2%
|
3
0.9%
|
4
2.5%
|
11
1.4%
|
Singapore |
4
1.2%
|
5
1.6%
|
2
1.3%
|
11
1.4%
|
Brazil |
3
0.9%
|
4
1.2%
|
2
1.3%
|
9
1.1%
|
Israel |
2
0.6%
|
4
1.2%
|
3
1.9%
|
9
1.1%
|
Belgium |
3
0.9%
|
3
0.9%
|
2
1.3%
|
8
1%
|
Mexico |
5
1.6%
|
2
0.6%
|
1
0.6%
|
8
1%
|
Italy |
2
0.6%
|
4
1.2%
|
0
0%
|
6
0.7%
|
Argentina |
3
0.9%
|
2
0.6%
|
0
0%
|
5
0.6%
|
Austria |
2
0.6%
|
2
0.6%
|
0
0%
|
4
0.5%
|
Poland |
2
0.6%
|
2
0.6%
|
0
0%
|
4
0.5%
|
Puerto Rico |
2
0.6%
|
1
0.3%
|
0
0%
|
3
0.4%
|
Switzerland |
1
0.3%
|
0
0%
|
2
1.3%
|
3
0.4%
|
Malaysia |
1
0.3%
|
1
0.3%
|
0
0%
|
2
0.2%
|
Portugal |
0
0%
|
2
0.6%
|
0
0%
|
2
0.2%
|
Netherlands |
0
0%
|
1
0.3%
|
0
0%
|
1
0.1%
|
New Zealand |
1
0.3%
|
0
0%
|
0
0%
|
1
0.1%
|
Outcome Measures
Title | Percentage of Participants Who Achieved a ≥ 1-Stage Improvement in Fibrosis According to the Nonalcoholic Steatohepatitis (NASH) Clinical Research Network (CRN) Classification Without Worsening of NASH at Week 48 |
---|---|
Description | Fibrosis improvement was defined as ≥ 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Worsening of NASH was defined as ≥ 1 point increase from baseline in hepatocellular ballooning or lobular inflammation according to the Non-Alcoholic Fatty Liver Disease (NAFLD) Activity Score (NAS) criteria. As defined by NAS, hepatocellular ballooning ranges from 0-2 and lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. |
Time Frame | Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
The Full Analysis Set included all participants who were randomized into the study and received at least 1 dose of study drug. |
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo |
---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Measure Participants | 322 | 321 | 159 |
Number (95% Confidence Interval) [percentage of participants] |
9.6
3%
|
12.1
3.8%
|
13.2
8.3%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | SEL 18 mg, Placebo |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.4941 |
Comments | Difference between SEL 18 mg and Placebo, 95% confidence interval (CI) and p-value were obtained by stratum-adjusted Mantel-Haenszel method with baseline diabetes mellitus status and Enhanced Liver Fibrosis (ELF) test score as stratification factors. | |
Method | Mantel Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | -2.1 | |
Confidence Interval |
(2-Sided) 95% -8.3 to 4.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | SEL 6 mg, Placebo |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.9321 |
Comments | Difference between SEL 6 mg and Placebo, 95% CI and p-value were obtained by stratum-adjusted Mantel-Haenszel method with baseline diabetes mellitus status and ELF test score as stratification factors. | |
Method | Mantel Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | -0.3 | |
Confidence Interval |
(2-Sided) 95% -6.6 to 6.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Event-Free Survival (EFS) at Week 240 as Assessed by Time to First Clinical Event |
---|---|
Description | EFS was assessed by the time to the first clinical event, including progression to cirrhosis on liver biopsy, liver decompensation events, liver transplantation, and all-cause mortality. |
Time Frame | Week 240 |
Outcome Measure Data
Analysis Population Description |
---|
No data was analyzed as the study was terminated and no participants reached the Week 240 timepoint. |
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo |
---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Measure Participants | 0 | 0 | 0 |
Title | Percentage of Participants Who Had Progression to Cirrhosis at Week 48 |
---|---|
Description | Progression to cirrhosis was defined as a change in NASH CRN fibrosis stage from < 4 at baseline to 4 at Week 48. |
Time Frame | Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
Participants in the Full Analysis Set were analyzed. |
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo |
---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Measure Participants | 322 | 321 | 159 |
Number (95% Confidence Interval) [percentage of participants] |
13.0
4%
|
15.6
4.9%
|
15.7
9.9%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | SEL 18 mg, Placebo |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.2593 |
Comments | Difference between SEL 18 mg and Placebo, 95% CI and p-value were obtained by stratum-adjusted Mantel-Haenszel method with baseline diabetes mellitus status and ELF test score as stratification factors. | |
Method | Mantel Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | -4.0 | |
Confidence Interval |
(2-Sided) 95% -10.8 to 2.9 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | SEL 6 mg, Placebo |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.8080 |
Comments | Difference between SEL 6 mg vs Placebo, 95% CI and p-value were obtained by stratum-adjusted Mantel-Haenszel method with baseline diabetes mellitus status and ELF test score as stratification factors. | |
Method | Mantel Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | -0.9 | |
Confidence Interval |
(2-Sided) 95% -7.9 to 6.1 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants Who Had a ≥ 1-Stage Improvement in Fibrosis Without Worsening of NASH at Week 240 |
---|---|
Description | Fibrosis improvement was defined as ≥ 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). Worsening of NASH was defined as ≥ 1 point increase from baseline in hepatocellular ballooning or lobular inflammation according to the NAS criteria. As defined by NAS, hepatocellular ballooning ranges from 0-2 and lobular inflammation ranges from 0-3, with higher scores indicating more severe hepatocellular ballooning or lobular inflammation. |
Time Frame | Week 240 |
Outcome Measure Data
Analysis Population Description |
---|
No data was analyzed as the study was terminated and no participants reached the Week 240 timepoint. |
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo |
---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Measure Participants | 0 | 0 | 0 |
Title | Percentage of Participants Who Had a ≥ 1-Stage Improvement in Fibrosis at Week 48 |
---|---|
Description | Fibrosis improvement was defined as ≥ 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). |
Time Frame | Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
Participants in the Full Analysis Set were analyzed. |
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo |
---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Measure Participants | 322 | 321 | 159 |
Number (95% Confidence Interval) [percentage of participants] |
12.7
3.9%
|
13.7
4.3%
|
16.4
10.3%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | SEL 18 mg, Placebo |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.5636 |
Comments | Difference between SEL 18 mg and Placebo, 95% CI and p-value were obtained by stratum-adjusted Mantel-Haenszel method with baseline diabetes mellitus status and ELF test score as stratification factors. | |
Method | Mantel Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | -2.0 | |
Confidence Interval |
(2-Sided) 95% -8.7 to 4.8 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | SEL 6 mg, Placebo |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.5915 |
Comments | Difference between SEL 6 mg and Placebo, 95% CI and p-value were obtained by stratum-adjusted Mantel-Haenszel method with baseline diabetes mellitus status and ELF test score as stratification factors. | |
Method | Mantel Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | -1.9 | |
Confidence Interval |
(2-Sided) 95% -8.6 to 4.9 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants Who Had a ≥ 1-Stage Improvement in Fibrosis at Week 240 |
---|---|
Description | Fibrosis improvement was defined as ≥ 1-stage decrease from baseline in fibrosis according to the NASH CRN classification. NASH CRN fibrosis stages range from 0 to 4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis). |
Time Frame | Week 240 |
Outcome Measure Data
Analysis Population Description |
---|
No data was analyzed as the study was terminated and no participants reached the Week 240 timepoint. |
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo |
---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Measure Participants | 0 | 0 | 0 |
Title | Percentage of Participants Who Had NASH Resolution Without Worsening of Fibrosis at Week 48 |
---|---|
Description | NASH resolution was defined as lobular inflammation of 0 or 1 from ≥ 1 at baseline and hepatocellular ballooning of 1 from a value ≥ 1 at baseline; both criteria were necessary conditions. Evaluable participants had baseline lobular inflammation and hepatocellular ballooning ≥ 1. Worsening of Fibrosis was defined by an increase in Fibrosis stage from 3 to 4 as defined by NASH CRN. |
Time Frame | Week 48 |
Outcome Measure Data
Analysis Population Description |
---|
Participants in the Full Analysis Set with available data were analyzed. |
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo |
---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Measure Participants | 322 | 321 | 158 |
Number (95% Confidence Interval) [percentage of participants] |
5.0
1.6%
|
4.4
1.4%
|
8.9
5.6%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | SEL 18 mg, Placebo |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.2455 |
Comments | Difference between SEL 18 mg and Placebo, 95% CI and p-value were obtained by stratum-adjusted Mantel-Haenszel method with baseline diabetes mellitus status and ELF test score as stratification factors. | |
Method | Mantel Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | -3.2 | |
Confidence Interval |
(2-Sided) 95% -8.5 to 2.2 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | SEL 6 mg, Placebo |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.1371 |
Comments | Difference between SEL 6 mg and Placebo, 95% CI and p-value were obtained by stratum-adjusted Mantel-Haenszel method with baseline diabetes mellitus status and ELF test score as stratification factors. | |
Method | Mantel Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Percentage Difference |
Estimated Value | -4.0 | |
Confidence Interval |
(2-Sided) 95% -9.3 to 1.3 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Percentage of Participants Who Had NASH Resolution Without Worsening of Fibrosis at Week 240 |
---|---|
Description | NASH resolution was defined as lobular inflammation of 0 or 1 from ≥ 1 at baseline and hepatocellular ballooning of 1 from a value ≥ 1 at baseline; both criteria were necessary conditions. Evaluable participants had baseline lobular inflammation and hepatocellular ballooning ≥ 1. Worsening of Fibrosis was defined by an increase in Fibrosis stage from 3 to 4 as defined by NASH CRN. |
Time Frame | Week 240 |
Outcome Measure Data
Analysis Population Description |
---|
No data was analyzed as the study was terminated and no participants reached the Week 240 timepoint. |
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo |
---|---|---|---|
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks OL Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. |
Measure Participants | 0 | 0 | 0 |
Adverse Events
Time Frame | First dose date up to last dose (maximum: 111.4 weeks) plus 30 days | |||||||
---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | The Safety Analysis Set included all participants who received at least 1 dose of study drug. | |||||||
Arm/Group Title | SEL 18 mg | SEL 6 mg | Placebo | Open-Label SEL 18 mg | ||||
Arm/Group Description | Randomized Phase: Selonsertib (SEL) 18 mg tablet orally once daily + placebo to match SEL 6 mg tablet orally once daily for 240 weeks. | Randomized Phase: SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks. | Randomized Phase: Placebo to match SEL 6 mg tablet orally once daily + placebo to match SEL 18 mg tablet orally once daily for 240 weeks. | Open-Label (OL) Phase: Participants who experienced a hepatic clinical event or have biopsy confirmed progression to cirrhosis during the randomized phase, prior to completing the Week 240 visit, were offered the option to roll over into an OL phase to receive OL SEL 18 mg daily for a total treatment duration of 240 weeks inclusive of the randomized phase. | ||||
All Cause Mortality |
||||||||
SEL 18 mg | SEL 6 mg | Placebo | Open-Label SEL 18 mg | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/322 (0%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Serious Adverse Events |
||||||||
SEL 18 mg | SEL 6 mg | Placebo | Open-Label SEL 18 mg | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 47/322 (14.6%) | 36/321 (11.2%) | 17/159 (10.7%) | 6/99 (6.1%) | ||||
Blood and lymphatic system disorders | ||||||||
Anaemia | 1/322 (0.3%) | 2/321 (0.6%) | 0/159 (0%) | 0/99 (0%) | ||||
Haemorrhagic anaemia | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Cardiac disorders | ||||||||
Angina pectoris | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Angina unstable | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Arteriosclerosis coronary artery | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Atrial fibrillation | 3/322 (0.9%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Bradycardia | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Cardiovascular disorder | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Left ventricular dysfunction | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Endocrine disorders | ||||||||
Adrenal insufficiency | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Eye disorders | ||||||||
Retinal detachment | 1/322 (0.3%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Gastrointestinal disorders | ||||||||
Abdominal pain | 2/322 (0.6%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Anal fissure | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Colitis | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Diverticulum | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Gastritis | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Ileus | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Internal hernia | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Irritable bowel syndrome | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Pancreatitis acute | 0/322 (0%) | 1/321 (0.3%) | 1/159 (0.6%) | 1/99 (1%) | ||||
Pancreatitis chronic | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Pancreatitis relapsing | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Peritoneal haemorrhage | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Varices oesophageal | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
General disorders | ||||||||
Chest pain | 1/322 (0.3%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Non-cardiac chest pain | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Pyrexia | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Hepatobiliary disorders | ||||||||
Cholecystitis | 0/322 (0%) | 0/321 (0%) | 0/159 (0%) | 1/99 (1%) | ||||
Cholecystitis acute | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 1/99 (1%) | ||||
Hepatic haemorrhage | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Hepatic lesion | 0/322 (0%) | 0/321 (0%) | 0/159 (0%) | 1/99 (1%) | ||||
Infections and infestations | ||||||||
Bronchitis | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Campylobacter gastroenteritis | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Cellulitis | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Cellulitis of male external genital organ | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Clostridium difficile colitis | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Clostridium difficile infection | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Diverticulitis | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Escherichia urinary tract infection | 0/322 (0%) | 0/321 (0%) | 0/159 (0%) | 1/99 (1%) | ||||
Gastroenteritis | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Gastroenteritis viral | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Infective exacerbation of chronic obstructive airways disease | 0/322 (0%) | 0/321 (0%) | 0/159 (0%) | 1/99 (1%) | ||||
Otitis externa | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Pneumonia | 3/322 (0.9%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Postoperative abscess | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Postoperative wound infection | 0/322 (0%) | 0/321 (0%) | 0/159 (0%) | 1/99 (1%) | ||||
Pyelonephritis acute | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Sepsis | 0/322 (0%) | 2/321 (0.6%) | 2/159 (1.3%) | 0/99 (0%) | ||||
Sinusitis | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Upper respiratory tract infection | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Urinary tract infection | 1/322 (0.3%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Urosepsis | 0/322 (0%) | 2/321 (0.6%) | 0/159 (0%) | 0/99 (0%) | ||||
Injury, poisoning and procedural complications | ||||||||
Accidental overdose | 1/322 (0.3%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Clavicle fracture | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Fall | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Hand fracture | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Humerus fracture | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Intentional overdose | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Pancreatic leak | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Patella fracture | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Post procedural complication | 1/322 (0.3%) | 1/321 (0.3%) | 0/159 (0%) | 1/99 (1%) | ||||
Procedural pain | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Rib fracture | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Tendon rupture | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Investigations | ||||||||
Ammonia increased | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Blood glucose increased | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Body temperature increased | 0/322 (0%) | 0/321 (0%) | 0/159 (0%) | 1/99 (1%) | ||||
Oxygen saturation decreased | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Metabolism and nutrition disorders | ||||||||
Dehydration | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Diabetes mellitus inadequate control | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Diabetic metabolic decompensation | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Hyponatraemia | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Musculoskeletal and connective tissue disorders | ||||||||
Arthralgia | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Back pain | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Intervertebral disc protrusion | 1/322 (0.3%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Muscle spasms | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Osteoarthritis | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||
Adenocarcinoma of colon | 1/322 (0.3%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Breast cancer | 0/322 (0%) | 1/321 (0.3%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Breast cancer recurrent | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Carcinoid tumour pulmonary | 0/322 (0%) | 0/321 (0%) | 0/159 (0%) | 1/99 (1%) | ||||
Gastric cancer | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Haemangioma of skin | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Hepatocellular carcinoma | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 1/99 (1%) | ||||
Metastases to liver | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Metastatic lymphoma | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Pancreatic carcinoma | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Prostate cancer | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Squamous cell carcinoma of the vulva | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Nervous system disorders | ||||||||
Ataxia | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Carotid artery stenosis | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Headache | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Hepatic encephalopathy | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Sciatica | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Seizure | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Syncope | 1/322 (0.3%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Toxic encephalopathy | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Transient ischaemic attack | 1/322 (0.3%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Psychiatric disorders | ||||||||
Bipolar I disorder | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Insomnia | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Mental status changes | 0/322 (0%) | 1/321 (0.3%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Schizoaffective disorder | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Renal and urinary disorders | ||||||||
Acute kidney injury | 1/322 (0.3%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Cystitis interstitial | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Renal colic | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Ureterolithiasis | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Reproductive system and breast disorders | ||||||||
Prostatitis | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Testicular necrosis | 0/322 (0%) | 0/321 (0%) | 1/159 (0.6%) | 0/99 (0%) | ||||
Respiratory, thoracic and mediastinal disorders | ||||||||
Acute respiratory failure | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Dyspnoea | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Haemothorax | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Hepatic hydrothorax | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Hypoxia | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Pneumonitis | 0/322 (0%) | 0/321 (0%) | 0/159 (0%) | 1/99 (1%) | ||||
Pulmonary embolism | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Vascular disorders | ||||||||
Orthostatic hypotension | 0/322 (0%) | 1/321 (0.3%) | 0/159 (0%) | 0/99 (0%) | ||||
Peripheral artery thrombosis | 1/322 (0.3%) | 0/321 (0%) | 0/159 (0%) | 0/99 (0%) | ||||
Other (Not Including Serious) Adverse Events |
||||||||
SEL 18 mg | SEL 6 mg | Placebo | Open-Label SEL 18 mg | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 248/322 (77%) | 254/321 (79.1%) | 130/159 (81.8%) | 48/99 (48.5%) | ||||
Gastrointestinal disorders | ||||||||
Abdominal distension | 13/322 (4%) | 12/321 (3.7%) | 8/159 (5%) | 2/99 (2%) | ||||
Abdominal pain | 22/322 (6.8%) | 27/321 (8.4%) | 15/159 (9.4%) | 3/99 (3%) | ||||
Abdominal pain upper | 33/322 (10.2%) | 26/321 (8.1%) | 16/159 (10.1%) | 5/99 (5.1%) | ||||
Constipation | 40/322 (12.4%) | 43/321 (13.4%) | 19/159 (11.9%) | 4/99 (4%) | ||||
Diarrhoea | 52/322 (16.1%) | 47/321 (14.6%) | 30/159 (18.9%) | 8/99 (8.1%) | ||||
Nausea | 32/322 (9.9%) | 39/321 (12.1%) | 14/159 (8.8%) | 6/99 (6.1%) | ||||
Vomiting | 19/322 (5.9%) | 18/321 (5.6%) | 8/159 (5%) | 1/99 (1%) | ||||
General disorders | ||||||||
Fatigue | 35/322 (10.9%) | 33/321 (10.3%) | 12/159 (7.5%) | 3/99 (3%) | ||||
Oedema peripheral | 18/322 (5.6%) | 9/321 (2.8%) | 4/159 (2.5%) | 3/99 (3%) | ||||
Hepatobiliary disorders | ||||||||
Hepatic cirrhosis | 42/322 (13%) | 50/321 (15.6%) | 25/159 (15.7%) | 0/99 (0%) | ||||
Infections and infestations | ||||||||
Bronchitis | 23/322 (7.1%) | 21/321 (6.5%) | 6/159 (3.8%) | 1/99 (1%) | ||||
Influenza | 19/322 (5.9%) | 20/321 (6.2%) | 14/159 (8.8%) | 4/99 (4%) | ||||
Nasopharyngitis | 46/322 (14.3%) | 40/321 (12.5%) | 21/159 (13.2%) | 0/99 (0%) | ||||
Sinusitis | 21/322 (6.5%) | 21/321 (6.5%) | 12/159 (7.5%) | 5/99 (5.1%) | ||||
Upper respiratory tract infection | 41/322 (12.7%) | 46/321 (14.3%) | 21/159 (13.2%) | 6/99 (6.1%) | ||||
Urinary tract infection | 14/322 (4.3%) | 27/321 (8.4%) | 13/159 (8.2%) | 3/99 (3%) | ||||
Injury, poisoning and procedural complications | ||||||||
Contusion | 10/322 (3.1%) | 5/321 (1.6%) | 8/159 (5%) | 0/99 (0%) | ||||
Musculoskeletal and connective tissue disorders | ||||||||
Arthralgia | 33/322 (10.2%) | 30/321 (9.3%) | 18/159 (11.3%) | 3/99 (3%) | ||||
Back pain | 33/322 (10.2%) | 27/321 (8.4%) | 11/159 (6.9%) | 3/99 (3%) | ||||
Muscle spasms | 16/322 (5%) | 17/321 (5.3%) | 7/159 (4.4%) | 2/99 (2%) | ||||
Musculoskeletal pain | 14/322 (4.3%) | 18/321 (5.6%) | 8/159 (5%) | 2/99 (2%) | ||||
Pain in extremity | 20/322 (6.2%) | 15/321 (4.7%) | 11/159 (6.9%) | 5/99 (5.1%) | ||||
Nervous system disorders | ||||||||
Dizziness | 16/322 (5%) | 30/321 (9.3%) | 2/159 (1.3%) | 2/99 (2%) | ||||
Headache | 36/322 (11.2%) | 38/321 (11.8%) | 18/159 (11.3%) | 5/99 (5.1%) | ||||
Respiratory, thoracic and mediastinal disorders | ||||||||
Cough | 28/322 (8.7%) | 18/321 (5.6%) | 14/159 (8.8%) | 3/99 (3%) | ||||
Skin and subcutaneous tissue disorders | ||||||||
Pruritus | 23/322 (7.1%) | 20/321 (6.2%) | 11/159 (6.9%) | 3/99 (3%) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met: The results of the study in their entirety have been publicly disclosed by or with the consent of Gilead in an abstract, manuscript, or presentation form; or The study has been completed at all study sites for at least 2 years
Results Point of Contact
Name/Title | Gilead Clinical Study Information Center |
---|---|
Organization | Gilead Sciences |
Phone | 1-833-445-3230 (GILEAD-0) |
GileadClinicalTrials@gilead.com |
- GS-US-384-1943
- 2016-004374-18