STELLAR-3: Safety and Efficacy of Selonsertib in Adults With Nonalcoholic Steatohepatitis (NASH) and Bridging (F3) Fibrosis

Sponsor
Gilead Sciences (Industry)
Overall Status
Terminated
CT.gov ID
NCT03053050
Collaborator
(none)
808
298
3
28.1
2.7
0.1

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
  • Drug: SEL
  • Drug: Placebo to match SEL 6 mg
  • Drug: Placebo to match SEL 18 mg
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
808 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Care Provider)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety and Efficacy of Selonsertib in Subjects With Nonalcoholic Steatohepatitis (NASH) and Bridging (F3) Fibrosis
Actual Study Start Date :
Feb 13, 2017
Actual Primary Completion Date :
Jun 19, 2019
Actual Study Completion Date :
Jun 19, 2019

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:
  • selonsertib
  • GS-4997
  • 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:
  • selonsertib
  • GS-4997
  • 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

    1. 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.

    2. 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

    1. 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.

    2. 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.

    3. 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).

    4. 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).

    5. 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.

    6. 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

    Ages Eligible for Study:
    18 Years to 70 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    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.
    Responsible Party:
    Gilead Sciences
    ClinicalTrials.gov Identifier:
    NCT03053050
    Other Study ID Numbers:
    • GS-US-384-1943
    • 2016-004374-18
    First Posted:
    Feb 14, 2017
    Last Update Posted:
    Jun 29, 2020
    Last Verified:
    Jun 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    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

    1. Primary Outcome
    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
    2. Primary Outcome
    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
    3. Secondary Outcome
    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
    4. Secondary Outcome
    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
    5. Secondary Outcome
    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
    6. Secondary Outcome
    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
    7. Secondary Outcome
    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
    8. Secondary Outcome
    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

    Based on the results of the Week 48 analysis, the study was terminated early for lack of efficacy as prespecified in the clinical study protocol.

    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)
    Email GileadClinicalTrials@gilead.com
    Responsible Party:
    Gilead Sciences
    ClinicalTrials.gov Identifier:
    NCT03053050
    Other Study ID Numbers:
    • GS-US-384-1943
    • 2016-004374-18
    First Posted:
    Feb 14, 2017
    Last Update Posted:
    Jun 29, 2020
    Last Verified:
    Jun 1, 2020