A Multiple Ascending Dose Study of Pegozafermin in Partic... | NCT04048135 | Trialant
NCT04048135
Sponsor
89bio, Inc.
Status
Completed
Last Update Posted
Apr 2, 2024Actual
Enrollment
101Actual
Phase
Phase 1Phase 2
Conditions
NASH
Interventions
Pegozafermin
Placebo
Countries
United States
Puerto Rico
Protocol Section
Identification Module
NCT ID
NCT04048135
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
BIO89-100-002
Secondary IDs
Not provided
Brief Title
A Multiple Ascending Dose Study of Pegozafermin in Participants With Biopsy Confirmed Nonalcoholic Steatohepatitis (NASH) or Nonalcoholic Fatty Liver Disease (NAFLD) and at High Risk of NASH
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetic Properties of BIO89-100 Administered Subcutaneously in Subjects With Nonalcoholic Steatohepatitis (NASH) or With Nonalcoholic Fatty Liver Disease (NAFLD) and at High Risk of NASH
Acronym
Not provided
Organization
89bio, Inc.INDUSTRY
Status Module
Record Verification Date
Feb 2024
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Jul 29, 2019Actual
Primary Completion Date
Aug 28, 2020Actual
Completion Date
Jan 19, 2022Actual
First Submitted Date
Aug 4, 2019
First Submission Date that Met QC Criteria
Aug 6, 2019
First Posted Date
Aug 7, 2019Actual
Results Waived
Not provided
Results First Submitted Date
Mar 4, 2024
Results First Submitted that Met QC Criteria
Mar 4, 2024
Results First Posted Date
Apr 2, 2024Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Mar 4, 2024
Last Update Posted Date
Apr 2, 2024Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
89bio, Inc.INDUSTRY
Collaborators
Name
Class
ProSciento, Inc.
INDUSTRY
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
Part 1: This is a multi-center evaluation of pegozafermin (administered weekly or every other week) in a randomized, double-blind, placebo-controlled study administered for 12 weeks in participants with NASH and NAFLD at high risk of NASH, including a pre-defined number of participants with biopsy confirmed NASH and fibrosis stages F1-F3 to be enrolled.
Part 2: This is a multi-center, open label evaluation of pegozafermin at 27 mg administered weekly for 20 weeks in participants with biopsy-proven NASH (NAS ≥4, fibrosis stage F2 or F3).
Detailed Description
Not provided
Conditions Module
Conditions
NASH
Keywords
NASH, NAFLD
Liver diseases
Fatty Liver
Metabolic diseases
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 1Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
101Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Part 1: Pegozafermin 3 milligrams (mg) weekly (QW)
Experimental
Participants were administered 3 mg of pegozafermin QW, via subcutaneous (SC) injection, starting on Day 1 through Day 85.
Drug: Pegozafermin
Part 1: Pegozafermin 9 mg QW
Experimental
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
Drug: Pegozafermin
Part 1: Pegozafermin 18 mg QW
Experimental
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
Drug: Pegozafermin
Part 1: Pegozafermin 27 mg QW
Experimental
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
Drug: Pegozafermin
Part 1: Pegozafermin 18 mg Every 2 Weeks (Q2W)
Experimental
Participants were administered 18 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
Drug: Pegozafermin
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Pegozafermin
Drug
Subcutaneous injection
Part 1: Pegozafermin 18 mg Every 2 Weeks (Q2W)
Part 1: Pegozafermin 18 mg QW
Part 1: Pegozafermin 27 mg QW
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Part 1: Number of Participants With Treatment-emergent Adverse Event (TEAEs)
An adverse event (AE) was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAEs were defined as AEs occurring at or after the first dose date and time, through study termination, or existing prior to the time of and worsening after the time of the first dose of investigational product. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Up to 113 days
Part 2: Number of Participants With TEAEs
An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAEs were defined as AEs occurring at or after the first dose date and time, through study termination, or existing prior to the time of and worsening after the time of the first dose of investigational product. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Up to 162 days
Part 1: Maximum Observed Serum Concentration (Cmax) of Pegozafermin
Predose and up to 168 hours postdose on Day 29
Part 1: Area Under the Serum Concentration Versus Time Curve From Time Zero to the Last Measurable Concentration (AUClast) of Pegozafermin
Predose and up to 168 hours postdose on Day 29
Part 1: Time to Peak Serum Concentration (Tmax) of Pegozafermin
Predose and up to 168 hours postdose on Day 29
Part 1: Terminal Elimination Half-life (t1/2) of Pegozafermin
Secondary Outcomes
Measure
Description
Time Frame
Part 1: Number of Participants With a Positive Anti-Drug Antibodies (ADA) Response to Pegozafermin
Number of participants with anti-pegozafermin antibodies (ADA) with status as ADA positive has been reported.
Up to 113 days
Parts 1 and 2: Percent Change From Baseline in Body Weight
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Key Inclusion Criteria:
Participants must be 21 to 75 years of age inclusive, at the time of signing the informed consent form (ICF).
Evidence of steatosis by Fibroscan and magnetic resonance imaging based proton density fat fraction (MRI-PDFF)
NASH or NAFLD at high risk for NASH as reflected by AT LEAST ONE of the following:
Diagnosis of NASH with fibrosis (stages F1, F2 or F3), without cirrhosis, by percutaneous liver biopsy within 24 months prior to screening
Central obesity WITH type 2 diabetes mellitus (T2DM)
Central obesity WITH either increased alanine transaminase (ALT) and/or Fibroscan vibration-controlled transient elastography (VCTE) score ≥7 KPa.
Part 2 only: Biopsy-proven NASH in a liver biopsy obtained within 24 weeks of baseline with fibrosis stage F2 or F3 and NAS ≥4, with a score of at least 1 in each of steatosis, ballooning degeneration, and lobular inflammation. A small number of high risk F1 allowed.
Key Exclusion Criteria:
Clinically significant disorder or a history of any illness that, in the opinion of the Investigator, might confound the results of the study, or pose additional risk to the participant by participation in the study.
History of type 1 diabetes.
Weight loss of more than 5% within 3 months prior to Day -1 or more than 10% within 6 months prior to Day -1 or planning to try to lose weight during conduct of study.
History of a liver disorder other than NASH or clinical suspicion of a liver disorder other than NASH
Part 1: Pegozafermin 3 Milligrams (mg) Weekly (QW)
Participants were administered 3 mg of pegozafermin QW, via subcutaneous (SC) injection, starting on Day 1 through Day 85.
FG001
Part 1: Pegozafermin 9 mg QW
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Mar 11, 2021
Mar 4, 2024
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
No data available
No data is available for this block.
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Double
Masking Description
Part 1 was blinded, Part 2 was open label
Who Masked
ParticipantInvestigator
Part 1: Pegozafermin 36 mg Q2W
Experimental
Participants were administered 36 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
Drug: Pegozafermin
Part 1: Placebo QW or Q2W
Placebo Comparator
Participants were administered placebo matching to pegozafermin QW or Q2W, via SC injection, starting on Day 1 through Day 85.
Other: Placebo
Part 2: Pegozafermin 27 mg QW
Experimental
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 134.
Drug: Pegozafermin
Part 1: Pegozafermin 3 milligrams (mg) weekly (QW)
Part 1: Pegozafermin 36 mg Q2W
Part 1: Pegozafermin 9 mg QW
Part 2: Pegozafermin 27 mg QW
BIO89-100
Placebo
Other
Subcutaneous injection
Part 1: Placebo QW or Q2W
Predose and up to 168 hours postdose on Day 29
Part 2: Number of Participants With at Least a 2-point Improvement in NAFLD Activity Score (NAS) With at Least a 1-point Improvement in Ballooning or Lobular Inflammation, and no Worsening of Fibrosis
NAS was the sum of the scores of steatosis, inflammation, and ballooning. NAS score ranges from of 0 to 8, with higher scores indicating worse disease severity.
Worsening of fibrosis was defined as progression of fibrosis ≥1 stage in NASH Clinical Research Network (CRN) fibrosis score.
NASH CRN Fibrosis is staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).
Day 141
Least Squares (LS) Mean was calculated using mixed-model repeated measures (MMRM).
Part 1: Baseline, Day 85; Part 2: Baseline, Day 141
Parts 1 and 2: Percent Change From Baseline in Triglycerides, High Density Lipoprotein (HDL) Cholesterol (c), Non-HDLc, LDLc, Hemoglobin (HbA1C), Alanine Transaminase, Aspartate Aminotransferase, N-terminal Propeptide of Type III Collagen (Pro-C3)
LS Mean was calculated using MMRM.
Part 1: Baseline, Day 92; Part 2: Baseline, Day 141
Part 1: Percent Change From Baseline in Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) at Day 92
LS Mean was calculated using MMRM. HOMA-IR value was calculated by multiplying fasting Glucose (mg/dL) with fasting Insulin (uIU/ml) and then dividing by 405.
Baseline, Day 92
Part 1: Percent Change From Baseline in Adiponectin at Day 92
LS Mean was calculated using MMRM.
Baseline, Day 92
Part 1: Percent Change From Baseline in Free Fatty Acid at Day 92
LS Mean was calculated using MMRM.
Baseline, Day 92
Part 1: Percent Change From Baseline in Adipose Tissue Insulin Resistance (Adipo-IR) at Day 50
LS Mean was calculated using MMRM. Adipo-IR was derived from fasting insulin and free fatty acid.
Baseline, Day 50
Parts 1 and 2: Percent Change From Baseline in Liver Fat as Assessed Via Magnetic Resonance Imaging - Proton Density Fat Fraction (MRI-PDFF)
LS Mean was calculated using MMRM.
Part 1: Baseline, Day 92; Part 2: Baseline, Day 141
Part 2: Number of Participants With at Least an Improvement of Fibrosis ≥1 Stage Without Worsening of NASH
Fibrosis improvement was defined as ≥1-stage decrease in NASH CRN fibrosis score.
Worsening of NASH was defined as increase ≥1 point in NAS for ballooning or inflammation.
NASH CRN Fibrosis was staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).
Day 141
Part 2: Number of Participants With NASH Resolution Without Worsening of Fibrosis
Resolution of NASH included the total absence of ballooning (score=0) and absent or mild inflammation (score 0 to 1).
Worsening of fibrosis was defined as progression of fibrosis ≥1 stage in NASH CRN fibrosis score.
NASH CRN Fibrosis was staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).
Day 141
Chandler
Arizona
85224
United States
89bio Clinical Study Site
Tucson
Arizona
85712
United States
89bio Clinical Study Site
Chula Vista
California
91911
United States
89bio Clinical Study Site
Huntington Beach
California
92647
United States
89bio Clinical Study Site
Montclair
California
91763
United States
89bio Clinical Study Site
Miami
Florida
33014-3616
United States
89bio Clinical Study Site
Miami Lakes
Florida
33014
United States
89bio Clinical Study Site
Ocala
Florida
34471
United States
89bio Clinical Study Site
Sarasota
Florida
34240
United States
89bio Clinical Study Site
Lake Charles
Louisiana
70601
United States
89bio Clinical Study Site
Berlin
New Jersey
08009
United States
89bio Clinical Study Site
Florham Park
New Jersey
07932
United States
89bio Clinical Study Site
East Syracuse
New York
13057
United States
89bio Clinical Study Site
Concord
North Carolina
28027
United States
89bio Clinical Study Site
Raleigh
North Carolina
27612
United States
89bio Clinical Study Site
Greenwood
South Carolina
29646
United States
89bio Clinical Study Site
Summerville
South Carolina
29485
United States
89bio Clinical Study Site
Hermitage
Tennessee
37076
United States
89bio Clinical Study Site
Austin
Texas
78757
United States
89bio Clinical Study Site
Edinburg
Texas
78539
United States
89bio Clinical Study Site
Houston
Texas
77058
United States
89bio Clinical Study Site
San Antonio
Texas
78215
United States
89bio Clinical Study Site
San Antonio
Texas
78229
United States
89bio Clinical Study Site
Wichita Falls
Texas
76301
United States
89bio Clinical Study Site
San Juan
00927
Puerto Rico
Derived
Tseng CL, Balic K, Charlton RW, Margalit M, Mansbach H, Savic RM. Population Pharmacokinetics and Pharmacodynamics of Pegozafermin in Patients with Nonalcoholic Steatohepatitis. Clin Pharmacol Ther. 2023 Dec;114(6):1323-1331. doi: 10.1002/cpt.3046. Epub 2023 Oct 2.
Loomba R, Lawitz EJ, Frias JP, Ortiz-Lasanta G, Johansson L, Franey BB, Morrow L, Rosenstock M, Hartsfield CL, Chen CY, Tseng L, Charlton RW, Mansbach H, Margalit M. Safety, pharmacokinetics, and pharmacodynamics of pegozafermin in patients with non-alcoholic steatohepatitis: a randomised, double-blind, placebo-controlled, phase 1b/2a multiple-ascending-dose study. Lancet Gastroenterol Hepatol. 2023 Feb;8(2):120-132. doi: 10.1016/S2468-1253(22)00347-8. Epub 2022 Dec 12.
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
FG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
FG003
Part 1: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
FG004
Part 1: Pegozafermin 18 mg Every 2 Weeks (Q2W)
Participants were administered 18 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
FG005
Part 1: Pegozafermin 36 mg Q2W
Participants were administered 36 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
FG006
Part 1: Placebo QW or Q2W
Participants were administered placebo matching to pegozafermin QW or Q2W, via SC injection, starting on Day 1 through Day 85.
FG007
Part 2: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 134.
FG0006 subjects
FG00112 subjects
FG00211 subjects
FG00310 subjects
FG00414 subjects
FG0059 subjects
FG00619 subjects
FG00720 subjects
Received 1 Dose of Study Drug
Randomized Analysis Set. Arm groups were based upon planned treatment.
FG0006 subjects
FG00112 subjects
FG00211 subjects
FG00310 subjects
FG00414 subjects
FG0059 subjects
FG00619 subjects
FG00720 subjects
Safety Analysis Set
Arm groups were based upon the actual treatment received for the purpose of safety analysis.
FG0007 subjectsOne participant was randomized to the placebo group but received a single dose of pegozafermin 3 mg instead.
FG00112 subjects
FG00211 subjects
FG00310 subjects
FG00414 subjects
FG0059 subjects
FG00618 subjectsOne participant was randomized to the placebo group but received a single dose of pegozafermin 3 mg instead.
FG00720 subjects
COMPLETED
FG0005 subjects
FG00111 subjects
FG00210 subjects
FG0037 subjects
FG00413 subjects
FG0058 subjects
FG00618 subjects
FG00719 subjects
NOT COMPLETED
FG0001 subjects
FG0011 subjects
FG0021 subjects
FG0033 subjects
FG0041 subjects
FG0051 subjects
FG0061 subjects
FG0071 subjects
Type
Comment
Reasons
Withdrawal by Subject
FG0001 subjects
FG0011 subjects
FG0021 subjects
FG0032 subjects
FG0040 subjects
FG0050 subjects
FG0061 subjects
FG0071 subjects
Adverse Event
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG004
Protocol Violation
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Analysis population description: For Part 1, randomized analysis set included all randomized participants who received at least 1 dose of investigational product. For Part 2, Full analysis set included all enrolled participants who received at least 1 dose of investigational product.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
BG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
BG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
BG003
Part 1: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
BG004
Part 1: Pegozafermin 18 mg Q2W
Participants were administered 18 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
BG005
Part 1: Pegozafermin 36 mg Q2W
Participants were administered 36 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
BG006
Part 1: Placebo QW or Q2W
Participants were administered placebo matching to pegozafermin QW or Q2W, via SC injection, starting on Day 1 through Day 85.
BG007
Part 2: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 134.
BG008
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG0006
BG00112
BG00211
BG00310
BG00414
BG0059
BG00619
BG00720
BG008101
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00056.13± 8.23
BG00149.50± 11.45
BG00251.47± 13.39
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG0005
BG0016
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG0006
BG00111
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Part 1: Number of Participants With Treatment-emergent Adverse Event (TEAEs)
An adverse event (AE) was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAEs were defined as AEs occurring at or after the first dose date and time, through study termination, or existing prior to the time of and worsening after the time of the first dose of investigational product. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
The Safety Analysis set included all randomized participants who received at least 1 dose of study intervention. Arm groups were based upon the actual treatment received for the purpose of safety analysis.
Posted
Count of Participants
Participants
Up to 113 days
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG004
Part 1: Pegozafermin 18 mg Q2W
Participants were administered 18 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
OG005
Part 1: Pegozafermin 36 mg Q2W
Participants were administered 36 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
OG006
Part 1: Placebo QW or Q2W
Participants were administered placebo matching to pegozafermin QW or Q2W, via SC injection, starting on Day 1 through Day 85.
Units
Counts
Participants
OG0007
OG00112
OG00211
OG003
Title
Denominators
Categories
Title
Measurements
OG0006
OG0014
OG0027
OG003
Primary
Part 2: Number of Participants With TEAEs
An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAEs were defined as AEs occurring at or after the first dose date and time, through study termination, or existing prior to the time of and worsening after the time of the first dose of investigational product. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
The Full Analysis Set included all enrolled participants in Part 2 who received at least 1 dose of study intervention.
Posted
Count of Participants
Participants
Up to 162 days
ID
Title
Description
OG000
Part 2: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 134.
Units
Counts
Participants
OG000
Primary
Part 1: Maximum Observed Serum Concentration (Cmax) of Pegozafermin
The PK Analysis set included all randomized participants who received at least 1 dose of study intervention and had at least 1 on-study PK measurement.
Posted
Median
90% Confidence Interval
ng/mL
Predose and up to 168 hours postdose on Day 29
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
Primary
Part 1: Area Under the Serum Concentration Versus Time Curve From Time Zero to the Last Measurable Concentration (AUClast) of Pegozafermin
The PK Analysis set included all randomized participants who received at least 1 dose of study intervention and had at least 1 on-study PK measurement.
Posted
Median
90% Confidence Interval
ng*hour/mL
Predose and up to 168 hours postdose on Day 29
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
Primary
Part 1: Time to Peak Serum Concentration (Tmax) of Pegozafermin
The PK Analysis set included all randomized participants who received at least 1 dose of study intervention and had at least 1 on-study PK measurement.
Posted
Median
90% Confidence Interval
hr
Predose and up to 168 hours postdose on Day 29
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
Primary
Part 1: Terminal Elimination Half-life (t1/2) of Pegozafermin
The PK Analysis set included all randomized participants who received at least 1 dose of study intervention and had at least 1 on-study PK measurement.
Posted
Median
90% Confidence Interval
hr
Predose and up to 168 hours postdose on Day 29
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
Primary
Part 2: Number of Participants With at Least a 2-point Improvement in NAFLD Activity Score (NAS) With at Least a 1-point Improvement in Ballooning or Lobular Inflammation, and no Worsening of Fibrosis
NAS was the sum of the scores of steatosis, inflammation, and ballooning. NAS score ranges from of 0 to 8, with higher scores indicating worse disease severity.
Worsening of fibrosis was defined as progression of fibrosis ≥1 stage in NASH Clinical Research Network (CRN) fibrosis score.
NASH CRN Fibrosis is staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).
The Histology Biopsy Analysis Set included all enrolled participants who received at least 1 dose of study intervention and who had both baseline (screening or eligible historical) and post-baseline biopsies.
Posted
Count of Participants
Participants
Day 141
ID
Title
Description
OG000
Part 2: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 134.
Units
Counts
Participants
OG000
Secondary
Part 1: Number of Participants With a Positive Anti-Drug Antibodies (ADA) Response to Pegozafermin
Number of participants with anti-pegozafermin antibodies (ADA) with status as ADA positive has been reported.
The Safety Analysis set included all randomized participants who received at least 1 dose of study intervention. Arm groups were based upon the actual treatment received for the purpose of safety analysis.
Posted
Count of Participants
Participants
Up to 113 days
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Secondary
Parts 1 and 2: Percent Change From Baseline in Body Weight
Least Squares (LS) Mean was calculated using mixed-model repeated measures (MMRM).
The analysis set included all randomized participants who received at least 1 dose of study intervention and who had measurable post-baseline PD data in Parts 1 and 2. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
Percent change
Part 1: Baseline, Day 85; Part 2: Baseline, Day 141
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Secondary
Parts 1 and 2: Percent Change From Baseline in Triglycerides, High Density Lipoprotein (HDL) Cholesterol (c), Non-HDLc, LDLc, Hemoglobin (HbA1C), Alanine Transaminase, Aspartate Aminotransferase, N-terminal Propeptide of Type III Collagen (Pro-C3)
LS Mean was calculated using MMRM.
The analysis set included all randomized participants who received at least 1 dose of study intervention and who had measurable post-baseline PD data in Parts 1 and 2. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
Percent change
Part 1: Baseline, Day 92; Part 2: Baseline, Day 141
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
Secondary
Part 1: Percent Change From Baseline in Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) at Day 92
LS Mean was calculated using MMRM. HOMA-IR value was calculated by multiplying fasting Glucose (mg/dL) with fasting Insulin (uIU/ml) and then dividing by 405.
The analysis set included all randomized participants who received at least 1 dose of investigational product and who had measurable post-baseline PD data in Part 1. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
Percent change
Baseline, Day 92
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Secondary
Part 1: Percent Change From Baseline in Adiponectin at Day 92
LS Mean was calculated using MMRM.
The analysis set included all randomized participants who received at least 1 dose of investigational product and who had measurable post-baseline PD data in Part 1. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
Percent change
Baseline, Day 92
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85
OG003
Part 1: Pegozafermin 27 mg QW
Secondary
Part 1: Percent Change From Baseline in Free Fatty Acid at Day 92
LS Mean was calculated using MMRM.
The analysis set included all randomized participants who received at least 1 dose of study intervention and who had measurable post-baseline PD data in Part 1. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
Percent change
Baseline, Day 92
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Secondary
Part 1: Percent Change From Baseline in Adipose Tissue Insulin Resistance (Adipo-IR) at Day 50
LS Mean was calculated using MMRM. Adipo-IR was derived from fasting insulin and free fatty acid.
The analysis set included all randomized participants who received at least 1 dose of study intervention and who had measurable post-baseline PD data in Part 1. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
Percent change
Baseline, Day 50
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Secondary
Parts 1 and 2: Percent Change From Baseline in Liver Fat as Assessed Via Magnetic Resonance Imaging - Proton Density Fat Fraction (MRI-PDFF)
LS Mean was calculated using MMRM.
The analysis set included all randomized participants who received at least 1 dose of study intervention and who had measurable post-baseline PD data in Parts 1 and 2. Here, 'Overall number of participants analyzed' = participants evaluable for this outcome measure.
Posted
Least Squares Mean
Standard Error
Percent change
Part 1: Baseline, Day 92; Part 2: Baseline, Day 141
ID
Title
Description
OG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
OG003
Part 1: Pegozafermin 27 mg QW
Secondary
Part 2: Number of Participants With at Least an Improvement of Fibrosis ≥1 Stage Without Worsening of NASH
Fibrosis improvement was defined as ≥1-stage decrease in NASH CRN fibrosis score.
Worsening of NASH was defined as increase ≥1 point in NAS for ballooning or inflammation.
NASH CRN Fibrosis was staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).
The Histology Biopsy Analysis Set included all enrolled participants who received at least 1 dose of study intervention and who had both baseline (screening or eligible historical) and post-baseline biopsies.
Posted
Count of Participants
Participants
Day 141
ID
Title
Description
OG000
Part 2: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 134.
Units
Counts
Participants
OG000
Secondary
Part 2: Number of Participants With NASH Resolution Without Worsening of Fibrosis
Resolution of NASH included the total absence of ballooning (score=0) and absent or mild inflammation (score 0 to 1).
Worsening of fibrosis was defined as progression of fibrosis ≥1 stage in NASH CRN fibrosis score.
NASH CRN Fibrosis was staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).
The Histology Biopsy Analysis Set included all enrolled participants who received at least 1 dose of study intervention and who had both baseline (screening or eligible historical) and post-baseline biopsies.
Posted
Count of Participants
Participants
Day 141
ID
Title
Description
OG000
Part 2: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 134.
Units
Counts
Participants
OG000
Time Frame
Adverse Events were collected after dosing to end of study (up to 113 days for Part 1 and up to 162 days for Part 2).
Description
The Safety Analysis set included all randomized participants who received at least 1 dose of study intervention. Arm groups were based upon the actual treatment received for the purpose of safety analysis.
MedDRA version 23.0 was used for Part 1 and MedDRA version 23.1 was used for Part 2.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Part 1: Pegozafermin 3 mg QW
Participants were administered 3 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
0
7
0
7
6
7
EG001
Part 1: Pegozafermin 9 mg QW
Participants were administered 9 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
0
12
0
12
4
12
EG002
Part 1: Pegozafermin 18 mg QW
Participants were administered 18 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
0
11
0
11
7
11
EG003
Part 1: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 85.
0
10
0
10
7
10
EG004
Part 1: Pegozafermin 18 mg Q2W
Participants were administered 18 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
0
14
1
14
8
14
EG005
Part 1: Pegozafermin 36 mg Q2W
Participants were administered 36 mg of pegozafermin Q2W, via SC injection, starting on Day 1 through Day 85.
0
9
1
9
8
9
EG006
Part 1: Placebo QW or Q2W
Participants were administered placebo matching to pegozafermin QW or Q2W, via SC injection, starting on Day 1 through Day 85.
0
18
0
18
8
18
EG007
Part 2: Pegozafermin 27 mg QW
Participants were administered 27 mg of pegozafermin QW, via SC injection, starting on Day 1 through Day 134.