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The study in the T2DM population is intended to confirm the lanifibranor effect versus placebo on glycemic control and assess a positive effect of the combination of lanifibranor with an SGLT2 inhibitor on glycemic control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lanifibranor (IVA337) (800 mg/day) | Experimental | 2 Lanifibranor tablets 400 mg with food --> once a day (quaque die, QD) |
|
| Matching placebo | Placebo Comparator | 2 Placebo to match tablets with food --> once a day (quaque die, QD) |
|
| Lanifibranor (IVA337) (800 mg/day) plus Empagliflozin (10mg/day) | Experimental | 2 Lanifibranor tablets 400 mg plus 1 Empagliflozin tablet 10mg with food --> once a day (quaque die, QD) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IVA337 | Drug | 800 mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of the effect of lanifibranor alone compared to placebo and the effect of lanifibranor in combination with empagliflozin compared to placebo on absolute change in HbA1c from baseline (Week 0) to Week 24 | Absolute change in HbA1c from baseline (Week 0) to Week 24 | Date of randomisation until the end of treatment at week 24 |
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Inclusion Criteria:
Exclusion Criteria:
Liver-related:
Documented causes of chronic liver disease other than NASH
Histologically documented liver cirrhosis (fibrosis stage F4)
History or current diagnosis of hepatocellular carcinoma (HCC)
History of or planned liver transplant
Documented history of human immunodeficiency virus (HIV) infection
ALT or AST > 5 × upper limit of normal (ULN)
Abnormal liver function as defined by central laboratory evaluation:
Albumin < LLN INR ≥ 1.3 (unless patient is on anticoagulants) Total bilirubin level ≥ 1.5 mg/dL (25.7 µmol/L) (patients with a documented history of Gilbert's syndrome can be enrolled if direct bilirubin is ≤ 0.45 mg/dL (7.7 μmol/L) )
Hemoglobin < 110 g/L (11 g/dL) for females and < 120 g/L (12 g/dL) for males
WBC < LLN. A lower count is acceptable in patients with benign ethnic neutropenia, if considered to be clinical insignificant by the investigator
Platelet count < 140,000/µL
ALP > 2 × ULN
Patient currently receiving any approved treatment for NASH or obesity
Current or recent history (< 5 years) of significant alcohol consumption
Administration of drugs known to produce hepatic steatosis in the 6 months prior to Screening.
Diabetes related:
Diabetes mellitus other than type 2
Diabetic ketoacidosis at Screening
Current treatment with glucagon-like peptide-1 receptor agonists (GLP-1RA), insulin or sulfonylurea or treatment within the last 3 months prior to Screening
Patients on pioglitazone in the last 12 months prior to Screening.
Patients on metformin, DPP-IVi, thiazide or furosemide diuretics, beta-blockers, or other chronic medications with known adverse effects on glucose tolerance levels, unless on stable doses in last 3 months
Obesity related:
BMI>45 kg/m2 at screening
Introduction of an anti-obesity drug or restrictive bariatric surgery in the past 12 months prior to Screening or planned bariatric surgery through Week 24.
Cardiovascular related:
21. History of or current unstable cardiac dysrhythmias 22. Unstable heart failure 23. Uncontrolled hypertension 24. Stroke or transient ischemic attack
General safety:
25. Significant systemic or major illnesses other than liver disease and pulmonary disease, organ transplantation, serious psychiatric disease, that, in the opinion of the investigator, would preclude treatment with lanifibranor and/or adequate follow up 26. Renal impairment measured as estimated Glomerular Filtration Rate (eGFR) value < 60 mL/min 27. Concomitant treatment with PPAR-⍺ agonists (fibrates) 28. Patients on Vitamin E at doses ≥ 400 IU/day; doses of ≥ 400 IU/day are allowed when no qualitative change in dose for 6 months prior to Screening 29. Have a known hypersensitivity to any of the IMPs 30. Previous exposure to lanifibranor or empagliflozin 31. Present pregnancy/lactation 32. Metallic implant of any sort that prevents MRI examination 33. Participation in any clinical trial of an approved or non approved investigational medicinal product/device within 3 months from Screening or five half-lives of the investigational drug from Screening.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham Digestive Health Research | Homewood | Alabama | 35209 | United States | ||
| Institute for Liver Health dba Arizona Liver Health |
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| Placebo | Drug | Placebo to match |
|
| Empagliflozin | Drug | 10 mg |
|
|
| Chandler |
| Arizona |
| 85224 |
| United States |
| ARcare Center for Clinical Research | Conway | Arkansas | 72032 | United States |
| ARcare Center for Clinical Research | Little Rock | Arkansas | 72205 | United States |
| Cure Clinical Research, LLC | Fountain Valley | California | 92708 | United States |
| Velocity Clinical Research | Gardena | California | 90247 | United States |
| National Research Institute | Huntington Park | California | 90255 | United States |
| Cadena Care Institute, LLC | Poway | California | 92064 | United States |
| Florida Research Institute | Lakewood Rch | Florida | 34211 | United States |
| Galenus Group | Lehigh Acres | Florida | 33936 | United States |
| Prolive Medical Research | Miami | Florida | 33175 | United States |
| Indiana University School of Medicine | Indianapolis | Indiana | 46202 | United States |
| Digestive Health Research of Southern California | South Bend | Indiana | 46635 | United States |
| Tandem Clinical Research - New Orleans Area Site | Marrero | Louisiana | 70072 | United States |
| Harvard Medical School | Boston | Massachusetts | 02115 | United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| AIG Digestive Disease Research | Florham Park | New Jersey | 07932 | United States |
| Digestive Health Research | Hermitage | Tennessee | 37076 | United States |
| Accelemed Research Institute | Austin | Texas | 78745 | United States |
| Dallas Diabetes Research Center | Dallas | Texas | 75230 | United States |
| American Research Corporation | San Antonio | Texas | 78215 | United States |
| Diabetes & Glandular Disease Clinic, P.A. | San Antonio | Texas | 78229 | United States |
| Impact Research Institute | Waco | Texas | 76710 | United States |
| Digestive Health Research of North Texas | Wichita Falls | Texas | 76301 | United States |
| University of Virginia | Charlottesville | Virginia | 22908 | United States |
| Central Virginia VA Healthcare System | Richmond | Virginia | 23249 | United States |
| CUB Erasme Hospital | Brussels | 1070 | Belgium |
| Cliniques Universitaires Saint-Luc | Brussels | 1200 | Belgium |
| Universitair Ziekenhuis Antwerpen | Edegem | 2650 | Belgium |
| AZ Maria Middelares | Ghent | 9000 | Belgium |
| UZ GENT | Ghent | 9000 | Belgium |
| CHU Angers_Service d'hepatogastro-enterologie | Angers | 49000 | France |
| CHU Limoges | Limoges | 87042 | France |
| Hopital Saint Antoine | Paris | 75012 | France |
| CHU Bordeaux | Pessac | 33604 | France |
| Chu Rangueil | Toulouse | 31059 | France |
| HGE CHRU Nancy | Vandœuvre-lès-Nancy | 54500 | France |
| Amsterdam UMC | Amsterdam | 1105 AZ | Netherlands |
| Hull University Teaching Hospital | Hull | HU32JZ | United Kingdom |
| King's College Hospital | London | SE59RS | United Kingdom |
| St Georges Hospital | London | SW17 0QT | United Kingdom |
| Royal Victoria Infirmary | Newcastle upon Tyne | NE1 7RU | United Kingdom |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 30, 2026 |
| ID | Term |
|---|---|
| D065626 | Non-alcoholic Fatty Liver Disease |
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D005234 | Fatty Liver |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C000619516 | lanifibranor |
| C570240 | empagliflozin |
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