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Human genetic studies have shown that loss of function (LOF) mutations in HSD17β13 gene have a protective effect on the progression of alcohol-related and non-alcohol-related liver diseases, such as NASH, without significant adverse phenotypes.
VSA006 is a siRNA drug targeting HSD17β13 mRNA in the liver and reduce the protein level of HSD17β13. Based on phase 1 study results in healthy volunteers and NASH/suspected NASH patients, this phase 2 study is designed to evaluate the efficacy, safety, PK profiles and immunogenicity of VSA006 in Chinese NASH patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VSA006 low dose | Experimental |
| |
| VSA006 low dose comparator | Placebo Comparator |
| |
| VSA006 high dose | Experimental |
| |
| VSA006 high dose comparator | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VSA006 | Drug | every 12 weeks, subcutaneous injections |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Achieving ≥ 1 Stage Improvement in Histological Fibrosis with no Worsening of NASH | No Worsening of NASH is defined as no increase in inflammation, ballooning, or steatosis scores in the NAS score. | At week 52 |
| Percentage of Participants Achieving NASH Improvement with no Worsening of Fibrosis | NASH Improvement indicates a reduction by at least 2 points in the NAS score, with at least one-point reduction in ballooning without increase in steatosis score. | At week 52 |
| Measure | Description | Time Frame |
|---|---|---|
| Compared with placebo, the percentage change in serum alanine aminotransferase (ALT) | At week 24, week 52 and week 82 | |
| Compared with placebo, the change in liver fat fraction from baseline and liver fat percentage change from baseline | measured by magnetic resonance imaging-proton density fat fraction (MRI-PDFF) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Tsinghua Changgeng Hospital | Beijing | Beijing Municipality | China |
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| ID | Term |
|---|---|
| D065626 | Non-alcoholic Fatty Liver Disease |
| ID | Term |
|---|---|
| D005234 | Fatty Liver |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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| Placebo |
| Drug |
every 12 weeks, subcutaneous injections |
|
| At week 24 and week 52 |
| Compared with placebo, the percentage of participants with a > 30% decrease in liver fat fraction from baseline | measured by magnetic resonance imaging-proton density fat fraction (MRI-PDFF) | At week 24 and week 52 |
| Compared with placebo, the change and percentage change in noninvasive markers of fibrosis from baseline: FIB-4, NAFLD fibrosis score, and AST/PLT ratio index (APRI) | At week 24, week 52 and week 82 |
| Percentage of Participants Achieving NASH Resolution with no Worsening of Fibrosis | NASH resolution was defined as a NAS score of 0-1 for inflammation, 0 for ballooning, and no increase in steatosis score | At week 52 |
| Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), and their correlation with VSA006 | Up to week 82 |
| Maximum observed concentration (Cmax) of VSA006 | Pre-dose, 0.5, 1, 2, 4, 8, 12 and 24 hours post dose |
| Time of maximum concentration of VSA006 (Tmax) | Pre-dose, 0.5, 1, 2, 4, 8, 12 and 24 hours post dose |
| Area under the concentration-time curve from time zero (pre-dose) to the last quantifiable concentration (AUC0-t) of VSA006 | Pre-dose, 0.5, 1, 2, 4, 8, 12 and 24 hours post dose |
| anti-drug antibodies (ADAs) of VSA006 | up to week 82 |