Open-Label Study To Evaluate MN-001 on HDL & Triglyceride in NASH & NAFLD Subjects



Status:Completed
Conditions:High Cholesterol, Gastrointestinal, Gastrointestinal, Metabolic
Therapuetic Areas:Cardiology / Vascular Diseases, Gastroenterology, Pharmacology / Toxicology
Healthy:No
Age Range:18 - Any
Updated:1/20/2019
Start Date:March 2016
End Date:January 14, 2019

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An Open-Label Study To Evaluate The Efficacy, Safety, Tolerability and PK of MN-001 (Tipelukast) on HDL Function and Serum Triglyceride Levels in NASH and Non-Alcoholic Fatty Liver Disease (NAFLD) Subjects With Hypertriglyceridemia

This is a multi-center, proof-of-principle, open-label study designed to evaluate the
efficacy, safety, and tolerability of MN-001 in non-alcoholic steatohepatitis (NASH) and
Non-Alcoholic Fatty Liver Disease (NAFLD) subjects with hypertriglyceridemia.

The study will consist a Screening Phase (up to 4 months) followed by a Treatment Phase (12
weeks), and a Follow-up visit (within 1 week after the last dose). A total of 40 male and
female subjects ≥18 years of age are planned to be enrolled. During the Screening Phase,
subjects will be assessed for study eligibility. After signing the informed consent form, the
following assessments will be performed: medical history including review of prior and
current medications, physical examination including height and body weight, waist
circumference, vital signs and an electrocardiogram. Clinical labs, routine chemistries,
hematology, coagulation profile, urinalysis and a serum pregnancy test will be collected as
well as cytokeratin-18 (CK-18), a biomarker for NASH diagnosis. An alcohol consumption
questionnaire will be administered and a MRI scan of the liver will be performed. Serum
fibrosis markers, the Fib-4 index (age, AST, ALT, PLT) and NAFLD fibrosis score (age, BMI,
AST/ALT ratio, IFG/DM, PLT, Albumin) will be calculated.

INCLUSION CRITERIA:

- Written informed consent is obtained and willing and able to comply with the protocol
in the opinion of the Investigator.

- Male or female subjects ≥ 18 years of age

- Histologically proven NASH (NAFLD activity score of 3 or greater with at least 1 point
being ballooning) based on liver biopsy performed within the last 36 months or
abdominal ultrasound confirmation of non-alcoholic fatty liver disease (NAFLD)

- Fasting serum triglyceride level > 150 mg/dL (confirmed at screening)

- Serum ALT, AST, ALP and total bilirubin levels at Screening (- 120 days to -30 days)
and Lab Visit values (- 1 week ± 5 days) are stable or changes at the Lab visit are <
20% of the values from Screening.

- BMI ≤ 45 kg/m2

- Subjects on the following medications can be enrolled if these medications are
necessary, cannot be stopped, and the dose has been stable for 4 months or more prior
to baseline:

- Stable doses of anti-diabetic medications

- Stable doses of fibrates, statins, niacin, ezetimibe.

- Stable doses of Vitamin E for at least 8 weeks

- Less than 21 units of alcohol/week for men and 14 units of alcohol/week for women over
a 2-year time frame

- Females of child-bearing potential must have a negative serum ß-hCG at screening and
must be willing to use appropriate contraception (as defined by the investigator) for
the duration of study treatment and 30 days after the last dose of study treatment.

- Males should practice contraception as follows: condom use and contraception by female
partner.

- Subject is in good physical health on the basis of medical history, physical
examination, and laboratory screening, as defined by the investigator.

- Subject is willing and able to comply with the protocol assessments and visits, in the
opinion of the study nurse/coordinator and the Investigator.

EXCLUSION CRITERIA:

- Diagnosis of other known cause of liver disease (autoimmune, viral, genetic, drug- or
alcohol-induced, or storage disease)

- Decompensated or severe liver disease defined by one or more of the following:

- biopsy-proven cirrhosis

- INR >1.5

- Total bilirubin (TBL) > 1.5 x ULN, or > 2 x ULN for unconjugated bilirubin

- serum albumin <2.8 g/dL

- ALT or AST > 10 x ULN

- evidence of portal hypertension including splenomegaly, ascites, encephalopathy and/or
esophageal varices

- Current diagnosis of hepatocellular carcinoma (HCC) or suspicion of HCC clinically or
on ultrasound

- Uncontrolled diabetes mellitus Type 2

- History of bariatric surgery

- Greater than 10-pound weight gain or loss in the last 6 months

- Clinically significant cardiovascular/cerebrovascular disease, including myocardial
infarct within last 6 months, coronary artery intervention, coronary artery bypass,
unstable ischemic heart disease, heart failure class III or IV, angina or cerebral
vascular accident.

- Resting pulse < 50 bpm, SA or AV block, uncontrolled hypertension, or QTcF > 450 ms

- History of stomach or intestinal surgery or any other condition that could interfere
with or is judged by the Investigator to interfere with absorption, distribution,
metabolism, or excretion of study drug.

- Any significant laboratory abnormality which, in the opinion of the Investigator, may
put the subject at risk

- History of malignancy < 5 years prior to signing the informed consent, except for
adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer.

- History of HIV (human immunodeficiency virus), HBV, HCV (cured HCV is not excluded),
EBV CMV or other active infection.

- Currently has a clinically significant medical condition including the following:
neurological, psychiatric, metabolic, immunologic, hematological, pulmonary,
cardiovascular (including uncontrolled hypertension), gastrointestinal, urological
disorder, or central nervous system (CNS) infection that would pose a risk to the
subject if they were to participate in the study or that might confound the results of
the study. Note: Active medical conditions that are minor or well-controlled are not
exclusionary if, in the judgment of the Investigator, they do not affect risk to the
subject or the study results. In cases in which the impact of the condition upon risk
to the subject or study results is unclear, the Medical Safety Monitor should be
consulted.

- CYP2C8 substrates with a narrow therapeutic index (e.g., paclitaxel) within 15 days
prior to study and throughout the study are prohibited.

- CYP2C9 substrate with narrow therapeutic index (e.g., phenytoin, S-warfarin,
tolbutamide) within 15 days prior to study and throughout the study are prohibited.

- Macrolide or quinolone class antibiotics within 15 days of Screening Visit and
throughout the study are prohibited.

- Steroids within 30 days prior to study drug dosing and throughout the study unless
administered for a short term treatment course during the study are prohibited.

- History of alcohol or substance abuse (DSM-IV-TR criteria) within 3 months prior to
screening or alcohol or substance dependence (DSM-IV-TR criteria) within 12 months
prior to screening. The only exceptions include caffeine or nicotine abuse/dependence.

- Poor peripheral venous access that will limit the ability to draw blood as judged by
the Investigator.

- Currently participating, or has participated in, a study with an investigational or
marketed compound or device within 3 months prior to signing the informed consent.

- Unable to cooperate with any study procedures, unlikely to adhere to the study
procedures and keep appointments, in the opinion of the Investigator, or was planning
to relocate during the study.
We found this trial at
3
sites
Coronado, California 92118
Principal Investigator: Julio A Gutierrez, MD
Phone: 619-964-9649
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La Jolla, California 92037
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325 9th Ave
Seattle, Washington 98104
(206) 744-3300
Principal Investigator: Charles S Landis, MD, PhD
Phone: 206-744-3402
Harborview Medical Center Harborview Medical Center is the only designated Level 1 adult and pediatric...
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