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    Clinical Trial Results:
    A Double-Blind, Placebo-Controlled, Cross-over Phase II Study to Evaluate the Effect of a 6-week Elafibranor (120mg) treatment administered once daily on hepatic lipid composition in subjects with Nonalcoholic Fatty Liver (NAFL).

    Summary
    EudraCT number
    2019-000645-12
    Trial protocol
    NL  
    Global end of trial date
    14 Jul 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    24 Nov 2021
    First version publication date
    24 Nov 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    GFT505-219-8
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03953456
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GENFIT
    Sponsor organisation address
    Parc Eurasanté, 885, Avenue Eugène Avinée, Loos, France, 59120
    Public contact
    clinicaltrial@genfit.com , GENFIT, +33 320164038,
    Scientific contact
    Carol Addy, MD MMSc, GENFIT, +01 6179536469,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    14 Jul 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    14 Jul 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    14 Jul 2020
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    The primary objective was to evaluate the effect of a 6-week treatment with elafibranor versus placebo on hepatic lipid composition in subjects with a fatty liver. The secondary objectives were to evaluate the between-treatment difference (elafibranor 120 mg/day vs. placebo) in hepatic glucose production (HGP) measured at the end of 6 weeks of treatment, and to compare the changes from baseline achieved after 6 weeks of treatment with elafibranor 120 mg/day versus placebo in glucose homeostasis, lipid metabolism, inflammatory markers, liver function, renal function and anthropometry. The safety objectives were to assess the safety and tolerability profile of 6 weeks elafibranor administration orally (120 mg/day) in NAFL subjects in terms of serious adverse events (SAE), adverse events (AE), vital signs, haematological parameters, liver markers, renal biomarkers, metabolic parameters and other biochemical safety markers.
    Protection of trial subjects
    This study was conducted in accordance with Good Clinical Practice standards, ethical principles stated in the Declaration of Helsinki and applicable regulatory requirements. After the subject has ended his/her participation in the trial, the investigator provided appropriate medication and/or arranged access to appropriate care for the patient.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    20 Aug 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 17
    Worldwide total number of subjects
    17
    EEA total number of subjects
    17
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    5
    From 65 to 84 years
    12
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    A liver fat percentage (intrahepatic lipid [IHL]) of ≥5% as determined with magnetic resonance spectroscopy (1H-MRS), body mass index (BMI) between 25 and 38 kg/m2, and age between 40 and 75 years.

    Pre-assignment
    Screening details
    A total of 36 subjects were screened for the study: 19 subjects were screen failures (18 subjects did not meet the study eligibility criteria and 1 subject had low quality 1H-MRS data that made determination of liver fat composition not possible) and 17 subjects were eligible and randomised.

    Period 1
    Period 1 title
    overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor
    Blinding implementation details
    A randomisation list was generated by a random number system. Individual randomisation code referred to either of the two sequence groups: sequence Group A: placebo first followed by elafibranor 120mg, sequence Group B: elafibranor 120mg first followed by placebo. The subjects who successfully passed screening were assigned an individual randomisation code and randomly allocated to one of the two sequence groups (A or B).

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Elafibranor 120 mg
    Arm description
    Elafibranor 120 mg tablet qd
    Arm type
    Experimental

    Investigational medicinal product name
    Elafibranor
    Investigational medicinal product code
    GFT505
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Elafibranor 120 mg was administered orally to study subjects once daily for 6 weeks.

    Arm title
    Placebo
    Arm description
    Matched placebo tablet qd
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    -
    Other name
    -
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Placebo was administered orally to study subjects once daily for 6 weeks.

    Number of subjects in period 1
    Elafibranor 120 mg Placebo
    Started
    13
    13
    Completed
    12
    11
    Not completed
    1
    2
         Study interrupted due to COVID-19 pandemic
    1
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    overall trial
    Reporting group description
    -

    Reporting group values
    overall trial Total
    Number of subjects
    17 17
    Age categorical
    To be eligible to participate in this study, a subject had to be male or a post-menopausal female aged 40 to 75 years, inclusive, at the first Screening Visit. Post-menopausal was defined as surgically sterilised at least 6 months previously or having had no spontaneous menses for at least 1 year prior to screening.
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    5 5
        From 65-84 years
    12 12
        85 years and over
    0 0
        Adults until 64 years
    0 0
        Adults up to 64 years inclusive
    0 0
        Adults aged 65 to 74 years inclusive
    0 0
        51 to 64 years inclusive
    0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    65.6 ± 8.2 -
    Gender categorical
    Units: Subjects
        Female
    3 3
        Male
    14 14
    Alcohol consumption
    Subjects were excluded from the study if they presented a current or recent history (<5 years) of significant alcohol consumption. For men, significant consumption was typically defined as more than 30 g pure alcohol per day; for women, it was typically defined as more than 20 g pure alcohol per day.
    Units: Subjects
        No alcohol consumption
    3 3
        Current alcohol consumption
    14 14
    Smoking status
    Smoking was an exclusion criterion.
    Units: Subjects
        Current smoker
    0 0
        Not a current smoker
    17 17
    Dietary habits and lifestyle
    Is the patient currently following a diet or strenuous physical activity to lose weight
    Units: Subjects
        Current practice to lose weight
    0 0
        No attempted practice to lose weight
    17 17
    Race
    Units: Subjects
        American Indian or Alaska Native
    0 0
        Native Hawaiian or other Pacific Islander
    0 0
        Asian
    0 0
        White
    17 17
        Black or African American
    0 0
        Other
    0 0
    BMI categorical
    Units: Subjects
        <18.5 kg/m2
    0 0
        [18.5 - 25 [ kg/m2
    0 0
        [25 - 30 [ kg/m2
    9 9
        30 =<
    8 8
    BMI
    Subjects had to present a BMI of ≥25.0 kg/m2 but ≤38.0 kg/m2 to be included in the study
    Units: kg/m2
        arithmetic mean (standard deviation)
    30.5 ± 2.3 -
    Waist circumference
    Waist circumference was measured at the midpoint between the lateral iliac crest and lowest rib, during expiration. The measuring tape was to be snug but not compressing the skin and held parallel to the floor. The measurement was to be made during normal respiration.
    Units: cm
        arithmetic mean (standard deviation)
    110.2 ± 7.3 -
    Fat mass (absolute)
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: kg
        arithmetic mean (standard deviation)
    35.51 ± 8.58 -
    Fat mass (relative)
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber, for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: percentage
        arithmetic mean (standard deviation)
    38.35 ± 7.57 -
    Fat free mass (absolute)
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber, for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: kg
        arithmetic mean (standard deviation)
    56.70 ± 7.79 -
    Fat free mass (relative)
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber, for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: percentage
        arithmetic mean (standard deviation)
    61.65 ± 7.57 -
    Body mass
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber, for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: kg
        arithmetic mean (standard deviation)
    92.20 ± 9.30 -
    Subject analysis sets

    Subject analysis set title
    ITT set
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All the subjects that were randomized.

    Subject analysis set title
    PP set
    Subject analysis set type
    Per protocol
    Subject analysis set description
    All randomized subjects who completed the study without any major protocol deviation affecting the primary efficacy endpoint.

    Subject analysis set title
    Safety set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    All subjects who received at least one dose of study treatment.

    Subject analysis sets values
    ITT set PP set Safety set
    Number of subjects
    17
    6
    17
    Age categorical
    To be eligible to participate in this study, a subject had to be male or a post-menopausal female aged 40 to 75 years, inclusive, at the first Screening Visit. Post-menopausal was defined as surgically sterilised at least 6 months previously or having had no spontaneous menses for at least 1 year prior to screening.
    Units: Subjects
        In utero
    0
    0
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
    0
    0
        Newborns (0-27 days)
    0
    0
    0
        Infants and toddlers (28 days-23 months)
    0
    0
    0
        Children (2-11 years)
    0
    0
    0
        Adolescents (12-17 years)
    0
    0
    0
        Adults (18-64 years)
    5
    3
    5
        From 65-84 years
    12
    3
    12
        85 years and over
    0
    0
    0
        Adults until 64 years
    0
    0
    0
        Adults up to 64 years inclusive
    0
    0
    0
        Adults aged 65 to 74 years inclusive
    0
    0
    0
        51 to 64 years inclusive
    0
    0
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    65.6 ± 8.2
    - ± -
    65.6 ± 8.2
    Gender categorical
    Units: Subjects
        Female
    3
    3
        Male
    14
    14
    Alcohol consumption
    Subjects were excluded from the study if they presented a current or recent history (<5 years) of significant alcohol consumption. For men, significant consumption was typically defined as more than 30 g pure alcohol per day; for women, it was typically defined as more than 20 g pure alcohol per day.
    Units: Subjects
        No alcohol consumption
    3
    3
        Current alcohol consumption
    14
    14
    Smoking status
    Smoking was an exclusion criterion.
    Units: Subjects
        Current smoker
    0
    0
        Not a current smoker
    17
    17
    Dietary habits and lifestyle
    Is the patient currently following a diet or strenuous physical activity to lose weight
    Units: Subjects
        Current practice to lose weight
    0
    0
        No attempted practice to lose weight
    17
    17
    Race
    Units: Subjects
        American Indian or Alaska Native
    0
    0
        Native Hawaiian or other Pacific Islander
    0
    0
        Asian
    0
    0
        White
    17
    17
        Black or African American
    0
    0
        Other
    0
    0
    BMI categorical
    Units: Subjects
        <18.5 kg/m2
    0
    0
        [18.5 - 25 [ kg/m2
    0
    0
        [25 - 30 [ kg/m2
    9
    9
        30 =<
    8
    8
    BMI
    Subjects had to present a BMI of ≥25.0 kg/m2 but ≤38.0 kg/m2 to be included in the study
    Units: kg/m2
        arithmetic mean (standard deviation)
    30.5 ± 2.3
    ±
    30.5 ± 2.3
    Waist circumference
    Waist circumference was measured at the midpoint between the lateral iliac crest and lowest rib, during expiration. The measuring tape was to be snug but not compressing the skin and held parallel to the floor. The measurement was to be made during normal respiration.
    Units: cm
        arithmetic mean (standard deviation)
    110.2 ± 7.3
    ±
    110.2 ± 7.3
    Fat mass (absolute)
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: kg
        arithmetic mean (standard deviation)
    35.51 ± 8.58
    ±
    35.51 ± 8.58
    Fat mass (relative)
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber, for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: percentage
        arithmetic mean (standard deviation)
    38.35 ± 7.57
    ±
    38.35 ± 7.57
    Fat free mass (absolute)
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber, for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: kg
        arithmetic mean (standard deviation)
    56.70 ± 7.79
    ±
    56.70 ± 7.79
    Fat free mass (relative)
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber, for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: percentage
        arithmetic mean (standard deviation)
    61.65 ± 7.57
    ±
    61.65 ± 7.57
    Body mass
    The Bod Pod® (Cosmed) was used to determine body composition and measure fat mass, fat-free mass, and total body mass via whole body densitometry. Measurements were made with the subject sitting inside a comfortable chamber, for two 50-second measurements; the total duration of the procedure was approximately 5 minutes.
    Units: kg
        arithmetic mean (standard deviation)
    92.20 ± 9.30
    ±
    92.20 ± 9.30

    End points

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    End points reporting groups
    Reporting group title
    Elafibranor 120 mg
    Reporting group description
    Elafibranor 120 mg tablet qd

    Reporting group title
    Placebo
    Reporting group description
    Matched placebo tablet qd

    Subject analysis set title
    ITT set
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All the subjects that were randomized.

    Subject analysis set title
    PP set
    Subject analysis set type
    Per protocol
    Subject analysis set description
    All randomized subjects who completed the study without any major protocol deviation affecting the primary efficacy endpoint.

    Subject analysis set title
    Safety set
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    All subjects who received at least one dose of study treatment.

    Primary: relative amount of saturated fatty acid in the liver (%SFA) at the end of each 6-week treatment period

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    End point title
    relative amount of saturated fatty acid in the liver (%SFA) at the end of each 6-week treatment period [1]
    End point description
    The primary endpoint was the relative amount of SFA in the liver (%SFA) measured by 1H-MRS at the end of each 6-week treatment period.
    End point type
    Primary
    End point timeframe
    Visit 3 and Visit 6
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    End point values
    Elafibranor 120 mg Placebo
    Number of subjects analysed
    0 [2]
    0 [3]
    Units: percentage
        arithmetic mean (standard deviation)
    ±
    ±
    Notes
    [2] - analysis not performed due to lack of data
    [3] - analysis not performed due to lack of data
    No statistical analyses for this end point

    Primary: Change from baseline achieved after 6 weeks of treatment in Polyunsaturated Fatty Acids (PUFA)

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    End point title
    Change from baseline achieved after 6 weeks of treatment in Polyunsaturated Fatty Acids (PUFA) [4]
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Primary
    End point timeframe
    Visit 3 and Visit 6
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [5]
    0 [6]
    0 [7]
    0 [8]
    Units: percentage
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [5] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [6] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [7] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [8] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Primary: Change from baseline achieved after 6 weeks of treatment in Monounsaturated Fatty Acids (MUFA)

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in Monounsaturated Fatty Acids (MUFA) [9]
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Primary
    End point timeframe
    Visit 3 and Visit 6
    Notes
    [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [10]
    0 [11]
    0 [12]
    0 [13]
    Units: percentage
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [10] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [11] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [12] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [13] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Primary: Change from baseline achieved after 6 weeks of treatment in Saturated Fatty Acids (SFA)

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    End point title
    Change from baseline achieved after 6 weeks of treatment in Saturated Fatty Acids (SFA) [14]
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Primary
    End point timeframe
    Visit 3 and Visit 6
    Notes
    [14] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [15]
    0 [16]
    0 [17]
    0 [18]
    Units: percentage
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [15] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [16] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [17] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [18] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Primary: Change from baseline achieved after 6 weeks of treatment in MRS liver fat fraction ( %Fat w/w)

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    End point title
    Change from baseline achieved after 6 weeks of treatment in MRS liver fat fraction ( %Fat w/w) [19]
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Primary
    End point timeframe
    Visit 3 and Visit 6
    Notes
    [19] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [20]
    0 [21]
    0 [22]
    0 [23]
    Units: percentage
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [20] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [21] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [22] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [23] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Hepatic Glucose Production (HGP) at the end of each 6-week treatment period

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    End point title
    Hepatic Glucose Production (HGP) at the end of each 6-week treatment period
    End point description
    Hepatic glucose production at the end of each 6-week treatment period was used as a measure of hepatic insulin sensitivity.
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [24]
    0 [25]
    0 [26]
    0 [27]
    Units: μmol/kg/min
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [24] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [25] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [26] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [27] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in HbA1c

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    End point title
    Change from baseline achieved after 6 weeks of treatment in HbA1c
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [28]
    0 [29]
    0 [30]
    0 [31]
    Units: percentage
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [28] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [29] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [30] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [31] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in fasting plasma glucose (FPG)

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    End point title
    Change from baseline achieved after 6 weeks of treatment in fasting plasma glucose (FPG)
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [32]
    0 [33]
    0 [34]
    0 [35]
    Units: mmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [32] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [33] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [34] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [35] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in fasting insulin

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in fasting insulin
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [36]
    0 [37]
    0 [38]
    0 [39]
    Units: pmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [36] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [37] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [38] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [39] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in HOMA-IR

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in HOMA-IR
    End point description
    HOMA-IR: homeostasis model assessment of insulin resistance Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [40]
    0 [41]
    0 [42]
    0 [43]
    Units: index
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [40] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [41] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [42] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [43] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in fructosamine

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in fructosamine
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [44]
    0 [45]
    0 [46]
    0 [47]
    Units: µmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [44] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [45] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [46] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [47] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in C-peptide

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in C-peptide
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [48]
    0 [49]
    0 [50]
    0 [51]
    Units: nmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [48] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [49] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [50] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [51] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in total cholesterol

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in total cholesterol
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [52]
    0 [53]
    0 [54]
    0 [55]
    Units: mmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [52] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [53] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [54] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [55] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in HDL cholesterol (HDL-C)

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in HDL cholesterol (HDL-C)
    End point description
    HDL: high density lioprotein Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [56]
    0 [57]
    0 [58]
    0 [59]
    Units: mmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [56] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [57] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [58] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [59] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in non-HDL cholesterol

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in non-HDL cholesterol
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [60]
    0 [61]
    0 [62]
    0 [63]
    Units: mmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [60] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [61] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [62] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [63] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in LDL cholesterol (calculated)

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    End point title
    Change from baseline achieved after 6 weeks of treatment in LDL cholesterol (calculated)
    End point description
    LDL: low density lipoprotein Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [64]
    0 [65]
    0 [66]
    0 [67]
    Units: mmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [64] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [65] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [66] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [67] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in fasting triglycerides

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in fasting triglycerides
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [68]
    0 [69]
    0 [70]
    0 [71]
    Units: mmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [68] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [69] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [70] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [71] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in free fatty acid

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in free fatty acid
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [72]
    0 [73]
    0 [74]
    0 [75]
    Units: mmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [72] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [73] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [74] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [75] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in high-sensitivity C-reactive protein hsCRP

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    End point title
    Change from baseline achieved after 6 weeks of treatment in high-sensitivity C-reactive protein hsCRP
    End point description
    hs-CRP: high sensitivity C-reactive protein Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [76]
    0 [77]
    0 [78]
    0 [79]
    Units: mg/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [76] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [77] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [78] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [79] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in fibrinogen

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in fibrinogen
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [80]
    0 [81]
    0 [82]
    0 [83]
    Units: µmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [80] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [81] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [82] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [83] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in haptoglobin

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in haptoglobin
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [84]
    0 [85]
    0 [86]
    0 [87]
    Units: g/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [84] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [85] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [86] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [87] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in gamma-glutamyl transferase (GGT)

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in gamma-glutamyl transferase (GGT)
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [88]
    0 [89]
    0 [90]
    0 [91]
    Units: IU/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [88] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [89] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [90] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [91] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in aspartate aminotransferase (AST)

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    End point title
    Change from baseline achieved after 6 weeks of treatment in aspartate aminotransferase (AST)
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [92]
    0 [93]
    0 [94]
    0 [95]
    Units: IU/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [92] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [93] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [94] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [95] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in alanine aminotransferase (ALT)

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in alanine aminotransferase (ALT)
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [96]
    0 [97]
    0 [98]
    0 [99]
    Units: IU/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [96] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [97] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [98] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [99] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in alkaline phosphatase

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in alkaline phosphatase
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [100]
    0 [101]
    0 [102]
    0 [103]
    Units: IU/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [100] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [101] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [102] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [103] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in total bilirubin

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in total bilirubin
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [104]
    0 [105]
    0 [106]
    0 [107]
    Units: µmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [104] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [105] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [106] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [107] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in conjugated bilirubin

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in conjugated bilirubin
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [108]
    0 [109]
    0 [110]
    0 [111]
    Units: µmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [108] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [109] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [110] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [111] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in serum creatinine

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    End point title
    Change from baseline achieved after 6 weeks of treatment in serum creatinine
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [112]
    0 [113]
    0 [114]
    0 [115]
    Units: µmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [112] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [113] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [114] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [115] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in eGFR

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in eGFR
    End point description
    eGFR, i.e. estimated glomerular filtration rate, was calculated according to the MDRD (Modification of Diet in Renal Disease) equation. Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [116]
    0 [117]
    0 [118]
    0 [119]
    Units: mL/min/1.73m2
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [116] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [117] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [118] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [119] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in albumin

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in albumin
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [120]
    0 [121]
    0 [122]
    0 [123]
    Units: g/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [120] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [121] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [122] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [123] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in total protein

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in total protein
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [124]
    0 [125]
    0 [126]
    0 [127]
    Units: g/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [124] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [125] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [126] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [127] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in urea (BUN)

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    End point title
    Change from baseline achieved after 6 weeks of treatment in urea (BUN)
    End point description
    Urea: blood urea nitrogen Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [128]
    0 [129]
    0 [130]
    0 [131]
    Units: mmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [128] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [129] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [130] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [131] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in uric acid

    Close Top of page
    End point title
    Change from baseline achieved after 6 weeks of treatment in uric acid
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [132]
    0 [133]
    0 [134]
    0 [135]
    Units: µmol/L
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [132] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [133] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [134] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [135] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in body weight

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    End point title
    Change from baseline achieved after 6 weeks of treatment in body weight
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [136]
    0 [137]
    0 [138]
    0 [139]
    Units: kg
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [136] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [137] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [138] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [139] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Change from baseline achieved after 6 weeks of treatment in Body Mass Index (BMI)

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    End point title
    Change from baseline achieved after 6 weeks of treatment in Body Mass Index (BMI)
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [140]
    0 [141]
    0 [142]
    0 [143]
    Units: kg/m2
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [140] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [141] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [142] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [143] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: Waist circumference Change from baseline at the end of each 6-week treatment period

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    End point title
    Waist circumference Change from baseline at the end of each 6-week treatment period
    End point description
    Secondary endpoints were measured at the end of each of the 6-week treatment periods
    End point type
    Secondary
    End point timeframe
    Visit 3 and Visit 6
    End point values
    Elafibranor 120 mg Placebo ITT set PP set
    Number of subjects analysed
    0 [144]
    0 [145]
    0 [146]
    0 [147]
    Units: cm
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    ±
    Notes
    [144] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [145] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [146] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    [147] - No efficacy analyses produced as the number of subjects who completed the study was insufficient.
    No statistical analyses for this end point

    Secondary: incidence of clinically significant hematology parameter abnormality

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    End point title
    incidence of clinically significant hematology parameter abnormality
    End point description
    abnormalities considered clinically significant by the PI.
    End point type
    Secondary
    End point timeframe
    from the first screening visit until Visit 6 of the second treatment period
    End point values
    Elafibranor 120 mg Placebo
    Number of subjects analysed
    13
    13
    Units: number of subjects with abnormalities
    0
    0
    No statistical analyses for this end point

    Secondary: incidence of clinically significant chemistry, liver function and renal function parameter abnormality

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    End point title
    incidence of clinically significant chemistry, liver function and renal function parameter abnormality
    End point description
    abnormalities considered clinically significant by the PI
    End point type
    Secondary
    End point timeframe
    from the first screening visit until Visit 6 of the second treatment period
    End point values
    Elafibranor 120 mg Placebo
    Number of subjects analysed
    13
    13
    Units: number of subjects with abnormalities
    2
    2
    No statistical analyses for this end point

    Secondary: incidence of clinically significant vital signs abnormality

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    End point title
    incidence of clinically significant vital signs abnormality
    End point description
    abnormalities considered clinically significant by the PI
    End point type
    Secondary
    End point timeframe
    from the first screening visit until Visit 6 of the second treatment period
    End point values
    Elafibranor 120 mg Placebo
    Number of subjects analysed
    13
    13
    Units: number of subjects with abnormalities
    0
    0
    No statistical analyses for this end point

    Secondary: incidence of clinically significant change in diet

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    End point title
    incidence of clinically significant change in diet
    End point description
    changes considered clinically significant by the PI
    End point type
    Secondary
    End point timeframe
    from the first screening visit until Visit 6 of the second treatment period
    End point values
    Elafibranor 120 mg Placebo
    Number of subjects analysed
    13
    13
    Units: number of subjects with CS change
    0
    0
    No statistical analyses for this end point

    Secondary: incidence of clinically significant change in alcohol consumption

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    End point title
    incidence of clinically significant change in alcohol consumption
    End point description
    changes considered clinically significant by the PI
    End point type
    Secondary
    End point timeframe
    from the first screening visit until Visit 6 of the second treatment period
    End point values
    Elafibranor 120 mg Placebo
    Number of subjects analysed
    13
    13
    Units: number of subjects with CS change
    1
    0
    No statistical analyses for this end point

    Secondary: incidence of clinically significant change in physical activity

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    End point title
    incidence of clinically significant change in physical activity
    End point description
    changes considered clinically significant by the PI
    End point type
    Secondary
    End point timeframe
    from the first screening visit until Visit 6 of the second treatment period
    End point values
    Elafibranor 120 mg Placebo
    Number of subjects analysed
    13
    13
    Units: number of subjects with CS change
    0
    0
    No statistical analyses for this end point

    Secondary: incidence of strenuous and unusual exercise

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    End point title
    incidence of strenuous and unusual exercise
    End point description
    End point type
    Secondary
    End point timeframe
    from the first screening visit until Visit 6 of the second treatment period
    End point values
    Elafibranor 120 mg Placebo
    Number of subjects analysed
    13
    13
    Units: number of subjects with event
    0
    1
    No statistical analyses for this end point

    Secondary: Incidence of adverse events

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    End point title
    Incidence of adverse events
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: number of subjects with a least 1 event
    12
    No statistical analyses for this end point

    Secondary: Incidence of treatment emergent adverse event

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    End point title
    Incidence of treatment emergent adverse event
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    10
    No statistical analyses for this end point

    Secondary: Incidence of treatment emergent adverse events related to study treatment

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    End point title
    Incidence of treatment emergent adverse events related to study treatment
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of treatment emergent adverse events related to study procedures

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    End point title
    Incidence of treatment emergent adverse events related to study procedures
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    1
    No statistical analyses for this end point

    Secondary: Incidence of serious adverse events

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    End point title
    Incidence of serious adverse events
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of serious treatment emergent adverse events

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    End point title
    Incidence of serious treatment emergent adverse events
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of serious treatment emergent adverse events related to study treatment

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    End point title
    Incidence of serious treatment emergent adverse events related to study treatment
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of serious treatment emergent adverse events related to study procedure

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    End point title
    Incidence of serious treatment emergent adverse events related to study procedure
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of adverse events leading to treatment withdrawal

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    End point title
    Incidence of adverse events leading to treatment withdrawal
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of treatment emergent adverse event leading to treatment withdrawal

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    End point title
    Incidence of treatment emergent adverse event leading to treatment withdrawal
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of adverse events leading to study withdrawal

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    End point title
    Incidence of adverse events leading to study withdrawal
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of treatment emergent adverse events leading to study withdrawal

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    End point title
    Incidence of treatment emergent adverse events leading to study withdrawal
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of fatal adverse events

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    End point title
    Incidence of fatal adverse events
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of fatal treatment emergent adverse event

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    End point title
    Incidence of fatal treatment emergent adverse event
    End point description
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of adverse events of special interest

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    End point title
    Incidence of adverse events of special interest
    End point description
    AESI are TEAEs corresponding to the conceptual definition of: CPK elevations of severe intensity or leading to permanent study drug discontinuation; Muscle injury symptoms of severe intensity corresponding to muscle pain or myalgia, Muscle spasms or tremor, muscle weakness; Transaminases elevations from baseline of severe intensity or leading to permanent study drug discontinuation; Liver injury events of severe intensity corresponding to hepatic impairment, hepatic failure; Gastrointestinal symptoms of severe intensity corresponding to abdominal pain, constipation, diarrhea, nausea, vomiting, acute cholecystis, acute pancreatitis; Fatigue and asthenia of severe intensity; Serum creatinine elevations of severe intensity or leading to permanent study drug discontinuation; Renal injury events of moderate or severe intensity corresponding to renal failure, renal impairment, renal colic.
    End point type
    Secondary
    End point timeframe
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    End point values
    Safety set
    Number of subjects analysed
    17
    Units: Number of subjects with at least 1 event
    0
    No statistical analyses for this end point

    Secondary: Incidence of clinically significant change in smoking habits

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    End point title
    Incidence of clinically significant change in smoking habits
    End point description
    End point type
    Secondary
    End point timeframe
    from the first screening visit until Visit 6 of the second treatment period
    End point values
    Elafibranor 120 mg Placebo
    Number of subjects analysed
    13
    13
    Units: number of subjects with CS change
    0
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    from signature of the subject ICF at the first Screening Visit until the end of study visit
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23.0
    Reporting groups
    Reporting group title
    Overall population
    Reporting group description
    -

    Serious adverse events
    Overall population
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 17 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Overall population
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    12 / 17 (70.59%)
    Investigations
    Blood glucose increased
         subjects affected / exposed
    2 / 17 (11.76%)
         occurrences all number
    2
    Blood creatine phosphokinase increased
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    C-reactive protein increased
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Vascular disorders
    Arterial disorder
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    General disorders and administration site conditions
    Chest discomfort
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Fatigue
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Toothache
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Reproductive system and breast disorders
    Scrotal inflammation
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Laryngitis
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Infections and infestations
    Influenza
         subjects affected / exposed
    3 / 17 (17.65%)
         occurrences all number
    3
    Nasopharyngitis
         subjects affected / exposed
    2 / 17 (11.76%)
         occurrences all number
    2
    Tooth infection
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Urinary tract infection
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Metabolism and nutrition disorders
    Gout
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    16 Dec 2019
    The protocol was amended in order to add an analysis set and update a series of endpoints. The changes mainly concerned: Specification of a PP set to be included for analysis purposes; inclusion of renal function and anthropometry as objectives, in line with existing endpoints; medical history was removed as a safety objective and safety endpoints were presented in more detail; specification that whole body insulin sensitivity rather than glucose infusion rate at the end of 6 weeks of treatment would be assessed as an exploratory objective and endpoint, with details of assessment parameters included; specification that waist circumference was to be assessed at the end of each 6-week treatment period, rather than as change from baseline; clarification of various other endpoints.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    14 Jul 2020
    Due to the COVID-19 pandemic, subjects had difficulty visiting the study site due to lockdown rules and travel restrictions, so the study was put on hold on 15 March 2019. The sponsor then decided to prematurely terminate this study on 14 July 2020 (IEC and Regulatory Authority notified on 14 August 2020) due to lack of efficacy, but not due to safety concerns, seen in the interim results from the Phase 3 RESOLVE-IT study in subjects with NASH published on 11 May 2020. As a result of this premature termination the remaining 11 subjects did not complete this study.
    -

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Due to the premature termination of this study no efficacy analyses were conducted since too few subjects completed both study periods. As such the efficacy objectives were not met and no conclusions can be drawn from the efficacy data.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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