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    Clinical Trial Results:
    A Phase 2b Randomized, Double Blind, Placebo-Controlled, Multicenter Study Evaluating Safety and Efficacy of EDP-305 in Subjects with Liver-Biopsy Proven Non-Alcoholic Steatohepatitis (NASH) (ARGON-2)

    Summary
    EudraCT number
    2019-003876-38
    Trial protocol
    DE   GB  
    Global end of trial date
    30 Nov 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    05 Jan 2023
    First version publication date
    05 Jan 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    EDP305-102
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04378010
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Enanta Pharmaceuticals, Inc.
    Sponsor organisation address
    500 Arsenal St., Watertown, MA 02472, United States,
    Public contact
    Alaa Ahmad, Enanta Pharmaceuticals, Inc., 1 617-607-0800, aahmad@enanta.com
    Scientific contact
    Alaa Ahmad, Enanta Pharmaceuticals, Inc., 1 617-607-0800, aahmad@enanta.com
    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
    12 Jul 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    04 Oct 2021
    Global end of trial reached?
    Yes
    Global end of trial date
    30 Nov 2021
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    To evaluate the effect of EDP-305 compared to placebo on liver histology in non-cirrhotic NASH subjects with stage 2 or 3 fibrosis. NOTE: The pre-planned first interim analysis of a subjects through Week 12 provided meaningful information on dose selection and characterization for the compound. Enanta made a business decision to prioritize combination approaches for further development of the EDP-305. Therefore, this study on monotherapy was discontinued.
    Protection of trial subjects
    Independent Ethics Committee or Institutional Review Board: Written approval of the protocol, the final informed consent document, relevant supporting material and subject recruitment information was obtained from the independent ethics committee (IEC)/institutional review board (IRB) prior to study initiation. Ethical Conduct of the Study: This study was conducted in accordance with current applicable regulations, International Conference on Harmonisation (ICH) guidelines, and local legal requirements. It complies with the ethical principles described in the 18th World Medical Assembly (Helsinki 1964) and amendments of the 29th (Tokyo 1975), 35th (Venice 1983), the 41st (Hong Kong 1989) and the 48th (South Africa 1996) World Medical Assemblies, Declaration of Helsinki Subject Information and Consent: Informed consent was obtained from each subject before the subject was admitted to the study. The Investigator did not undertake any investigation specifically required for the clinical study until valid consent had been obtained. The terms of the consent and the date and time of day when it was obtained were documented in the case report form (CRF). The consent form, with the date and time of day when it was signed, was retained by the Investigator as part of the study records. A copy of the signed informed consent form (ICF) was given to the subject.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    27 Jan 2020
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 3
    Country: Number of subjects enrolled
    United States: 92
    Country: Number of subjects enrolled
    Argentina: 1
    Country: Number of subjects enrolled
    Canada: 1
    Worldwide total number of subjects
    97
    EEA total number of subjects
    0
    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)
    76
    From 65 to 84 years
    21
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Male and female subjects with liver biopsy proven NASH between the ages of 18 and 75 years, inclusive, and with a NAS of 4 or greater with a score of at least 1 in each component of the NAS (steatosis scored 0-3, lobular inflammation scored 0-3, ballooning scored 0-2) and fibrosis stage 2 or 3 using the NASH (CRN) Histologic scoring system.

    Pre-assignment
    Screening details
    Screening assessments were to be conducted within 70 days prior to the first dose of study drug (i.e., Study Days -70 to -1). They were to be performed sequentially as follows: a) medical history and other noninvasive assessments, b) laboratory assessments, c) MRI-PDFF and MRE and, lastly, d) liver biopsy.

    Period 1
    Period 1 title
    Overall Treatment Period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo
    Arm description
    Placebo orally for 72 weeks. Matching placebo, which was identical in appearance to the test product except that it contained no active ingredient.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo EDP-305
    Investigational medicinal product code
    EDP-305
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Once a day orally for 72 weeks.

    Arm title
    EDP-305 1.5 mg
    Arm description
    EDP-305 1.5 mg orally for 72 weeks (one 0.5 mg tablet and one 1.0 mg tablet).
    Arm type
    Experimental

    Investigational medicinal product name
    EDP-305 1.5 mg
    Investigational medicinal product code
    EDP-305
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Oral EDP-305 tablets, 1.5 mg administered once daily.

    Arm title
    EDP-305 2 mg
    Arm description
    EDP-305 2.0 mg orally for 72 weeks (two 1.0 mg tablets).
    Arm type
    Experimental

    Investigational medicinal product name
    EDP-305 2 mg
    Investigational medicinal product code
    EDP-305
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Oral EDP-305 tablets, 2.0 mg administered once daily.

    Number of subjects in period 1
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Started
    32
    32
    33
    Completed
    32
    32
    33

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall Treatment Period
    Reporting group description
    -

    Reporting group values
    Overall Treatment Period Total
    Number of subjects
    97 97
    Age categorical
    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)
    0 0
        From 65-84 years
    76 76
        85 years and over
    21 21
    Gender categorical
    Units: Subjects
        Female
    58 58
        Male
    39 39

    End points

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    End points reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Placebo orally for 72 weeks. Matching placebo, which was identical in appearance to the test product except that it contained no active ingredient.

    Reporting group title
    EDP-305 1.5 mg
    Reporting group description
    EDP-305 1.5 mg orally for 72 weeks (one 0.5 mg tablet and one 1.0 mg tablet).

    Reporting group title
    EDP-305 2 mg
    Reporting group description
    EDP-305 2.0 mg orally for 72 weeks (two 1.0 mg tablets).

    Primary: Proportion of subjects with ≥1 stage improvement in fibrosis without worsening of steatohepatitis and/or resolution of steatohepatitis and no worsening of liver fibrosis

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    End point title
    Proportion of subjects with ≥1 stage improvement in fibrosis without worsening of steatohepatitis and/or resolution of steatohepatitis and no worsening of liver fibrosis [1]
    End point description
    Proportion of subjects with ≥1 stage improvement in fibrosis without worsening of steatohepatitis and/or resolution of steatohepatitis and no worsening of liver fibrosis as determined by liver biopsy at Week 72. NOTE: 99999: Due to study termination, the biopsy at Week 72 was not performed in any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Primary
    End point timeframe
    Screening to Week 72.
    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: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report and no statistical analysis was performed.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Proportion of subjects with improvement of fibrosis by at least 1 stage and/or resolution of NASH without worsening of either

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    End point title
    Proportion of subjects with improvement of fibrosis by at least 1 stage and/or resolution of NASH without worsening of either
    End point description
    Proportion of subjects with improvement of fibrosis by at least 1 stage and/or resolution of NASH without worsening of either as determined by liver biopsy at Week 72. NOTE: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Secondary
    End point timeframe
    Screening to Week 72.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Proportion of Subjects With no Worsening of Fibrosis Combined With no Worsening of NASH as Determined by Liver

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    End point title
    Proportion of Subjects With no Worsening of Fibrosis Combined With no Worsening of NASH as Determined by Liver
    End point description
    Proportion of Subjects With no Worsening of Fibrosis Combined With no Worsening of NASH as Determined by Liver. NOTE: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Secondary
    End point timeframe
    Screening to Week 72.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Proportion of Subjects With Resolution of Fibrosis

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    End point title
    Proportion of Subjects With Resolution of Fibrosis
    End point description
    Proportion of Subjects With Resolution of Fibrosis as Determined by Liver Biopsy at 72 Week. NOTE: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Secondary
    End point timeframe
    Screening to Week 72.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    32
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Proportion of Subjects With Improvement in Each Histologic Feature of NASH by at Least 1 Point

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    End point title
    Proportion of Subjects With Improvement in Each Histologic Feature of NASH by at Least 1 Point
    End point description
    Proportion of Subjects With Improvement in Each Histologic Feature of NASH by at Least 1 Point as determined by liver biopsy at Week 72. NOTE: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Secondary
    End point timeframe
    Screening to Week 72.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Proportion of Subjects With Improvement of Fibrosis by ≥ 2 Stages

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    End point title
    Proportion of Subjects With Improvement of Fibrosis by ≥ 2 Stages
    End point description
    Proportion of Subjects With Improvement of Fibrosis by ≥ 2 Stages by Liver Biopsy at Week 72. NOTE: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Secondary
    End point timeframe
    Screening to Week 72.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Proportion of Subjects With Improvement in NAS by at Least 2 Points With no Worsening of Fibrosis

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    End point title
    Proportion of Subjects With Improvement in NAS by at Least 2 Points With no Worsening of Fibrosis
    End point description
    Proportion of Subjects With Improvement in NAS by at Least 2 Points With no Worsening of Fibrosis as determined by liver biopsy at Week 72. NOTE: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Secondary
    End point timeframe
    Screening to Week 72.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Proportion of Subjects With Improvement of Fibrosis and Resolution of NASH

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    End point title
    Proportion of Subjects With Improvement of Fibrosis and Resolution of NASH
    End point description
    Proportion of Subjects With Improvement of Fibrosis and Resolution of NASH as a Composite Endpoint as defined by liver biopsy at Week 72. NOTE: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Secondary
    End point timeframe
    Screening to Week 72.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Proportion of Subjects With Resolution of NASH and no Worsening of Liver Fibrosis

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    End point title
    Proportion of Subjects With Resolution of NASH and no Worsening of Liver Fibrosis
    End point description
    Proportion of Subjects With Resolution of NASH and no Worsening of Liver Fibrosis. NOTE: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Secondary
    End point timeframe
    Screening to Week 72.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Proportion of Subjects With Histological Progression to Cirrhosis as determined by Liver Biopsy

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    End point title
    Proportion of Subjects With Histological Progression to Cirrhosis as determined by Liver Biopsy
    End point description
    Proportion of Subjects With Histological Progression to Cirrhosis as determined by Liver Biopsy at Week 72. NOTE: Due to study termination, the biopsy at Week 72 was not performed for any subject. Hence, there were no results to report. However, the system does not allow to keep the values blank. So, we have used "99999".
    End point type
    Secondary
    End point timeframe
    Screening to Week 72.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    99999
    99999
    99999
    No statistical analyses for this end point

    Secondary: Frequency of TEAEs Leading to Discontinuation

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    End point title
    Frequency of TEAEs Leading to Discontinuation
    End point description
    Frequency of TEAEs Leading to discontinuation.
    End point type
    Secondary
    End point timeframe
    From time of informed consent through Week 72 and 4-week follow-up period.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    32
    32
    33
    Units: Number of Subjects
    4
    8
    14
    No statistical analyses for this end point

    Secondary: Percentage Change of Fat in the Liver From Baseline Versus Placebo

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    End point title
    Percentage Change of Fat in the Liver From Baseline Versus Placebo
    End point description
    Percentage Change of Fat in the Liver From Baseline Versus Placebo.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    26
    24
    17
    Units: percent
        number (confidence interval 95%)
    0 (0 to 0)
    -11.261 (-24.723 to 2.200)
    -11.718 (-26.342 to 2.906)
    No statistical analyses for this end point

    Secondary: Change in Liver Stiffness From Baseline Versus Placebo

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    End point title
    Change in Liver Stiffness From Baseline Versus Placebo
    End point description
    Change in Liver Stiffness From Baseline Versus Placebo.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    26
    24
    17
    Units: KPa
        least squares mean (confidence interval 95%)
    0 (0 to 0)
    0.591 (-0.035 to 1.216)
    1.050 (0.365 to 1.736)
    No statistical analyses for this end point

    Secondary: Change in 5D-itch Scale From Baseline

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    End point title
    Change in 5D-itch Scale From Baseline
    End point description
    Change in 5D-itch Scale From Baseline.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    7
    7
    6
    Units: Score
        least squares mean (confidence interval 95%)
    0 (0 to 0)
    -0.439 (-5.458 to 4.579)
    1.880 (-3.479 to 7.239)
    No statistical analyses for this end point

    Secondary: Change in Triglycerides From Baseline

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    End point title
    Change in Triglycerides From Baseline
    End point description
    Change in Triglycerides From Baseline.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    30
    28
    26
    Units: mmol/L
        arithmetic mean (standard deviation)
    -0.06 ± 0.752
    -0.16 ± 0.725
    -0.14 ± 0.839
    No statistical analyses for this end point

    Secondary: Change in Adiponectin From Baseline

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    End point title
    Change in Adiponectin From Baseline
    End point description
    Change in Adiponectin From Baseline.
    End point type
    Secondary
    End point timeframe
    Baseline through Week 12.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    27
    27
    24
    Units: µg/L
        arithmetic mean (standard deviation)
    228.27 ± 866.829
    330.25 ± 1309.414
    -85.44 ± 1199.182
    No statistical analyses for this end point

    Secondary: Plasma Concentration of EDP-305

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    End point title
    Plasma Concentration of EDP-305 [2]
    End point description
    End point type
    Secondary
    End point timeframe
    Baseline through Week 12.
    Notes
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The Placebo arm did not take part in the determination of plasma concentration. So, we have excluded it.
    End point values
    EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    6
    7
    Units: ng/mL
        arithmetic mean (standard deviation)
    17.3783 ± 15.13460
    30.0286 ± 24.07237
    No statistical analyses for this end point

    Secondary: Change in VAS (Visual Analog Score) From Baseline

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    End point title
    Change in VAS (Visual Analog Score) From Baseline
    End point description
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    30
    28
    25
    Units: Score
        least squares mean (confidence interval 95%)
    0 (0 to 0)
    7.211 (-4.997 to 19.418)
    12.986 (0.608 to 25.363)
    No statistical analyses for this end point

    Secondary: Change in Total Cholesterol From Baseline

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    End point title
    Change in Total Cholesterol From Baseline
    End point description
    Change in Total Cholesterol From Baseline.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    30
    28
    26
    Units: mmol/L
        arithmetic mean (standard deviation)
    0 ± 0.946
    0.07 ± 0.977
    -0.07 ± 1.116
    No statistical analyses for this end point

    Secondary: Change in HDL From Baseline

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    End point title
    Change in HDL From Baseline
    End point description
    Change in HDL From Baseline.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    30
    27
    25
    Units: mmol/L
        arithmetic mean (standard deviation)
    0.01 ± 0.149
    -0.08 ± 0.200
    -0.11 ± 0.255
    No statistical analyses for this end point

    Secondary: Change in LDL From Baseline

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    End point title
    Change in LDL From Baseline
    End point description
    Change in LDL From Baseline.
    End point type
    Secondary
    End point timeframe
    Baseline to Week 12.
    End point values
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Number of subjects analysed
    30
    28
    26
    Units: mmol/L
        arithmetic mean (standard deviation)
    -0.03 ± 0.835
    0.24 ± 0.856
    0.08 ± 0.949
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Day 1 to Week 72.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    Placebo
    Reporting group description
    Once a day tablet orally for 72 weeks.

    Reporting group title
    EDP-305 1.5 mg
    Reporting group description
    Once a day orally for 72 weeks. EDP-305 1.5 mg: Tablet.

    Reporting group title
    EDP-305 2 mg
    Reporting group description
    Once a day orally for 72 weeks. EDP-305 2 mg: Tablet.

    Serious adverse events
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 32 (0.00%)
    2 / 32 (6.25%)
    0 / 33 (0.00%)
         number of deaths (all causes)
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    0 / 32 (0.00%)
    1 / 32 (3.13%)
    0 / 33 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pancreatitis
         subjects affected / exposed
    0 / 32 (0.00%)
    1 / 32 (3.13%)
    0 / 33 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Placebo EDP-305 1.5 mg EDP-305 2 mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    20 / 32 (62.50%)
    28 / 32 (87.50%)
    31 / 33 (93.94%)
    Investigations
    Blood creatine phosphokinase increased
         subjects affected / exposed
    0 / 32 (0.00%)
    2 / 32 (6.25%)
    1 / 33 (3.03%)
         occurrences all number
    0
    2
    1
    Blood pressure increased
         subjects affected / exposed
    2 / 32 (6.25%)
    0 / 32 (0.00%)
    0 / 33 (0.00%)
         occurrences all number
    2
    0
    0
    Lipase increased
         subjects affected / exposed
    2 / 32 (6.25%)
    0 / 32 (0.00%)
    2 / 33 (6.06%)
         occurrences all number
    3
    0
    3
    Injury, poisoning and procedural complications
    Foot fracture
         subjects affected / exposed
    2 / 32 (6.25%)
    0 / 32 (0.00%)
    0 / 33 (0.00%)
         occurrences all number
    2
    0
    0
    Post vaccination syndrome
         subjects affected / exposed
    2 / 32 (6.25%)
    0 / 32 (0.00%)
    0 / 33 (0.00%)
         occurrences all number
    4
    0
    0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 32 (3.13%)
    1 / 32 (3.13%)
    2 / 33 (6.06%)
         occurrences all number
    1
    1
    2
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    1 / 32 (3.13%)
    2 / 32 (6.25%)
    3 / 33 (9.09%)
         occurrences all number
    1
    2
    3
    Headache
         subjects affected / exposed
    2 / 32 (6.25%)
    2 / 32 (6.25%)
    3 / 33 (9.09%)
         occurrences all number
    2
    2
    3
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    0 / 32 (0.00%)
    2 / 32 (6.25%)
    3 / 33 (9.09%)
         occurrences all number
    0
    2
    3
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 32 (3.13%)
    3 / 32 (9.38%)
    1 / 33 (3.03%)
         occurrences all number
    1
    4
    1
    Abdominal pain lower
         subjects affected / exposed
    0 / 32 (0.00%)
    2 / 32 (6.25%)
    1 / 33 (3.03%)
         occurrences all number
    0
    3
    1
    Abdominal pain upper
         subjects affected / exposed
    1 / 32 (3.13%)
    2 / 32 (6.25%)
    4 / 33 (12.12%)
         occurrences all number
    1
    3
    6
    Diarrhoea
         subjects affected / exposed
    3 / 32 (9.38%)
    1 / 32 (3.13%)
    2 / 33 (6.06%)
         occurrences all number
    3
    1
    2
    Nausea
         subjects affected / exposed
    3 / 32 (9.38%)
    2 / 32 (6.25%)
    1 / 33 (3.03%)
         occurrences all number
    3
    2
    1
    Toothache
         subjects affected / exposed
    2 / 32 (6.25%)
    0 / 32 (0.00%)
    0 / 33 (0.00%)
         occurrences all number
    2
    0
    0
    Vomiting
         subjects affected / exposed
    2 / 32 (6.25%)
    1 / 32 (3.13%)
    1 / 33 (3.03%)
         occurrences all number
    3
    1
    1
    Respiratory, thoracic and mediastinal disorders
    Oropharyngeal pain
         subjects affected / exposed
    2 / 32 (6.25%)
    0 / 32 (0.00%)
    0 / 33 (0.00%)
         occurrences all number
    2
    0
    0
    Skin and subcutaneous tissue disorders
    Pruritus
         subjects affected / exposed
    12 / 32 (37.50%)
    25 / 32 (78.13%)
    25 / 33 (75.76%)
         occurrences all number
    21
    63
    65
    Rash
         subjects affected / exposed
    1 / 32 (3.13%)
    3 / 32 (9.38%)
    2 / 33 (6.06%)
         occurrences all number
    1
    4
    2
    Urticaria
         subjects affected / exposed
    0 / 32 (0.00%)
    0 / 32 (0.00%)
    2 / 33 (6.06%)
         occurrences all number
    0
    0
    2
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    2 / 32 (6.25%)
    1 / 32 (3.13%)
    0 / 33 (0.00%)
         occurrences all number
    2
    1
    0
    Infections and infestations
    COVID-19
         subjects affected / exposed
    1 / 32 (3.13%)
    3 / 32 (9.38%)
    1 / 33 (3.03%)
         occurrences all number
    1
    3
    1
    Urinary tract infection
         subjects affected / exposed
    4 / 32 (12.50%)
    4 / 32 (12.50%)
    3 / 33 (9.09%)
         occurrences all number
    4
    6
    8
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    2 / 32 (6.25%)
    0 / 32 (0.00%)
    1 / 33 (3.03%)
         occurrences all number
    2
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    28 May 2020
    • Inclusion criterion 11 was updated to make clear that the intention was that antihypertensive subjects would be on a stable antihypertensive regimen during the study. • The following exclusion criteria were revised to the text as given in the CSR to capture the target subject population: exclusion criteria 5, 9, 12, 13, 14, 17, 19, 20, 25, 26. Text in other parts of the CSP were updated as appropriate to reflect changes in the exclusion criteria. • Additional information on concomitant medications was added as follows:  Generic substitutions of all stable medications for underlying diseases were allowed during the study. Changing a medication within the same therapeutic class was also permitted during the study.  Any subject who initiated a high dose or increased to a higher dose of Vitamin E (≥800 IU/day) during the course of the study had to undergo ET procedures (including liver biopsy and imaging if beyond Week 36). • Changes were made to update the NCI CTCAE version and provide clarification around documenting and reporting of AEs. • At home pregnancy tests were added at Weeks 52, 60, and 68 for females of childbearing potential. Due to the 8-week timeframe between clinic visits at Weeks 48, 56, and 72, these at home pregnancy tests were added to confirm subjects did not become pregnant during the extended time between visits. To determine the results of the pregnancy tests, additional phone contacts were added • The number of laboratory tests conducted to assess lipids and cardiovascular risk were reduced. These were no longer deemed necessary based on data readouts from previous studies.
    21 Mar 2021
    The screening time was extended from 8 to 10 weeks because additional time was needed to allow more flexibility for completion of all screening procedures in a sequential manner • The inclusion criteria for MRI-PDFF ≥8% and AST >30 IU/L were added to further refine the subject population eligible for study entry and thus increase the probability of resulting in eligible liver biopsy criteria • To avoid unnecessary burden on potential subjects, the inclusion criteria were modified to specify that screening assessments should be performed in a sequential manner and the liver biopsy should only be performed once the subject satisfied all other eligibility criteria • To avoid confusion noted by the sites with regard to the duration of a month (i.e., 28, 30, or 31 days), durations were changed from months to corresponding weeks throughout the CSP • Wording on Screening and use of concomitant medications was clarified with regard to rescreening options for subjects who required a medically necessary dose modification with an existing medication • The schedule of assessments was modified so that for subjects who discontinued between Weeks 10 and 12, the MRI/MRE that would have been conducted at Week 12 was to be conducted at the EOT visit • The wording of ECG requirements was revised to clarify ECG repeat requirements because the original language was proving to be confusing to sites. Normal ranges for ECG assessments were provided. • Due to the COVID 19 pandemic, provisions were added to clarify options for rescreening subjects who were affected by COVID 19 • Wording regarding the reporting of AEs was revised to simplify the recording requirements for AEs and all AEs collected would be entered into the eCRF • Clarified that DLQI was only to be completed at each in-clinic visit as opposed to all visits • The wording was revised to emphasize the need for reviewing eligibility criteria and detailing the definition of women childbearing potential.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    04 Oct 2021
    Enanta Pharmaceuticals, Inc. made the strategic decision to discontinue the ARGON-2 study to prioritize combination treatment approaches. This decision was not based on safety concerns.
    -

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    No limitations reported for the study.
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    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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