CClinicalTrials.gg
CompletedNCT02354976Updated Sep 25, 2018Results posted

A Double-blind Randomized Placebo-controlled Study Comparing Epanova and Fenofibrate on Liver Fat in Overweight Subjects.

A Phase 2 interventional study of Placebo and Omega-3 carboxylic acid in Non-alcoholic Fatty Liver Disease (NAFLD and Hypertriglyceridemia, sponsored by AstraZeneca. Completed at 4 sites in Sweden. Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-09-25.

Sponsored by AstraZeneca · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
78
Allocation
Randomized
Ages
40 Years to 75 Years
Sex
All
01

Study summary

This study is a double-blind randomized, placebo-controlled, parallel-group, 12 week study performed in 2 centres in Sweden to assess the effect of Omega-3 carboxylic acids and fenofibrate on liver fat measured with magnetic resonance imaging (MRI) in patients with over-weight and hypertriglyceridemia.

02

Conditions studied

  • Non-alcoholic Fatty Liver Disease (NAFLD
  • Hypertriglyceridemia

Keywords

  • omega-3 carboxylic acid
03

In context

Liver Diseases

2,081 studies on the registry are indexed under Liver Diseases; 390 are open to participants now.

This study's enrollment of 78 is above the median of 50 across 1,323 interventional studies indexed under Liver Diseases.

Browse Liver Diseases studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: - Provision of informed consent

  • Men or women ≥40 years and ≤75 years with suitable veins for cannulation or repeated venepuncture
  • Have serum triglycerides ≥1.7 mM
  • Have liver fat content as assessed by MRI >5.5%
  • Have a body mass index (BMI) >25 and ≤40 kg/m2

    , Exclusion Criteria: - History of or presence of any clinically significant disease or disorder which, in the opinion of the investigator, may either put the subject at risk because of participation in the study, or influence the results or the subject's ability to participate in the study.

  • Creatinine clearance \<60 mL/min at screening (Cockcroft-Gault formula).
  • Severe hepatic insufficiency and/or significant abnormal liver function defined as aspartate aminotransferase (AST) >3x upper limit of normal (ULN) and/or alanine aminotransferase (ALT) >3x ULN
  • Total bilirubin >2.0 mg/dL (34.2 µmol/L)
  • Type 2 diabetes, as defined by WHO criteria e.g. fasting plasma Glucose >7.0 mM or use of antidiabetic therapy
  • Any clinically significant abnormalities in clinical chemistry, haematology or urinalysis results as judged by the investigator. This includes signs of liver disease other than NAFLD that motivates further investigations of treatment based on clinical judgement
  • Recent history (past 12 months) of drug abuse or alcohol abuse. Alcohol abuse was to be defined as >14 drinks per week (1 drink = 35 cl beer, 14 cl wine, or 4 cl hard liquor) or as judged by the investigator
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
78 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Drug: Placebo

  • Experimental
    Omega-3 carboxylic acids 4g / day

    Drug: Omega-3 carboxylic acid

  • Active comparator
    Fenofibrate 200mg

    Drug: Fenofibrate 200mg

Interventions

  • DrugPlacebo

    Placebo matching to Omega-3 carboxylic acids (olive oil)

  • DrugOmega-3 carboxylic acid

    4 g administered as 4 x 1 g capsules

  • DrugFenofibrate 200mg

    200mg capsule administered once daily

  • DrugPlacebo

    Placebo matching to fenofibrate 200mg

06

What researchers measure

Primary outcomes

  1. Geometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Placebo)

    To evaluate the efficacy of Epanova compared to placebo with respect to reduction in liver fat content (%) at the end of 12 weeks of double-blinded treatment.

    Time frame: Baseline and 12 weeks

Secondary outcomes

  1. Geometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Fenofibrate)

    To evaluate the efficacy of Epanova compared to Fenofibrate with respect to reduction in liver fat content (%) at the end of 12 weeks of double-blinded treatment.

    Time frame: 12 weeks

07

Results

Posted Sep 25, 2018

Participant flow

This study was conducted in 4 centers in Sweden between 01 September 2015 and 26 May 2016.

Participant flow — Overall Study
MilestoneEpanovaFenofibratePlacebo
Started252726
Completed232623
Not completed213
Withdrew: Other - reason not specified101
Withdrew: Study-specifc withdrawal criteria010
Withdrew: Adverse event102

Outcome measures

PrimaryGeometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Placebo)

To evaluate the efficacy of Epanova compared to placebo with respect to reduction in liver fat content (%) at the end of 12 weeks of double-blinded treatment.

Time frame:
Baseline and 12 weeks
Reported as:
Geometric mean · ratio of % liver fat
Geometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Placebo)
ratio of % liver fatEpanovaPlacebo
Geometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Placebo)0.98 (0.82 to 1.17)1.04 (0.95 to 1.13)
Statistical analysis
  • Epanova vs Placebo · Mixed Models Analysis · p = 0.407 · Geometric mean ratio for difference: 0.92 · 95% CI 0.76 to 1.12
SecondaryGeometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Fenofibrate)

To evaluate the efficacy of Epanova compared to Fenofibrate with respect to reduction in liver fat content (%) at the end of 12 weeks of double-blinded treatment.

Time frame:
12 weeks
Reported as:
Geometric mean · ratio of % liver fat
Geometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Fenofibrate)
ratio of % liver fatEpanovaFenofibrate
Geometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Fenofibrate)0.98 (0.82 to 1.17)1.17 (0.99 to 1.37)
Statistical analysis
  • Epanova vs Fenofibrate · Mixed Models Analysis · p = 0.077 · Geometric mean ratio for difference: 0.84 · 95% CI 0.70 to 1.02

Adverse events

Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Epanova—1/25 (4%)17/25 (68%)
Fenofibrate—0/27 (0%)15/27 (55.6%)
Placebo—0/26 (0%)8/26 (30.8%)
Most frequent serious events
Most frequent serious events
EventEpanovaFenofibratePlacebo
UrosepsisInfections and infestations1/250/270/26
Most frequent other events
Showing 10 of 42
Most frequent other events
EventEpanovaFenofibratePlacebo
DiarrhoeaGastrointestinal disorders7/252/274/26
FlatulenceGastrointestinal disorders3/251/271/26
NauseaGastrointestinal disorders3/250/270/26
Abdominal painGastrointestinal disorders2/251/272/26
Abdominal pain upperGastrointestinal disorders2/250/271/26
NasopharyngitisInfections and infestations2/252/271/26
FatigueGeneral disorders0/252/271/26
PyrexiaGeneral disorders0/252/270/26
ConstipationGastrointestinal disorders1/250/271/26
Bladder painRenal and urinary disorders1/250/270/26

Baseline characteristics

Age, Continuous
Age, Continuous(Years)EpanovaFenofibratePlaceboTotal
Mean60.0 ± 7.7961.7 ± 7.7860.8 ± 7.8560.8 ± 7.73
Age, Customized
Age, Customized(Participants)EpanovaFenofibratePlaceboTotal
<503317
>=50 - <6516141545
>=656101026
Sex/Gender, Customized
Sex/Gender, Customized(Participants)EpanovaFenofibratePlaceboTotal
Female9121233
Male16151445
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)EpanovaFenofibratePlaceboTotal
Asian1102
Other1001
White23262675
08

Study locations

4 sites
  • Research Site
    Göteborg, 413 45, Sweden
  • Research Site
    Malmö, 205 02, Sweden
  • Research Site
    Stockholm, 11324, Sweden
  • Research Site
    Uppsala, 75237, Sweden
09

References and documents

Publications

  • Oscarsson J, Onnerhag K, Riserus U, Sunden M, Johansson L, Jansson PA, Moris L, Nilsson PM, Eriksson JW, Lind L. Effects of free omega-3 carboxylic acids and fenofibrate on liver fat content in patients with hypertriglyceridemia and non-alcoholic fatty liver disease: A double-blind, randomized, placebo-controlled study. J Clin Lipidol. 2018 Nov-Dec;12(6):1390-1403.e4. doi: 10.1016/j.jacl.2018.08.003. Epub 2018 Aug 10. PubMed 30197273 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02354976
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Feb 3, 2015
Start date
Sep 1, 2015
Primary completion
May 26, 2016
Completion
May 26, 2016
Results posted
Sep 25, 2018
Last update
Sep 25, 2018

Study contacts

Lars Lind, Professor
principal investigator · Uppsala University Hospital. Uppsala Sweden

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion