ClinicalTrials.gg
CompletedNCT04134091NASHUpdated Dec 14, 2023Results posted

The Efficacy, Safety and Tolerability of Oral LPCN 1144 in Subjects With Nonalcoholic Steatohepatitis

A Phase 2 interventional study of LPCN 1144 Formulation A and LPCN 1144 Formulation B in Nonalcoholic Steatohepatitis (NASH), sponsored by Lipocine Inc.. Completed at 19 sites in United States. Open to male participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-12-14.

Sponsored by Lipocine Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
Male
01

Study summary

This is a Phase 2, randomized, double-blind, placebo controlled, three arm study in adult men with biopsy confirmed NASH. The study is aimed at evaluating efficacy and tolerability of LPCN 1144 in adult men with NASH.

Read the detailed description

This is a Phase 2, randomized, double-blind, placebo controlled, three arm study in adult men with biopsy confirmed NASH. The study is aimed at evaluating efficacy and tolerability of LPCN 1144 in adult men with NASH. The study will be conducted across multiple centers in the United States.

Approximately 75 subjects will be randomized in 1:1:1 ratio to receive one of the following treatments:

  • Treatment A: Oral LPCN 1144 Formulation A
  • Treatment B: Oral LPCN 1144 Formulation B
  • Treatment C: Oral matching placebo

Subjects will undergo a screening period to determine study eligibility. As a part of screening, liver biopsies will be performed for subjects who have not had a liver biopsy within 6 months of Day 1, and fat fraction will be measured by magnetic resonance imaging derived proton density fat fraction (MRI-PDFF) in all subjects. Adult male subjects with histologic evidence of NASH will be enrolled into the study.

Eligible subjects will be randomized to one of the three treatment arms. The treatment phase will be for a duration of 36-weeks with assessments of liver biopsies, hepatic fat fraction, liver enzymes, lipid levels and other safety parameters. Safety and tolerability will be assessed throughout the study.

02

Conditions studied

  • Nonalcoholic Steatohepatitis (NASH)
03

In context

Non-alcoholic Fatty Liver Disease

1,617 studies on the registry are indexed under Non-alcoholic Fatty Liver Disease; 324 are open to participants now.

This study's enrollment of 56 is close to the median of 60 across 1,176 interventional studies indexed under Non-alcoholic Fatty Liver Disease.

Browse Non-alcoholic Fatty Liver Disease studies →

Lead sponsor

Lipocine Inc. is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 5 (71%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male between 18 and 80 years of age, inclusive.
  2. Subject with histologic evidence of NASH upon central read of a liver .

    i. A historical biopsy no more than 4 months before Screening may be considered for use with medical monitor approval if the following criteria are met:

    • Stable weights between the time of the biopsy and Screening. Stable weight is defined as no more than a 5% change.
    • Is either not taking or is on a stable dose of Thiazolidinedione(TZDs)/glitazones for 3 months before Day 1.
  3. Background therapy for other ongoing chronic conditions, and weight should be stable for at least 3 months before trial enrollment. Stable weight is defined as no more than a 5% change.
  4. Judged to be in good general health as determined by the investigator at screening.

Exclusion criteria

Exclusion Criteria:

  1. Significant alcohol consumption more than 30 g/day on average, either currently or for a period of more than 3 consecutive months in the 5 years prior to screening.
  2. Inability to reliably quantify alcohol intake.
  3. Biochemical, clinical or histologic evidence of cirrhosis on liver (stage 4 fibrosis).
  4. Evidence of other causes of chronic liver disease including alcoholic liver disease, viral hepatitis, primary biliary cirrhosis, primary sclerosing cholangitis, hepatitis, Wilson's disease, hemochromatosis, alpha-1 antitrypsin deficiency, , etc.
  5. Suspected or proven liver cancer.
  6. abnormal laboratory value, in the opinion of the investigator, in serum chemistry, hematology, or urinalysis including but not limited to:

    • Hematocrit > (ULN)
    • > ULN
    • Prostate-specific antigen (PSA) > 4 ng/mL
    • Serum (AST) or alanine transaminase (ALT) > 200 IU/L
    • Serum alkaline phosphatase (ALP) > 2 x ULN
    • Serum creatinine of 2.0 mg/dL or greater
    • Total > ULN
    • (INR) ≥ 1.3.
    • Prolactin > ULN
  7. Subjects with evidence of worsening liver function based on the two initial laboratory values used to establish the screening / baseline values.
  8. Model for End-Stage Liver Disease (MELD) score greater than 12
  9. Subjects with a documented history of Gilbert's syndrome
  10. Evidence of portal hypertension (e.g., low counts, esophageal varices, ascites, history of hepatic encephalopathy, splenomegaly).
  11. Use of drugs historically associated with NAFLD (amiodarone, methotrexate, systemic , tetracyclines, tamoxifen, estrogens, anabolic steroids, valproic acid, other known hepatotoxins) for more than 2 weeks in the 2 years prior to randomization.
  12. Subjects who are not on a stable dose of lipid-lowering drugs, diabetic and / or hypertensive medication in the 3 months prior to biopsy or the 3 months prior to randomization
  13. Any over-the-counter medication or herbal remedy that is being taken with an intent to improve hyperlipidemia must be stable for at least 3 months prior to randomization and through the end of the study.
  14. Vitamin E supplementation of greater than 100 IU/day, unless completed adequate for at least 4 weeks prior to Day 1 or biopsy if one is required.
  15. Inability to safely obtain a liver biopsy.
  16. History of total parenteral nutrition in the year prior to screening.
  17. History of bariatric surgery or currently undergoing evaluation for bariatric surgery.
  18. History of gastric surgery, vagotomy, bowel resection or any surgical procedure that might interfere with gastrointestinal motility, pH or absorption.
  19. History of biliary diversion.
  20. Known positivity for antibody to Human Immunodeficiency Virus (HIV).
  21. Known heart failure of class 3 or 4.
  22. Active, serious medical disease with likely life-expectancy less than 5 years.
  23. History of current or suspected prostate or breast cancer.
  24. History of diagnosed, severe, untreated, obstructive sleep apnea.
  25. Active substance abuse in the year prior to screening.
  26. History of significant sensitivity or allergy to any androgens, including testosterone, or product
  27. History of seizures or convulsions, including alcohol or drug withdrawal seizures. Childhood seizures are not exclusionary.
  28. Use of known strong inhibitors (e.g., ketoconazole) or inducers (e.g., dexamethasone, phenytoin, rifampin, carbamazepine) of cytochrome P450 3A () within 30 days prior to study drug administration and through the end of the study.
  29. Subjects who are currently receiving any androgens (testosterone or other androgens or androgen supplements). Subjects who are on testosterone may be eligible for the study following an adequate washout (12 weeks following intramuscular androgen injections; 4 weeks following topical or buccal androgens; 3 weeks following oral androgens).
  30. Use of any drug within 5 half-lives of the last dose or in the past 6 months prior to Study Day -2 without PI and/or Sponsor approval.
  31. Receipt of any drug by injection within 30 days or 10 half-lives (whichever is longer) prior to study drug administration without PI and/or Sponsor approval. Insulin, allergy shots, and vaccines are allowed.
  32. Subject who is not willing to use adequate for the duration of the study.
  33. Any other condition, which in the opinion of the investigator would impede compliance or hinder completion of the study.
  34. Failure to give .
Terms in these criteria, in plain language(18)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    Treatment A

    LPCN 1144 Formulation A

    Drug: LPCN 1144 Formulation A

  • Experimental
    Treatment B

    LPCN 1144 Formulation B

    Drug: LPCN 1144 Formulation B

  • Placebo comparator
    Treatment C

    Placebo

    Drug: Placebo

Interventions

  • Oral LPCN 1144 Formulation A capsule, total daily dose of 450 mg testosterone undecanoate administered as 225 mg testosterone undecanoate twice daily (BID).

    Also known as: testosterone undecanoate

  • DrugLPCN 1144 Formulation B

    Oral LPCN 1144 + d-alpha tocopherol total daily dose of 450 mg testosterone undecanoate + 476 mg d-alpha tocopherol administered as 225 mg testosterone undecanoate + 238 mg d-alpha tocopherol BID

    Also known as: testosterone undecanoate with d-alpha tocopherol

  • DrugPlacebo

    Oral matching placebo capsule administered as BID

    Also known as: Oral placebo

06

What researchers measure

Primary outcomes

  1. Absolute Change in Hepatic Fat Fraction Based on MRI-PDFF Measurements in LPCN 1144 Treated Subjects Compared to Placebo.

    The change in magnetic resonance imaging derived proton fat fraction (MRI-PDFF) from baseline to week 12 in LPCN 1144 treated subjects and subjects given placebo.

    Time frame: Baseline and Week 12

Secondary outcomes

  1. Relative Change in MRI-PDFF Measurements in LPCN 1144 Treated Subjects Compared to Placebo.

    Requirement for inclusion in analysis was having a baseline hepatic fat fraction ≥ 5% based on MRI-PDFF.

    Time frame: Baseline and week 12

  2. Number of Participants With Resolution of NASH on Overall Histopathological Reading in LPCN 1144 Treated Subjects Compared to Placebo

    Resolution of nonalcoholic steatohepatitis (NASH) is defined as the nonalcoholic fatty liver disease activity score (NAS) score of 0-1 for inflammation, 0 for ballooning, and any value for steatosis. These data are based on the NASH-clinical research network (CRN) histology scoring system. The range of scores are as follows (with higher scores equating to a more pathological feature): Steatosis 0-3, inflammation 0-3, ballooning 0-2, fibrosis state 0-4, and NAS 0-8.

    Time frame: Baseline and Week 36

  3. Number of Subjects Achieving Resolution of NASH on Overall Histopathological Reading and no Worsening of Liver Fibrosis in LPCN 1144 Treated Subjects Compared to Placebo.

    Resolution of NASH is defined as NAS score of 0-1 for inflammation, 0 for ballooning, and any value for steatosis. These data are based on the NASH-CRN histology scoring system. The range of scores are as follows (with higher scores equating to a more pathological feature): Steatosis 0-3, inflammation 0-3, ballooning 0-2, fibrosis state 0-4, and NAS 0-8. No worsening was defined as a score in fibrosis equal to, or lower, than baseline.

    Time frame: Baseline and Week 36

  4. Number of Subjects With Improvement in NASH Evaluated by Paired Biopsies Analysis and no Worsening of Liver Fibrosis in LPCN 1144 Treated Subjects Compared to Placebo.

    Paired biopsies are randomly assigned A or B and are scored by a blinded pathologist as better, worse or same for change in fibrosis, steatosis, inflammation, and ballooning. Improvement in NASH requires no worsening of fibrosis, an improvement in ballooning or inflammation, and no worsening of ballooning or inflammation. Assessment of better or same is considered as no worsening.

    Time frame: Baseline and week 36

  5. Change in the Mean Score of NAS Components at Baseline and After 36 Weeks of Treatment in LPCN 1144 Treated Subjects Compared to Placebo.

    These data are based on the NASH-CRN histology scoring system. The range of scores are as follows (with higher scores equating to a more pathological feature): Steatosis 0-3, inflammation 0-3, ballooning 0-2, fibrosis state 0-4, and NAS 0-8.

    Time frame: Baseline and Week 36

  6. Number of Subjects With an Improvement in Liver Fibrosis Greater Than or Equal to One Stage and no Worsening of NASH in LPCN 1144 Treated Subjects Compared to Placebo.

    These data are based on the NASH-CRN histology scoring system. The range of scores are as follows (with higher scores equating to a more pathological feature): Steatosis 0-3, inflammation 0-3, ballooning 0-2, and fibrosis stage 0-4. Improvement in liver fibrosis was defined as an improvement in fibrosis greater than or equal to one stage using the NASH CRN fibrosis score with no worsening of ballooning, inflammation, or steatosis.

    Time frame: Baseline and Week 36

  7. Number of Subjects With Improvement in Fibrosis Evaluated by Paired Biopsies Analysis and no Worsening of NASH in LPCN 1144 Treated Subjects Compared to Placebo

    Paired biopsies are randomly assigned A or B and are scored by a blinded pathologist as better, worse or same for change in fibrosis, steatosis, inflammation, and ballooning. Improvement in fibrosis requires a better score in fibrosis and no worsening of ballooning or inflammation. Assessment of better or same is considered as no worsening.

    Time frame: Baseline to week 36

  8. Number of Subjects With Improvement in Fibrosis Evaluated Via FibroNest Scores

    Improvement in Fibrosis is defined as improvement in parenchymal tissue normalized phenotypic fibrosis composite value compared to baseline. FibroNest is an image analysis system for the assessment of the severity and progression of fibrosis in NASH, produced by PharmaNest LLC.

    Time frame: Baseline and week 36

  9. Relative Change in Appendicular Lean Muscle Mass

    Relative change in appendicular lean muscle mass measured by dual-energy absorptiometry (DXA) in LPCN 1144 treated subjects compared to Placebo. Data were last observation carried forward.

    Time frame: Baseline and 36 weeks

  10. Relative Change in Whole Body Fat Mass

    Relative change in whole body fat mass measured by dual-energy absorptiometry (DXA) in LPCN 1144 treated subjects compared to Placebo. Data were last observation carried forward.

    Time frame: Baseline and week 36

  11. Mean Change From Baseline in Liver Enzymes in LPCN 1144 Treated Subjects Compared to Placebo.

    Liver enzymes analyzed were aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), and gamma-glutamyltransferase (GGT)

    Time frame: Baseline and Week 36

  12. Mean Changes in Serum Lipid Profile Parameters in LPCN 1144 Treated Subjects Compared to Placebo.

    Lipid profile parameters included total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides.

    Time frame: Baseline and Week 36

07

Results

Posted Dec 14, 2023

Participant flow

Participant flow — Overall Study
MilestoneTreatment ATreatment BTreatment C
Started181919
Completed week 12181918
Completed181717
Not completed022

Outcome measures

PrimaryAbsolute Change in Hepatic Fat Fraction Based on MRI-PDFF Measurements in LPCN 1144 Treated Subjects Compared to Placebo.

The change in magnetic resonance imaging derived proton fat fraction (MRI-PDFF) from baseline to week 12 in LPCN 1144 treated subjects and subjects given placebo.

Time frame:
Baseline and Week 12
Reported as:
Least squares mean · Percentage of liver fat
Absolute Change in Hepatic Fat Fraction Based on MRI-PDFF Measurements in LPCN 1144 Treated Subjects Compared to Placebo.
Percentage of liver fatTreatment ATreatment BTreatment C
Absolute Change in Hepatic Fat Fraction Based on MRI-PDFF Measurements in LPCN 1144 Treated Subjects Compared to Placebo.-7.68 (-9.82 to -5.54)-9.17 (-11.26 to -7.08)-1.54 (-3.65 to 0.58)
Statistical analysis
  • Treatment A vs Treatment C · ANCOVA · p = <0.0001
  • Treatment B vs Treatment C · ANCOVA · p = <0.0001
SecondaryRelative Change in MRI-PDFF Measurements in LPCN 1144 Treated Subjects Compared to Placebo.

Requirement for inclusion in analysis was having a baseline hepatic fat fraction ≥ 5% based on MRI-PDFF.

Time frame:
Baseline and week 12
Reported as:
Least squares mean · Percentage change
Relative Change in MRI-PDFF Measurements in LPCN 1144 Treated Subjects Compared to Placebo.
Percentage changeTreatment ATreatment BTreatment C
Relative Change in MRI-PDFF Measurements in LPCN 1144 Treated Subjects Compared to Placebo.-39.94 (-50.76 to -29.11)-46.84 (-57.30 to -36.38)-9.34 (-20.20 to 1.53)
Statistical analysis
  • Treatment A vs Treatment C · ANCOVA · p = 0.0001
  • Treatment B vs Treatment C · ANCOVA · p = <0.0001
SecondaryNumber of Participants With Resolution of NASH on Overall Histopathological Reading in LPCN 1144 Treated Subjects Compared to Placebo

Resolution of nonalcoholic steatohepatitis (NASH) is defined as the nonalcoholic fatty liver disease activity score (NAS) score of 0-1 for inflammation, 0 for ballooning, and any value for steatosis. These data are based on the NASH-clinical research network (CRN) histology scoring system. The range of scores are as follows (with higher scores equating to a more pathological feature): Steatosis 0-3, inflammation 0-3, ballooning 0-2, fibrosis state 0-4, and NAS 0-8.

Time frame:
Baseline and Week 36
Reported as:
Count of participants · Participants
Number of Participants With Resolution of NASH on Overall Histopathological Reading in LPCN 1144 Treated Subjects Compared to Placebo
ParticipantsTreatment ATreatment BTreatment C
Number of Participants With Resolution of NASH on Overall Histopathological Reading in LPCN 1144 Treated Subjects Compared to Placebo791
Statistical analysis
  • Treatment A vs Treatment C · Fisher Exact · p = <0.05
  • Treatment B vs Treatment C · Fisher Exact · p = <0.01
SecondaryNumber of Subjects Achieving Resolution of NASH on Overall Histopathological Reading and no Worsening of Liver Fibrosis in LPCN 1144 Treated Subjects Compared to Placebo.

Resolution of NASH is defined as NAS score of 0-1 for inflammation, 0 for ballooning, and any value for steatosis. These data are based on the NASH-CRN histology scoring system. The range of scores are as follows (with higher scores equating to a more pathological feature): Steatosis 0-3, inflammation 0-3, ballooning 0-2, fibrosis state 0-4, and NAS 0-8. No worsening was defined as a score in fibrosis equal to, or lower, than baseline.

Time frame:
Baseline and Week 36
Reported as:
Count of participants · Participants
Number of Subjects Achieving Resolution of NASH on Overall Histopathological Reading and no Worsening of Liver Fibrosis in LPCN 1144 Treated Subjects Compared to Placebo.
ParticipantsTreatment ATreatment BTreatment C
Number of Subjects Achieving Resolution of NASH on Overall Histopathological Reading and no Worsening of Liver Fibrosis in LPCN 1144 Treated Subjects Compared to Placebo.690
Statistical analysis
  • Treatment A vs Treatment C · Fisher Exact · p = <0.05
  • Treatment B vs Treatment C · Fisher Exact · p = <0.001
SecondaryNumber of Subjects With Improvement in NASH Evaluated by Paired Biopsies Analysis and no Worsening of Liver Fibrosis in LPCN 1144 Treated Subjects Compared to Placebo.

Paired biopsies are randomly assigned A or B and are scored by a blinded pathologist as better, worse or same for change in fibrosis, steatosis, inflammation, and ballooning. Improvement in NASH requires no worsening of fibrosis, an improvement in ballooning or inflammation, and no worsening of ballooning or inflammation. Assessment of better or same is considered as no worsening.

Time frame:
Baseline and week 36
Reported as:
Count of participants · Participants
Number of Subjects With Improvement in NASH Evaluated by Paired Biopsies Analysis and no Worsening of Liver Fibrosis in LPCN 1144 Treated Subjects Compared to Placebo.
ParticipantsTreatment ATreatment BTreatment C
Number of Subjects With Improvement in NASH Evaluated by Paired Biopsies Analysis and no Worsening of Liver Fibrosis in LPCN 1144 Treated Subjects Compared to Placebo.982
Statistical analysis
  • Treatment A vs Treatment C · Fisher Exact · p = <0.05
  • Treatment B vs Treatment C · Fisher Exact · p = <0.05
SecondaryChange in the Mean Score of NAS Components at Baseline and After 36 Weeks of Treatment in LPCN 1144 Treated Subjects Compared to Placebo.

These data are based on the NASH-CRN histology scoring system. The range of scores are as follows (with higher scores equating to a more pathological feature): Steatosis 0-3, inflammation 0-3, ballooning 0-2, fibrosis state 0-4, and NAS 0-8.

Time frame:
Baseline and Week 36
Reported as:
Least squares mean · NAS score
Change in the Mean Score of NAS Components at Baseline and After 36 Weeks of Treatment in LPCN 1144 Treated Subjects Compared to Placebo.
NAS scoreTreatment ATreatment BTreatment C
Hepatocyte ballooning score-0.7 (-1.1 to -0.3)-0.9 (-1.3 to -0.5)-0.2 (-0.6 to 0.2)
Lobular inflammation score-0.2 (-0.5 to 0.1)-0.5 (-0.8 to -0.1)-0.1 (-0.4 to 0.2)
Steatosis score-0.9 (-1.3 to -0.6)-1.2 (-1.6 to -0.8)-0.1 (-0.5 to 0.2)
Statistical analysis
  • Treatment A vs Treatment C · ANCOVA · p = >0.05
  • Treatment B vs Treatment C · ANCOVA · p = <0.05
  • Treatment A vs Treatment C · ANCOVA · p = >0.05
  • Treatment B vs Treatment C · ANCOVA · p = >0.05
  • Treatment A vs Treatment C · ANCOVA · p = <0.01
  • Treatment B vs Treatment C · ANCOVA · p = <0.001
SecondaryNumber of Subjects With an Improvement in Liver Fibrosis Greater Than or Equal to One Stage and no Worsening of NASH in LPCN 1144 Treated Subjects Compared to Placebo.

These data are based on the NASH-CRN histology scoring system. The range of scores are as follows (with higher scores equating to a more pathological feature): Steatosis 0-3, inflammation 0-3, ballooning 0-2, and fibrosis stage 0-4. Improvement in liver fibrosis was defined as an improvement in fibrosis greater than or equal to one stage using the NASH CRN fibrosis score with no worsening of ballooning, inflammation, or steatosis.

Time frame:
Baseline and Week 36
Reported as:
Count of participants · Participants
Number of Subjects With an Improvement in Liver Fibrosis Greater Than or Equal to One Stage and no Worsening of NASH in LPCN 1144 Treated Subjects Compared to Placebo.
ParticipantsTreatment ATreatment BTreatment C
Number of Subjects With an Improvement in Liver Fibrosis Greater Than or Equal to One Stage and no Worsening of NASH in LPCN 1144 Treated Subjects Compared to Placebo.426
Statistical analysis
  • Treatment A vs Treatment C · Fisher Exact · p = >0.05
  • Treatment B vs Treatment C · Fisher Exact · p = >0.05
SecondaryNumber of Subjects With Improvement in Fibrosis Evaluated by Paired Biopsies Analysis and no Worsening of NASH in LPCN 1144 Treated Subjects Compared to Placebo

Paired biopsies are randomly assigned A or B and are scored by a blinded pathologist as better, worse or same for change in fibrosis, steatosis, inflammation, and ballooning. Improvement in fibrosis requires a better score in fibrosis and no worsening of ballooning or inflammation. Assessment of better or same is considered as no worsening.

Time frame:
Baseline to week 36
Reported as:
Count of participants · Participants
Number of Subjects With Improvement in Fibrosis Evaluated by Paired Biopsies Analysis and no Worsening of NASH in LPCN 1144 Treated Subjects Compared to Placebo
ParticipantsTreatment ATreatment BTreatment C
Number of Subjects With Improvement in Fibrosis Evaluated by Paired Biopsies Analysis and no Worsening of NASH in LPCN 1144 Treated Subjects Compared to Placebo683
Statistical analysis
  • Treatment A vs Treatment C · Fisher Exact · p = >0.05
  • Treatment B vs Treatment C · Fisher Exact · p = >0.05
SecondaryNumber of Subjects With Improvement in Fibrosis Evaluated Via FibroNest Scores

Improvement in Fibrosis is defined as improvement in parenchymal tissue normalized phenotypic fibrosis composite value compared to baseline. FibroNest is an image analysis system for the assessment of the severity and progression of fibrosis in NASH, produced by PharmaNest LLC.

Time frame:
Baseline and week 36
Reported as:
Count of participants · Participants
Number of Subjects With Improvement in Fibrosis Evaluated Via FibroNest Scores
ParticipantsTreatment ATreatment BTreatment C
Number of Subjects With Improvement in Fibrosis Evaluated Via FibroNest Scores1265
Statistical analysis
  • Treatment A vs Treatment C · Fisher Exact · p = <0.05
  • Treatment B vs Treatment C · Fisher Exact · p = >0.05
SecondaryRelative Change in Appendicular Lean Muscle Mass

Relative change in appendicular lean muscle mass measured by dual-energy absorptiometry (DXA) in LPCN 1144 treated subjects compared to Placebo. Data were last observation carried forward.

Time frame:
Baseline and 36 weeks
Reported as:
Least squares mean · Percentage change
Relative Change in Appendicular Lean Muscle Mass
Percentage changeTreatment ATreatment BTreatment C
Relative Change in Appendicular Lean Muscle Mass2.75 (-0.04 to 5.54)1.90 (-0.87 to 4.67)-1.42 (-4.12 to 1.28)
Statistical analysis
  • Treatment A vs Treatment C · ANCOVA · p = <0.05
  • Treatment B vs Treatment C · ANCOVA · p = >0.05
SecondaryRelative Change in Whole Body Fat Mass

Relative change in whole body fat mass measured by dual-energy absorptiometry (DXA) in LPCN 1144 treated subjects compared to Placebo. Data were last observation carried forward.

Time frame:
Baseline and week 36
Reported as:
Least squares mean · Percentage change
Relative Change in Whole Body Fat Mass
Percentage changeTreatment ATreatment BTreatment C
Relative Change in Whole Body Fat Mass-3.68 (-9.60 to 2.24)-7.33 (-13.35 to -1.31)1.78 (-4.01 to 7.57)
Statistical analysis
  • Treatment A vs Treatment C · ANCOVA · p = >0.05
  • Treatment B vs Treatment C · ANCOVA · p = <0.05
SecondaryMean Change From Baseline in Liver Enzymes in LPCN 1144 Treated Subjects Compared to Placebo.

Liver enzymes analyzed were aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), and gamma-glutamyltransferase (GGT)

Time frame:
Baseline and Week 36
Reported as:
Least squares mean · U/L
Mean Change From Baseline in Liver Enzymes in LPCN 1144 Treated Subjects Compared to Placebo.
U/LTreatment ATreatment BTreatment C
Aspartate transaminase (AST)-8.0 (-14.9 to -1.0)-12.0 (-18.9 to -5.1)1.3 (-5.8 to 8.3)
Alanine transaminase (ALT)-11.4 (-23.1 to 0.3)-22.9 (-34.5 to -11.2)0.6 (-11.3 to 12.4)
Alkaline phosphatase (ALP)-6.1 (-11.4 to -0.9)-8.5 (-13.7 to -3.3)0.1 (-5.1 to 5.4)
Gamma-glutamyltransferase (GGT)-2.9 (-11.4 to 5.6)-13.4 (-22.0 to -4.9)0.7 (-8.0 to 9.4)
Statistical analysis
  • Treatment A vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment B vs Treatment C · Mixed Models Analysis · p = <0.01
  • Treatment A vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment B vs Treatment C · Mixed Models Analysis · p = < 0.01
  • Treatment A vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment B vs Treatment C · Mixed Models Analysis · p = <0.05
  • Treatment A vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment B vs Treatment C · Mixed Models Analysis · p = <0.05
SecondaryMean Changes in Serum Lipid Profile Parameters in LPCN 1144 Treated Subjects Compared to Placebo.

Lipid profile parameters included total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides.

Time frame:
Baseline and Week 36
Reported as:
Least squares mean · mg/dL
Mean Changes in Serum Lipid Profile Parameters in LPCN 1144 Treated Subjects Compared to Placebo.
mg/dLTreatment ATreatment BTreatment C
Total Cholesterol-1.7 (-17.7 to 14.2)7.3 (-8.8 to 23.4)1.1 (-15.4 to 17.7)
LDL1.8 (-11.4 to 15.1)8.7 (-3.6 to 21.1)-6.0 (-20.0 to 7.9)
HDL-3.3 (-5.8 to -0.7)-2.0 (-4.6 to 0.6)-0.0 (-2.7 to 2.7)
Triglycerides-11.5 (-78.6 to 55.6)-3.9 (-70.8 to 63.0)67.3 (-0.2 to 134.9)
Statistical analysis
  • Treatment A vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment B vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment A vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment B vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment A vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment B vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment A vs Treatment C · Mixed Models Analysis · p = >0.05
  • Treatment B vs Treatment C · Mixed Models Analysis · p = >0.05

Adverse events

Collected over Adverse event data were collected for a duration of 36 weeks for each participant while enrolled in study.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment A1/18 (5.6%)2/18 (11.1%)12/18 (66.7%)
Treatment B0/19 (0%)2/19 (10.5%)11/19 (57.9%)
Treatment C1/19 (5.3%)1/19 (5.3%)16/19 (84.2%)
Most frequent serious events
Most frequent serious events
EventTreatment ATreatment BTreatment C
Acute myocardial infarctionCardiac disorders1/180/190/19
Cardio-respiratory arrestCardiac disorders1/180/190/19
Coronary artery diseaseCardiac disorders1/180/190/19
HyperprolactinemiaEndocrine disorders1/180/190/19
Lung cancer metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/180/190/19
Corona virus infectionInfections and infestations0/181/191/19
PolycythemiaBlood and lymphatic system disorders0/181/190/19
Mental status changePsychiatric disorders0/180/191/19
Most frequent other events
Showing 10 of 81
Most frequent other events
EventTreatment ATreatment BTreatment C
HypertensionVascular disorders3/180/191/19
Corona virus infectionInfections and infestations2/181/192/19
BronchitisInfections and infestations1/180/192/19
Urinary tract infectionInfections and infestations1/182/190/19
DiarrheaGastrointestinal disorders1/180/192/19
Abdominal painGastrointestinal disorders0/180/192/19
Type 2 diabetes mellitusMetabolism and nutrition disorders0/181/192/19
Edema peripheralGeneral disorders1/181/192/19
AnxietyPsychiatric disorders1/182/190/19
Back painMusculoskeletal and connective tissue disorders1/181/191/19

Baseline characteristics

All randomized participants.

Age, Categorical
Age, Categorical(Participants)Treatment ATreatment BTreatment CTotal
<=18 years0000
Between 18 and 65 years17151547
>=65 years1449
Age, Continuous
Age, Continuous(years)Treatment ATreatment BTreatment CTotal
Mean51.3 ± 8.6653.4 ± 10.6853.6 ± 11.252.8 ± 10.13
Sex: Female, Male
Sex: Female, Male(Participants)Treatment ATreatment BTreatment CTotal
Female0000
Male18191956
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment ATreatment BTreatment CTotal
Hispanic or Latino76619
Not Hispanic or Latino11131337
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment ATreatment BTreatment CTotal
American Indian or Alaska Native0011
Asian0011
Native Hawaiian or Other Pacific Islander0000
Black or African American0112
White18181652
More than one race0000
Unknown or Not Reported0000
08

Study locations

19 sites
  • TriWest Research Associates, LLC
    El Cajon, California 92020, United States
  • United Medical Doctors
    Murrieta, California 92563, United States
  • Inland Empire Liver Foundation
    Rialto, California 92377, United States
  • Clinical Trials Research
    Roseville, California 95661, United States
  • Meridien Research-Maitland
    Maitland, Florida 32751, United States
  • Clinical Pharmacology of Miami, LLC
    Miami, Florida 33014, United States
  • Sensible Healthcare, LLC
    Ocoee, Florida 34761, United States
  • Tandem Clinical Research
    Marrero, Louisiana 70072, United States
  • Jubilee Clinical Research, Inc.
    Las Vegas, Nevada 89106, United States
  • Clinical Research of South Nevada
    Las Vegas, Nevada 89121, United States
  • Awasty Research Network
    Marion, Ohio 43302, United States
  • R&H Clinical Research
    Katy, Texas 77494, United States
  • Sun Research Institute
    San Antonio, Texas 78215, United States
  • Endeavor Clinical Trials
    San Antonio, Texas 78229, United States
  • Clinical Trial Network-Houston
    Spring, Texas 77386, United States
  • Pioneer Research Soultions
    Sugar Land, Texas 77479, United States
  • Advanced Clinical Research - Gut Whisperer
    Riverton, Utah 84065, United States
  • Granger Medical Clinic
    West Valley City, Utah 84120, United States
  • Manassas Clinical Research Center
    Manassas, Virginia 20110, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2019 to primary completion in Jun 2021, 21 months.

Results were first posted in Dec 2023, 2 years 5 months after primary completion.

Of 132 industry-sponsored phase 2 interventional studies under Non-alcoholic Fatty Liver Disease, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 30. This study's 21 months is close to that.

Counting every sponsor, half of 185 studies reached it within 26 months; a quarter within 16 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 16, 2019
First posted
Oct 21, 2019
StartActual
Aug 27, 2019
Primary completionActual
Jun 24, 2021
CompletionActual
Jun 24, 2021
Results first posted
Dec 14, 2023
Last update
Dec 14, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 14, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04134091
Lead sponsor
Lipocine Inc.
Responsible party
Sponsor
First posted
Oct 21, 2019
Start date
Aug 27, 2019
Primary completion
Jun 24, 2021
Completion
Jun 24, 2021
Results posted
Dec 14, 2023
Last update
Dec 14, 2023

Study contacts

Anthony DelConte
study director · Lipocine Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Testosterone undecanoate

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