ClinicalTrials.gg
CompletedNCT04618744Updated Aug 7, 2024Results posted

A Study to Assess the Safety and Efficacy of Oral Insulin in T2DM Patients With Nonalcoholic Steatohepatitis (NASH)

A Phase 2 interventional study of ORMD-0801 (Insulin) capsule 8 mg BD and Placebo in Diabetes Mellitus, Type 2 and NASH - Nonalcoholic Steatohepatitis, sponsored by Oramed, Ltd.. Completed at 3 sites in 2 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-08-07.

Sponsored by Oramed, Ltd. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 222 studies in Diabetes Mellitus, Type 2 with a site in Israel — 9 open to participants now, 15 under way, 6 of them phase 3. Diabetes Mellitus, Type 2 · Israel.

Enrollment
174th of 196
32 · median 337
Started
2020
with 9 others
Phase 2
19 of 222
none open now
Registered
196th of 222
by date

Among the 222 studies in Diabetes Mellitus, Type 2 with a site in Israel, this one is the 174th largest by enrollment of the 196 interventional ones, is one of 10 that started in 2020, is one of 19 in phase 2, and was the 196th registered.

By phase

222 studies; the count open now beside each. This study's row is marked.

Phase 3109 · 3 open
No phase39 · 4 open
Observational24 · 1 open
Phase 423 · 0 open
Phase 2this study19 · 0 open
Phase 2/34 · 0 open
Phase 1/23 · 1 open
Phase 11 · 0 open

By the year they started

First in 1998; this study’s year is marked. 10 started in 2020.

Size and results

Median enrollment 337 across the 196 interventional studies, 1,118 across the 24 observational. Of the 173 that completed or were terminated, 106 (61%) have results posted.

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02

Study summary

This is a double-blind, randomized, placebo-controlled, multi-center study using the oral ORMD-0801 insulin formulation in patients with NASH and confirmed type 2 DM.

Read the detailed description

This is a double-blind, randomized, placebo-controlled, multi-center study using the oral ORMD-0801 insulin formulation in patients with NASH and confirmed type 2 DM. The study will consist of a Screening Phase, Placebo Run-in Phase, Treatment Phase and an End-of-Study Phase. Approximately 36 subjects will be randomized in a 2:1 ratio to receive either 8 mg ORMD-0801, 1 capsule twice a day (once in the morning approximately 30 to 45 minutes prior to breakfast and no later than 10 AM, and once at night between 8 PM to Midnight and no sooner than 1 hour after dinner) or matching placebo.

03

Conditions studied

  • Diabetes Mellitus, Type 2
  • NASH - Nonalcoholic Steatohepatitis
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
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

  • Male or female aged 18-70 years.
  • ≥25
  • Known type 2 DM according to American Diabetic Association (one of the three needed): Fasting Plasma Glucose ≥126 mg/dl or 2h postprandial (PG) following 75g OGTT ≥200 mg/dl or > 6.5%28 or on treatment with metformin only or metformin in addition to no more than two of the following medications sulfonylurea, DPP-4 inhibitors, GLP-1 receptor agonists, Thiazolidinediones (TZDs)
  • Diagnosis of NAFLD by non-invasive determination of hepatic steatosis grade S1, defined as hepatic steatosis>8% by MRI- PDFF and CAP FibroScan ≥ 238 dB/m.
  • Liver enzyme abnormalities: ≤5 times.
  • Fibrosis score 21≤F≤3 as defined by FibroScan measurement (Liver stiffness measurement, LSM) of 6 ≤ LSM ≤ 12 kPa.
  • Signature of the written .
  • Negative urine serum pregnancy test at Screening study entry for females of (WCBP).
  • WCBP must have a negative urine pregnancy test result prior to the start of the run-in period and initiation if active dosing. A negative urine and serum pregnancy test must be obtained prior to active dosing. Males and females of childbearing potential must use two methods of (double barrier method), one of which must be an acceptable barrier method from the time of screening to the last dosing study visit (22 weeks). Barrier methods of contraception include male condoms plus spermicide, diaphragm with spermicide plus male condom, cervical cap with spermicide plus male condom, or oral contraceptives. Acceptable methods of birth control include abstinence, oral contraceptives, surgical sterilization, vasectomy, the contraceptive patch, and the contraceptive ring. If a subject is not usually sexually active but becomes active, he or his partner should use medically accepted forms of contraception. Sperm donations will not be allowed for the duration of the study and for 90 days after the last dose of study drug.
  • Females of non-childbearing potential are defined as who a) had more than 24 months since last menstrual cycle with menopausal levels of FSH (FSH Level > 40), b) who are surgically menopausal (surgical sterility defined by tubal occlusion, bilateral oophorectomy, bilateral salpingectomy or hysterectomy).
  • For hypertensive patients, hypertension must be controlled by a stable dose of anti-hypertensive medication for at least 2 months prior to screening (and the stable dose can be maintained throughout the study) with BP \< 150/\<95 mmHg
  • Patients previously treated with vitamin E (>400IU/day), Polyunsaturated fatty acid (>2g/day) or Ursodeoxycholic acid fish oil can be included if drugs are stopped at least 3 months prior to enrolment and up to the end of the study.
  • Glycaemia must be controlled (Glycosylated Hemoglobin A1C ≤8.5%) while any HbA1C increment should not exceed 1% during 6 months prior to enrolment).

Exclusion criteria

Exclusion Criteria:

  • Patients with active (acute or chronic) liver disease other than NASH (e.g. viral hepatitis, genetic hemochromatosis, Wilson disease, alpha-1 antitrypsin deficiency, alcohol liver disease, drug-induced liver disease) at the time of enrolment.
  • or AST > 5 times .
  • Abnormal synthetic liver function (serum albumin ≤3.5gm%, >1.3).
  • Known alcohol and/or any other drug abuse or dependence in the last five years.
  • Weight >120 Kg (264.6 lbs.)
  • Known history or presence of , cardiovascular, gastrointestinal, metabolic (other than diabetes mellitus), neurologic, pulmonary, endocrine, psychiatric, neoplastic disorder, or nephrotic syndrome.
  • History or presence of any disease or condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs including bile salt metabolites (e.g. inflammatory bowel disease (IBD), previous intestinal (ileal or colonic) operation, chronic pancreatitis, celiac disease, or previous vagotomy.
  • Weight loss of more than 5% within 6 months prior to enrolment.
  • History of bariatric surgery.
  • Uncontrolled blood pressure BP ≥150/≥95.
  • Non-type 2 DM (type 1, endocrinopathy, genetic syndromes etc.).
  • Patients with .
  • Daily alcohol intake >20 g/day (2 units/day) for women and >30 g/day (3 units/day) for men.
  • Treatment with anti-diabetic medications other than metformin and more than two of the following medications sulfonylurea, DPP-4 inhibitors, GLP-1 receptor agonists, TZDs
  • Metformin, fibrates, statins, not provided on a stable dose in the last 6 months.
  • Patients who are treated with valproic acid, Tamoxifen, methotrexate, amiodarone.
  • Chronic treatment with antibiotics (e.g. Rifaximin).
  • Homeopathic and/or Alternative treatments. Any treatment must be stopped before the screening period.
  • Uncontrolled hypothyroidism defined as Thyroid Stimulating Hormone >2X the upper limit of normal (ULN). Thyroid dysfunction controlled for at least 6 months prior to screening is permitted.
  • Patients with renal dysfunction: \< 40 ml/min.
  • Unexplained serum creatinine phosphokinase (CPK) >3X the upper limit of normal (ULN). Patients with a reason for CPK elevation may have the measurement repeated prior to enrolment; a CPK retest > 3X ULN leads to exclusion.
  • Subjects meeting criteria for for MRI - including the following:

    i. History of severe claustrophobia impacting the ability to perform MRI during the study, even despite mild sedation/treatment with as anxiolytic.

ii. Subjects with metal implants, devices, paramagnetic objects contained within the body, and excessive or metal-containing tattoos.

iii. Subjects unable to lie still within the environment of the MRI scanner or maintain a breath-hold for the required period to acquire images, even despite mild sedation/treatment with an anxiolytic.

  • The subject participated in a clinical research study involving a new chemical entity within 4 weeks of study entry.
  • Known allergy to soy.
Terms in these criteria, in plain language(13)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

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.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Placebo comparator
    Placebo

    Fish oil

    Other: Placebo

  • Experimental
    ORMD-0801 (Insulin) capsule 8 mg BD

    ORMD-0801 (insulin) capsule Dose: 8 mg BD Dosage Regimen: 1 capsule twice a day (once in the morning approximately 30 to 45 minutes prior to breakfast and no later than 10 AM, and once at night between 8 PM to Midnight and no sooner than 1 hour after dinner) Mode of Administration: Oral

    Drug: ORMD-0801 (Insulin) capsule 8 mg BD

Interventions

  • 8 mg ORMD-0801, 1 capsule, twice a day, once in the morning and once in the evening.

    Also known as: Oral Insulin

  • OtherPlacebo

    Matching Placebo

    Also known as: Fish oil

06

What researchers measure

Primary outcomes

  1. Number of Treatment-Emergent Adverse Events

    The Number of Treatment-Emergent Adverse Events (TEAE) according to CTCAE version 4.03. A TEAE is an adverse event for which the start date is on or after the date that the treatment began.

    Time frame: Screening through Week 16

Secondary outcomes

  1. Median MRPDFF at Baseline and Week 12 of Whole Liver

    Median MRPDFF at Baseline and Week 12 of Whole Liver. Delineation by a central radiologist of the whole liver in the slice with the largest liver cross-section. The Liver was subdivided into 8 sections according to the Coinaud liver segmentation for MRI.

    Time frame: Baseline and Week 12 (Visit 8)

  2. Percent Change From Baseline of Median MRPDFF of Whole Liver

    The percent change in MR PDFF from baseline to Week 12 of Whole Liver

    Time frame: Baseline and Week 12 (Visit 8)

  3. Mean Magnetic Resonance Proton Density Fat Fraction (MRPDFF) of Whole Liver

    Mean Magnetic Resonance Proton Density Fat Fraction (MRPDFF) of Whole Liver at Baseline and Week12. The Whole liver was delineated by a central radiologist. The liver was subdivided into 8 sections according to the Coinaud liver segmentation for MRI.

    Time frame: Baseline and Week 12

  4. Percent Change From Baseline in Mean Magnetic Resonance Proton Density Fat Fraction (MRPDFF) of Whole Liver

    The percent change from basline in liver fat content as measured by the mean MRI Proton density Fat Fraction (MR PDFF) at baseline and at week 12 of Whole Liver

    Time frame: Screening and Week 12 (Visit 8)

  5. Median Magnetic Resonance Proton Density Fat Fraction (MR PDFF) of Liver Segment 3

    Median MRPDFF (percentage fat in the liver) of liver segment 3 as measured by MRI Proton Density Fat Fraction at baseline and at week 12. Delineation by a central radiologist of the Liver Segment 3 in the slice with the largest Liver Segment 3 cross-section.

    Time frame: Baseline and Week 12 (Visit 8)

  6. Percent Change From Baseline of Median MRPDFF of Liver Segment 3

    Percent Change from Baseline Median MRPDFF of Liver Segment measured at baseline and Week 12 (Visit 8)

    Time frame: Baseline and Week 12 (Visit 8)

  7. Mean MRPDFF of Liver Segment 3

    Mean MRPDFF of Liver Segment measured at baseline and Week 12

    Time frame: Baseline and Week 12 (Visit 8)

  8. Percent Change of Mean MRPDFF of Liver Segment 3

    Percent change from baseline of mean MR PDFF measurement of liver segment 3 at baseline and week 12

    Time frame: Baseline and Week 12 (Visit 8)

  9. Median MR PDFF of Liver Segment 6

    Median Magnetic Resonance Proton Density Fat Fraction of Liver Segment 6 measured at baseline and at week 12 (Visit 8). Delineation by a central radiologist of Liver Segment 6 in the slice with the largest Liver Segment 6 cross-section.

    Time frame: Screening and Week 12 (Visit 8)

  10. Percent Change From Baseline of Median MR PDFF of Liver Segment 6

    Percent Change from Baseline of Median Magnetic Resonance Proton Density Fat Fraction of Liver Segment 6 measured at baseline and at week 12

    Time frame: Screening and Week 12 (Visit 8)

  11. Mean MR PDFF of Liver Segment 6

    Mean Magnetic Resonance Proton Density Fat Fraction of Liver Segment 6 measured at baseline and at week 12 (Visit 8)

    Time frame: Screening and Week 12 (Visit 8)

  12. Percent Change From Baseline of Mean MR PDFF of Liver Segment 6

    Percent Change from Baseline Mean Magnetic Resonance Proton Density Fat Fraction of Liver Segment 6 measured at baseline and at week 12 (Visit 8)

    Time frame: Screening and Week 12 (Visit 8)

  13. Median MRPDFF of Liver Segment 8

    Median MRPDFF of Liver Segment 8 measured at baseline and Week 12 (Visit 8)

    Time frame: Baseline and Week 12 (Visit 8)

  14. Percent Change in Median MRPDFF of Liver Segment 8

    Percent change from baseline in median MRPDFF of Liver segment 8 measured at baseline and week 12 (Visit 8).

    Time frame: Baseline and Week 12 (Visit 8)

  15. Mean MRPDFF of Liver Segment 8

    Liver fat percentage of liver segment 8 as measured by MRI Proton Density Fat Fraction (MR PDFF) at baseline and at week 12 (Visit 8). Delineation by a central radiologist of Liver Segment 8 in the slice with the largest Liver Segment 8 cross-section.

    Time frame: Baseline and Week 12 (Visit 8)

  16. Percent Change From Baseline in Mean MRPDFF of Liver Segment 8

    Percent change from baseline in MRPDFF of liver segment 8 at baseline and at week 12 (Visit 8)

    Time frame: Baseline and Week 12 (Visit 8)

  17. Liver Steatosis

    Liver steatosis measured by FibroScan® at baseline and at week 12 (Visit 8), in units of decibels per meter (dB/M)

    Time frame: Baseline and Week 12 (Visit 8)

  18. Change in Liver Steatosis From Baseline

    Change in Liver steatosis from baseline measured by FibroScan® at baseline and at week 12 (Visit 8), in units of decibels per meter (dB/M)

    Time frame: Baseline and Week 12 (Visit 8)

  19. Liver Fibrosis

    Liver fibrosis measured by FibroScan® at baseline and at week 12 (Visit 8), in units of kilo Pascals (kPa).

    Time frame: Baseline and Week 12 (Visit 8)

  20. Change From Baseline of Liver Fibrosis

    The change from baseline in liver fibrosis measured by FibroScan® at baseline and at week 12 (Visit 8), in units of kilo Pascals (kPa).

    Time frame: Baseline and Week 12 (Visit 8)

07

Results

Posted Aug 7, 2024

Participant flow

Participant flow — Overall Study
MilestonePlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Started1121
Completed1119
Not completed02
Withdrew: Adverse event01
Withdrew: Withdrawal by subject01

Outcome measures

PrimaryNumber of Treatment-Emergent Adverse Events

The Number of Treatment-Emergent Adverse Events (TEAE) according to CTCAE version 4.03. A TEAE is an adverse event for which the start date is on or after the date that the treatment began.

Time frame:
Screening through Week 16
Reported as:
Number · Adverse Events
Number of Treatment-Emergent Adverse Events
Adverse EventsPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Number of Treatment-Emergent Adverse Events02
SecondaryMedian MRPDFF at Baseline and Week 12 of Whole Liver

Median MRPDFF at Baseline and Week 12 of Whole Liver. Delineation by a central radiologist of the whole liver in the slice with the largest liver cross-section. The Liver was subdivided into 8 sections according to the Coinaud liver segmentation for MRI.

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · Percent fat (MRPDFF)
Median MRPDFF at Baseline and Week 12 of Whole Liver
Percent fat (MRPDFF)PlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Median MRPDFF at Baseline24.350 (9.80 to 31.90)15.340 (5.34 to 27.20)
Median MRPDFF (percentage fat) at Week 1217.300 (3.66 to 29.50)13.300 (3.33 to 26.80)
SecondaryPercent Change From Baseline of Median MRPDFF of Whole Liver

The percent change in MR PDFF from baseline to Week 12 of Whole Liver

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · percent change
Percent Change From Baseline of Median MRPDFF of Whole Liver
percent changePlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Percent Change From Baseline of Median MRPDFF of Whole Liver-1.103 (-28.97 to 16.33)-7.105 (-65.78 to 59.18)
SecondaryMean Magnetic Resonance Proton Density Fat Fraction (MRPDFF) of Whole Liver

Mean Magnetic Resonance Proton Density Fat Fraction (MRPDFF) of Whole Liver at Baseline and Week12. The Whole liver was delineated by a central radiologist. The liver was subdivided into 8 sections according to the Coinaud liver segmentation for MRI.

Time frame:
Baseline and Week 12
Reported as:
Mean · percentage of fat
Mean Magnetic Resonance Proton Density Fat Fraction (MRPDFF) of Whole Liver
percentage of fatPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Mean MRPDFF of Whole Liver at Baseline21.558 ± 8.207215.683 ± 6.1605
Mean MR PDFF of Whole Liver at Week 1217.414 ± 8.633114.274 ± 6.8032
SecondaryPercent Change From Baseline in Mean Magnetic Resonance Proton Density Fat Fraction (MRPDFF) of Whole Liver

The percent change from basline in liver fat content as measured by the mean MRI Proton density Fat Fraction (MR PDFF) at baseline and at week 12 of Whole Liver

Time frame:
Screening and Week 12 (Visit 8)
Reported as:
Mean · Percentage of change in MRPDFF
Percent Change From Baseline in Mean Magnetic Resonance Proton Density Fat Fraction (MRPDFF) of Whole Liver
Percentage of change in MRPDFFPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Percent Change From Baseline in Mean Magnetic Resonance Proton Density Fat Fraction (MRPDFF) of Whole Liver-6.526 ± 15.3158-7.489 ± 27.3972
SecondaryMedian Magnetic Resonance Proton Density Fat Fraction (MR PDFF) of Liver Segment 3

Median MRPDFF (percentage fat in the liver) of liver segment 3 as measured by MRI Proton Density Fat Fraction at baseline and at week 12. Delineation by a central radiologist of the Liver Segment 3 in the slice with the largest Liver Segment 3 cross-section.

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · percentage fat
Median Magnetic Resonance Proton Density Fat Fraction (MR PDFF) of Liver Segment 3
percentage fatPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Median MRPDFF Liver Segment 3 Baseline21.10 (6.97 to 33.50)13.900 (5.34 to 26.90)
Median MRPDFF Liver Segment 3 Week 1215.150 (3.11 to 28.70)11.900 (3.28 to 26.43)
SecondaryPercent Change From Baseline of Median MRPDFF of Liver Segment 3

Percent Change from Baseline Median MRPDFF of Liver Segment measured at baseline and Week 12 (Visit 8)

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · percentage change
Percent Change From Baseline of Median MRPDFF of Liver Segment 3
percentage changePlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Percent Change From Baseline of Median MRPDFF of Liver Segment 30.000 (-26.97 to 26.40)-6.424 (-66.67 to 10.19)
SecondaryMean MRPDFF of Liver Segment 3

Mean MRPDFF of Liver Segment measured at baseline and Week 12

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Mean · percentage fat
Mean MRPDFF of Liver Segment 3
percentage fatPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
MRPDFF of Liver Segment 3 at baseline20.617 ± 9.103214.560 ± 5.3974
MR PDFF of Liver Segment 3 at Week 1216.610 ± 9.273613.119 ± 6.2239
SecondaryPercent Change of Mean MRPDFF of Liver Segment 3

Percent change from baseline of mean MR PDFF measurement of liver segment 3 at baseline and week 12

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Mean · percentage of Change in MR PDFF
Percent Change of Mean MRPDFF of Liver Segment 3
percentage of Change in MR PDFFPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Percent Change of Mean MRPDFF of Liver Segment 30.105 ± 17.2630-10.763 ± 20.9231
SecondaryMedian MR PDFF of Liver Segment 6

Median Magnetic Resonance Proton Density Fat Fraction of Liver Segment 6 measured at baseline and at week 12 (Visit 8). Delineation by a central radiologist of Liver Segment 6 in the slice with the largest Liver Segment 6 cross-section.

Time frame:
Screening and Week 12 (Visit 8)
Reported as:
Median · percentage of liver fat
Median MR PDFF of Liver Segment 6
percentage of liver fatPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Median MRPDFF of Liver Segment 6 Baseline22.900 (8.76 to 37.00)15.420 (4.81 to 30.00)
Median MRPDFF of Liver Segment 6 Week 1215.400 (3.28 to 27.40)12.600 (5.19 to 27.13)
SecondaryPercent Change From Baseline of Median MR PDFF of Liver Segment 6

Percent Change from Baseline of Median Magnetic Resonance Proton Density Fat Fraction of Liver Segment 6 measured at baseline and at week 12

Time frame:
Screening and Week 12 (Visit 8)
Reported as:
Median · percent change
Percent Change From Baseline of Median MR PDFF of Liver Segment 6
percent changePlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Percent Change From Baseline of Median MR PDFF of Liver Segment 6-4.965 (-37.19 to 15.01)-6.488 (-41.49 to 54.63)
SecondaryMean MR PDFF of Liver Segment 6

Mean Magnetic Resonance Proton Density Fat Fraction of Liver Segment 6 measured at baseline and at week 12 (Visit 8)

Time frame:
Screening and Week 12 (Visit 8)
Reported as:
Mean · percentage liver fat
Mean MR PDFF of Liver Segment 6
percentage liver fatPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Mean MRPDFF of liver segment 6 at Baseline22.174 ± 8.962915.828 ± 7.3523
Mean MRPDFF of Liver segment 6 at Week 1216.226 ± 8.445214.009 ± 7.1855
SecondaryPercent Change From Baseline of Mean MR PDFF of Liver Segment 6

Percent Change from Baseline Mean Magnetic Resonance Proton Density Fat Fraction of Liver Segment 6 measured at baseline and at week 12 (Visit 8)

Time frame:
Screening and Week 12 (Visit 8)
Reported as:
Mean · percent change
Percent Change From Baseline of Mean MR PDFF of Liver Segment 6
percent changePlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Percent Change From Baseline of Mean MR PDFF of Liver Segment 6-9.891 ± 15.3865-9.310 ± 21.7602
SecondaryMedian MRPDFF of Liver Segment 8

Median MRPDFF of Liver Segment 8 measured at baseline and Week 12 (Visit 8)

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · percentage liver fat
Median MRPDFF of Liver Segment 8
percentage liver fatPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Median MRPDFF of Liver Segment 8 at baseline25.100 (8.06 to 31.20)15.600 (6.63 to 28.20)
Median MR PDFF of Liver Segment 8 at Week 1218.200 (3.66 to 27.90)13.500 (3.27 to 28.03)
SecondaryPercent Change in Median MRPDFF of Liver Segment 8

Percent change from baseline in median MRPDFF of Liver segment 8 measured at baseline and week 12 (Visit 8).

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · percent change of the median MRPDFF
Percent Change in Median MRPDFF of Liver Segment 8
percent change of the median MRPDFFPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Percent Change in Median MRPDFF of Liver Segment 8-6.376 (-35.71 to 12.54)-5.419 (-65.18 to 32.75)
SecondaryMean MRPDFF of Liver Segment 8

Liver fat percentage of liver segment 8 as measured by MRI Proton Density Fat Fraction (MR PDFF) at baseline and at week 12 (Visit 8). Delineation by a central radiologist of Liver Segment 8 in the slice with the largest Liver Segment 8 cross-section.

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Mean · percentage fat
Mean MRPDFF of Liver Segment 8
percentage fatPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Mean MRPDFF of liver segment 8 at Baseline22.565 ± 7.897816.071 ± 6.3147
Mean MRPDFF of Liver segment 8 at Week 1217.451 ± 2.833814.817 ± 7.1945
SecondaryPercent Change From Baseline in Mean MRPDFF of Liver Segment 8

Percent change from baseline in MRPDFF of liver segment 8 at baseline and at week 12 (Visit 8)

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Mean · percentage change in MRPDFF
Percent Change From Baseline in Mean MRPDFF of Liver Segment 8
percentage change in MRPDFFPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Percent Change From Baseline in Mean MRPDFF of Liver Segment 817.451 ± 8.634314.817 ± 7.1945
SecondaryLiver Steatosis

Liver steatosis measured by FibroScan® at baseline and at week 12 (Visit 8), in units of decibels per meter (dB/M)

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · dB/M
Liver Steatosis
dB/MPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Median Liver Steatosis Baseline335 (276 to 345)329 (299 to 357)
Median Liver Steatosis Week 12345.0 (320.0 to 360.0)329.0 (279.0 to 351.0)
SecondaryChange in Liver Steatosis From Baseline

Change in Liver steatosis from baseline measured by FibroScan® at baseline and at week 12 (Visit 8), in units of decibels per meter (dB/M)

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · dB/M
Change in Liver Steatosis From Baseline
dB/MPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Change in Liver Steatosis From Baseline13.0 (0.0 to 38.0)-16.0 (-38.0 to 22)
SecondaryLiver Fibrosis

Liver fibrosis measured by FibroScan® at baseline and at week 12 (Visit 8), in units of kilo Pascals (kPa).

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · kPa (kilo Pascals)
Liver Fibrosis
kPa (kilo Pascals)PlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Median Liver Fibrosis Baseline8.4 (6.4 to 9.0)8.6 (6.7 to 9.2)
Median Liver Fibrosis Week 127.4 (6.5 to 8.7)7.4 (6.4 to 9.7)
SecondaryChange From Baseline of Liver Fibrosis

The change from baseline in liver fibrosis measured by FibroScan® at baseline and at week 12 (Visit 8), in units of kilo Pascals (kPa).

Time frame:
Baseline and Week 12 (Visit 8)
Reported as:
Median · kPa (kilo Pascals)
Change From Baseline of Liver Fibrosis
kPa (kilo Pascals)PlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Change From Baseline of Liver Fibrosis0.3 (-2.6 to 2.3)-0.8 (-2.5 to 3.8)

Adverse events

Collected over Placebo Run-In (Week -2) through End-of-Study (Week 16); total of 18 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/11 (0%)1/11 (9.1%)4/11 (36.4%)
ORMD-0801 (Insulin) Capsule 8 mg BD0/21 (0%)1/21 (4.8%)7/21 (33.3%)
Most frequent serious events
Most frequent serious events
EventPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Atrial fibrillationCardiac disorders1/110/21
Gastrointenstinal hemorrhageGastrointestinal disorders0/111/21
Most frequent other events
Most frequent other events
EventPlaceboORMD-0801 (Insulin) Capsule 8 mg BD
Addominal DistentionGastrointestinal disorders0/115/21
NauseaGastrointestinal disorders0/112/21
Atrial FibrillationCardiac disorders1/111/21
Atrial FlutterCardiac disorders1/110/21
COVID-19Infections and infestations1/110/21
HyperglycemiaMetabolism and nutrition disorders1/110/21
HypokalaemiaMetabolism and nutrition disorders0/111/21

Baseline characteristics

Intent to Treat

Age, Continuous
Age, Continuous(Years)PlaceboORMD-0801 (Insulin) Capsule 8 mg BDTotal
Mean56.73 ± 10.35558.67 ± 7.56558.00 ± 8.508
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboORMD-0801 (Insulin) Capsule 8 mg BDTotal
Female5712
Male61420
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboORMD-0801 (Insulin) Capsule 8 mg BDTotal
Hispanic or Latino71118
Not Hispanic or Latino41014
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboORMD-0801 (Insulin) Capsule 8 mg BDTotal
American Indian or Alaska Native000
Asian101
Native Hawaiian or Other Pacific Islander000
Black or African American011
White101929
More than one race011
Unknown or Not Reported000
Body Mass Index (BMI)
Body Mass Index (BMI)(Kg/m^2)PlaceboORMD-0801 (Insulin) Capsule 8 mg BDTotal
Mean32.109 ± 4.549633.567 ± 5.298133.066 ± 5.0281
Childbearing Status
Childbearing Status(Participants)PlaceboORMD-0801 (Insulin) Capsule 8 mg BDTotal
Of Childbearing Potential000
Surgically Sterilized246
At least 24 months Post-Menopausal336
Not Applicable61420
Median Magnetic Resonance Proton Fat Fraction (MRPDFF)
Median Magnetic Resonance Proton Fat Fraction (MRPDFF)(percent liver fat)PlaceboORMD-0801 (Insulin) Capsule 8 mg BDTotal
Median21.100 (6.97 to 33.50)13.900 (5.34 to 26.90)14.250 (5.34 to 33.50)
08

Study locations

3 sites
  • Orange County Research Center
    Tustin, California 92780, United States
  • Hadassah Medical Center
    Jerusalem, International/Other, Israel
  • Tel Aviv Sourasky Medical Center- Ichilov Hospital
    Tel Aviv, International/Other 6423906, Israel
09

References and documents

Publications

  • Lin SC, Heba E, Bettencourt R, Lin GY, Valasek MA, Lunde O, Hamilton G, Sirlin CB, Loomba R. Assessment of treatment response in non-alcoholic steatohepatitis using advanced magnetic resonance imaging. Aliment Pharmacol Ther. 2017 Mar;45(6):844-854. doi: 10.1111/apt.13951. Epub 2017 Jan 24. PubMed 28116801 ↗
  • Chalasani N, Younossi Z, Lavine JE, Diehl AM, Brunt EM, Cusi K, Charlton M, Sanyal AJ. The diagnosis and management of non-alcoholic fatty liver disease: practice Guideline by the American Association for the Study of Liver Diseases, American College of Gastroenterology, and the American Gastroenterological Association. Hepatology. 2012 Jun;55(6):2005-23. doi: 10.1002/hep.25762. No abstract available. PubMed 22488764 ↗
  • Ratziu V, Bellentani S, Cortez-Pinto H, Day C, Marchesini G. A position statement on NAFLD/NASH based on the EASL 2009 special conference. J Hepatol. 2010 Aug;53(2):372-84. doi: 10.1016/j.jhep.2010.04.008. Epub 2010 May 7. No abstract available. PubMed 20494470 ↗
  • Vernon G, Baranova A, Younossi ZM. Systematic review: the epidemiology and natural history of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis in adults. Aliment Pharmacol Ther. 2011 Aug;34(3):274-85. doi: 10.1111/j.1365-2036.2011.04724.x. Epub 2011 May 30. PubMed 21623852 ↗
  • Germain T, Favelier S, Cercueil JP, Denys A, Krause D, Guiu B. Liver segmentation: practical tips. Diagn Interv Imaging. 2014 Nov;95(11):1003-16. doi: 10.1016/j.diii.2013.11.004. Epub 2013 Dec 30. PubMed 24388431 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

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 Nov 2020 to primary completion in Jun 2022, 19 months.

Results were first posted in Aug 2024, 2 years 1 month after primary completion.

Of 194 industry-sponsored phase 2 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 18. This study's 19 months is above that.

Counting every sponsor, half of 293 studies reached it within 15 months; a quarter within 11 and three quarters within 27.

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

Registered
Nov 1, 2020
First posted
Nov 6, 2020
StartActual
Nov 24, 2020
Primary completionActual
Jun 27, 2022
CompletionActual
Jun 27, 2022
Results first posted
Aug 7, 2024
Last update
Aug 7, 2024
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 Aug 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04618744
Lead sponsor
Oramed, Ltd.
Collaborators
Integrium
Responsible party
Sponsor
First posted
Nov 6, 2020
Start date
Nov 24, 2020
Primary completion
Jun 27, 2022
Completion
Jun 27, 2022
Results posted
Aug 7, 2024
Last update
Aug 7, 2024

Study contacts

Miriam Kidron, Ph.D.
study director · Oramed, Ltd.
Joel M Neutel, M. D.
principal investigator · Integrium

Oversight

Data monitoring committee
No
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: ORMD-0801

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