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Aramchol

Phase 2

Fatty Liver | Small molecule | Metabolic |Eocene Ltd. Ordinary Shares|Trials Updated: Aug 14, 2024

Aramchol development status

Highest phase Phase 2
Registered trials 10 across 3 sponsors since Oct 2008

Aramchol target and mechanism

ModalitySmall molecule

Also known as Aramchol meglumine, Aramchol free acid, Arachidyl amido cholanoic acid

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment370

FDA Designations

No designations recorded

Aramchol clinical trials

Aramchol · 4 trials · 9 indications

Phase 2 2Phase 1 2
NCT02279524A Clinical Trial to Evaluate the Efficacy and Safety of Two Aramchol Doses Versus Placebo in Patients With NASHFatty Liver
COMPLETED247 Analytics
NCT01094158Study of Aramchol in Patients With Fatty Liver Disease or Nonalcoholic SteatohepatitisNon-Alcoholic Fatty Liver Disease
COMPLETED60 Analytics
PHASE2COMPLETED
A Clinical Trial to Evaluate the Efficacy and Safety of Two Aramchol Doses Versus Placebo in Patients With NASH
Fatty LiverUnlock trial analytics
PHASE2COMPLETED
Study of Aramchol in Patients With Fatty Liver Disease or Nonalcoholic Steatohepatitis
Non-Alcoholic Fatty Liver DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Mean Liver Fat
At screening (baseline) and at week 52

absolute % change from baseline to end of study in liver triglycerides to water ratio (fat/water+fat) as measured by MRS

The difference between initial and final liver triglyceride concentration (measured by NMRS) comparing the Aramchol and placebo treated patients.
3 months
Absolute bioavailability
10 days

Measure the AUC(0-inf) of orally and intravenously (IV) administered Aramchol

Mass balance recovery
10 days

Assess the mass balance recovery of total amounts of radioactivity excreted in urine and feces

Metabolite profiling
10 days

Assess the potential metabolites of Aramchol and determine their chemical structure in plasma, urine and fecal samples

AUC0-tau, Steady State
Day 12

AUC from time 0 to the dosing interval tau measured at steady state. Blood was collected at the following time points: before dosing (0 hour) and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 18, 24, 48, 72, 96, 120, 144, 168, 192, and 240 hours

Cmax,ss
Day 12

Maximum plasma concentrations (Cmax,ss) Blood was collected at the following time points: before dosing (0 hour) and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 18, 24, 48, 72, 96, 120, 144, 168, 192, and 240 hours

Apparent Total Oral Clearance, Single Dose
Day 11

CL/F measured after single dose in Part 1 Blood was collected at the following time points: before dosing (0 hour) and at 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 18, 24, 48, 72, 96, 120, 144, 168, 192, and 240 hours

Secondary Endpoints

NASH Resolution Without Worsening of Fibrosis
At screening and at week 52
Fibrosis Improvement Without Worsening of NASH
At screening and at week 52
Change From Baseline to Week 52/Termination in ALT
At baseline until week 52
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Aramchol 600mgEXPERIMENTALOne tablet of Aramchol 400 mg and one tablet of Aramchol 200 mg.
Aramchol 400mgEXPERIMENTALOne tablet of Aramchol 400 mg and one tablet of matching placebo for Aramchol.
PlaceboPLACEBO_COMPARATORTwo tablet of Aramchol matching placebo.
high doseEXPERIMENTALAramchol 300 mg daily (high dose)
low doseEXPERIMENTAL100 mg daily (low dose)
Single dose administration of Aramchol in Part 1 and Part 2EXPERIMENTAL6 subjects received Aramchol in Part 1 and Part 2 of the study
Part 1: Mild Hepatic Impairment (Cohort A)EXPERIMENTAL8 mild hepatic impaired subjects
Part 1: Moderate Hepatic Impairment (Cohort B)EXPERIMENTAL8 moderate hepatic impaired subjects
Part 1: Severe Hepatic Impairment (Cohort C)EXPERIMENTAL8 severe hepatic impaired subjects
Part 1: Healthy Volunteers (Cohort D)EXPERIMENTAL15 matched healthy volunteers
Part 2: Mild Hepatic Impairment CohortEXPERIMENTAL4 mild hepatic impaired subjects
Part 2: Moderate Hepatic Impairment CohortEXPERIMENTAL7 moderate hepatic impaired subjects
Part 2: Healthy Volunteers CohortEXPERIMENTAL7 matched healthy volunteers

Interventions

NameTypeDescription
AramcholDRUGSubjects will be administered Aramchol as follows: * One tablet of Aramchol 400 mg and one tablet of matching placebo for Aramchol. * One tablet of Aramchol 400 mg and one tablet of Aramchol 200 mg. * Two tablet of Aramchol matching placebo. The tablets should be taken orally in the morning within 30 min after breakfast with a glass of water (250 ml). Subjects are allowed to omit study drugs up to 3 consecutive days during the study.
PlaceboDRUGtablets packaged in bottles given orally once a day in the morning within approximately 10 minutes after breakfast
Aramchol free acid tablet 600mg, single doseDRUGAramchol free acid tablet 600mg, single dose
Aramchol free acid tablet 300mg, bidDRUGAramchol acid tablet 300mg, bid for 12 days
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites78

Inclusion Criteria: 1. Male or female age 18 to 75 years. 2. BMI between 25kg/m2 to 40kg/m2 or waist circumference between 88 cm to 200 cm for women, and between 102 cm to 200 cm for men. If there is deviation above the upper limit, please consult the MRI center, to ensure that the machine is suita...

Countries:United StatesChileFranceGeorgiaGermanyHong KongIsraelItalyLithuaniaMexicoRomaniaUnited Kingdom
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Frequently asked questions about Aramchol

What is Aramchol used for?

Aramchol is an investigational small molecule being studied for fatty liver disease, including non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH). It has also been evaluated in hepatic impairment. It is not approved for any indication and remains in clinical development.

Who is developing Aramchol?

Aramchol is being developed by Eocene Ltd., which trades under the ticker EOCN. The company has sponsored Phase 1 and Phase 2 studies of the drug in NASH, fatty liver disease, and hepatic impairment.

What phase is Aramchol in?

Aramchol is in Phase 2 development. Its clinical program includes completed Phase 2 trials in NASH and fatty liver disease, along with completed Phase 1 studies in NASH and hepatic impairment. It is investigational and has not been approved by the FDA.

What clinical trials is Aramchol in?

Aramchol has been studied in completed trials including NCT02279524, a Phase 2 placebo-controlled trial in NASH with 247 patients, and NCT01094158, a Phase 2 study in fatty liver disease and NASH. Phase 1 trials NCT05874336 and NCT04480827 assessed bioavailability, mass balance, and pharmacokinetics in hepatic impairment.

Is Aramchol the same as Aramchol meglumine or Aramchol free acid?

Yes. Aramchol is also referred to as Aramchol meglumine and Aramchol free acid. These names describe different salt or free acid forms of the same investigational compound, and searches for any of them refer to the same drug candidate being developed for fatty liver disease and NASH.