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GR-MD-02

Phase 2

Nonalcoholic Steatohepatitis | Small molecule | Metabolic |Galectin Therapeutics Inc.|Last Updated: Jun 5, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment30

FDA Designations

No designations recorded

Clinical trial landscape

GR-MD-02 · 5 trials · 7 indications

Phase 2 3Phase 1 2
NCT02407041An Open-Label, Phase 2a Study to Evaluate Safety and Efficacy of GR-MD-02 for Treatment of PsoriasisPsoriasis
COMPLETED5 Analytics
NCT02421094Clinical Trial to Evaluate Efficacy of GR-MD-02 for Treatment of Liver Fibrosis in Patients With NASH With Advanced FibrosisNonalcoholic Steatohepatitis
COMPLETED30 Analytics
NCT02462967Clinical Trial to Evaluation the Safety and Efficacy of GR-MD-02 for the Treatment of Liver Fibrosis and Resultant Portal Hypertension in Patients With Nash CirrhosisHypertension, Portal
COMPLETED162 Analytics
PHASE2COMPLETED
An Open-Label, Phase 2a Study to Evaluate Safety and Efficacy of GR-MD-02 for Treatment of Psoriasis
PsoriasisUnlock trial analytics
PHASE2COMPLETED
Clinical Trial to Evaluate Efficacy of GR-MD-02 for Treatment of Liver Fibrosis in Patients With NASH With Advanced Fibrosis
Nonalcoholic SteatohepatitisUnlock trial analytics
PHASE2COMPLETED
Clinical Trial to Evaluation the Safety and Efficacy of GR-MD-02 for the Treatment of Liver Fibrosis and Resultant Portal Hypertension in Patients With Nash Cirrhosis
Hypertension, PortalUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With PASI-75, or a 75% Improvement From Baseline in PASI Score
6 months

The primary endpoint will be the number of participants with PASI-75, or a 75% improvement from baseline (day 1, prior to first infusion) in PASI score as assessed at the 30 day follow up visit.

Mean Change in Liver Fibrosis of Corrected T1 (cT1) Mapping (LiverMultiScan -LMS)
16 weeks

Difference in baseline adjusted mean change in liver fibrosis of corrected T1 (cT1) mapping with LiverMultiScan (LMS). LiverMultiScan is CE marked as a class IIa medical device. Corrected T1 (cT1) is a Magnetic Resonance (MR) relaxation parameter/measure from the device.The measure cT1 can be compared across different Magnetic Resonance Imaging (MRI) systems and sites. It is an emerging biomarker for rapid quantification of hepatic fibro-inflammatory disease. In unhealthy tissue, such as in inflamed and fibrotic tissues, measures result in longer cT1-relaxation.

Change in Portal Pressure at Year 1 (Change in HVPG From Baseline and 1 Year)
1 year

Change in Portal Pressure at Year 1 from Baseline

Frequency and Severity of Treatment-Related Adverse Events Measured by Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
85 Days

Patients are seen in clinic 7 times over 85 days. At each visit, a research nurse performs a toxicity check. Patients have 5 physical exams during the 85-day period.

Primary objective is to characterize safety for GR-MD-02 administered intravenously to subjects w/ biopsy-proven NASH w/ advanced liver fibrosis. Specifically assessed by number of subjects experiencing TEAEs.
Baseline; Week 1-7 (End of Study); Week 9; Week 11 (Follow-up)

The primary objective of this study is to characterize the safety, which includes the tolerability and dose-limiting toxicity (DLT), for GR-MD-02 when administered intravenously to subjects with biopsy-proven NASH with advanced liver fibrosis. Specifically, this measure will be assessed by number of subjects experiencing treatment emergent adverse events indicative of DLT.

Secondary Endpoints

Baseline-adjusted Change in Liver Stiffness With MR-elastography (MRE)
16 weeks
Baseline-adjusted Change in Liver Stiffness by FibroScan®
16 weeks
The Baseline-adjusted Mean Change in the Collagen Proportional Area (%), CPA
1 year
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
GR-MD-02EXPERIMENTALactive arm
PlaceboPLACEBO_COMPARATORPlacebo
2 mg/kg GR MD 02ACTIVE_COMPARATORGR MD 02 in a dose of 2 mg/kg lean body mass administered every other week over a 52 week period for a total of 26 infusions
8 mg/kg GR MD 02ACTIVE_COMPARATORGR MD 02 in a dose of 8 mg/kg lean body mass administered every other week over a 52 week period for a total of 26 infusions
2 mg/kg GR-MD-02EXPERIMENTAL2 mg/kg GR-MD-02 in combination with standard pembrolizumab treatment.
4 mg/kg GR-MD-02EXPERIMENTAL4 mg/kg GR-MD-02 in combination with standard pembrolizumab treatment.
8 mg/kg GR-MD-02EXPERIMENTAL8 mg/kg GR-MD-02 in combination with standard pembrolizumab treatment.
4 mg/kg GR-MD-02 17 Cycles MaximumEXPERIMENTAL4 mg/kg GR-MD-02 in combination with standard pembrolizumab treatment up to a maximum of 17 cycles.
Cohort 1ACTIVE_COMPARATORPatient receives dose of GR-MD-02 or placebo
Cohort 2ACTIVE_COMPARATORPatient receives dose of GR-MD-02 or Placebo
Cohort 3ACTIVE_COMPARATORPatient receives dose of GR-MD-02 or placebo

Interventions

NameTypeDescription
GR-MD-02DRUGIV infusion
PlaceboDRUGPlacebo
PembrolizumabDRUGPatients will receive five 200mg doses of pembrolizumab intravenously over 85 days. After 85 days, patients may continue to receive pembrolizumab every 3 weeks if clinical benefit is noted.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: Each subject must meet all of the following criteria to be enrolled in this study: 1. Is capable of understanding the written informed consent, provides signed and witnessed written informed consent, and agrees to comply with protocol requirements. 2. Is between the ages of 18 ...

Countries:United States
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Frequently asked questions about GR-MD-02

What is GR-MD-02 used for?

GR-MD-02 is an investigational small molecule being studied for several conditions, including psoriasis, melanoma, non-alcoholic steatohepatitis (NASH), and portal hypertension. It is developed by Galectin Therapeutics Inc. (GALT) and is currently in clinical development, with completed trials in these indications.

How does GR-MD-02 work?

GR-MD-02 is a small molecule that targets galectin-3, a protein involved in fibrosis and inflammation. By inhibiting galectin-3, it aims to reduce fibrotic tissue formation and inflammatory responses, which are relevant to conditions like NASH and psoriasis. This mechanism is being evaluated in clinical trials.

Who makes GR-MD-02?

GR-MD-02 is developed by Galectin Therapeutics Inc., a biopharmaceutical company traded under the ticker GALT. The company is conducting clinical trials to evaluate the drug's safety and efficacy across multiple indications, including NASH and cancer.

What phase is GR-MD-02 in?

GR-MD-02 has completed Phase 1 and Phase 2 clinical trials. It is an investigational drug, not yet approved by the FDA. The completed trials include a Phase 1 study in NASH, a Phase 2a study in psoriasis, and a Phase 2 study in liver fibrosis associated with NASH.

What clinical trials is GR-MD-02 in?

GR-MD-02 has been studied in several completed trials, including NCT01899859 (Phase 1 in NASH), NCT02407041 (Phase 2a in psoriasis), NCT02421094 (Phase 2 in NASH with advanced fibrosis), and NCT02575404 (Phase 1 in melanoma and other cancers). These trials have been completed.

Is GR-MD-02 the same as any other drug?

GR-MD-02 is also known as belapectin, a name used in some clinical contexts. It is being developed by Galectin Therapeutics for conditions like NASH and fibrosis. The drug is distinct from other galectin inhibitors and is currently in clinical development.