Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as Cilofexor, CILO
GS-9674 · 5 trials · 4 indications
Fibrosis improvement was defined as ≥ 1-stage decrease from baseline in fibrosis according to the NASH clinical research network (CRN) classification. Worsening of NASH was defined as ≥ 1-point increase from baseline in hepatocellular ballooning or lobular inflammation. Clopper-Pearson method was used in outcome measure analysis in each arm. Percentages were rounded-off.
Treatment-emergent adverse events occurring during the Blinded Phase were defined as 1 or both of the following: 1) Any adverse events (AEs) with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug in the Blinded Phase (and before the first dosing date in the Open Label Extension (OLE) Phase), or 2) Any AEs leading to premature discontinuation of study drug in the Blinded Phase.
A serious adverse event was defined as an event that, at any dose, resulted in any of the following: death, life-threatening, in-patient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, a congenital anomaly/birth defect, or a medically important event or reaction.
Treatment-emergent laboratory abnormalities occurring during the Blinded Phase were defined as values that increase at least 1 toxicity grade from baseline at any postbaseline time point, up to and including the date of last dose of study drug in the Blinded Phase plus 30 days (and prior to or on the first dose date of the OLE phase). The Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03 was used for assigning toxicity grades (0 to 4, with higher grades indicating more severity).
TEAEs were defined as 1 or both of the following: 1) Any adverse events (AE) with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug, 2) Any AEs leading to premature discontinuation of study drug.
Treatment-emergent laboratory abnormalities are defined as values that increase at least 1 toxicity grade from baseline at any post-baseline time point, up to and including the date of last dose of study drug plus 30 days for participants who permanently discontinued study.
AUClast is defined as the concentration of drug from time zero to the last observable concentration.
AUCinf is defined as the concentration of drug extrapolated to infinite time.
Cmax is defined as the maximum concentration of drug.
%AUCexp is defined as the percentage of AUC extrapolated between AUClast and AUCinf.
Clast is defined as the last observable concentration of drug.
Tmax is defined as the time (observed time point) of Cmax.
Tlast is defined as the time (observed time point) of Clast.
λz is defined as the terminal elimination rate constant, estimated by linear regression of the terminal elimination phase of the log plasma concentration of drug versus time curve of the drug.
CL/F is defined as the apparent oral clearance following administration of the drug.
Vz/F is defined as the apparent volume of distribution of the drug.
t1/2 is defined as the estimate of the terminal elimination half-life of the drug.
AUClast is defined as the concentration of drug from time zero to the last quantifiable concentration.
AUCinf is defined as the concentration of drug extrapolated to infinite time (area under the plasma concentration versus time curve extrapolated to infinite time).
Cmax is defined as the maximum observed concentration of drug in plasma.
AUCtau is the concentration of drug over time (area under the plasma concentration versus time curve over the dosing interval).
Cmax is defined as the maximum observed concentration of drug in plasma.
Ctau is defined as the observed drug concentration at the end of the dosing interval.
An AE is any untoward medical occurrence in a clinical study participant administered a medicinal product, which does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Investigator determined the ECG findings were clinically significant.
Treatment-emergent laboratory (Hematology, Chemistry, and Urinalysis) abnormalities were defined as values that increase at least one toxicity grade from baseline. Laboratory Abnormalities are graded by the investigator as Grade 1, 2, 3, or 4 according to the modified Gilead Sciences, Inc (GSI) Grading Scale. The most severe graded abnormality from all tests was counted for each participant. Data is only reported for those Grades reported in 1 or more participants.
| Arm | Type | Description |
|---|---|---|
| SEMA + CILO/FIR FDC | EXPERIMENTAL | Participants will receive semaglutide (SEMA) 3.0 mg/mL, once weekly and cilofexor and firsocostat (CILO/FIR) 30 mg/20 mg fixed-dose combination (FDC) tablet, once daily up to 72 weeks. |
| SEMA + PTM CILO/FIR | EXPERIMENTAL | Participants will receive SEMA 3.0 mg/mL, once weekly and Placebo-To-Match (PTM) CILO/FIR FDC tablet, once daily up to 72 weeks. |
| PTM SEMA + CILO/FIR FDC | EXPERIMENTAL | Participants will receive PTM SEMA, once weekly and CILO/FIR 30 mg/20 mg FDC tablet, once daily up to 72 weeks. |
| PTM SEMA + PTM CILO/FIR | PLACEBO_COMPARATOR | Participants will receive PTM SEMA, once weekly and PTM CILO/FIR FDC tablet, once daily up to 72 weeks. |
| Cilofexor 100 mg (Blinded Study Phase) | EXPERIMENTAL | Cilofexor 100 mg + placebo to match cilofexor 30 mg for up to 12.6 weeks |
| Cilofexor 30 mg (Blinded Study Phase) | EXPERIMENTAL | Cilofexor 30 mg + placebo to match cilofexor 100 mg for up to 12.7 weeks |
| Placebo (Blinded Study Phase) | PLACEBO_COMPARATOR | Placebo to match cilofexor 30 mg + placebo to match cilofexor 100 mg for up to 12.3 weeks |
| Cilofexor (Open Label Extension Phase) | EXPERIMENTAL | Following the Blinded Study Phase, eligible participants received cilofexor for an additional up to 97.4 weeks. |
| GS-9674 30 mg | EXPERIMENTAL | GS-9674 30 mg + placebo to match GS-9674 100 mg for 24 weeks |
| GS-9674 100 mg | EXPERIMENTAL | GS-9674 100 mg + placebo to match GS-9674 30 mg for 24 weeks |
| Placebo | PLACEBO_COMPARATOR | Placebo to match GS-9674 30 mg + placebo to match GS-9674 100 mg for 24 weeks |
| Cohort 1: Mild Hepatic Impairment | EXPERIMENTAL | Participants with mild hepatic impairment will receive a single oral dose of cilofexor 30 mg (3 x 10 mg tablets). |
| Cohort 1: Normal Hepatic Function | EXPERIMENTAL | Matched normal hepatic function participants to mild hepatic impairment participants will receive a single oral dose of cilofexor 30 mg (3 x 10 mg tablets). |
| Cohort 2: Moderate Hepatic Impairment | EXPERIMENTAL | Participants with moderate hepatic impairment will receive a single oral dose of cilofexor 30 mg (3 x 10 mg tablets). |
| Cohort 2: Normal Hepatic Function | EXPERIMENTAL | Matched normal hepatic function participants to moderate hepatic impairment participants will receive a single oral dose of cilofexor 30 mg (3 x 10 mg tablets). |
| Cohort 3: Severe Hepatic Impairment | EXPERIMENTAL | Participants with severe hepatic impairment will receive a single oral dose of cilofexor 10 mg (1 x 10 mg tablet). |
| Cohort 3: Normal Hepatic Function | EXPERIMENTAL | Matched normal hepatic function participants to severe hepatic impairment participants will receive a single oral dose of cilofexor 10 mg (1 x 10 mg tablet). |
| Cohort 1: Cilofexor 10 mg | EXPERIMENTAL | Participants in fasted state will receive cilofexor 10 mg or placebo once on Day 1 followed by a 5-day washout period then receive cilofexor 10 mg or placebo once daily from Day 7 to Day 20. |
| Cohort 2: Cilofexor 30 mg | EXPERIMENTAL | Participants in fasted state will receive cilofexor 30 mg or placebo once on Day 1 followed by a 5-day washout period then receive cilofexor 30 mg or placebo once daily from Day 7 to Day 20. |
| Cohort 3: Cilofexor 100 mg | EXPERIMENTAL | Participants in fasted state will receive cilofexor 100 mg or placebo once on Day 1 followed by a 5-day washout period then receive cilofexor 100 mg or placebo once daily from Day 7 to Day 20. |
| Cohort 4: Cilofexor 300 mg | EXPERIMENTAL | Participants in fasted state will receive cilofexor 300 mg or placebo once on Day 1 followed by a 5-day washout period then receive cilofexor 300 mg or placebo once daily from Day 7 to Day 20. |
| Cohort 5: Cilofexor 100 mg | EXPERIMENTAL | Participants in fed state will receive cilofexor 100 mg or placebo once with food on Day 1 followed by a 5-day washout period then receive cilofexor 100 mg or placebo tablet, orally, once daily with food from Day 7 to Day 20. |
| Cohort 6: Cilofexor 50 mg | EXPERIMENTAL | Participants in fed state will receive cilofexor 50 mg or placebo twice with food on Day 1 followed by a 5-day washout period then receive cilofexor 50 mg or placebo twice daily from Day 7 to Day 20. |
| Cohort 7: Cilofexor 15 mg | EXPERIMENTAL | Participants in fed state will receive cilofexor 15 mg or placebo twice with food on Day 1 followed by a 5-day washout period then receive cilofexor 15 mg or placebo twice daily from Day 7 to Day 20. |
| Cohort 8: Cilofexor 10 mg | EXPERIMENTAL | Participants in fed state will receive cilofexor 10 mg or placebo once with food on Day 1 followed by a 5-day washout period then receive cilofexor 10 mg or placebo once daily from Day 7 to Day 20. |
| Cohort 9: Cilofexor | EXPERIMENTAL | Participants will receive cilofexor up to 300 mg or placebo once daily in the evening on empty stomach. |
| Cohort 10: Cilofexor | EXPERIMENTAL | Participants will receive cilofexor up to 300 mg or placebo once daily in the evening on empty stomach. |
| Name | Type | Description |
|---|---|---|
| Semaglutide (SEMA) | DRUG | Administered as subcutaneous (SC) injection |
| Cilofexor (CILO)/Firsocostat (FIR) | DRUG | Tablets administered orally |
| PTM SEMA | DRUG | Administered as SC injection |
| PTM CILO/FIR | DRUG | Tablets administered orally |
| Cilofexor | DRUG | Tablet(s) administered orally once daily with food |
| Placebo to match cilofexor | DRUG | Tablet(s) administered orally once daily with food |
| GS-9674 | DRUG | Tablet administered orally once daily |
| Placebo to match GS-9674 | DRUG | Tablet(s) administered orally once daily |
| Placebo | DRUG | Tablets administered orally |
Key Inclusion Criteria: * Liver biopsy consistent with cirrhosis (F4) due to nonalcoholic steatohepatitis (NASH) in the opinion of the central reader. In individuals who have never had a liver biopsy, a screening liver biopsy may be performed. * Screening laboratory parameters as determined by the ...
GS-9674 is an investigational small molecule being developed for the treatment of nonalcoholic steatohepatitis (NASH), a metabolic liver condition. It is currently in Phase 2 clinical development and has not been approved by regulatory authorities.
GS-9674 is being developed by Gilead Sciences, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol GILD. The drug is in Phase 2 clinical trials for nonalcoholic steatohepatitis (NASH).
GS-9674 is in Phase 2 clinical development. It is an investigational drug for nonalcoholic steatohepatitis (NASH) and has not yet been approved by the FDA or other regulatory agencies. Its Phase 2 trial has been completed.
GS-9674 has one completed Phase 2 clinical trial, identified as NCT02854605. This randomized, double-blind, placebo-controlled study evaluated the safety, tolerability, and efficacy of GS-9674 in 140 participants with nonalcoholic steatohepatitis (NASH) across multiple countries.
GS-9674 is not FDA approved. It is an investigational drug currently in Phase 2 clinical development for nonalcoholic steatohepatitis (NASH). The drug has completed a Phase 2 trial but has not yet received regulatory approval.