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SEL

Phase 2

Nonalcoholic Steatohepatitis (NASH) | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Mar 16, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment220
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02781584Safety, Tolerability, and Efficacy of Selonsertib, Firsocostat, and Cilofexor in Adults With Nonalcoholic Steatohepatitis (NASH)PHASE2 COMPLETED 220Jun 13, 2016Dec 17, 2020Mar 16, 202213 United States, New Zealand
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Study Endpoints
Primary Endpoints
Percentage of Participants Who Experienced Treatment-Emergent Adverse Events
Cohorts 1-9: First dose date up to 12 weeks plus 30 days; Cohorts 10-11: First dose date up to 26 weeks plus 30 days; Cohorts 12-13: First dose date up to 8 weeks plus 30 days. For Cohorts 10-13, the first dose date included the Pre-treatment Phase.

Treatment-emergent AEs were defined as events that met 1 or both of the following criteria: * Any AEs with onset dates on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug * Any AEs leading to premature discontinuation of study drug

Percentage of Participants Who Experienced Treatment Emergent Serious Adverse Events
Cohorts 1-9: First dose date up to 12 weeks plus 30 days; Cohorts 10-11: First dose date up to 26 weeks plus 30 days; Cohorts 12-13: First dose date up to 8 weeks plus 30 days. For Cohorts 10-13, the first dose date included the Pre-treatment Phase.

A treatment emergent serious adverse event (SAE) was defined as an event that, at any dose, results in the following: * Death * Life-threatening * In-patient hospitalization or prolongation of existing hospitalization * Persistent or significant disability/incapacity * A congenital anomaly/birth defect * A medically important event or reaction

Percentage of Participants Who Experienced Grade 3 or Higher Laboratory Abnormalities
Cohorts 1-9: First dose date up to 12 weeks plus 30 days; Cohorts 10-11: First dose date up to 26 weeks plus 30 days; Cohorts 12-13: First dose date up to 8 weeks plus 30 days. For Cohorts 10-13, the first dose date included the Pre-treatment Phase.

Treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from baseline at any postbaseline time point, up to and including the date of last dose of study drug plus 30 days for subjects who permanently discontinued study drug. If baseline laboratory data were missing, then any abnormality of at least Grade 1 was considered treatment emergent. Graded laboratory abnormalities were defined using the grading scheme in the Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03 for Cohorts 1-9 and CTCAE Version 5.0 for Cohorts 10-13.

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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1: SEL 18 mg (Non-cirrhotic)EXPERIMENTALNon-cirrhotic participants will receive selonsertib (SEL) 18 mg tablet orally once daily for 12 weeks.
Cohort 2: FIR 20 mg (Non-cirrhotic)EXPERIMENTALNon-cirrhotic participants will receive firsocostat (FIR) 20 mg tablet orally once daily for 12 weeks.
Cohort 3: CILO 30 mg (Non-cirrhotic)EXPERIMENTALNon-cirrhotic participants will receive cilofexor (CILO) 30 mg tablet once daily for 12 weeks.
Cohort 4: SEL 18 mg + CILO 30 mg (Non-cirrhotic)EXPERIMENTALNon-cirrhotic participants will receive SEL 18 mg tablet + CILO 30 mg tablet once daily for 12 weeks.
Cohort 5: SEL 18 mg + FIR 20 mg (Non-cirrhotic)EXPERIMENTALNon-cirrhotic participants will receive SEL 18 mg tablet + FIR 20 mg tablet once daily for 12 weeks.
Cohort 6: CILO 30 mg + FIR 20 mg (Non-cirrhotic)EXPERIMENTALNon-cirrhotic participants will receive CILO 30 mg tablet + FIR 20 mg tablet once daily for 12 weeks.
Cohort 7: CILO 20 mg (Cirrhotic)EXPERIMENTALParticipants with Child-Pugh-Turcotte Class A cirrhosis will receive FIR 20 mg tablet once daily for 12 weeks.
Cohort 8: CILO 30 mg (Cirrhotic)EXPERIMENTALParticipants with Child-Pugh-Turcotte Class A cirrhosis will receive CILO 30 mg tablet once daily for 12 weeks.
Cohort 9: SEL 18 mg + FIR 20 mg + CILO 30 mg (Non-cirrhotic)EXPERIMENTALNon-cirrhotic participants will receive SEL 18 mg tablet + FIR 20 mg tablet + CILO 30 mg tablet once daily for 12 weeks.
Cohort 10: FIR 20 mg + FENO 48 mgEXPERIMENTALParticipants will receive fenofibrate (FENO) 48 mg tablet orally once daily for 2 weeks in the pretreatment phase, then FIR 20 mg tablet + FENO 48 mg tablet orally once daily for 24 weeks in the treatment phase. Participants with compensated cirrhosis due to NASH will be accepted to participate in this cohort.
Cohort 11: FIR 20 mg + FENO 145 mgEXPERIMENTALParticipants will receive FENO 145 mg tablet orally once daily for 2 weeks in the pretreatment phase, then FIR 20 mg tablet + FENO 145 mg tablet orally once daily for 24 weeks in the treatment phase. Participants with compensated cirrhosis due to NASH will be accepted to participate in this cohort.
Cohort 12: FIR 20 mg + CILO 30 mg + VAS 2gEXPERIMENTALParticipants will receive Vascepa® (VAS) 2 g capsule orally twice daily for 2 weeks in the pretreatment phase, then FIR 20 mg tablet once daily + CILO 30 mg tablet once daily + VAS 2 g capsule twice daily for 6 weeks in the treatment phase. Participants with compensated cirrhosis due to NASH will be accepted to participate in this cohort.
Cohort 13: FIR 20 mg + CILO 30 mg + FENO 145 mgEXPERIMENTALParticipants will receive FENO 145 mg tablet orally once daily for 2 weeks in the pretreatment phase, then FIR 20 mg tablet once daily + CILO 30 mg tablet once daily + FENO 145 mg tablet orally once daily for 6 weeks in the treatment phase. Participants with compensated cirrhosis due to NASH will be accepted to participate in this cohort.
Interventions
NameTypeDescription
SELDRUGAdministered orally once daily
FIRDRUGAdministered orally once daily
CILODRUGAdministered orally once daily
FENODRUGAdministered orally once daily
VASDRUGAdministered orally two times daily
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites13

Key Inclusion Criteria: * Males and females between 18-75 years of age (Cohorts 1-9: 18-75 years and Cohorts 10-13: ≥ 18 years); inclusive based on the date of the screening visit * Willing and able to provide informed consent prior to any study specific procedures being performed * For Cohorts 1 t...

Countries:United StatesNew Zealand
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