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elafibranor

Phase 3FDA approved

Primary Biliary Cholangitis (PBC) | Small molecule | Other |Genfit SA Sponsored ADR|Trials Updated: Nov 3, 2022

elafibranor development status

FDA approval on record Approved
Highest phase Phase 3 (NCT02704403)
Phase scored for GNFTPhase 2
Registered trials 6 across 1 sponsor since Mar 2014

elafibranor target and mechanism

Molecular targetPPARA, PPARD
Target classAgonist
ModalitySmall molecule

Also known as GFT505

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials9
Total Enrollment656

FDA Designations

No designations recorded

elafibranor clinical trials

elafibranor · 9 trials · 15 indications

Phase 2 6Phase 1 3
NCT03124108Study to Evaluate the Efficacy and Safety of Elafibranor in Patients With Primary Biliary Cholangitis (PBC) and Inadequate Response to Ursodeoxycholic AcidPrimary Biliary Cholangitis (PBC)
COMPLETED45 Analytics
NCT01694849Phase IIb Study to Evaluate the Efficacy and Safety of GFT505 Versus Placebo in Patients With Non-Alcoholic Steatohepatitis (NASH)Non-Alcoholic Steatohepatitis (NASH)
COMPLETED275 Analytics
NCT01271777Pilot Study With GFT505 (80mg) in Patients With Insulin Resistance and Abdominal ObesityInsulin Resistance
COMPLETED22 Analytics
NCT01261494Study With GFT505 (80mg) Versus Placebo in Patients With Type 2 Diabetes MellitusType II Diabetes Mellitus
COMPLETED97 Analytics
NCT01275469Pilot Study With GFT505 (80mg) in Patients Presenting With Impaired Glucose Tolerance and Abdominal Obesity.Impaired Glucose Tolerance
COMPLETED47 Analytics
NCT01271751Pilot Study With GFT505 (80mg) in Atherogenic Dyslipidaemic Patients With Abdominal ObesityAtherogenic Dyslipidaemia
COMPLETED96 Analytics
PHASE2COMPLETED
Study to Evaluate the Efficacy and Safety of Elafibranor in Patients With Primary Biliary Cholangitis (PBC) and Inadequate Response to Ursodeoxycholic Acid
Primary Biliary Cholangitis (PBC)Unlock trial analytics
PHASE2COMPLETED
Phase IIb Study to Evaluate the Efficacy and Safety of GFT505 Versus Placebo in Patients With Non-Alcoholic Steatohepatitis (NASH)
Non-Alcoholic Steatohepatitis (NASH)Unlock trial analytics
PHASE2COMPLETED
Pilot Study With GFT505 (80mg) in Patients With Insulin Resistance and Abdominal Obesity
Insulin ResistanceUnlock trial analytics
PHASE2COMPLETED
Study With GFT505 (80mg) Versus Placebo in Patients With Type 2 Diabetes Mellitus
Type II Diabetes MellitusUnlock trial analytics
PHASE2COMPLETED
Pilot Study With GFT505 (80mg) in Patients Presenting With Impaired Glucose Tolerance and Abdominal Obesity.
Impaired Glucose ToleranceUnlock trial analytics
PHASE2COMPLETED
Pilot Study With GFT505 (80mg) in Atherogenic Dyslipidaemic Patients With Abdominal Obesity
Atherogenic DyslipidaemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Relative Change From Baseline in Serum Alkaline Phosphatase (ALP) Levels at Week 12 (Endpoint)
Baseline, Week 12 (Endpoint)

Relative change from baseline is in serum ALP levels at Week 12 (endpoint) were reported. Relative change from baseline is defined as percentage (%) change from baseline to endpoint.

Percentage of Responders With Disappearance of Steatohepatitis Without Worsening of Fibrosis (ie, Participants no Longer Meeting the Criteria for Steatohepatitis)
Baseline (Visit 2; Week 0) to Visit 8 (Week 52)

Percentage of responders from baseline to Week 52 defined by the disappearance of steatohepatitis (ie, participants no longer meeting the criteria for steatohepatitis) without worsening of fibrosis. Worsening of fibrosis was evaluated using Nonalcoholic Steatohepatitis Clinical Research Network (NASH CRN) fibrosis staging system and defined as: * Progression to stage 3 or 4 for participants at stage 0, 1 or 2 on diagnostic liver biopsy * Progression to stage 4 for participants at stage 3 on diagnostic liver biopsy

Glucose Infusion Rate (GIR)
8 weeks

To evaluate in each patient the differences in Glucose Infusion Rate (GIR) measured at the end of 8 weeks treatment periods with GFT505 (80 mg/day per os) or placebo according to a cross-over design.

HbA1c
12 weeks

To evaluate after 12 weeks of oral administration of double blind treatment the change from baseline in HbA1c level achieved with GFT505 80mg versus placebo. Evaluation will be made during the selection period, prior any drug intake, and 4, 8, 12 weeks after the first treatment intake as well as 2 weeks after the last treatment intake (follow up period).

Oral Glucose test Tolerance (OGTT)
4 weeks

To evaluate the change in plasma Glucose 2hr following oral glucose load from baseline to end point. Evaluation will be made during the selection period, prior any drug intake, and 4 weeks (28-34 days) after the first treatment intake.

Decrease in serum Triglycerides (TG) level
28 days

To evaluate the efficacy of GFT505 80mg in reducing serum TG compared with placebo. Evaluation will be made during the selection period, then the first day prior any drug intake, 2 and 4 weeks after the first treatment intake and 2 weeks after the last treatment intake (follow-up visit)

Increase in serum High Density Lipoprotein Cholesterol (HDL-C) level
28 days

To evaluate the efficacy of GFT505 80mg in increasing HDL-C levels compared with placebo. Evaluation will be made during the selection period, then the first day prior any drug intake, 2 and 4 weeks after the first treatment intake and 2 weeks after the last treatment intake (follow-up visit)

Plasma pharmacokinetics: Area under curve from dosing time to infinity (AUC(0-∞)) of elafibranor and active metabolite
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for elderly volunteers

In Healthy Young Adults compared to Healthy Elderly

Plasma pharmacokinetics: Area under curve from dosing time to last measurement (AUC(0-t)) of elafibranor and active metabolite
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for elderly volunteers

In Healthy Young Adults compared to Healthy Elderly

Plasma pharmacokinetics: maximum plasma drug concentration (Cmax) of elafibranor and active metabolite
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for elderly volunteers

In Healthy Young Adults compared to Healthy Elderly

Area under curve from dosing time to last measurement (AUC(0-t)) of elafibranor and active metabolite
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose

In participants with end stage renal disease compared to healthy volunteers

Area under curve from dosing time to infinity (AUC(0-∞)) of elafibranor and active metabolite
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose

In participants with end stage renal disease compared to healthy volunteers

Secondary Endpoints

Percentage of Participants With Response Defined by Composite Risk Scores (ALP< 1.67 * Upper Limit of Normal [ULN] at Endpoint, Total Bilirubin [BIL] Within Normal Limits at Endpoint, and Greater Than [>] 15% ALP Reduction From Baseline to Endpoint)
Up to Week 12 (Endpoint)
Percentage of Participants With Response Defined by Composite Risk Scores (ALP < 2 * Upper Limit of Normal at Endpoint, Total Bilirubin Within Normal Limits at Endpoint, and > 40% ALP Reduction From Baseline to Endpoint)
Up to Week 12 (Endpoint)
Percentage of Participants With Response Based on PARIS I Risk Score at Endpoint
At Week 12 (Endpoint)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORStudy subjects will take two tablets per day orally before breakfast with a glass of water each morning
Elafibranor 80 mgACTIVE_COMPARATORStudy subjects will take two tablets per day orally before breakfast with a glass of water each morning
Elafibranor 120 mgACTIVE_COMPARATORStudy subjects will take two tablets per day orally before breakfast with a glass of water each morning
GFT505 80mgEXPERIMENTALHard gelatin capsules dosed at 40mg, oral administration, 3 capsules per day before breakfast with a glass of water.
GFT505 120mgEXPERIMENTALHard gelatin capsules dosed at 40mg, oral administration, 3 capsules per day before breakfast with a glass of water.
Matching placeboPLACEBO_COMPARATOR -
Young AdultsEXPERIMENTALSingle oral dose of elafibranor 120mg
ElderlyEXPERIMENTALSingle oral dose of elafibranor 120mg
End Stage Renal DiseaseEXPERIMENTALSingle oral dose of elafibranor 120mg
HealthyEXPERIMENTALSingle oral dose of elafibranor 120mg
Mild Child-Pugh AEXPERIMENTALSingle oral dose of elafibranor 120mg
Moderate Child-Pugh BEXPERIMENTALSingle oral dose of elafibranor 120mg
Severe Child-Pugh CEXPERIMENTALSingle oral dose of elafibranor 120mg

Interventions

NameTypeDescription
Elafibranor 80 mgDRUGTwo coated tablets daily for 12 weeks
Elafibranor 120 mgDRUGTwo coated tablets daily for 12 weeks
PlaceboDRUGTwo coated tablets daily for 12 weeks
GFT505 80mgDRUG -
GFT505 120mgDRUG -
elafibranorDRUGelafibranor 120mg is a coated tablet for oral administration
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites24

Inclusion Criteria: 1. Must have provided written informed consent 2. Definite or probable PBC diagnosis as demonstrated by the presence of at least 2 of the following 3 diagnostic factors: * History of elevated ALP levels for at least 6 months prior to Day 0 (randomization visit) * Positive...

Countries:United StatesFranceGermanySpainUnited KingdomBelgiumItalyNetherlandsRomaniaBosnia and HerzegovinaLatviaMoldovaNorth MacedoniaSerbiaTunisia
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Frequently asked questions about elafibranor

What is elafibranor?

Elafibranor is an investigational small molecule drug developed by Genfit SA (ticker GNFT). It has been studied in clinical trials for primary biliary cholangitis (PBC), a liver disease, as well as in pharmacokinetic studies involving elderly volunteers and patients with kidney or liver impairment.

What is elafibranor used for in primary biliary cholangitis (PBC)?

Elafibranor has been evaluated in a Phase 2 clinical trial for patients with primary biliary cholangitis (PBC) who had an inadequate response to ursodeoxycholic acid. The study assessed the efficacy and safety of the drug in this patient population.

What does elafibranor target?

Elafibranor targets PPARA and PPARD, where it acts as an agonist. By activating these receptors, elafibranor modulates gene expression involved in lipid metabolism and inflammation, which are relevant pathways in liver and metabolic diseases.

Who makes elafibranor?

Elafibranor is developed by Genfit SA, which trades under the ticker GNFT as a sponsored ADR. Genfit is a biopharmaceutical company focused on liver and metabolic diseases.

What phase is elafibranor in?

Elafibranor is in Phase 1 of clinical development according to the available data. It is an investigational drug and has not been approved by the FDA for any indication.

What clinical trials is elafibranor in?

Elafibranor has been studied in several completed clinical trials, including NCT04171752 in elderly healthy volunteers, NCT03844555 in patients with renal impairment, NCT03765671 in patients with hepatic impairment, and NCT03124108 in patients with primary biliary cholangitis (PBC).