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ION224

Phase 2

Steatohepatitis, Nonalcoholic | Small molecule | Metabolic |Ionis Pharmaceuticals, Inc.|Trials Updated: Nov 27, 2024

ION224 development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Jun 2021

ION224 target and mechanism

Molecular targetDGAT2
Target classEnzyme
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment160

FDA Designations

No designations recorded

ION224 clinical trials

ION224 · 1 trial · 1 indication

Phase 2 1
NCT04932512A Study to Assess the Safety, Efficacy, and Pharmacokinetics of Multiple Doses of ION224Steatohepatitis, Nonalcoholic
COMPLETED160 Analytics
PHASE2COMPLETED
A Study to Assess the Safety, Efficacy, and Pharmacokinetics of Multiple Doses of ION224
Steatohepatitis, NonalcoholicUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With at Least 2-point Reduction in Non-alcoholic Fatty Liver Disease Activity Score (NAS) With at least 1-point Improvement in Hepatocellular Ballooning or Lobular Inflammation, and Without Worsening in Fibrosis Stage at EOT
Up to Week 49

The NAS is a histology grading score composed on the assessment of steatosis (scale 0-3), hepatocellular ballooning (scale 0-2), and lobular inflammation (scale 0-3), with higher scores indicating more severe hepatitis. Worsening of fibrosis is defined as an increase in fibrosis of at least one stage on the Kleiner fibrosis classification: fibrosis stages range from 0-4, with higher scores indicating greater fibrosis (0=None, 4=Cirrhosis).

Secondary Endpoints

Change From Baseline in Hepatic Fat Content Measurement as Evaluated by MRI-PDFF and Calculated by an Independent, Blinded-To-Treatment, Central Reader
Baseline up to Week 15, Week 29 and Week 49
Percentage of Participants Achieving Non-alcoholic Steatohepatitis (NASH) Resolution, as Defined by Scores of 0 for Ballooning and 0 or 1 for Inflammation by the NAS, and Without Worsening of Fibrosis, Assessed Through Liver Biopsy at the EOT
Up to Week 49
Percentage of Participants Achieving Reduction of at Least 1 Stage in the Fibrosis Score, and Without Worsening of Steatohepatitis by the NAS, Assessed Through Liver Biopsy at the EOT
Up to Week 49
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ION224EXPERIMENTALMultiple doses of ION224 will be administered by SC injection once every 4 weeks for up to 49 weeks.
PlaceboPLACEBO_COMPARATORMultiple doses of matching placebo will be administered by SC injection once every 4 weeks for up to 49 weeks.

Interventions

NameTypeDescription
ION224DRUGION224 will be administered by SC injection.
PlaceboOTHERION224-matching placebo solution will be administered by SC injection.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites51

Inclusion Criteria: * Males or females greater than or equal to (≥) 18 and less than or equal to (≤) 75 years old at the time of informed consent * Body mass index ≥ 25 kg/m\^2 and ≥ 22 kg/m\^2 for participants of Asian race, as assessed during screening * Liver fat ≥ 10% as assessed by MRI-PDFF be...

Countries:United StatesPuerto Rico
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Frequently asked questions about ION224

What is ION224 used for?

ION224 is being developed for the treatment of nonalcoholic steatohepatitis, a form of fatty liver disease. It is an investigational medicine and has not been approved by the FDA. Ionis Pharmaceuticals is studying it in a Phase 2 clinical program in adults with this condition.

What does ION224 target?

ION224 targets DGAT2, an enzyme involved in triglyceride synthesis. By acting on DGAT2, the drug is designed to reduce fat accumulation in the liver. DGAT2 is the molecular target of ION224, and the compound is a small molecule.

Who makes ION224?

ION224 is being developed by Ionis Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker IONS. Ionis is the sponsor of the clinical program evaluating ION224 in nonalcoholic steatohepatitis.

What phase is ION224 in?

ION224 is in Phase 2 clinical development. It is an investigational drug and is not FDA approved. The Phase 2 study has been completed, and no active trials of ION224 are currently listed.

What clinical trials is ION224 in?

ION224 has been evaluated in the Phase 2 trial NCT04932512, titled A Study to Assess the Safety, Efficacy, and Pharmacokinetics of Multiple Doses of ION224. The trial enrolled 160 adults with nonalcoholic steatohepatitis in the United States and Puerto Rico and has been completed.

How was the ION224 Phase 2 trial designed?

The Phase 2 trial NCT04932512 was a randomized, double-blind, placebo-controlled study of multiple doses of ION224. It enrolled 160 participants aged 18 years and older with nonalcoholic steatohepatitis. The study was conducted in the United States and Puerto Rico and has been completed.