Recent Updates
Recently added Catalysts

Gemcabene

Phase 2

Hypercholesterolemia | Small molecule | Metabolic |MetaVia Inc.|Last Updated: Jun 25, 2020

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials5
Total Enrollment574

FDA Designations

No designations recorded

Clinical trial landscape

Gemcabene · 10 trials · 6 indications

Phase 2 7Phase 1 3
NCT02944383A 12-Week Study to Assess the Efficacy Safety and Tolerability of Gemcabene in Subjects With Severe HypertriglyceridemiaSevere Hypertriglyceridemia
COMPLETED91 Analytics
NCT02634151A 12-Week, Phase 2 Study of Gemcabene in Hypercholesterolemia Patients on Stable Moderate and High-Intensity StatinsHypercholesteremia
COMPLETED105 Analytics
NCT02722408Efficacy and Safety of Gemcabene in Patients With Homozygous Familial Hypercholesterolemia on Stable, Lipid-Lowering Therapy (COBALT-1)Hypercholesteremia
COMPLETED8 Analytics
NCT02591836Efficacy and Safety of Gemcabene in Hypercholesterolemic Patients as Monotherapy or in Combination With AtorvastatinHypercholesterolemia
COMPLETED277 Analytics
NCT02586168The Effect of Gemcabene on Insulin Sensitivity in Nondiabetic SubjectsInsulin Sensitivity
COMPLETED53 Analytics
NCT02571257Efficacy and Safety of Gemcabene in Hypercholesterolemic Patients on Stable Statin TherapyHypercholesterolemia
COMPLETED66 Analytics
NCT02585869Efficacy and Safety of Gemcabene in Patients With Low HDL-C and Either Normal or Elevated TriglyceridesHypercholesterolemia
COMPLETED161 Analytics
PHASE2COMPLETED
A 12-Week Study to Assess the Efficacy Safety and Tolerability of Gemcabene in Subjects With Severe Hypertriglyceridemia
Severe HypertriglyceridemiaUnlock trial analytics
PHASE2COMPLETED
A 12-Week, Phase 2 Study of Gemcabene in Hypercholesterolemia Patients on Stable Moderate and High-Intensity Statins
HypercholesteremiaUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of Gemcabene in Patients With Homozygous Familial Hypercholesterolemia on Stable, Lipid-Lowering Therapy (COBALT-1)
HypercholesteremiaUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of Gemcabene in Hypercholesterolemic Patients as Monotherapy or in Combination With Atorvastatin
HypercholesterolemiaUnlock trial analytics
PHASE2COMPLETED
The Effect of Gemcabene on Insulin Sensitivity in Nondiabetic Subjects
Insulin SensitivityUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of Gemcabene in Hypercholesterolemic Patients on Stable Statin Therapy
HypercholesterolemiaUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of Gemcabene in Patients With Low HDL-C and Either Normal or Elevated Triglycerides
HypercholesterolemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline to End of Study (EOS) in Fasting Serum Triglycerides (TG)
Baseline, EOS (average of week 10 and 12)

EOS was defined as the average of the week 10 and week 12 values. If either the week 10 or week 12 value was missing, then the single value (week 10 or week 12) was used. Completely missing values (both week 10 and week 12) were imputed using last observation carried forward (LOCF).

Percent Change From Baseline in LDL-C at Week 12
Baseline, Week 12
Percent Change From Baseline in LDL-C at Day 28
Baseline, day 28
Percent Change From Baseline in LDL-C at Day 56
Baseline, day 56
Percent Change From Baseline in LDL-C at Day 84
Baseline, day 84
LDL-C percent change from baseline
56 days
Insulin sensitivity
4 weeks
LDL-C - percent change from baseline at Week 8
56 days
HDL-C - percent change from baseline
84 days
Pharmacokinetics
Days 5, 16 and 27

Cmax

Pharmacokinetcis
29 days

Area Under the Curve (AUC)

Secondary Endpoints

Percent Change From Baseline in Fasting Serum TG
Baseline, Weeks 2, 6, 10 and 12
Change From Baseline in Fasting Serum TG
Baseline, Weeks 2, 6, 10, 12 and EOS (average of week 10 and 12)
Percent Change From Baseline in TC
Baseline, Weeks 2, 6, 10, 12 and EOS (average of week 10 and 12)
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Gemcabene 300 mgEXPERIMENTALParticipants received 300 mg Gemcabene orally, once daily for 12 weeks.
Gemcabene 600 mgEXPERIMENTALParticipants received 600 mg Gemcabene orally, once daily for 12 weeks.
PlaceboPLACEBO_COMPARATORParticipants received matching placebo orally, once daily for 12 weeks.
GemcabeneEXPERIMENTALParticipants with homozygous familial hypercholesterolemia (HoFH) on stable lipid lowering therapy received 300 milligram (mg) of Gemcabene, orally once daily from day 1 to 28 followed by 600 mg of Gemcabene, orally once daily from day 29 to 56 followed by 900 mg of Gemcabene, orally once daily from day 57 to 84. Participants were followed until Day 112.
Gemcabene 900 mgEXPERIMENTALGemcabene 900 mg QD
Atorvastatin 10 mgACTIVE_COMPARATOR -
Atorvastatin 40 mgACTIVE_COMPARATOR -
Atorvastatin 80 mgACTIVE_COMPARATOR -
Gemcabene 300 mg & Atorvastatin 10 mgEXPERIMENTAL -
Gemcabene 300 mg & Atorvastatin 40 mgEXPERIMENTAL -
Gemcabene 300 mg & Atorvastatin 80 mgEXPERIMENTAL -
Gemcabene 600 mg & Atorvastatin 10 mgEXPERIMENTAL -
Gemcabene 600 mg & Atorvastatin 40 mgEXPERIMENTAL -
Gemcabene 600 mg & Atorvastatin 80 mgEXPERIMENTAL -
Gemcabene 900 mg & Atorvastatin 10 mgEXPERIMENTAL -
Gemcabene 900 mg & Atorvastatin 40 mgEXPERIMENTAL -
Gemcabene 900 mg & Atorvastatin 80 mgEXPERIMENTAL -
Gemcabene 300 mg QDEXPERIMENTALGemcabene (also known as CI-1027) treatment on stable background statin therapy
Gemcabene 900 mg QDEXPERIMENTALGemcabene (also known as CI-1027) treatment on stable background statin therapy
Gemcabene 150 mgEXPERIMENTALGemcabene 150 mg once daily (QD)
Simvastatin 80 mgACTIVE_COMPARATORSimvastatin 80 mg
Gemcabene 50 mgEXPERIMENTALGemcabene 50 mg
Gemcabene 450 mgEXPERIMENTALGemcabene 450 mg
Gemcabene 750/600 mgEXPERIMENTALGemcabene 750/600 mg

Interventions

NameTypeDescription
GemcabeneDRUGGemcabene tablets administered orally once daily, for 12 weeks.
PlaceboDRUGPlacebo tablets administered orally once daily, for 12 weeks.
AtorvastatinDRUGAtorvastatin
Gemcabene 900 mgDRUGGemcabene 900 mg once daily (QD)
Gemcabene 150 mgDRUGBlinded capsules and tablets, 150 mg, once daily, 84 days
Gemcabene 300 mgDRUGBlinded capsules and tablets, 300 mg, once daily, 84 days
Gemcabene 600 mgDRUGBlinded capsules and tablets, 600 mg, once daily, 84 days
Simvastatin 80 mgDRUG2x40 mg Simvastatin tablets orally once daily (QD) for 15 days
Gemcabene 50 mgDRUGGemcabene 50 mg once daily (QD)
Gemcabene 450 mgDRUGGemcabene 450 mg once daily (QD)
Gemcabene 750/600 mgDRUGGemcabene 750/600 mg once daily (QD)
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites49

Inclusion Criteria: Subjects who meet all of the following criteria will be eligible to participate in the study: 1. Provision of written and signed informed consent (by subject or legal guardian) prior to any study-specific procedure; 2. Male or female (neither pregnant or lactating) ≥18 years of...

Countries:United StatesCanadaIsrael
Unlock Eligibility Criteria

Frequently asked questions about Gemcabene

What is Gemcabene used for?

Gemcabene is an investigational small molecule being developed for metabolic conditions, including hypercholesterolemia, severe hypertriglyceridemia, and insulin sensitivity. It is being studied in patients with high cholesterol and related lipid disorders, including those already on statin therapy.

Who is developing Gemcabene?

Gemcabene is being developed by MetaVia Inc., a biopharmaceutical company traded on the NASDAQ under the ticker MTVA. The company is conducting clinical trials to evaluate the drug's efficacy and safety in patients with lipid disorders.

What phase is Gemcabene in?

Gemcabene is in Phase 2 clinical development. It has completed multiple Phase 1 and Phase 2 trials, including studies in hypercholesterolemic patients on stable statin therapy and in patients with low HDL-C and elevated triglycerides. It is not yet approved and remains investigational.

What clinical trials has Gemcabene been in?

Gemcabene has been studied in five completed trials with a total enrollment of 574 participants. Key trials include NCT02571257, a Phase 2 study in hypercholesterolemic patients on statins, and NCT02585869, a Phase 2 study in patients with low HDL-C and elevated triglycerides. Phase 1 trials include NCT02587364 and NCT02587390.

Is Gemcabene the same as any other drug?

Gemcabene is a distinct investigational compound developed by MetaVia Inc. It is not known to be marketed under any other name. The drug is being evaluated for its effects on cholesterol and triglyceride levels in patients with metabolic disorders.

How is Gemcabene being tested in clinical trials?

Gemcabene is being tested in randomized, double-blind, active-controlled trials. These studies compare the drug against an active control to assess its efficacy and safety. The completed trials include both Phase 1 pharmacokinetic studies in healthy volunteers and Phase 2 efficacy studies in patients with hypercholesterolemia.