A Phase 2b, Study Evaluating Miricorilant in Adult Patients With Nonalcoholic Steatohepatitis/Metabolic Dysfunction-Associated Steatohepatitis (MONARCH)

Last updated: December 9, 2024
Sponsor: Corcept Therapeutics
Overall Status: Active - Recruiting

Phase

2

Condition

Liver Disease

Nonalcoholic Steatohepatitis (Nash)

Treatment

Miricorilant

Placebo

Miricorilant (Cohort A)

Clinical Study ID

NCT06108219
CORT118335-862
  • Ages 18-75
  • All Genders

Study Summary

A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Miricorilant in Adult Patients with Nonalcoholic Steatohepatitis (MONARCH)

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Cohort A: Histological diagnosis of NASH/MASH with NAS ≥ 4 (≥ 1 point in eachsubcomponent of steatosis, inflammation, and ballooning) and NASH-CRN fibrosis scoreof 2 or 3 based on the consensus method of histological assessment. A historicalliver biopsy within 6 months of Screening with reading confirmed during theScreening period by a consensus panel is acceptable.

  • Cohort B: Have a liver biopsy result that does not meet with the criteria forinclusion in Cohort A and is consistent with one of the following based on theconsensus method of histological assessment:

  • NAS ≥ 3 with ≥1 point in each subcomponent of steatosis, inflammation, andballooning, and a NASH-CRN fibrosis score of F1 or

  • NAS ≥ 2 with ≥1 point in subcomponent of steatosis and ≥ 1 point insubcomponent of ballooning or inflammation and a NASH-CRN fibrosis score of F2or 3

  • AST > 17 U/L for women and AST > 20 U/L for men.

  • FibroScan® liver stiffness measurement ≥ 8 kPa and CAP ≥ 280 dB/m.

  • MRI-PDFF with ≥ 8% steatosis

  • Presence of at least 1 of the following metabolic syndromes that increase the riskof NASH/MASH:

  1. Diagnosis of type 2 diabetes OR

  2. Presence of 2 or more components of metabolic syndrome: i. Fasting blood glucose ≥ 100 mg/dL (5.6 mmol/L) or treatment for elevated bloodglucose ii. Systolic blood pressure ≥ 130mmHg, diastolic blood pressure ≥ 85mmHg, ortreatment for hypertension iii. Serum triglycerides ≥ 150 mg/dL (1.7 mmol/L) or drugtreatment for elevated triglycerides iv. Serum high-density lipoprotein (HDL)cholesterol < 40 mg/dL (1 mmol/L) in men and < 50 mg/dL (1.3 mmol/L) in women ordrug treatment for low HDL v. Overweight or obese (body mass index [BMI] ≥ 25 kg/m2 [BMI ≥ 23 kg/m2 in Asians]), or increased waist circumference ≥ 102 cm (40 in) inmen and ≥ 88 cm (35 in) in women (male ≥ 90 cm [35.4 in]; women ≥ 80 cm [31.5 in] in

  • Other inclusion criteria may apply

Exclusion

Exclusion Criteria:

  • Have participated in another clinical trial within the last 3 months of Screeningwhere the patient received active treatment for NASH/MASH.

  • Have participated in a clinical trial for any other indication within the last 3months or 5 half-lives of the treatment, whichever is longer.

  • Are pregnant or lactating women

  • Have a BMI < 18 kg/m2 or > 45 kg/m2.• Have had liver transplantation or plan to haveliver transplantation during the study

  • Have type 1 diabetes or poorly controlled type 2 diabetes.

  • Are pregnant or lactating women

  • Have a BMI < 18 kg/m2 or > 45 kg/m2

  • Have had successful weight-loss surgery within 2 years prior to Screening or areplanning weight-loss surgery during the study.

  • Have a >5% weight change within 3 months prior to Screening.

  • Have significant alcohol consumption of more than 20 g per day for women and 30 gper day for men within 1 year prior to screening or score of ≥8 on AUDITquestionnaire

  • Have any other chronic liver disease

  • History of cirrhosis or evidence of cirrhosis by clinical, imaging, or liver biopsyevaluation

  • Have hepatic decompensation

  • Other exclusion criteria may apply

Study Design

Total Participants: 195
Treatment Group(s): 6
Primary Treatment: Miricorilant
Phase: 2
Study Start date:
October 25, 2023
Estimated Completion Date:
December 31, 2025

Study Description

Approximately 120 patients who are eligible for participation in the study will be randomized on Day 1 in a 2:1 ratio to 100 mg miricorilant or placebo twice weekly, for 48 weeks of treatment (Cohort A).

Approximately 75 patients who are eligible for participation in the study will be randomized on Day 1 in a 2:1 ratio to 100 mg miricorilant twice a week for 6 weeks of treatment, followed by a dose escalation to 200 mg miricorilant or placebo twice weekly for an additional 18 weeks which resulting in a total treatment duration of 24 weeks, or to placebo for 24 weeks. (Cohort B).

Connect with a study center

  • Site #457

    San Juan, 00927-4807
    Puerto Rico

    Active - Recruiting

  • Site #207

    Chandler, Arizona 85224
    United States

    Active - Recruiting

  • Site #209

    Tucson, Arizona 85712
    United States

    Active - Recruiting

  • Site #378

    Huntington Park, California 90255
    United States

    Active - Recruiting

  • Site #439

    Lancaster, California 93534
    United States

    Active - Recruiting

  • Site #469

    Long Beach, California 90815
    United States

    Active - Recruiting

  • Site #373

    Los Angeles, California 90056
    United States

    Active - Recruiting

  • Site #214

    Panorama City, California 91402
    United States

    Active - Recruiting

  • Site #233

    Santa Ana, California 92704
    United States

    Active - Recruiting

  • Site #452

    Boca Raton, Florida 33434
    United States

    Active - Recruiting

  • Site #465

    Hallandale Beach, Florida 33009
    United States

    Active - Recruiting

  • Site #430

    Hialeah Gardens, Florida 33016
    United States

    Active - Recruiting

  • Site #458

    Lakewood Ranch, Florida 38018
    United States

    Active - Recruiting

  • Site #475

    Largo, Florida 33777
    United States

    Active - Recruiting

  • Site #438

    Miami Lakes, Florida 33016
    United States

    Active - Recruiting

  • Site #460

    Viera, Florida 32940
    United States

    Active - Recruiting

  • Site #453

    Houma, Louisiana 70363
    United States

    Active - Recruiting

  • Site #451

    Marrero, Louisiana 70072
    United States

    Active - Recruiting

  • Site #061

    Metairie, Louisiana 70006
    United States

    Active - Recruiting

  • Site #440

    Rockville, Maryland 20854
    United States

    Active - Recruiting

  • Site #442

    Saint Paul, Minnesota 55114
    United States

    Active - Recruiting

  • Site #449

    Biloxi, Mississippi 39532
    United States

    Site Not Available

  • Site #228

    Kansas City, Missouri 64131
    United States

    Active - Recruiting

  • Site #462

    Las Vegas, Nevada 89109
    United States

    Site Not Available

  • Site #455

    Jackson, New Jersey 08724
    United States

    Active - Recruiting

  • Site #445

    East Syracuse, New York 13057
    United States

    Active - Recruiting

  • Site #454

    New York, New York 10033
    United States

    Active - Recruiting

  • Site #464

    Morehead City, North Carolina 29557
    United States

    Active - Recruiting

  • Site #447

    Beavercreek, Ohio 45440
    United States

    Active - Recruiting

  • Site #470

    Columbus, Ohio 43234
    United States

    Active - Recruiting

  • Site #448

    Dayton, Ohio 45145
    United States

    Active - Recruiting

  • Site #437

    Westlake, Ohio 44145
    United States

    Active - Recruiting

  • Site #461

    Cordova, Tennessee 38018
    United States

    Active - Recruiting

  • Site #211

    Austin, Texas 78757
    United States

    Active - Recruiting

  • Site #432

    Brownsville, Texas 78520
    United States

    Active - Recruiting

  • Site #370

    Dallas, Texas 75230
    United States

    Active - Recruiting

  • Site #213

    Edinburg, Texas 78539
    United States

    Active - Recruiting

  • Site #215

    Edinburg, Texas 78539
    United States

    Active - Recruiting

  • Site #431

    Georgetown, Texas 78626
    United States

    Active - Recruiting

  • Site #305

    Houston, Texas 77079
    United States

    Active - Recruiting

  • Site #459

    Katy, Texas 77494
    United States

    Active - Recruiting

  • Site #212

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Site #433

    San Antonio, Texas 78125
    United States

    Active - Recruiting

  • Site #434

    Waco, Texas 78125
    United States

    Active - Recruiting

  • Site #441

    West Jordan, Utah 84088
    United States

    Active - Recruiting

  • Site #463

    Manassas, Virginia 20110
    United States

    Active - Recruiting

  • Site #226

    Seattle, Washington 98105
    United States

    Active - Recruiting

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