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

Last updated: November 24, 2025
Sponsor: Corcept Therapeutics
Overall Status: Active - Not Recruiting

Phase

2

Condition

Liver Disease

Nonalcoholic Steatohepatitis (Nash)

Treatment

Placebo (Cohort A)

Miricorilant

Placebo

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: 175
Treatment Group(s): 6
Primary Treatment: Placebo (Cohort A)
Phase: 2
Study Start date:
October 25, 2023
Estimated Completion Date:
September 30, 2026

Study Description

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 or placebo twice weekly, for 48 weeks of treatment (Cohort A).

Approximately 90 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 #506

    Guwahati, Assam 781032
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    Guwahati 1271476, Assam 1278253 781032
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    Ahmedabad, Gujarat 380053
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    Rajkot, Gujarat 360001
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    Surat, Gujarat 395009
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    Surat, Gujarat 395009
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    Vadodara, Gujarat 390007
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    Ahmedabad 1279233, Gujarat 1270770 380053
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    Rajkot 1258847, Gujarat 1270770 360001
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    Surat 1255364, Gujarat 1270770 395009
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    Surat 1255364, Gujarat 1270770 395009
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    Vadodara 1253573, Gujarat 1270770 390007
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    Rohtak, Haryana 124001
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    Rohtak 1258076, Haryana 1270260 124001
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    Mysore, Karnataka 570015
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    Mysore 1262321, Karnataka 1267701 570015
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    Thiruvananthapuram, Kerala 695011
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    Thiruvananthapuram 1254163, Kerala 1267254 695011
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    Mumbai, Maharashtra 400062
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    Mumbai, Maharashtra 400008
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    Nagpur, Maharashtra 440009
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    Pune, Maharashtra 412201
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    Mumbai 1275339, Maharashtra 1264418 400062
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    Mumbai 1275339, Maharashtra 1264418 400008
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    Nagpur 1262180, Maharashtra 1264418 440009
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    Pune 1259229, Maharashtra 1264418 412201
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    Ludhiana, Punjab 141002
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    Ludhiana 1264728, Punjab 1259223 141002
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    Jaipur, Rajasthan 302004
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    Jaipur, Rajasthan 302001
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    Jaipur 1269515, Rajasthan 1258899 302004
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    Jaipur 1269515, Rajasthan 1258899 302001
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    Madurai, Tamil Nadu 625020
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    Madurai 1264521, Tamil Nadu 1255053 625020
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    Hyderabad, Telangana 500003
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    Hyderabad 1269843, Telangana 1254788 500003
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    Lucknow, Uttar Pradesh 226003
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    Varanasi, Uttar Pradesh 221005
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    Varanasi, Uttar Pradesh 221005
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    Lucknow 1264733, Uttar Pradesh 1253626 226003
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    Varanasi 1253405, Uttar Pradesh 1253626 221005
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    Varanasi 1253405, Uttar Pradesh 1253626 221005
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    Dehradun, Uttarakhand 248001
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    Dehradun 1273313, Uttarakhand 1444366 248001
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    Kolkata, West Bengal 700020
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    Kolkata, West Bengal 700150
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    Kolkata, West Bengal 700073
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    Kolkata 1275004, West Bengal 1252881 700020
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    New Delhi, 110029
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    New Delhi, 110070
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    New Delhi 1261481, 110029
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    New Delhi 1261481, 110070
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    New Delhi 1261481, 110060
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    San Juan, 00927-4807
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    San Juan 4568127, 00927-4807
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    Chandler, Arizona 85224
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    Tucson, Arizona 85712
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    Chandler 5289282, Arizona 5551752 85224
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    Tucson 5318313, Arizona 5551752 85712
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    Long Beach, California 90815
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    Los Angeles, California 90056
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    Los Angeles 5368361, California 5332921 90056
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    Hialeah Gardens, Florida 33016
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    Viera, Florida 32940
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    Boca Raton 4148411, Florida 4155751 33434
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    Largo 4161580, Florida 4155751 33777
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    Viera 4176456, Florida 4155751 32940
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    Metairie, Louisiana 70006
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    Houma 4328010, Louisiana 4331987 70363
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    Marrero 4332628, Louisiana 4331987 70072
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    Metairie 4333177, Louisiana 4331987 70006
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    Rockville, Maryland 20854
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    Rockville 4367175, Maryland 4361885 20854
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    Saint Paul, Minnesota 55114
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    Saint Paul 5045360, Minnesota 5037779 55114
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    Biloxi, Mississippi 39532
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    Kansas City, Missouri 64131
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    Kansas City 4393217, Missouri 4398678 64131
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    Las Vegas, Nevada 89109
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    Jackson, New Jersey 08724
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    Jackson 4502434, New Jersey 5101760 08724
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    East Syracuse, New York 13057
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    New York, New York 10033
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    East Syracuse 5116079, New York 5128638 13057
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    New York 5128581, New York 5128638 10033
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    Morehead City, North Carolina 29557
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    Beavercreek, Ohio 45440
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    Dayton, Ohio 45145
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    Columbus 4509177, Ohio 5165418 43234
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    Cordova, Tennessee 38018
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    Arlington, Texas 76012
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    Austin, Texas 78757
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    Austin, Texas 78756
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    Dallas, Texas 75230
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    Edinburg, Texas 78539
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    Georgetown, Texas 78626
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    Houston, Texas 77030
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    Houston, Texas 77079
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    Katy, Texas 77494
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    San Antonio, Texas 78229
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    San Antonio, Texas 78125
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    Waco, Texas 78125
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    Arlington 4671240, Texas 4736286 76012
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    Austin 4671654, Texas 4736286 78757
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    Austin 4671654, Texas 4736286 78756
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    Brownsville 4676740, Texas 4736286 78520
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    Dallas 4684888, Texas 4736286 75230
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    Edinburg 4688275, Texas 4736286 78539
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    Edinburg 4688275, Texas 4736286 78539
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    Georgetown 4693342, Texas 4736286 78626
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    Houston 4699066, Texas 4736286 77030
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    Houston 4699066, Texas 4736286 77079
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    Katy 4702732, Texas 4736286 77494
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    San Antonio 4726206, Texas 4736286 78229
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    San Antonio 4726206, Texas 4736286 78125
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    Waco 4739526, Texas 4736286 78125
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    West Jordan, Utah 84088
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    West Jordan 5784549, Utah 5549030 84088
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    Manassas, Virginia 20110
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    Manassas 4771401, Virginia 6254928 20110
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    Seattle, Washington 98105
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    Seattle 5809844, Washington 5815135 98105
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