Phase 2a Study of Safety, Tolerability, and Efficacy of TLC-2716 in Subjects With Hypertriglyceridemia and NAFLD

Last updated: March 31, 2025
Sponsor: OrsoBio, Inc
Overall Status: Active - Recruiting

Phase

2

Condition

Liver Disorders

Liver Disease

Primary Biliary Cholangitis

Treatment

Placebo

TLC-2716 Dose 1

TLC-2716 Dose 2

Clinical Study ID

NCT06564584
2716-CL-102
  • Ages 18-70
  • All Genders

Study Summary

This is a Phase 2a, randomized, double-blind, placebo-controlled study evaluating the safety, tolerability, and efficacy of 2 dose levels of TLC-2716 in subjects with hypertriglyceridemia and nonalcoholic fatty liver disease as assessed by changes in fasting triglycerides, liver steatosis by MRI, and other biomarkers.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • BMI ≥ 28 kg/m2 at Screening

  • Fasting TG ≥ 350 mg/dL

  • Subjects without diabetes or subjects with diabetes and HbA1c < 9.5% at Screening

  • Screening laboratory evaluations (eGFR, ALT, AST, INR, total bilirubin, plateletcount) must fall within the protocol-defined ranges

  • A clinical diagnosis of NAFLD/NASH within 5 years of Screening based on historicalhepatic imaging (e.g., ultrasound, MRI, computed tomography [CT], or ControlledAttenuation Parameter [CAP] by vibration-controlled transient elastography ≥ 250dB/m), and no documented weight loss > 5% between the date of the historical hepaticimaging and Screening OR a historical liver biopsy within 5 years of Screeningconsistent with NAFLD/NASH without cirrhosis and no documented weight loss > 5%between the date of the historical liver biopsy and Screening

  • Normotensive subjects or subjects without uncontrolled hypertension, defined assystolic blood pressure > 155 mmHg and/or diastolic blood pressure > 90 mmHg atScreening

  • A 12-lead electrocardiogram (ECG) at Screening that is normal or with abnormalitiesthat are considered not clinically significant by the investigator

  • Female subjects of childbearing potential must have a negative serum pregnancy testat Screening and a negative urine pregnancy test on Day 1 prior to first dose ofstudy drug

  • Male and female subjects of childbearing potential who engage in heterosexualintercourse must agree to use protocol specified method(s) of contraception

Exclusion

Exclusion Criteria:

  • HbA1c ≥ 9.5% at Screening

  • Weight loss > 5% during the 90 days prior to Screening

  • Pregnant or lactating subjects.

  • Current alcohol abuse that is judged by the investigator to potentially interferewith the subject's compliance or safety

  • Current substance abuse that is judged by the investigator to potentially interferewith the subject's compliance or safety

  • A positive test result for human immunodeficiency virus (HIV-1) antibody, hepatitisB (HBV) surface antigen, or hepatitis C (HCV) antibody

  • Medical history of liver disease other than NAFLD/NASH, including but not limitedto, alcoholic liver disease, autoimmune disorders (e.g., primary biliarycholangitis, primary sclerosing cholangitis, autoimmune hepatitis), drug-inducedhepatotoxicity, Wilson disease, clinically significant iron overload, oralpha-1-antitrypsin deficiency.

  • Any history of cirrhosis or decompensated liver disease, including ascites, hepaticencephalopathy, or variceal bleeding, or Child-Pugh-Turcotte score > 6 at Screening

  • Unstable cardiovascular disease

  • History of intestinal resection or malabsorptive condition that may limit theabsorption of study drug. Appendectomy and cholecystectomy are not exclusionary.

  • Presence of severe peptic ulcer, gastroesophageal reflux disease, or other gastricacid hypersecretory conditions at Screening, in the opinion of the investigator

  • Any scheduled surgery during the trial period, excluding minor surgical proceduresperformed under local anesthesia, in the opinion of the investigator

  • History of malignancy within 5 years prior to Screening except adequately treatedcarcinoma in situ of the cervix, and/or squamous cell cancer, or other localizednon-melanoma skin cancer

  • History of significant drug allergy, such as anaphylaxis or significant drugsensitivity, in the opinion of the investigator

  • Known hypersensitivity to study drug, its metabolites, or formulation excipients

  • Presence of any medical condition that could, in the opinion of the investigator,compromise the subject's ability to participate in the study, including a history ofsubstance abuse or a psychiatric disorder, including any subject with a psychiatrichospital admission or emergency room visit in the 2 years prior to Screening

  • Any laboratory abnormality that in the opinion of the investigator could adverselyaffect the safety of the subject or impair assessment of study results

  • Medications or therapies prescribed or taken over-the-counter for weight loss, inthe 90 days prior to Screening

  • Receipt of vaccination for COVID-19 or any other live vaccine within 14 days ofplanned dosing of study drug

Note: Other protocol defined Inclusion/Exclusion criteria may apply

Study Design

Total Participants: 30
Treatment Group(s): 3
Primary Treatment: Placebo
Phase: 2
Study Start date:
August 12, 2024
Estimated Completion Date:
September 30, 2025

Study Description

This is a Phase 2a, randomized, double-blind, placebo-controlled study evaluating the safety, tolerability, and efficacy of 2 dose levels of TLC-2716 in subjects with hypertriglyceridemia and nonalcoholic fatty liver disease as assessed by changes in fasting triglycerides, liver steatosis by MRI, and other biomarkers.

Participation in the study can last up to approximately 10 weeks, including a 4 week Screening period, a 4-week treatment period during which study drugs will be administered, and a 2-week follow-up period.

Connect with a study center

  • OrsoBio Research Site

    Guadalajara, Jalisco 45116
    Mexico

    Active - Recruiting

  • OrsoBio Research Site

    Zapopan, Jalisco 45170
    Mexico

    Active - Recruiting

  • OrsoBio Research Site

    Ciudad de México, 14080
    Mexico

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.