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Clinical Trial NCT07143968 for MASLD - Metabolic Dysfunction-Associated Steatotic Liver Disease, HIV (Human Immunodeficiency Virus) is not yet recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
A Study to Evaluate the Use of Resmetirom in Participants With MASLD and HIV Phase 2 120
Researchers wil...
Show MoreA Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial of Resmetirom for the Treatment of Metabolic Dysfunction- Associated Steatotic Liver Disease (MASLD) in People Living With Human Immunodeficiency Virus (HIV)
- HCRN005
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalTreatment Resmetirom - 80mg or 100mg based on participant weight | Resmetirom Resmetirom - 80mg or 100mg based on participant weight |
Placebo ComparatorPlacebo Placebo | Placebo Control Placebo - an identical looking tablet with no medicinal properties |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Change from baseline in hepatic fat content at week 24 | From baseline to the end of treatment at 24 weeks |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Proportion of participants with reduction of at least 30% in hepatic fat content from baseline to week 24 | Baseline to the end of treatment at week 24 | |
Change from baseline in liver enzyme parameters, lipid profile and fasting glucose | From baseline to end of treatment at week 24 |
- Adults (≥18 years of age) with documented HIV.
- Documented diagnosis of MASLD established by imaging (ultrasound, CT scan or MRI) or vibration-controlled transient elastography (VCTE) or liver biopsy within 12 months before screening.
- Hepatic fat fraction ≥8% by MRI-PDFF.
- Liver stiffness by VCTE ≥8 kPa and CAP≥263 dB/m
- HIV-1 RNA <200 copies/mL for ≥6 months on antiretroviral therapy (ART) (must have screening HIV-1 RNA value and one clinical care value within 6 months prior to screening and up to the randomization that meet the criteria).
- Stable ART regimen for ≥3 months prior to screening and stable up to the randomization and no active plans to change ART while on study.
- Willingness to participate in the study.
History of significant alcohol consumption (defined as >2 drinks/day on average for men, >1 drinks/day on average for women) for at least 3 consecutive months (12 consecutive weeks) within 5 year before screening
History of other acute or chronic liver disease, including, but not limited to autoimmune, primary biliary cholangitis, Wilson's disease, alpha 1 antitrypsin deficiency, hemochromatosis, hepatitis B virus (HBV), and ongoing or recent (within the past 3 years) hepatitis C RNA positivity.
History of liver transplant.
Liver biopsy or radiologic imaging consistent with the clinical presence of cirrhosis or portal hypertension at screening.
Participants whose Visit 2 ALT, AST, or alkaline phosphatase (ALP) values exceed their Visit 1 values by more than 50%.
Inability to undergo MRI testing
Uncontrolled T2DM defined as glycated hemoglobin (HbA1c) >9.5% at screening.
Any of the following laboratory values at screening:
- ALT or AST >250 U/L.
- Total bilirubin (TBL) >1.5 mg/dL and direct bilirubin > 0.5 mg/dL (unless due to Gilbert's disease or atazanavir use, per the opinion of the site investigator).
- Platelet count <150,000/mm3.
- Estimated glomerular filtration rate (e-GFR) <60 mL/min/1.73m2 using the chronic kidney disease-epidemiology collaboration (CKD-EPI) equation
- International normalized ratio (INR) >1.3.
- Albumin < 3.6 g/dL
Liver stiffness measurement (LSM) by VCTE > 20 kPa
Further exclusion criteria apply
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