Title

LIFT Study: A Safety, Tolerability, Efficacy, and Pharmacokinetics Study of TERN-101 in Subjects With Non-Cirrhotic Non-Alcoholic Steatohepatitis (NASH)
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 2a Clinical Trial to Evaluate the Safety, Tolerability, Efficacy, and Pharmacokinetics of Orally Administered TERN-101 Tablets in Adult Patients With Presumed Non-Cirrhotic Non-Alcoholic Steatohepatitis (NASH)
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    TERN-101 ...
  • Study Participants

    101
This is a Phase 2, randomized, double-blind, placebo-controlled study designed to evaluate the safety, tolerability, efficacy, and pharmacokinetics (PK) of TERN-101 in non-cirrhotic NASH patients.
Study Started
Jun 18
2020
Primary Completion
May 19
2021
Study Completion
May 19
2021
Results Posted
Jun 14
2022
Last Update
Aug 09
2022

Drug TERN-101

Investigational drug

Other Placebo

Matching placebo

TERN-101 dose level 1 Experimental

Orally administered.

TERN-101 dose level 2 Experimental

Orally administered.

TERN-101 dose level 3 Experimental

Orally administered.

Placebo Placebo Comparator

Orally administered.

Criteria

Inclusion Criteria:

Male or female, 18 to 75 years of age
Overweight or obese with a body mass index (BMI) ≥ 25 kg/m2
Presumed NASH based on clinical characteristics or prior liver biopsy
ALT ≥ 43 IU/L for men and ≥ 28 IU/L for women
MRI PDFF liver fat content ≥ 10 %
Written informed consent

Exclusion Criteria:

History or clinical evidence of chronic liver diseases other than NAFLD
History or clinical evidence of cirrhosis, hepatic decompensation or other severe liver impairment
History of liver transplant, or current placement on a liver transplant list
Total bilirubin > 1.2 mg/dL
Albumin < 3.5 g/dL
INR > 1.1
AST or ALT > 5 x ULN
ALP > 156 IU/L
Platelet count < 150,000 /mm3
eGFR < 60 mL/min/1.73m2
Weight loss > 5% within past 3 months prior to Screening
Uncontrolled diabetes
Uncontrolled hyperlipidemia
Active COVID-19 infection
Other protocol-defined inclusion/exclusion criteria could apply

Summary

Placebo

TERN-101 5mg

TERN-101 10mg

TERN-101 15mg

All Events

Event Type Organ System Event Term Placebo TERN-101 5mg TERN-101 10mg TERN-101 15mg

Number of Participants With Adverse Events for TERN-101 Versus Placebo

Placebo

TERN-101 5 mg

TERN-101 10 mg

TERN-101 15 mg

Percent Change From Baseline in ALT Outcome Measure

Placebo

-5.33
percentage of change from baseline (Least Squares Mean)
Standard Error: 6.606

TERN-101 5 mg

-2.63
percentage of change from baseline (Least Squares Mean)
Standard Error: 6.743

TERN-101 10 mg

-17.99
percentage of change from baseline (Least Squares Mean)
Standard Error: 6.646

TERN-101 15 mg

-13.22
percentage of change from baseline (Least Squares Mean)
Standard Error: 7.246

Plasma Concentration of TERN-101 - AUC 0-24

Area under the curve

TERN-101 5mg

1380.0
h*ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 96.7

TERN-101 10mg

1470.0
h*ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 29.7

TERN-101 15mg

2510.0
h*ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 13.3

Plasma Concentration of TERN-101 - Cmax

Maximum observed concentration

TERN-101 5 mg

116.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 45.0

TERN-101 10 mg

155.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 158.8

TERN-101 15 mg

389.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 19.0

Plasma Concentration of TERN-101 - Tmax

Time to reach maximum measured plasma concentration

TERN-101 5 mg

1.0
hour (Median)
Full Range: 0.0 to 6.0

TERN-101 10 mg

1.0
hour (Median)
Full Range: 0.0 to 3.0

TERN-101 15 mg

0.5
hour (Median)
Full Range: 0.5 to 1.0

Plasma Concentration of TERN-101 - t1/2

Determination of half-life

TERN-101 5 mg

14.6
hour (Median)
Full Range: 8.7 to 67.8

TERN-101 10 mg

6.75
hour (Median)
Full Range: 4.0 to 7.9

TERN-101 15 mg

6.0
hour (Median)
Full Range: 5.8 to 11.3

Total

100
Participants

Age, Continuous

50.6
years (Mean)
Standard Deviation: 11.71

ALT

57.15
U/L (Mean)
Standard Deviation: 24.064

Age, Categorical

Diabetes Mellitus Status

Race/Ethnicity, Customized

Region of Enrollment

Sex: Female, Male

Overall Study

Placebo

TERN-101 5mg

TERN-101 10mg

TERN-101 15mg

Drop/Withdrawal Reasons

TERN-101 5mg

TERN-101 10mg

TERN-101 15mg