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Japanese

April. 29, 2023

Aug. 19, 2026

jRCT2031230056

A Phase 2, Multicenter, Placebo-Controlled, Randomized, Double-Blind, 48-Week Study to Evaluate the Efficacy and Safety of Combination Therapy of K-877-ER and CSG452 in Patients with Noncirrhotic Nonalcoholic Steatohepatitis (NASH) with Liver Fibrosis

A Phase 2, Multicenter, Placebo-Controlled, Randomized, Double-Blind, 48-Week Study to Evaluate the Efficacy and Safety of Combination Therapy of K-877-ER and CSG452 in Patients with Noncirrhotic Nonalcoholic Steatohepatitis (NASH) with Liver Fibrosis

Tanigawa Ryohei

Kowa Company, Ltd.

4-14, Nihonbashi-honcho 3-chome, Chuo-ku, Tokyo

+81-332797454

ctrdinfo@kowa.co.jp

Contact for clinical trial information -

Kowa Company, Ltd.

4-14, Nihonbashi-honcho 3-chome, Chuo-ku, Tokyo

+81-332797454

ctrdinfo@kowa.co.jp

Complete

May. 15, 2023

Aug. 03, 2023
200

Interventional

randomized controlled trial

double blind

placebo control

parallel assignment

treatment purpose

- Able to understand and comply with study procedures and give written informed consent
- Age >=18 years
- NAS >=4 with a score of at least 1 in each component of the NAS (steatosis, lobular inflammation, and ballooning) at Visit 2 liver biopsy, or a historical liver biopsy performed within 24 weeks of randomization
- Fibrosis stage of 1 or greater and below 4 on NASH CRN (Clinical Research Network) fibrosis staging system at Visit 2 liver biopsy, or a historical liver biopsy performed within 24 weeks of randomization

-Participation in another clinical trial involving an investigational agent within 30 days prior to signing the Informed Consent Form (ICF) for this study
-Ongoing or recent consumption of significant amounts of alcohol as defined in clinical study protocol
-Evidence of other forms of chronic liver disease as defined in clinical study protocol

18age old over
No limit

Both

NASH

- K-001(K-877 ER 0.4 mg +CSG452 20 mg) group: oral doses once daily
- K-877-ER(K-877 ER 0.4 mg +CSG452 placebo) group: oral doses once daily
- CSG452(K-877 ER placebo +CSG452 20mg) group: oral doses once daily
- Placebo(K-877 ER placebo +CSG452 placebo) group: oral doses once daily

The primary efficacy endpoint is improvement from Baseline (liver biopsy at the Baseline Biopsy Visit, or a historical liver biopsy obtained within 24 weeks of randomization) in disease activity and no worsening of liver fibrosis on the NASH Clinical Research Network (CRN) fibrosis score at Week 48. The improvement in disease activity is defined as improvement in NAFLD Activity Score (NAS) >=2 points. The worsening of fibrosis is defined as any numerical increase in the stage.

Kowa Research Institute, Inc.
Kowa Company, Ltd.
Applicable
Yokohama Minoru Clinic Institutional Review Board
1-13-8,Bessho,Minami-ku,Yokohama,Kanagawa, Kanagawa, Kanagawa

+81-45-722-8655

yminoru-irb@eps.co.jp
Approval

April. 28, 2023

No

NCT05327127
ClinicalTrials.gov

United States/Canada/Spain/Bulgaria/Argentina/Brazil

History of Changes

No Publication date
6 Aug. 19, 2026 (this page) Changes
5 Oct. 21, 2025 Detail Changes
4 Oct. 02, 2025 Detail Changes
3 Dec. 11, 2024 Detail Changes
2 June. 07, 2024 Detail Changes
1 April. 29, 2023 Detail