A Phase 3 Study to Evaluate the Effect of Resmetirom on Clinical Outcomes in Patients With Well-compensated NASH Cirrhosis (MAESTRO-NASH-OUTCOMES)
This important study is testing a new medication called resmetirom for people who have NASH cirrhosis, a kind of liver scarring caused by a fatty liver condition. The main goal is to find out if taking an 80mg dose of resmetirom once a day can help prevent serious liver-related complications, such as the need for a liver transplant, worsening liver function, or death, over approximately three years. Half of the participants will receive resmetirom, and the other half will receive a placebo (a dummy pill), without anyone knowing who has which. This helps researchers understand the true effects of the new medicine.
At a glance
What is this study about?
This study, called MAESTRO-NASH-OUTCOMES, is designed to see if a new drug, resmetirom, can help people with a specific liver condition. This condition is called NASH cirrhosis. NASH stands for Non-Alcoholic Steatohepatitis, which is a severe form of fatty liver disease. Over time, it can lead to scarring of the liver, known as cirrhosis. If the cirrhosis is 'well-compensated,' it means your liver is still working reasonably well, even though it's scarred.
The study aims to compare resmetirom to a placebo, which is a dummy pill with no active medicine. Neither you nor your doctor will know if you're taking the actual drug or the placebo. This is a common and important way to make sure the study results are fair and accurate. Researchers want to know if resmetirom can prevent serious liver problems like your liver getting much worse, needing a liver transplant, or even early death.
Understanding if resmetirom can make a difference for people with NASH cirrhosis is really important because there aren't many approved medicines for this condition right now. Liver problems can have a big impact on people's health and quality of life. This study hopes to provide clear answers about whether this new treatment can offer a better future for those affected.
Key takeaways
- Tests a new medicine (resmetirom) for NASH cirrhosis.
- Aims to prevent serious liver problems like transplant or worsening liver function.
- Participants will take either the study drug or a dummy pill.
- The study will last around three years.
- Close medical monitoring throughout participation.
Who may be eligible?
To join this study, you would need to have a diagnosis of NASH cirrhosis, meaning you have liver scarring from a non-alcoholic fatty liver condition. Your liver should not be too severely damaged yet, often described as 'well-compensated Child-Pugh A.' You also shouldn't have had any serious liver complications in the past, such as fluid build-up in your tummy or severe confusion due to liver disease.
There are also some reasons why you might not be able to join. For example, if you have other types of liver disease (like Hepatitis B or C), a history of liver cancer, or if your liver function is already very poor. The study also cannot include individuals with a history of alcohol-related liver disease, or if you regularly drink too much alcohol. Certain medications, uncontrolled diabetes, or very low blood platelet counts might also prevent you from participating.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Do I have a diagnosis of NASH cirrhosis?
- Has my doctor told me my liver is 'well-compensated' and still working quite well?
- Have I never had serious liver complications like fluid in my tummy or severe confusion?
- Do I have other liver conditions like Hepatitis B or C?
- Do I drink excessive alcohol?
What does participation involve?
If you decide to take part, you would first go through a screening period of up to 60 days to confirm you meet all the study's requirements. During this time, you'll likely have various tests, including blood tests and liver scans. If you qualify, you'll be randomly assigned to either receive the study drug, resmetirom, or a placebo (dummy pill). You'll take one pill by mouth every morning.
Throughout the study, you'll have regular check-ups, blood tests, and other assessments to monitor your health and how the treatment is affecting you. These visits are important to track any changes in your liver condition and overall well-being. The treatment period is expected to last for about three years, or until a certain number of serious liver-related events have occurred across all participants. You'll be closely monitored by medical staff throughout this time.
Potential risks and benefits
Locations (116)
- University of Alabama at Birmingham (UAB)Verified postcodeBirmingham, United States
- Arizona Liver Health - ChandlerVerified postcodeChandler, United States
- Arizona Liver Health - PeoriaVerified postcodePeoria, United States
- Adobe Clinical ResearchVerified postcodeTucson, United States
- Arizona Liver Health - TucsonVerified postcodeTucson, United States
- Arkansas Diagnostic Center/Liver Wellness CenterVerified postcodeLittle Rock, United States
- Arkansas GastroenterologyVerified postcodeNorth Little Rock, United States
- Southern California Research CenterVerified postcodeCoronado, United States
- University of California, San Francisco-FresnoVerified postcodeFresno, United States
- Univ. of California San Diego School of MedicineVerified postcodeLa Jolla, United States
- Keck School of Medicine of USCVerified postcodeLos Angeles, United States
- Knowledge Research CenterVerified postcodeOrange, United States
Common questions
What is NASH cirrhosis?
NASH cirrhosis is a serious liver condition where your liver has become scarred due to a build-up of fat and inflammation, not caused by alcohol.
What does 'well-compensated' mean for my liver?
It means your liver is scarred, but it's still functioning reasonably well and you haven't experienced major liver complications yet.
What is resmetirom?
Resmetirom is a new investigational medication being tested to see if it can help improve liver health in people with NASH cirrhosis.
What is a placebo?
A placebo is a dummy pill that looks exactly like the study drug but contains no active medicine. It's used for comparison.
How long will the study last if I join?
After an initial check-up period of up to 60 days, the treatment part of the study is expected to last for about three years.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
Community discussion
Powered by our forum at community.patient.info. Please be respectful — this is not medical advice.