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Active not recruitingPHASE3INTERVENTIONAL

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

Status
Active not recruiting
Phase
PHASE3
Sponsor
Madrigal Pharmaceuticals, Inc.
Enrolment target
845
Start
26 Aug 2022
Estimated completion
01 Jan 2027

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.

  1. Do I have a diagnosis of NASH cirrhosis?
  2. Has my doctor told me my liver is 'well-compensated' and still working quite well?
  3. Have I never had serious liver complications like fluid in my tummy or severe confusion?
  4. Do I have other liver conditions like Hepatitis B or C?
  5. Do I drink excessive alcohol?
Answer every question to see your result.

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

Participating in a clinical trial may offer potential benefits, such as access to a new treatment before it's widely available and closer monitoring of your health than usual. However, there are also potential risks involved. The study drug might cause side effects, some of which could be serious, or it might not work as hoped. You will be told about all known risks before you decide to join. It's important to remember that you are free to withdraw from the study at any time, for any reason, without it affecting your usual medical care.

Locations (116)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • University of Alabama at Birmingham (UAB)
    Verified postcode
    Birmingham, United States
  • Arizona Liver Health - Chandler
    Verified postcode
    Chandler, United States
  • Arizona Liver Health - Peoria
    Verified postcode
    Peoria, United States
  • Adobe Clinical Research
    Verified postcode
    Tucson, United States
  • Arizona Liver Health - Tucson
    Verified postcode
    Tucson, United States
  • Arkansas Diagnostic Center/Liver Wellness Center
    Verified postcode
    Little Rock, United States
  • Arkansas Gastroenterology
    Verified postcode
    North Little Rock, United States
  • Southern California Research Center
    Verified postcode
    Coronado, United States
  • University of California, San Francisco-Fresno
    Verified postcode
    Fresno, United States
  • Univ. of California San Diego School of Medicine
    Verified postcode
    La Jolla, United States
  • Keck School of Medicine of USC
    Verified postcode
    Los Angeles, United States
  • Knowledge Research Center
    Verified postcode
    Orange, 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

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