A randomized, placebo-controlled trial of cenicriviroc for treatment of nonalcoholic steatohepatitis with fibrosis
The aim of this study was to evaluate cenicriviroc (CVC), a dual antagonist of C-C chemokine receptor types 2 and 5, for treatment of nonalcoholic steatohepatitis (NASH) with liver fibrosis. A randomized, double-blind, multinational phase 2b study enrolled subjects with NASH, a nonalcoholic fatty l...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , |
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| Language: | English |
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Wiley
2018
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| Online Access: | https://eprints.nottingham.ac.uk/45019/ |
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| author | Friedman, Scott L. Ratziu, Vlad Harrison, Stephen A. Abdelmalek, Manal F. Aithal, Guruprasad P. Caballeria, Juan Francque, Sven Farrell, Geoffrey Kowdley, Kris V. Craxi, Antonio Simon, Krzysztof Fischer, Laurent Melchor-Khan, Liza Vest, Jeffrey Wiens, Brian L. Vig, Pamela Seyedkazemi, Star Goodman, Zachary Wong, Vincent Wai-Sun Loomba, Rohit Tacke, Frank Sanyal, Arun Lefebvre, Eric |
| author_facet | Friedman, Scott L. Ratziu, Vlad Harrison, Stephen A. Abdelmalek, Manal F. Aithal, Guruprasad P. Caballeria, Juan Francque, Sven Farrell, Geoffrey Kowdley, Kris V. Craxi, Antonio Simon, Krzysztof Fischer, Laurent Melchor-Khan, Liza Vest, Jeffrey Wiens, Brian L. Vig, Pamela Seyedkazemi, Star Goodman, Zachary Wong, Vincent Wai-Sun Loomba, Rohit Tacke, Frank Sanyal, Arun Lefebvre, Eric |
| author_sort | Friedman, Scott L. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | The aim of this study was to evaluate cenicriviroc (CVC), a dual antagonist of C-C chemokine receptor types 2 and 5, for treatment of nonalcoholic steatohepatitis (NASH) with liver fibrosis.
A randomized, double-blind, multinational phase 2b study enrolled subjects with NASH, a nonalcoholic fatty liver disease activity score [NAS] ≥4, and liver fibrosis (stages 1–3, NASH Clinical Research Network) at 81 clinical sites. Subjects (N = 289) were randomly assigned CVC 150 mg or placebo. Primary outcome was ≥2-point improvement in NAS and no worsening of fibrosis at year 1. Key secondary outcomes were: resolution of steatohepatitis and no worsening of fibrosis; improvement in fibrosis by ≥1 stage and no worsening of steatohepatitis. Biomarkers of inflammation and adverse events were assessed.
Full study recruitment was achieved. The primary end point of NAS improvement in the intent-to-treat population and resolution of steatohepatitis was achieved in a similar proportion of subjects on CVC (N = 145) and placebo (N = 144) (16% vs 19%, P = 0.52 and 8% vs 6%, P = 0.49, respectively). However, the fibrosis end point was met in significantly more subjects on CVC than placebo (20% vs 10%; P = 0.02). Treatment benefits were greater in those with higher disease activity and fibrosis stage at baseline. Biomarkers of systemic inflammation were reduced with CVC. Safety and tolerability of CVC were comparable to placebo.
Conclusions: After 1 year of CVC treatment, twice as many subjects achieved improvement in fibrosis and no worsening of steatohepatitis compared with placebo. Given the urgent need to develop antifibrotic therapies in NASH, these findings warrant phase 3 evaluation. |
| first_indexed | 2025-11-14T19:57:43Z |
| format | Article |
| id | nottingham-45019 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T19:57:43Z |
| publishDate | 2018 |
| publisher | Wiley |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-450192018-05-08T15:09:05Z https://eprints.nottingham.ac.uk/45019/ A randomized, placebo-controlled trial of cenicriviroc for treatment of nonalcoholic steatohepatitis with fibrosis Friedman, Scott L. Ratziu, Vlad Harrison, Stephen A. Abdelmalek, Manal F. Aithal, Guruprasad P. Caballeria, Juan Francque, Sven Farrell, Geoffrey Kowdley, Kris V. Craxi, Antonio Simon, Krzysztof Fischer, Laurent Melchor-Khan, Liza Vest, Jeffrey Wiens, Brian L. Vig, Pamela Seyedkazemi, Star Goodman, Zachary Wong, Vincent Wai-Sun Loomba, Rohit Tacke, Frank Sanyal, Arun Lefebvre, Eric The aim of this study was to evaluate cenicriviroc (CVC), a dual antagonist of C-C chemokine receptor types 2 and 5, for treatment of nonalcoholic steatohepatitis (NASH) with liver fibrosis. A randomized, double-blind, multinational phase 2b study enrolled subjects with NASH, a nonalcoholic fatty liver disease activity score [NAS] ≥4, and liver fibrosis (stages 1–3, NASH Clinical Research Network) at 81 clinical sites. Subjects (N = 289) were randomly assigned CVC 150 mg or placebo. Primary outcome was ≥2-point improvement in NAS and no worsening of fibrosis at year 1. Key secondary outcomes were: resolution of steatohepatitis and no worsening of fibrosis; improvement in fibrosis by ≥1 stage and no worsening of steatohepatitis. Biomarkers of inflammation and adverse events were assessed. Full study recruitment was achieved. The primary end point of NAS improvement in the intent-to-treat population and resolution of steatohepatitis was achieved in a similar proportion of subjects on CVC (N = 145) and placebo (N = 144) (16% vs 19%, P = 0.52 and 8% vs 6%, P = 0.49, respectively). However, the fibrosis end point was met in significantly more subjects on CVC than placebo (20% vs 10%; P = 0.02). Treatment benefits were greater in those with higher disease activity and fibrosis stage at baseline. Biomarkers of systemic inflammation were reduced with CVC. Safety and tolerability of CVC were comparable to placebo. Conclusions: After 1 year of CVC treatment, twice as many subjects achieved improvement in fibrosis and no worsening of steatohepatitis compared with placebo. Given the urgent need to develop antifibrotic therapies in NASH, these findings warrant phase 3 evaluation. Wiley 2018-04-18 Article PeerReviewed application/pdf en cc_by_nc_nd https://eprints.nottingham.ac.uk/45019/9/Friedman_et_al-2018-Hepatology.pdf Friedman, Scott L., Ratziu, Vlad, Harrison, Stephen A., Abdelmalek, Manal F., Aithal, Guruprasad P., Caballeria, Juan, Francque, Sven, Farrell, Geoffrey, Kowdley, Kris V., Craxi, Antonio, Simon, Krzysztof, Fischer, Laurent, Melchor-Khan, Liza, Vest, Jeffrey, Wiens, Brian L., Vig, Pamela, Seyedkazemi, Star, Goodman, Zachary, Wong, Vincent Wai-Sun, Loomba, Rohit, Tacke, Frank, Sanyal, Arun and Lefebvre, Eric (2018) A randomized, placebo-controlled trial of cenicriviroc for treatment of nonalcoholic steatohepatitis with fibrosis. Hepatology, 67 (5). pp. 1754-1767. ISSN 1527-3350 NASH NAFLD CVC nonalcoholic fatty liver inflammation http://onlinelibrary.wiley.com/doi/10.1002/hep.29477/abstract doi:10.1002/hep.29477 doi:10.1002/hep.29477 |
| spellingShingle | NASH NAFLD CVC nonalcoholic fatty liver inflammation Friedman, Scott L. Ratziu, Vlad Harrison, Stephen A. Abdelmalek, Manal F. Aithal, Guruprasad P. Caballeria, Juan Francque, Sven Farrell, Geoffrey Kowdley, Kris V. Craxi, Antonio Simon, Krzysztof Fischer, Laurent Melchor-Khan, Liza Vest, Jeffrey Wiens, Brian L. Vig, Pamela Seyedkazemi, Star Goodman, Zachary Wong, Vincent Wai-Sun Loomba, Rohit Tacke, Frank Sanyal, Arun Lefebvre, Eric A randomized, placebo-controlled trial of cenicriviroc for treatment of nonalcoholic steatohepatitis with fibrosis |
| title | A randomized, placebo-controlled trial of cenicriviroc for
treatment of nonalcoholic steatohepatitis with fibrosis |
| title_full | A randomized, placebo-controlled trial of cenicriviroc for
treatment of nonalcoholic steatohepatitis with fibrosis |
| title_fullStr | A randomized, placebo-controlled trial of cenicriviroc for
treatment of nonalcoholic steatohepatitis with fibrosis |
| title_full_unstemmed | A randomized, placebo-controlled trial of cenicriviroc for
treatment of nonalcoholic steatohepatitis with fibrosis |
| title_short | A randomized, placebo-controlled trial of cenicriviroc for
treatment of nonalcoholic steatohepatitis with fibrosis |
| title_sort | randomized, placebo-controlled trial of cenicriviroc for
treatment of nonalcoholic steatohepatitis with fibrosis |
| topic | NASH NAFLD CVC nonalcoholic fatty liver inflammation |
| url | https://eprints.nottingham.ac.uk/45019/ https://eprints.nottingham.ac.uk/45019/ https://eprints.nottingham.ac.uk/45019/ |