A Phase 3 Study to Evaluate Safety and Biomarkers of Resmetirom (MGL-3196) in Patients With Non-alcoholic Fatty Liver Disease (NAFLD), MAESTRO-NAFLD-Open-Label-Extension (MAESTRO-NAFLD-OLE)

Last updated: November 28, 2023
Sponsor: Madrigal Pharmaceuticals, Inc.
Overall Status: Active - Recruiting

Phase

3

Condition

Liver Disease

Primary Biliary Cholangitis

Treatment

Resmetirom

Clinical Study ID

NCT04951219
MGL-3196-18
  • Ages > 18
  • All Genders

Study Summary

A 52-Week, Multi-center, Open-label, Active Treatment Extension Study to Evaluate Safety and Tolerability of Once Daily, Oral Administration of Resmetirom (MGL-3196)

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • For patients who completed MAESTRO-NAFLD-1, completed the Week 52 visit, and completedthe Week 56 visit within 90 days of the Extension Day 1 visit, and are willing toparticipate in MAESTRO-NAFLD-OLE and provide written informed consent.
  • For patients who screen failed MAESTRO-NASH, must provide written informed consent forMAESTRO-NAFLD-OLE and must have screened and met all eligibility requirements forMAESTRO-NASH within 90 days of the Extension Day 1 visit for MAESTRO-NAFLD-OLE andhave a liver biopsy that is ineligible for MAESTRO-NASH within 6 months of theExtension Day 1 visit. Eligible liver biopsy for MAESTRO-NAFLD-OLE must have one ofthe following results:
  • NAS = 3, steatosis 1, ballooning 1, inflammation 1, OR NAS = 3, ballooning 0,with F1B, F2 or F3
  • NAS ≥ 4, at least 1 in all NAS components, F1A or F1C, PRO-C3 ≤ 14 (NASH, butineligible for MAESTRO-NASH)
  • Compensated NASH cirrhosis based on biopsy at screening of MAESTRO-NASH andbaseline of MAESTRO-NAFLD-OLE, including Child Pugh-A (score 5-6), MELD <12,albumin ≥3.2, and bilirubin <2
  • For patients who screen failed from MAESTRO-NASH OUTCOMES and de novo patients, musthave documented CP-A/B (score <8) NASH cirrhosis (including minimal decompensation)and MELD <15 unless MELD >=15 based on non-cirrhotic parameters. MAESTRO-NASH OUTCOMESscreen failures must have screened and met all eligibility requirements forMAESTRO-NASH OUTCOMES within 90 days of the Extension Day 1 visit forMAESTRO-NAFLD-OLE .

Exclusion

Exclusion Criteria:

  • A history of significant alcohol consumption for a period of more than 3 consecutivemonths within 1 year prior to Extension Day 1.
  • Diagnosis of hepatocellular carcinoma or other carcinomas that may preventparticipation in the Extension study.
  • Chronic liver diseases
  • Has an active autoimmune disease
  • Any other condition which, in the opinion of the Investigator, would impedecompliance, hinder completion of the study, compromise the well-being of the patient,or interfere with the study outcomes.

Study Design

Total Participants: 1000
Treatment Group(s): 1
Primary Treatment: Resmetirom
Phase: 3
Study Start date:
July 09, 2021
Estimated Completion Date:
April 30, 2026

Connect with a study center

  • Fundacion de Investigacion de Diego

    San Juan,
    Puerto Rico

    Active - Recruiting

  • Central Research Associates

    Birmingham, Alabama 35205
    United States

    Active - Recruiting

  • Arizona Liver Health - Chandler

    Chandler, Arizona 85224
    United States

    Active - Recruiting

  • East Valley Family Physicians

    Chandler, Arizona 85224
    United States

    Completed

  • The Institute For Liver Health - Glendale

    Glendale, Arizona 85306
    United States

    Active - Recruiting

  • Adobe Gastroenterology

    Tucson, Arizona 85712
    United States

    Active - Recruiting

  • The Institute For Liver Health - Tucson

    Tucson, Arizona 85711
    United States

    Active - Recruiting

  • Arkansas Gastroenterology

    North Little Rock, Arkansas 72117
    United States

    Active - Recruiting

  • Fresno Clinical Research Center

    Fresno, California 93720
    United States

    Active - Recruiting

  • National Research Institute - Huntington Park

    Huntington Park, California 90255
    United States

    Active - Recruiting

  • Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Active - Recruiting

  • National Research Institute - Los Angeles

    Los Angeles, California 90057
    United States

    Active - Recruiting

  • Ruane Clinical Research Group

    Los Angeles, California 90036
    United States

    Active - Recruiting

  • Catalina Research Institute

    Montclair, California 91763
    United States

    Site Not Available

  • National Research Institute - Panorama City

    Panorama City, California 91402
    United States

    Active - Recruiting

  • San Fernando Valley Health Institute

    West Hills, California 91307
    United States

    Active - Recruiting

  • South Denver Gastroenterology - Swedish Medical Center Office

    Englewood, Colorado 80113
    United States

    Active - Recruiting

  • Excel Medical Clinical Trials

    Boca Raton, Florida 33434
    United States

    Active - Recruiting

  • Covenant Research

    Fort Myers, Florida 33912
    United States

    Active - Recruiting

  • Velocity Clinical Research, Hallandale Beach (MD Clinical)

    Hallandale Beach, Florida 33009
    United States

    Active - Recruiting

  • Floridian Clinical Research

    Hialeah, Florida 33016
    United States

    Completed

  • Nature Coast Clinical Research - Inverness

    Inverness, Florida 34452
    United States

    Active - Recruiting

  • Jacksonville Center for Clinical Research

    Jacksonville, Florida 32216
    United States

    Completed

  • Florida Research Institute

    Lakewood Ranch, Florida 34211
    United States

    Active - Recruiting

  • Miami Dade Medical Research Institute

    Miami, Florida 33176
    United States

    Site Not Available

  • Orlando Research Center

    Orlando, Florida 32806
    United States

    Active - Recruiting

  • Progressive Medical Research

    Port Orange, Florida 32127
    United States

    Active - Recruiting

  • Covenant Research

    Sarasota, Florida 34240
    United States

    Active - Recruiting

  • The Villages Research Center

    The Villages, Florida 32162
    United States

    Completed

  • Gastrointestinal Specialists of Georgia

    Marietta, Georgia 30060
    United States

    Active - Recruiting

  • East-West Medical Research Institute

    Honolulu, Hawaii 96814
    United States

    Active - Recruiting

  • Chicago Research Center

    Chicago, Illinois 60602
    United States

    Completed

  • Northwestern Memorial Physicians Group

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • Iowa Diabetes Research

    West Des Moines, Iowa 50265
    United States

    Active - Recruiting

  • Kansas Medical Clinic - Gastroenterology

    Topeka, Kansas 66606
    United States

    Active - Recruiting

  • L-MARC Research Center

    Louisville, Kentucky 40213
    United States

    Completed

  • Digestive Health Center of Louisiana

    Baton Rouge, Louisiana 70809
    United States

    Active - Recruiting

  • Tandem Clinical Research - New Orleans Area Site

    Marrero, Louisiana 70072
    United States

    Active - Recruiting

  • Clinical Trials of America

    West Monroe, Louisiana 71291
    United States

    Active - Recruiting

  • Gastrointestinal Associates & Endoscopy Center - Flowood

    Flowood, Mississippi 39232
    United States

    Active - Recruiting

  • Southern Therapy and Advanced Research

    Jackson, Mississippi 39216
    United States

    Completed

  • Kansas City Research Institute

    Kansas City, Missouri 64131
    United States

    Active - Recruiting

  • Henderson Research Center

    Henderson, Nevada 89052
    United States

    Active - Recruiting

  • Clarity Clinical Research

    East Syracuse, New York 13057
    United States

    Active - Recruiting

  • Mount Sinai Health System

    New York, New York 10029
    United States

    Active - Recruiting

  • Duke University Medical Center

    Durham, North Carolina 27710
    United States

    Active - Recruiting

  • Cumberland Research Associates

    Fayetteville, North Carolina 28304
    United States

    Active - Recruiting

  • Diabetes and Endocrinology Consultants

    Morehead City, North Carolina 28557
    United States

    Active - Recruiting

  • Platinum - Sterling Research Group - Springdale

    Cincinnati, Ohio 45246
    United States

    Site Not Available

  • Aventiv Research Columbus

    Columbus, Ohio 43213
    United States

    Completed

  • Awasty Research Network

    Marion, Ohio 43302
    United States

    Completed

  • Premier Medical Group - Clarksville - Dunlop Lane

    Clarksville, Tennessee 37040
    United States

    Active - Recruiting

  • Gastro One - Germantown Office - Wolf Park Drive

    Germantown, Tennessee 38138
    United States

    Active - Recruiting

  • Pinnacle Clinical Research - Austin

    Austin, Texas 78746
    United States

    Active - Recruiting

  • Dallas Research Center

    Dallas, Texas 75234
    United States

    Completed

  • Liver Center of Texas

    Dallas, Texas 75234
    United States

    Active - Recruiting

  • The Liver Institute At Methodist Dallas

    Dallas, Texas 75203
    United States

    Completed

  • South Texas Research Institute

    Edinburg, Texas 78539
    United States

    Active - Recruiting

  • Texas Digestive Disease Consultants

    Fort Worth, Texas 76104
    United States

    Completed

  • Liver Associates of Texas

    Houston, Texas 77030
    United States

    Completed

  • Doctor's Hospital at Renaissance

    McAllen, Texas 78504
    United States

    Active - Recruiting

  • Plano Research Center

    Plano, Texas 75093
    United States

    Active - Recruiting

  • Pinnacle Clinical Research - San Antonio

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • San Antonio Research Center

    San Antonio, Texas 78229
    United States

    Completed

  • Texas Liver Institute/American Research Corporation

    San Antonio, Texas 78215
    United States

    Active - Recruiting

  • Texas Digestive Disease Consultants - San Marcos

    San Marcos, Texas 78666
    United States

    Active - Recruiting

  • Impact Research Institute

    Waco, Texas 76710
    United States

    Active - Recruiting

  • Texas Digestive Disease Consultants - Bay Area Houston Endoscopy Center

    Webster, Texas 77598
    United States

    Active - Recruiting

  • Wasatch Peak Family Practice

    Layton, Utah 84041
    United States

    Completed

  • Salt Lake City Research Center

    Murray, Utah 84123
    United States

    Active - Recruiting

  • Bon Secours Liver Institute of Richmond

    Richmond, Virginia 23226
    United States

    Active - Recruiting

  • National Clinical Research - Richmond

    Richmond, Virginia 23294
    United States

    Completed

  • Virginia Commonwealth University School of Medicine

    Richmond, Virginia 23298
    United States

    Active - Recruiting

  • Liver Institute Northwest

    Seattle, Washington 98105
    United States

    Active - Recruiting

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