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Lys-Pro-Val, α-MSH (11-13)

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Studies 104
Trials 57
Recruiting PHASE3 INTERVENTIONAL NCT04849728

A Phase 3 Study Evaluating Efficacy and Safety of Lanifibranor Followed by an Active Treatment Extension in Adult Patients With (NASH) and Fibrosis Stages F2 and F3 ( NATiV3 )

View on ClinicalTrials.gov Updated Dec 15, 2025

Brief Summary

This Phase 3 study is conducted to evaluate lanifibranor in adults with NASH and liver fibrosis histological stage F2 or F3

Detailed Description

Primary objectives This Phase 3 study is conducted to evaluate lanifibranor in adults with NASH and liver fibrosis stage F2 or F3 and consists of 2 sequential parts - an initial double-blind placebo-controlled (DBPC) period (Part A) followed by a double-blind active treatment extension (ATE) period (Part B), with the following primary objectives: Part A To assess the safety and efficacy of lanifibranor compared to placebo on 'NASH resolution and improvement of fibrosis' assessed by liver histology. Part B To assess the safety of lanifibranor beyond the DBPC period. Secondary objectives Key secondary objectives of Part 1: * To assess the effect of lanifibranor compared to placebo on NASH resolution and no worsening of fibrosis * To assess the effect of lanifibranor compared to placebo on improvement of fibrosis with no worsening of NASH Other secondary objectives of both Part 1 and Part 2: * To assess the effect of lanifibranor on other key histological features of NASH (only for DBPC period) * To assess the effect of lanifibranor on NASH resolution and improvement of fibrosis in diabetic patients (only for DBPC period) * To assess the effect of lanifibranor on liver tests * To assess the effect of lanifibranor on glycaemic parameters * To assess the effect of lanifibranor on lipid parameters * To assess the effect of lanifibranor on liver stiffness and steatosis assessed by elastography. * To assess the effect of lanifibranor on health-related quality of life * To assess the safety of lanifibranor * To assess population PK modeling through plasma levels of lanifibranor using sparse sampling scheme (only for DBPC period)

Interventions

Name: IVA337
Type: DRUG
Description: A total of 1000 patients will be randomised to receive lanifibranor (800 mg/day) or lanifibranor (1200 mg/day), or matching placebo, employing a 1:1:1 randomisation scheme, respectively, without interruption between Part A and Part B.
Name: Placebo
Type: DRUG
Description: A total of 1000 patients will be randomised to receive lanifibranor (800 mg/day) or lanifibranor (1200 mg/day), or matching placebo, employing a 1:1:1 randomisation scheme, respectively, without interruption between Part A and Part B.

Primary Outcomes

Measure: Resolution of NASH and improvement of fibrosis
TimeFrame: Part A: Date of randomisation until the date of biopsy at Week 72
Description: Part A: DBPC: Resolution of NASH and improvement of fibrosis at Week 72, defined by NASH CRN scores for ballooning of 0 and inflammation of 0 to 1, and fibrosis score ≥1 stage decrease compared to Baseline
Measure: Safety Analyses
TimeFrame: 48 weeks after completion of DBPC period
Description: Part B: ATE: * Using the DBPC on-treatment period, comparing the 2 active arms versus placebo * Using the DBPC +ATE on treatment periods, assessing the 2 active arms. For adverse events, adjudicated liver events, and DILI and MACE events, in addition to the raw cumulative incidence proportions, the exposure-adjusted incidence rates will be provided based on the time patients are at risk.

Trial Information

NCT ID

NCT04849728

Status

Recruiting

Study Type

INTERVENTIONAL

Phases

PHASE3

Sponsor

Inventiva Pharma

Last Updated

December 15, 2025