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Trial registered on ANZCTR
Registration number
ACTRN12625000241437
Ethics application status
Approved
Date submitted
30/01/2025
Date registered
3/04/2025
Date last updated
13/04/2025
Date data sharing statement initially provided
3/04/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
A Phase 2a double-blind, randomised, placebo-controlled, parallel group study to evaluate the efficacy, safety, tolerability and pharmacokinetics (PK) of GL0034 in adults with at-risk metabolic dysfunction-associated steatohepatitis (MASH)
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Scientific title
A Phase 2a double-blind, randomised, placebo-controlled, parallel group study to evaluate the efficacy, safety, tolerability and pharmacokinetics (PK) of GL0034 in adults with at-risk metabolic dysfunction-associated steatohepatitis (MASH)
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Secondary ID [1]
313808
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None
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Universal Trial Number (UTN)
None
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Trial acronym
SF-CSP-002
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metabolic dysfunction-associated steatohepatitis (MASH)
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Condition category
Condition code
Metabolic and Endocrine
332964
332964
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0
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a randomized, double-blind, placebo controlled and parallel group study of GL0034 (Utreglutide) for the treatment of participants with at-risk metabolic dysfunction-associated steatohepatitis (MASH).
Approximately 60 participants will be randomly assigned to receive GL0034/Placebo in a ratio of 2:1. GL0034/Placebo is administered weekly as a subcutaneous injection given by a registered nurse for a period of 24 weeks, The dose will be increased gradually for a period of 4 weeks (called the Dose Titration Period). Participants will then receive a final fixed dose (called the Final Dose Period).
Vital signs including temperature, blood pressure and weight will be regularly reviewed in addition to the collection of blood tests every 2-4 weeks to assess overall health and any study drug effects. Blood samples will be collected prior to dosing at week 1 and weekly from weeks 13-27. Blood samples will also be collected 24hrs after dosing at week 13 and 17 and at the following timepoints after the final dose of the study at week 24: Post-dose 1 day, 2 days, 4 days, 7 days, 14 days, 21 days and 28 days The purpose of these blood samples is to measure the levels of GL0034 in the blood.
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Intervention code [1]
330396
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Treatment: Drugs
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Comparator / control treatment
Placebo subcutaneous injection. The placebo contains inactive commonly used excipients Disodium Phosphate Dihydrate, Propylene Glycol, Phenol, Hydrochloric Acid and Sodium Hydroxide.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Liver fat content
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Assessment method [1]
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Magnetic Resonance Imaging Proton Density Fat Fraction (MRI-PDFF)
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Timepoint [1]
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Baseline and at week 24 (following 23 weeks of treatment)
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Primary outcome [2]
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Liver stiffness
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Assessment method [2]
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Magnetic Resonance Elastography (MRE)
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Timepoint [2]
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Baseline and at week 24 (following 23 weeks of treatment)
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Secondary outcome [1]
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Percentage change in liver stiffness
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Assessment method [1]
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MRE
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Timepoint [1]
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Baseline and at Week 16 (following 15 weeks of treatment)
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Secondary outcome [2]
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Percentage change in liver fat content
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Assessment method [2]
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MRI-PDFF
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Timepoint [2]
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Baseline and at week 16 (following 15 weeks of treatment)
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Secondary outcome [3]
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Proportion of participants with a decrease in liver fat content
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Assessment method [3]
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MRI-PDFF
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Timepoint [3]
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Baseline and at Week 16 (following 15 weeks of treatment) and Week 24 (following 23 weeks of treatment)
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Secondary outcome [4]
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Proportion of participants with a decrease in liver stiffness
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Assessment method [4]
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MRE
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Timepoint [4]
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Baseline and at Week 16 (following 15 weeks of treatment) and at Week 24 (following 23 weeks of treatment)
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Secondary outcome [5]
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Change in Liver Stiffness Measurement (LSM) and Controlled Attenuation Parameter (CAP)
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Assessment method [5]
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FibroScan
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Timepoint [5]
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Baseline and at Week 16 (following 15 weeks of treatment) and Week 24 (following 23 weeks of treatment)
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Secondary outcome [6]
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Change in FibroScan-AST score (FAST)
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Assessment method [6]
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FibroScan and AST blood test
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Timepoint [6]
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Baseline and at Week 16 (following 15 weeks of treatment) and at Week 24 (following 23 weeks of treatment)
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Secondary outcome [7]
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Change in liver function markers
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Assessment method [7]
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Composite Pathology laboratory testing includes ALT, AST, GGT, ALP, ALB, TP, total bilirubin and uric acid levels
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Timepoint [7]
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Baseline and at Week 5, 9, 13, 14, 16, 17, 18, 20, 21, 24 and 28 post-first treatment dose
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Secondary outcome [8]
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Determine the weight related changes. Composite Body Mass Index (BMI), Waist circumference and weight (Kg)
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Assessment method [8]
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weight scale (kg), body tape measure (cm) and BMI
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Timepoint [8]
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Baseline and at week 4, 8, 12, 16, 20, 24, 25 and 28 post-first treatment dose
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Secondary outcome [9]
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composite measure in changing metabolic, lipid, fibrotic and inflammatory markers
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Assessment method [9]
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Blood tests for metabolic marker: HbA1c, Fasting Glucose, fasting insulin, fasting C-peptide, fasting glucagon, and HOMA-IR (Homeostasis model assessment of insulin resistance). Blood test for lipid markers: TC (Total cholestero), TG(Triglycerides), HDL-C (High-density lipoprotein cholestero), LDL-C (Low-density lipoprotein cholesterol), VLDL (Very low-density lipoprotein), Apoprotein B, Apoprotein CIII, Lipoprotein A, NT-ProBNP (N-terminal pro-B-type natriuretic peptide). Fibrotic Markers: Pro-C3, CK-18-M30 antigen, ELF (Enhanced liver fibrosis) score, APRI (Aspartate aminotransferase-to-platelet ratio index) index, FIB-4 index (Fibrosis-4 index), MAST (MRI-aspartate aminotransferase) score, MEFIB (MRE combined with FIB-4) index, AST/ALT inflammatory markers: Leptin, adiponectin, ferritin, IL-6, IL-8, TNF-a, FGF-21, hs (high sensitivity) C-reactive protein
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Timepoint [9]
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Baseline and at weeks 4, 8, 12, 16, 20 and 24 post first-treatment dose
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Secondary outcome [10]
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Previous clinical studies shown TEAE observed to date (IB V3, 18DEC 2024) are the GLP-1 RA class effect such nauseam vomiting, early satiety and decreased appetite. No safety signal or alert were identified in previous clinical studies. Hence, continuing monitoring safety incidence, severity and change from baseline of treatment-emergent AE's in comparison to other GLP-1 RA class medication.
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Assessment method [10]
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Composite of clinical laboratory evaluations, Vital sign parameters (blood pressure and heart rate assessed using a sphygmomanometer, respiratory rate assessed visually and temperature assessed using a tympanic (ear) thermometer) ECG findings and Physical Exam data
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Timepoint [10]
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Baseline to Week 28 post-first treatment dose
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Secondary outcome [11]
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Change in GL0034 plasma concentration
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Assessment method [11]
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PK blood sampling
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Timepoint [11]
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Baseline and at weeks 1, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 and 24 post first-treatment dose
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Eligibility
Key inclusion criteria
1) Males or females aged 18 to 75
2) Able to provide voluntary, written informed consent with comprehension of all aspects of the protocol, prior to any study procedures
3) BMI greater than or equal to 30.0 kg/m2 and less than or equal to 50 kg/m2
4) MRE liver Stiffness greater than or equal to 3.5 kPa and less than 5.0 kPa
5) MRI-PDFF liver fat content greater than or equal to 8.5%.
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1) Type 1 diabetes mellitus (T1DM) or uncontrolled T2DM
2) Previous anaphylaxis or severe allergic reaction to GLP 1 receptor agonists
3) Treatment with GLP-1 receptor agonists in the period from 90 days prior to screening
4) Underlying conditions that impact participant safety or their ability to follow the protocol.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
central randomisation by a computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computerised sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
14/04/2025
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Actual
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Date of last participant enrolment
Anticipated
3/08/2026
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Actual
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Date of last data collection
Anticipated
7/09/2026
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Sun Pharmaceuticals Ltd
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Address [1]
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Country [1]
318274
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India
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Primary sponsor type
Commercial sector/Industry
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Name
Sun Pharmaceuticals Ltd
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Address
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Country
India
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Local Sponsor: CRO Services Pty Ltd (Trading as Resonance Clinical)
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Address [1]
320661
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Country [1]
320661
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bellberry Human Research Ethics Committee L
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Ethics committee address [1]
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https://bellberry.com.au/
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Ethics committee country [1]
316914
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Australia
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Date submitted for ethics approval [1]
316914
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22/01/2025
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Approval date [1]
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14/03/2025
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Ethics approval number [1]
316914
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Summary
Brief summary
The purpose of this study is to test the effectiveness and safety of the investigational medication in the threatment of Metabolic Dysfunction-Associated Steatohepatitis (MASH) in at risk adults. This is a randomized, double-blind, placebo controlled and parallel group study of GL0034 (Utreglutide) for the treatment of (MASH). Approximately 60 participants will be randomly assigned to receive GL0034/Placebo in a ratio of 2:1. GL0034/Placebo is administered weekly as a subcutaneous injection for a period of 24 weeks, The dose will be increased gradually for a period of 20 weeks (called the Dose Titration Period) and then will remain at a fixed dose for 4 weeks (called the Final Dose Period)
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Trial website
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Trial related presentations / publications
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Public notes
Details of the intervention doses will be provided on a publicly accessible website (including but not limited to the ANZCTR registry) 1 year after completion of the last participant visit of the study. The rationale for this request is this is part of the patent on plausible clinical dose protection which will be filed based on the clinical study outcome
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Contacts
Principal investigator
Name
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Prof John Olynyk
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Address
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Trialswest Pty Ltd, 6 Barrington Street, Spearwood WA 6163
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Country
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Australia
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Phone
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+61 08 9312 1931
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Naomi Brook
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Address
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Resonance Health, 141 Burswood Road, Burswood Western Australia 6100
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Country
139419
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Australia
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Phone
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+61 08 9286 5300
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Naomi Brook
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Address
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Resonance Health, 141 Burswood Road, Burswood Western Australia 6100
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Country
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Australia
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Phone
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+61 08 9286 5300
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
Intellectual Property
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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