NCT02354976

Brief Summary

This study is a double-blind randomized, placebo-controlled, parallel-group, 12 week study performed in 2 centres in Sweden to assess the effect of Omega-3 carboxylic acids and fenofibrate on liver fat measured with magnetic resonance imaging (MRI) in patients with over-weight and hypertriglyceridemia.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
78

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Sep 2015

Shorter than P25 for phase_2

Geographic Reach
1 country

4 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 30, 2015

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 3, 2015

Completed
7 months until next milestone

Study Start

First participant enrolled

September 1, 2015

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 26, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 26, 2016

Completed
2.3 years until next milestone

Results Posted

Study results publicly available

September 25, 2018

Completed
Last Updated

September 25, 2018

Status Verified

September 1, 2018

Enrollment Period

9 months

First QC Date

January 30, 2015

Results QC Date

May 5, 2017

Last Update Submit

September 24, 2018

Conditions

Keywords

omega-3 carboxylic acid

Outcome Measures

Primary Outcomes (1)

  • Geometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Placebo)

    To evaluate the efficacy of Epanova compared to placebo with respect to reduction in liver fat content (%) at the end of 12 weeks of double-blinded treatment.

    Baseline and 12 weeks

Secondary Outcomes (1)

  • Geometric Mean Ratio (Week 12/Baseline) of % Liver Fat as Assessed by MRI (Epanova Versus Fenofibrate)

    12 weeks

Study Arms (3)

Placebo

PLACEBO COMPARATOR
Drug: Placebo

Omega-3 carboxylic acids 4g / day

EXPERIMENTAL
Drug: Omega-3 carboxylic acid

Fenofibrate 200mg

ACTIVE COMPARATOR
Drug: Fenofibrate 200mg

Interventions

Placebo matching to Omega-3 carboxylic acids (olive oil)

Placebo

4 g administered as 4 x 1 g capsules

Omega-3 carboxylic acids 4g / day

200mg capsule administered once daily

Fenofibrate 200mg

Eligibility Criteria

Age40 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Men or women ≥40 years and ≤75 years with suitable veins for cannulation or repeated venepuncture
  • Have serum triglycerides ≥1.7 mM
  • Have liver fat content as assessed by MRI \>5.5%
  • Have a body mass index (BMI) \>25 and ≤40 kg/m2

You may not qualify if:

  • Creatinine clearance \<60 mL/min at screening (Cockcroft-Gault formula).
  • Severe hepatic insufficiency and/or significant abnormal liver function defined as aspartate aminotransferase (AST) \>3x upper limit of normal (ULN) and/or alanine aminotransferase (ALT) \>3x ULN
  • Total bilirubin \>2.0 mg/dL (34.2 µmol/L)
  • Type 2 diabetes, as defined by WHO criteria e.g. fasting plasma Glucose \>7.0 mM or use of antidiabetic therapy
  • Any clinically significant abnormalities in clinical chemistry, haematology or urinalysis results as judged by the investigator. This includes signs of liver disease other than NAFLD that motivates further investigations of treatment based on clinical judgement
  • Recent history (past 12 months) of drug abuse or alcohol abuse. Alcohol abuse was to be defined as \>14 drinks per week (1 drink = 35 cl beer, 14 cl wine, or 4 cl hard liquor) or as judged by the investigator

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Research Site

Gothenburg, 413 45, Sweden

Location

Research Site

Malmo, 205 02, Sweden

Location

Research Site

Stockholm, 11324, Sweden

Location

Research Site

Uppsala, 75237, Sweden

Location

Related Publications (1)

  • Oscarsson J, Onnerhag K, Riserus U, Sunden M, Johansson L, Jansson PA, Moris L, Nilsson PM, Eriksson JW, Lind L. Effects of free omega-3 carboxylic acids and fenofibrate on liver fat content in patients with hypertriglyceridemia and non-alcoholic fatty liver disease: A double-blind, randomized, placebo-controlled study. J Clin Lipidol. 2018 Nov-Dec;12(6):1390-1403.e4. doi: 10.1016/j.jacl.2018.08.003. Epub 2018 Aug 10.

MeSH Terms

Conditions

Non-alcoholic Fatty Liver DiseaseHypertriglyceridemia

Interventions

omega-3 carboxylic acidFenofibrate

Condition Hierarchy (Ancestors)

Fatty LiverLiver DiseasesDigestive System DiseasesHyperlipidemiasDyslipidemiasLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Fibric AcidsIsobutyratesButyratesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsPhenyl EthersEthersBenzophenonesBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPhenolsKetones

Results Point of Contact

Title
Torbjörn Lundström
Organization
AstraZeneca

Study Officials

  • Lars Lind, Professor

    Uppsala University Hospital. Uppsala Sweden

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 30, 2015

First Posted

February 3, 2015

Study Start

September 1, 2015

Primary Completion

May 26, 2016

Study Completion

May 26, 2016

Last Updated

September 25, 2018

Results First Posted

September 25, 2018

Record last verified: 2018-09

Locations