Selonsertib in Combination With Prednisolone Versus Prednisolone Alone in Participants With Severe Alcoholic Hepatitis (AH)



Status:Completed
Conditions:Hepatitis
Therapuetic Areas:Immunology / Infectious Diseases
Healthy:No
Age Range:18 - 70
Updated:2/8/2019
Start Date:September 1, 2016
End Date:May 31, 2018

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A Phase 2, Double-Blind, Randomized Study Evaluating the Safety, Tolerability, and Efficacy of GS-4997 in Combination With Prednisolone Versus Prednisolone Alone in Subjects With Severe Alcoholic Hepatitis (AH)

The primary objective of this study is to evaluate the safety and tolerability of selonsertib
(GS-4997) in combination with prednisolone versus prednisolone alone in participants with
severe alcoholic hepatitis (AH).


Key Inclusion Criteria:

- Willing and able to give informed consent prior to any study specific procedures being
performed. In individuals with hepatic encephalopathy (HE) which may impair
decision-making, consent will be obtained per hospital procedures (eg, by Legally
Authorized Representative)

- Clinical diagnosis of severe AH

- Maddrey's Discriminant Function (DF) ≥ 32 at screening

Key Exclusion Criteria:

- Pregnant or lactating females;

- Other causes of liver disease including chronic hepatitis B (hepatitis B surface
antigen [HBsAg] positive), chronic hepatitis C (HCV RNA positive), acetaminophen
hepatotoxicity, biliary obstruction, and autoimmune liver disease;

- Serum aspartate aminotransferase (AST) >400 U/L or alanine aminotransferase (ALT) >300
U/L;

- Model for End Stage Liver Disease (MELD) >30 at screening;

- Maddrey's DF >60 at screening;

- Grade 4 Hepatic Encephalopathy (HE) by West Haven criteria;

- Concomitant or previous history of hepatocellular carcinoma;

- History of liver transplantation;

- HIV Ab positive;

- Clinical suspicion of pneumonia;

- Uncontrolled sepsis;

- Uncontrolled gastrointestinal (GI) bleeding or controlled GI bleeding within 7 days of
screening that was associated with shock or required transfusion of more than 3 units
of blood;

- Type 1 hepatorenal syndrome (HRS) or renal failure defined as a serum creatinine >221
μmol/L (>2.5 mg/dL) or the requirement for renal replacement therapy;

- Individuals dependent on inotropic (eg, epinephrine or norepinephrine) or ventilatory
support (ie, endotracheal intubation or positive-pressure ventilation);

- Portal vein thrombosis;

- Acute pancreatitis;

- Cessation of alcohol consumption for more than 2 months before Baseline/ Day 1

Note: Other protocol defined Inclusion/ Exclusion criteria may apply.
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New Orleans, Louisiana 70121
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330 Brookline Ave
Boston, Massachusetts 02215
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529 West Markham Street
Little Rock, Arkansas 72205
(501) 686-7000
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8700 Beverly Blvd # 8211
Los Angeles, California 90048
(1-800-233-2771)
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Seattle, Washington 98104
(206) 543-2100
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2950 Cleveland Clinic Blvd.
Weston, Florida 33331
866.293.7866
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500 S State St
Ann Arbor, Michigan 48109
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Newport News, Virginia 23602
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3451 Walnut St
Philadelphia, Pennsylvania 19104
1 (215) 898-5000
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