Skip to content

Study of NGM282 in Patients With Nonalcoholic Steatohepatitis (NASH)

A Phase 2, Randomized, Double-blind, Placebo-controlled Study With Additional Open-label, Single-blind and Placebo-controlled Cohorts to Assess the Safety, Tolerability, and Efficacy of NGM282 in Patients With Nonalcoholic Steatohepatitis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02443116
Enrollment
254
Registered
2015-05-13
Start date
2015-07-31
Completion date
2020-01-17
Last updated
2025-07-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Nonalcoholic Steatohepatitis (NASH)

Brief summary

The purpose of this study is to determine the safety, tolerability, and efficacy of NGM282 in patients with nonalcoholic steatohepatitis.

Interventions

BIOLOGICALNGM282
OTHERPlacebo

Sponsors

NGM Biopharmaceuticals Australia Pty Ltd
CollaboratorINDUSTRY
NGM Biopharmaceuticals, Inc
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Males or females, between 18 and 75 years of age, inclusive * Histologically confirmed NASH diagnosis

Exclusion criteria

* Clinically significant acute or chronic liver disease * Prior liver transplantation

Design outcomes

Primary

MeasureTime frameDescription
Change in Absolute Liver Fat Content (Part 1)Up to Week 12Absolute liver fat content was assessed using magnetic resonance imaging (MRI).
Change in Absolute Liver Fat Content (Part 2)Up to Week 12Absolute liver fat content was assessed using magnetic resonance imaging proton density fat fraction (MRI-PDFF).
Change in Absolute Liver Fat Content (Part 3)Up to Week 24Absolute liver fat content was measured by magnetic resonance imaging proton density fat fraction (MRI-PDFF).

Secondary

MeasureTime frameDescription
Change in Absolute Liver Fat Content (Part 3)Up to Week 30Absolute liver fat content was measured by magnetic resonance imaging proton density fat fraction (MRI-PDFF).
Percentage Change in Liver Fat Content (Part 1)Up to Week 12Percentage change in liver fat content was assessed using magnetic resonance imaging (MRI).
Percentage Change in Liver Fat Content (Part 3)Up to Week 30Percentage change in liver fat content was assessed using magnetic resonance imaging proton density fat fraction (MRI-PDFF).
Change in Absolute Liver Fat Content (Part 2)Up to Week 18Absolute liver fat content was assessed using magnetic resonance imaging proton density fat fraction (MRI-PDFF).
Percentage Change in Liver Fat Content (Part 2)Up to Week 18Percentage change in liver fat content was assessed using magnetic resonance imaging proton density fat fraction (MRI-PDFF).

Countries

Australia, Puerto Rico, United States

Participant flow

Recruitment details

A total of 254 participants who met all inclusion criteria and no exclusion criteria were enrolled in this study. This was a 3-part study where Parts 1 and 3 were randomized, placebo controlled studies and Part 2 was an open-label study.

Participants by arm

ArmCount
Part 1: Aldafermin 3.0 mg
Participants who were randomized to receive a single subcutaneous injection of aldafermin 3.0 mg. The first dose (Day 1) and doses at Weeks 1, 2, 4, 8, and 12 were self-administered in the clinic, with all other doses through Week 12 self-administered at home.
27
Part 1: Aldafermin 6.0 mg
Participants who were randomized to receive a single subcutaneous injection of aldafermin 6.0 mg. The first dose (Day 1) and doses at Weeks 1, 2, 4, 8, and 12 were self-administered in the clinic, with all other doses through Week 12 self-administered at home.
28
Part 1: Placebo
Participants who were randomized to receive a single subcutaneous injection of placebo. The first dose (Day 1) and doses at Weeks 1, 2, 4, 8, and 12 were self-administered in the clinic, with all other doses through Week 12 self-administered at home.
27
Part 2: Aldafermin 0.3 mg
Participants who received a single subcutaneous injection of aldafermin 0.3 mg. The first dose (Day 1) and doses at Weeks 1, 2, 4, 8, and 12 were self-administered in the clinic, with all other doses through Week 12 self-administered at home.
23
Part 2: Aldafermin 1.0 mg
Participants who received a single subcutaneous injection of aldafermin 1.0 mg. The first dose (Day 1) and doses at Weeks 1, 2, 4, 8, and 12 were self-administered in the clinic, with all other doses through Week 12 self-administered at home.
21
Part 2: Aldafermin 3.0 mg
Participants who received a single subcutaneous injection of aldafermin 3.0 mg. The first dose (Day 1) and doses at Weeks 1, 2, 4, 8, and 12 were self-administered in the clinic, with all other doses through Week 12 self-administered at home.
22
Part 2: Aldafermin 1.0 mg (Cohort 4)
Participants who received a single subcutaneous injection of aldafermin 1.0 mg (Cohort 4). The first dose (Day 1) and doses at Weeks 1, 2, 4, 8, and 12 were self-administered in the clinic, with all other doses through Week 12 self-administered at home.
28
Part 3: Aldafermin 1.0 mg
Participants who were randomized to receive a single subcutaneous injection of aldafermin 1.0 mg. The first dose (Day 1) and doses at Weeks 1, 2, 4, 6, 8, 12, 18, and 24 were self-administered in the clinic, with all other doses throughout the treatment period self-administered at home.
53
Part 3: Placebo
Participants who were randomized to receive a single subcutaneous injection of placebo. The first dose (Day 1) and doses at Weeks 1, 2, 4, 6, 8, 12, 18, and 24 were self-administered in the clinic, with all other doses throughout the treatment period self-administered at home.
25
Total254

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008
Part 1Adverse Event230000000
Part 1Lost to Follow-up002000000
Part 1Participant enrolled in another clinical trial001000000
Part 1Participant moved out of state001000000
Part 1Withdrew informed consent010000000
Part 2Adverse Event000011200
Part 2Early end of treatment secondary to cardiac arrest and subsequently lost to follow up000001000
Part 2Inability to comply with protocol000100000
Part 2Lost to Follow-up000100000
Part 2Withdrew informed consent000001100
Part 3Adverse Event000000001
Part 3Lost to Follow-up000000012
Part 3Withdrew informed consent000000032

Baseline characteristics

CharacteristicPart 1: Aldafermin 6.0 mgPart 1: PlaceboPart 2: Aldafermin 0.3 mgPart 2: Aldafermin 1.0 mgPart 2: Aldafermin 3.0 mgPart 1: Aldafermin 3.0 mgPart 2: Aldafermin 1.0 mg (Cohort 4)Part 3: Aldafermin 1.0 mgPart 3: PlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
2 Participants4 Participants1 Participants4 Participants4 Participants1 Participants2 Participants8 Participants2 Participants28 Participants
Age, Categorical
Between 18 and 65 years
26 Participants23 Participants22 Participants17 Participants18 Participants26 Participants26 Participants45 Participants23 Participants226 Participants
Age, Continuous56.4 years
STANDARD_DEVIATION 7.8
52.8 years
STANDARD_DEVIATION 11.3
43.0 years
STANDARD_DEVIATION 11.7
51.5 years
STANDARD_DEVIATION 11.3
51.5 years
STANDARD_DEVIATION 11.7
52.0 years
STANDARD_DEVIATION 7.1
49.8 years
STANDARD_DEVIATION 10
53.2 years
STANDARD_DEVIATION 12.1
54.1 years
STANDARD_DEVIATION 9.7
51.9 years
STANDARD_DEVIATION 10.8
Race/Ethnicity, Customized
Asian
1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants3 Participants0 Participants6 Participants
Race/Ethnicity, Customized
Black
0 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants2 Participants5 Participants
Race/Ethnicity, Customized
Other
2 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants3 Participants1 Participants8 Participants
Race/Ethnicity, Customized
Pacific Islander
1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
24 Participants25 Participants23 Participants21 Participants22 Participants25 Participants26 Participants46 Participants22 Participants234 Participants
Sex: Female, Male
Female
16 Participants20 Participants13 Participants18 Participants18 Participants16 Participants20 Participants26 Participants16 Participants163 Participants
Sex: Female, Male
Male
12 Participants7 Participants10 Participants3 Participants4 Participants11 Participants8 Participants27 Participants9 Participants91 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
0 / 270 / 280 / 270 / 230 / 210 / 220 / 280 / 530 / 25
other
Total, other adverse events
26 / 2727 / 2823 / 2720 / 2319 / 2121 / 2227 / 2846 / 5322 / 25
serious
Total, serious adverse events
1 / 270 / 280 / 270 / 231 / 214 / 221 / 282 / 533 / 25

Outcome results

Primary

Change in Absolute Liver Fat Content (Part 1)

Absolute liver fat content was assessed using magnetic resonance imaging (MRI).

Time frame: Up to Week 12

Population: Absolute liver fat content was assessed in participants with available data in the Efficacy Population.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Part 1: Aldafermin 3.0 mgChange in Absolute Liver Fat Content (Part 1)-9.68 percent of liver fatStandard Error 0.98
Part 1: Aldafermin 6.0 mgChange in Absolute Liver Fat Content (Part 1)-11.91 percent of liver fatStandard Error 1
Part 1: PlaceboChange in Absolute Liver Fat Content (Part 1)-0.85 percent of liver fatStandard Error 0.99
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: <0.00196% CI: [-12.09, -5.59]t-test, 2 sided
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: <0.00196% CI: [-14.39, -7.74]t-test, 2 sided
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: 0.11296% CI: [-5.11, 0.67]t-test, 2 sided
Primary

Change in Absolute Liver Fat Content (Part 2)

Absolute liver fat content was assessed using magnetic resonance imaging proton density fat fraction (MRI-PDFF).

Time frame: Up to Week 12

Population: Absolute liver fat content was assessed in participants with available data in the Efficacy Population.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Part 1: Aldafermin 3.0 mgChange in Absolute Liver Fat Content (Part 2)-4.95 percent of liver fatStandard Error 1.07
Part 1: Aldafermin 6.0 mgChange in Absolute Liver Fat Content (Part 2)-10.69 percent of liver fatStandard Error 1.09
Part 1: PlaceboChange in Absolute Liver Fat Content (Part 2)-11.55 percent of liver fatStandard Error 1.08
Part 2: Aldafermin 1.0 mg (Cohort 4)Change in Absolute Liver Fat Content (Part 2)-10.85 percent of liver fatStandard Error 1.01
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: 0.613495% CI: [-2.05, 3.45]t-test, 2 sided
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: <0.000195% CI: [-8.48, -2.99]t-test, 2 sided
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: <0.000195% CI: [-9.41, -3.79]t-test, 2 sided
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: 0.546795% CI: [-3.71, 1.98]t-test, 2 sided
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: <0.000195% CI: [-8.55, -3.25]t-test, 2 sided
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: 0.903795% CI: [-2.89, 2.55]t-test, 2 sided
Primary

Change in Absolute Liver Fat Content (Part 3)

Absolute liver fat content was measured by magnetic resonance imaging proton density fat fraction (MRI-PDFF).

Time frame: Up to Week 24

Population: Absolute liver fat content was assessed in participants with available data in the Efficacy Population.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Part 1: Aldafermin 3.0 mgChange in Absolute Liver Fat Content (Part 3)-7.70 percent of liver fatStandard Error 0.82
Part 1: Aldafermin 6.0 mgChange in Absolute Liver Fat Content (Part 3)-2.73 percent of liver fatStandard Error 1.29
Comparison: The absolute change in liver fat content from baseline to Week 12 was compared between treatment groups using an ANCOVA model with treatment group and diabetic status as cofactors and baseline endpoint and baseline alanine aminotransferase (ALT) as covariates.p-value: 0.001895% CI: [-8.03, -1.91]t-test, 2 sided
Secondary

Change in Absolute Liver Fat Content (Part 2)

Absolute liver fat content was assessed using magnetic resonance imaging proton density fat fraction (MRI-PDFF).

Time frame: Up to Week 18

Population: Absolute liver fat content was assessed in participants with available data in the Efficacy Population.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Part 1: Aldafermin 3.0 mgChange in Absolute Liver Fat Content (Part 2)Week 18-4.51 percent of liver fatStandard Error 1.17
Part 1: Aldafermin 3.0 mgChange in Absolute Liver Fat Content (Part 2)Week 6-4.15 percent of liver fatStandard Error 0.93
Part 1: Aldafermin 6.0 mgChange in Absolute Liver Fat Content (Part 2)Week 6-8.21 percent of liver fatStandard Error 0.97
Part 1: Aldafermin 6.0 mgChange in Absolute Liver Fat Content (Part 2)Week 18-3.87 percent of liver fatStandard Error 1.14
Part 1: PlaceboChange in Absolute Liver Fat Content (Part 2)Week 18-7.67 percent of liver fatStandard Error 1.15
Part 1: PlaceboChange in Absolute Liver Fat Content (Part 2)Week 6-10.38 percent of liver fatStandard Error 0.94
Part 2: Aldafermin 1.0 mg (Cohort 4)Change in Absolute Liver Fat Content (Part 2)Week 18-5.72 percent of liver fatStandard Error 1.07
Part 2: Aldafermin 1.0 mg (Cohort 4)Change in Absolute Liver Fat Content (Part 2)Week 6-8.36 percent of liver fatStandard Error 0.87
Secondary

Change in Absolute Liver Fat Content (Part 3)

Absolute liver fat content was measured by magnetic resonance imaging proton density fat fraction (MRI-PDFF).

Time frame: Up to Week 30

Population: Absolute liver fat content was assessed in the Efficacy Population in participants with available data.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Part 1: Aldafermin 3.0 mgChange in Absolute Liver Fat Content (Part 3)Week 6-6.54 percent of liver fatStandard Error 0.59
Part 1: Aldafermin 3.0 mgChange in Absolute Liver Fat Content (Part 3)Week 12-8.43 percent of liver fatStandard Error 0.74
Part 1: Aldafermin 3.0 mgChange in Absolute Liver Fat Content (Part 3)Week 30-3.04 percent of liver fatStandard Error 0.77
Part 1: Aldafermin 6.0 mgChange in Absolute Liver Fat Content (Part 3)Week 6-0.93 percent of liver fatStandard Error 0.89
Part 1: Aldafermin 6.0 mgChange in Absolute Liver Fat Content (Part 3)Week 12-1.89 percent of liver fatStandard Error 1.14
Part 1: Aldafermin 6.0 mgChange in Absolute Liver Fat Content (Part 3)Week 30-2.05 percent of liver fatStandard Error 1.19
Secondary

Percentage Change in Liver Fat Content (Part 1)

Percentage change in liver fat content was assessed using magnetic resonance imaging (MRI).

Time frame: Up to Week 12

Population: Percentage change in liver fat content was assessed in the Efficacy Population.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Part 1: Aldafermin 3.0 mgPercentage Change in Liver Fat Content (Part 1)-47.98 percentage change of liver fat contentStandard Error 5.79
Part 1: Aldafermin 6.0 mgPercentage Change in Liver Fat Content (Part 1)-60.09 percentage change of liver fat contentStandard Error 5.92
Part 1: PlaceboPercentage Change in Liver Fat Content (Part 1)-2.57 percentage change of liver fat contentStandard Error 5.85
Secondary

Percentage Change in Liver Fat Content (Part 2)

Percentage change in liver fat content was assessed using magnetic resonance imaging proton density fat fraction (MRI-PDFF).

Time frame: Up to Week 18

Population: Percentage change in liver fat content was assessed in participants with available data in the Efficacy Population.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Part 1: Aldafermin 3.0 mgPercentage Change in Liver Fat Content (Part 2)Week 6-24.95 percentage change of liver fat contentStandard Error 4.94
Part 1: Aldafermin 3.0 mgPercentage Change in Liver Fat Content (Part 2)Week 18-22.58 percentage change of liver fat contentStandard Error 6.66
Part 1: Aldafermin 3.0 mgPercentage Change in Liver Fat Content (Part 2)Week 12-29.09 percentage change of liver fat contentStandard Error 5.32
Part 1: Aldafermin 6.0 mgPercentage Change in Liver Fat Content (Part 2)Week 6-42.90 percentage change of liver fat contentStandard Error 5.19
Part 1: Aldafermin 6.0 mgPercentage Change in Liver Fat Content (Part 2)Week 18-17.70 percentage change of liver fat contentStandard Error 6.44
Part 1: Aldafermin 6.0 mgPercentage Change in Liver Fat Content (Part 2)Week 12-55.10 percentage change of liver fat contentStandard Error 5.42
Part 1: PlaceboPercentage Change in Liver Fat Content (Part 2)Week 12-63.84 percentage change of liver fat contentStandard Error 5.41
Part 1: PlaceboPercentage Change in Liver Fat Content (Part 2)Week 6-58.72 percentage change of liver fat contentStandard Error 5.01
Part 1: PlaceboPercentage Change in Liver Fat Content (Part 2)Week 18-40.79 percentage change of liver fat contentStandard Error 6.55
Part 2: Aldafermin 1.0 mg (Cohort 4)Percentage Change in Liver Fat Content (Part 2)Week 6-45.92 percentage change of liver fat contentStandard Error 4.63
Part 2: Aldafermin 1.0 mg (Cohort 4)Percentage Change in Liver Fat Content (Part 2)Week 18-29.03 percentage change of liver fat contentStandard Error 6.07
Part 2: Aldafermin 1.0 mg (Cohort 4)Percentage Change in Liver Fat Content (Part 2)Week 12-57.85 percentage change of liver fat contentStandard Error 5.04
Secondary

Percentage Change in Liver Fat Content (Part 3)

Percentage change in liver fat content was assessed using magnetic resonance imaging proton density fat fraction (MRI-PDFF).

Time frame: Up to Week 30

Population: Percentage change in liver fat content was assessed in participants with available data in the Efficacy Population.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Part 1: Aldafermin 3.0 mgPercentage Change in Liver Fat Content (Part 3)Week 6-36.59 percentage change of liver fat contentStandard Error 3.22
Part 1: Aldafermin 3.0 mgPercentage Change in Liver Fat Content (Part 3)Week 12-45.27 percentage change of liver fat contentStandard Error 4.26
Part 1: Aldafermin 3.0 mgPercentage Change in Liver Fat Content (Part 3)Week 24-38.76 percentage change of liver fat contentStandard Error 5.03
Part 1: Aldafermin 3.0 mgPercentage Change in Liver Fat Content (Part 3)Week 30-11.22 percentage change of liver fat contentStandard Error 4.91
Part 1: Aldafermin 6.0 mgPercentage Change in Liver Fat Content (Part 3)Week 30-9.99 percentage change of liver fat contentStandard Error 7.59
Part 1: Aldafermin 6.0 mgPercentage Change in Liver Fat Content (Part 3)Week 6-2.17 percentage change of liver fat contentStandard Error 4.81
Part 1: Aldafermin 6.0 mgPercentage Change in Liver Fat Content (Part 3)Week 24-13.10 percentage change of liver fat contentStandard Error 7.89
Part 1: Aldafermin 6.0 mgPercentage Change in Liver Fat Content (Part 3)Week 12-6.88 percentage change of liver fat contentStandard Error 6.6

Source: ClinicalTrials.gov · Data processed: Mar 7, 2026