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Growth Hormone Releasing Hormone Analog
Tesamorelin for Non-alcoholic Fatty Liver Disease
Phase 2
Waitlist Available
Research Sponsored by Massachusetts General Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Men and women aged 18-65 years old
Be older than 18 years old
Must not have
Known diagnosis of alpha-1 antitrypsin deficiency, Wilson's disease, hemochromatosis, or autoimmune hepatitis
Chronic use of Actigall, methotrexate, amiodarone, or tamoxifen
Timeline
Screening 3 weeks
Treatment Varies
Follow Up change from baseline to 12 months
Awards & highlights
All Individual Drugs Already Approved
Summary
This trial is investigating whether a drug called tesamorelin, which helps the body produce growth hormone, can reduce the amount of fat in the liver and improve liver inflammation in people with obesity and nonalcoholic fatty liver disease.
Who is the study for?
This trial is for men and women aged 18-65 with obesity-related fatty liver disease (NAFLD), without cirrhosis, significant alcohol use, or diabetes. Participants must have a BMI ≥30kg/m2 (or ≥25kg/m2 if they have steatohepatitis), confirmed liver fat issues but not on certain medications like growth hormones or systemic corticosteroids recently.
What is being tested?
The study tests whether tesamorelin, a drug that stimulates the release of growth hormone, can reduce liver fat and inflammation in obese individuals with NAFLD. It's compared to a placebo in this randomized trial to see if it improves cardiovascular risks associated with fatty liver disease.
What are the potential side effects?
Tesamorelin may cause reactions at the injection site, joint pain, swelling in hands or feet, muscle discomfort, and possible increases in blood sugar levels. As it affects hormone levels, patients might experience other hormonal changes.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am between 18 and 65 years old.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have been diagnosed with a specific liver condition.
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I regularly use Actigall, methotrexate, amiodarone, or tamoxifen.
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I currently have cancer.
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I am considering a treatment that involves significant radiation in the next year.
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I am unable to follow the treatment plan as required.
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I am a man with prostate cancer or my PSA level is above 5 ng/mL.
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I have a condition that affects my growth hormone levels.
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I am not pregnant, trying to get pregnant, or breastfeeding.
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I cannot take beta-blockers or nitroglycerin due to health reasons.
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I have not had significant radiation exposure or multiple specific heart or imaging tests in the last year.
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I have severe liver disease or cirrhosis.
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I have not used any specific drugs for fatty liver disease except vitamin E.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ change from baseline to 12 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~change from baseline to 12 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Liver Fat Content
Secondary study objectives
Fibrosis Score
NAFLD Activity Score
Post-prandial hepatic de novo lipogenesis
Side effects data
From 2008 Phase 3 trial • 263 Patients • NCT006080239%
Upper respiratory tract infection
3%
Diarrhoea
3%
Injection site erythema
2%
Paresthesia
1%
Musculosketal stiffness
1%
Chest pain
1%
Retinopathy
1%
Mental status changes
100%
80%
60%
40%
20%
0%
Study treatment Arm
Tesamorelin 52 Weeks
Tesamorelin (26 Weeks) - Placebo (26 Weeks)
Placebo (26 Weeks) - Tesamorelin (26 Weeks)
Awards & Highlights
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Trial Design
2Treatment groups
Experimental Treatment
Placebo Group
Group I: TesamorelinExperimental Treatment1 Intervention
tesamorelin (brand name Egrifta) 2mg daily given subcutaneously
Group II: PlaceboPlacebo Group1 Intervention
identical placebo given subcutaneously daily
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Somatotropin
FDA approved
Find a Location
Who is running the clinical trial?
Massachusetts General HospitalLead Sponsor
3,023 Previous Clinical Trials
13,317,869 Total Patients Enrolled
74 Trials studying Obesity
292,458 Patients Enrolled for Obesity
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have diabetes or high blood sugar, or I'm taking medication for it.I have been diagnosed with a specific liver condition.I have been taking vitamin E (≥400 IU daily) for at least 6 months.I regularly use Actigall, methotrexate, amiodarone, or tamoxifen.I currently have cancer.I haven't changed my cholesterol or blood pressure medication in the last 2 months.I have been on stable hormone therapy for over a year.I am considering a treatment that involves significant radiation in the next year.I am unable to follow the treatment plan as required.I am between 18 and 65 years old.I am a woman over 50 and had a negative mammogram in the last year.I have been taking vitamin E (≥400 IU daily) for at least 6 months.I have not used growth hormone treatments in the last 6 months.I am a man with prostate cancer or my PSA level is above 5 ng/mL.I have a condition that affects my growth hormone levels.I had weight loss surgery over a year ago without losing more than 10% of my weight recently.I am not pregnant, trying to get pregnant, or breastfeeding.I am up to date with my colon cancer screenings as recommended by my doctor.I cannot take beta-blockers or nitroglycerin due to health reasons.I do not have active hepatitis B or C.I have not used corticosteroids regularly in the last 6 months.I have not had significant radiation exposure or multiple specific heart or imaging tests in the last year.I have severe liver disease or cirrhosis.I have not used any specific drugs for fatty liver disease except vitamin E.My liver shows signs of fatty changes without significant weight loss or new medications.
Research Study Groups:
This trial has the following groups:- Group 1: Tesamorelin
- Group 2: Placebo
Awards:
This trial has 1 awards, including:- All Individual Drugs Already Approved - Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.