RO7790121 for Liver Fibrosis

Not currently recruiting at 29 trial locations
RS
Overseen ByReference Study ID Number: CC45687 https://forpatients.roche.com/
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called RO7790121, an experimental drug, to determine its safety and effectiveness for individuals with liver fibrosis caused by metabolic dysfunction-associated steatohepatitis (MASH). Researchers aim to understand how the body processes the drug and its impact on liver health. Participants will receive the treatment initially through an IV and later through injections. The trial seeks individuals with significant fibrosis due to MASH and a body mass index between 25 and 45. As a Phase 1 trial, this research focuses on understanding the treatment's effects in people, offering participants the opportunity to be among the first to receive this new drug.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it does mention that you cannot start new medications for diabetes, weight loss, cholesterol, or depression. It's best to discuss your current medications with the trial team.

Is there any evidence suggesting that RO7790121 is likely to be safe for humans?

Research shows that specific safety information for RO7790121 is not yet available. However, similar drugs used to treat fibrosis, such as pirfenidone, have been well-tolerated. While direct safety data for RO7790121 is lacking, drugs in the same group have generally proven safe. This trial is in an early stage, focusing primarily on the treatment's safety for participants. The treatment is still being tested to assess tolerability and potential side effects.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for liver fibrosis, which typically involve lifestyle changes and medications to manage symptoms, RO7790121 introduces an innovative approach by targeting specific pathways involved in the disease. This treatment is administered through an initial intravenous infusion followed by subcutaneous injections, potentially allowing for a more efficient delivery of the active ingredient directly to the affected areas. Researchers are particularly excited about RO7790121 because it could address the underlying causes of fibrosis rather than just alleviating symptoms, offering hope for more effective management of the condition.

What evidence suggests that RO7790121 might be an effective treatment for liver fibrosis?

Research has shown that RO7790121 targets TL1A, a protein involved in inflammation and tissue thickening and scarring. Studies have found that it can significantly reduce inflammation and intestinal scarring in patients with related conditions. In one study, different doses of RO7790121 led to clinical remission in about 23-25% of participants, compared to just 11.6% in those not receiving the treatment. These findings suggest that RO7790121, which participants in this trial will receive, could help reduce liver scarring in diseases like MASH (metabolic dysfunction-associated steatohepatitis). Although more research is needed, early results are promising for those with advanced tissue scarring.13678

Who Is on the Research Team?

CT

Clinical Trials

Principal Investigator

Hoffmann-La Roche

Are You a Good Fit for This Trial?

This trial is for individuals with advanced MASH fibrosis, a type of liver scarring linked to metabolic dysfunction. Specific eligibility criteria are not provided, but typically participants must meet certain health standards and may be excluded based on factors like other medical conditions or treatments.

Inclusion Criteria

Body mass index within the range of >= 25 and <= 45 kilograms per square meter (kg/m^2)
Agreement to adhere to the contraception requirements
My liver is severely scarred, confirmed by a specific test.

Exclusion Criteria

Concomitant Type 1 diabetes, or Type 2 diabetes with HbA1c > 10%
Current, significant alcohol consumption or a history of significant alcohol consumption for a period of more than 3 consecutive months any time within 1 year prior to screening
I have started taking medication for diabetes, weight loss, cholesterol, or depression.
See 12 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive RO7790121 via intravenous infusion followed by subcutaneous injections

52 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • RO7790121
Trial Overview The study is testing RO7790121 in patients with advanced MASH fibrosis. It aims to evaluate the safety of the drug, how it's processed by the body (pharmacokinetics), its effects on the disease (pharmacodynamics), whether it triggers immune responses (immunogenicity), and its overall effectiveness.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: RO7790121Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Hoffmann-La Roche

Lead Sponsor

Trials
2,482
Recruited
1,107,000+
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Avastin, Herceptin, Rituxan, Accu-Chek
Dr. Levi Garraway profile image

Dr. Levi Garraway

Hoffmann-La Roche

Chief Medical Officer since 2019

MD from the University of Basel

Dr. Thomas Schinecker profile image

Dr. Thomas Schinecker

Hoffmann-La Roche

Chief Executive Officer since 2023

PhD in Molecular Biology from New York University

Published Research Related to This Trial

In a study of 281 patients with idiopathic pulmonary fibrosis (IPF) treated with either pirfenidone or nintedanib, both drugs were found to be safe and well-tolerated, confirming their safety profiles in real-world settings.
Nintedanib was associated with a lower rate of permanent treatment discontinuation (8.3%) compared to pirfenidone (18.3%), and adverse events from nintedanib were generally easier to manage, indicating it may be a more favorable option for long-term treatment.
Long-Term Safety of Antifibrotic Drugs in IPF: A Real-World Experience.Levra, S., Guida, G., Sprio, AE., et al.[2022]
In a study of 281 patients with advanced liver fibrosis, those treated with prolonged-release pirfenidone (PR-PFD) showed a significant reduction in fibrosis (35%) compared to only 4.1% in patients receiving standard care, indicating its efficacy in treating this condition.
PR-PFD treatment also led to improvements in quality of life scores and was generally safe, with only 12% of patients reporting mild side effects like transient burning or nausea.
Benefits of prolonged-release pirfenidone plus standard of care treatment in patients with advanced liver fibrosis: PROMETEO study.Poo, JL., Torre, A., Aguilar-Ramírez, JR., et al.[2021]

Citations

NCT06903065 | A Study to Assess the Safety, ...The purpose of this study is to assess the safety, pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity and activity of RO7790121 in participants with ...
RO7790121 for Liver Fibrosis · Info for ParticipantsIn a study of 281 patients with advanced liver fibrosis, those treated with prolonged-release pirfenidone (PR-PFD) showed a significant reduction in fibrosis ( ...
NCT06903065 | A Study to Assess the Safety, ...The purpose of this study is to assess the safety, pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity and activity of RO7790121 in participants with ...
S13 RO7790121 as Treatment for Moderately to Severely... ...At week 14, clinical remission by tMS was achieved in 25.5%, 23.3% and 23.9% of participants in the RO7790121 50-mg, 150-mg, 450-mg arms, respectively vs 11.6% ...
OP39 Treatment with RO7790121 induces and maintains ...... disease, promoting inflammation and intestinal fibrosis. Targeting TL1A with the anti-TL1A antibody RO7790121 showed significant endoscopic ...
A Study to Assess the Safety, Pharmacokinetics, and ...The purpose of this study is to assess the safety, pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity and activity of RO7790121 in participants with ...
Clinical Study | Crohn's Disease RO7790121 | ForPatients-...A study to assess the effectiveness and safety of induction therapy with RO7790121 in participants with moderately to severely active Crohn's disease.
Efficacy and safety of RO7790121, a fully human ... - MedicallyEfficacy and safety of RO7790121, a fully human monoclonal antibody blocking tumour necrosis factor-like ligand 1A in moderately to severely active ...
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