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Elafibranor, an Agonist of the Peroxisome Proliferator-Activated Receptor-α and -δ, Induces Resolution of Nonalcoholic Steatohepatitis Without Fibrosis Worsening.

Identifieur interne : 001F60 ( PubMed/Checkpoint ); précédent : 001F59; suivant : 001F61

Elafibranor, an Agonist of the Peroxisome Proliferator-Activated Receptor-α and -δ, Induces Resolution of Nonalcoholic Steatohepatitis Without Fibrosis Worsening.

Auteurs : Vlad Ratziu [France] ; Stephen A. Harrison [États-Unis] ; Sven Francque [Belgique] ; Pierre Bedossa [France] ; Philippe Lehert [Belgique] ; Lawrence Serfaty [France] ; Manuel Romero-Gomez ; Jérôme Boursier [France] ; Manal Abdelmalek [États-Unis] ; Steve Caldwell [États-Unis] ; Joost Drenth [Pays-Bas] ; Quentin M. Anstee [Royaume-Uni] ; Dean Hum [France] ; Remy Hanf [France] ; Alice Roudot [France] ; Sophie Megnien [France] ; Bart Staels [France] ; Arun Sanyal [États-Unis]

Source :

RBID : pubmed:26874076

Descripteurs français

English descriptors

Abstract

Elafibranor is an agonist of the peroxisome proliferator-activated receptor-α and peroxisome proliferator-activated receptor-δ. Elafibranor improves insulin sensitivity, glucose homeostasis, and lipid metabolism and reduces inflammation. We assessed the safety and efficacy of elafibranor in an international, randomized, double-blind placebo-controlled trial of patients with nonalcoholic steatohepatitis (NASH).

DOI: 10.1053/j.gastro.2016.01.038
PubMed: 26874076


Affiliations:


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pubmed:26874076

Le document en format XML

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<name sortKey="Romero Gomez, Manuel" sort="Romero Gomez, Manuel" uniqKey="Romero Gomez M" first="Manuel" last="Romero-Gomez">Manuel Romero-Gomez</name>
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<nlm:affiliation>Duke University, Durham, North Carolina.</nlm:affiliation>
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<name sortKey="Megnien, Sophie" sort="Megnien, Sophie" uniqKey="Megnien S" first="Sophie" last="Megnien">Sophie Megnien</name>
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<name sortKey="Staels, Bart" sort="Staels, Bart" uniqKey="Staels B" first="Bart" last="Staels">Bart Staels</name>
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<nlm:affiliation>University of Lille, INSERM UMR1011, Institut Pasteur de Lille, European Genomic Institute for Diabetes, Lille, France.</nlm:affiliation>
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<title xml:lang="en">Elafibranor, an Agonist of the Peroxisome Proliferator-Activated Receptor-α and -δ, Induces Resolution of Nonalcoholic Steatohepatitis Without Fibrosis Worsening.</title>
<author>
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<name sortKey="Harrison, Stephen A" sort="Harrison, Stephen A" uniqKey="Harrison S" first="Stephen A" last="Harrison">Stephen A. Harrison</name>
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<nlm:affiliation>Department of Medicine, Gastroenterology and Hepatology Service, Brooke Army Medical Center, Fort Sam Houston, Texas.</nlm:affiliation>
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<name sortKey="Francque, Sven" sort="Francque, Sven" uniqKey="Francque S" first="Sven" last="Francque">Sven Francque</name>
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<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Gastroenterology and Hepatology, Antwerp University Hospital, University of Antwerp, Antwerp</wicri:regionArea>
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<name sortKey="Bedossa, Pierre" sort="Bedossa, Pierre" uniqKey="Bedossa P" first="Pierre" last="Bedossa">Pierre Bedossa</name>
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<nlm:affiliation>Department of Pathology, Hôpital Beaujon, University Paris-Denis Diderot, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Pathology, Hôpital Beaujon, University Paris-Denis Diderot, Paris</wicri:regionArea>
<placeName>
<region type="region">Île-de-France</region>
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<name sortKey="Lehert, Philippe" sort="Lehert, Philippe" uniqKey="Lehert P" first="Philippe" last="Lehert">Philippe Lehert</name>
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<nlm:affiliation>Department of Psychiatry, the University of Melbourne, Melbourne, Australia; Faculty of Economics, University of Louvain UCL, Belgique, Belgium.</nlm:affiliation>
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<settlement type="city">Melbourne</settlement>
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<name sortKey="Serfaty, Lawrence" sort="Serfaty, Lawrence" uniqKey="Serfaty L" first="Lawrence" last="Serfaty">Lawrence Serfaty</name>
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<nlm:affiliation>Université Pierre et Marie Curie, Hôpital Saint-Antoine, Paris, France.</nlm:affiliation>
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<orgName type="university">Université Pierre-et-Marie-Curie</orgName>
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<author>
<name sortKey="Romero Gomez, Manuel" sort="Romero Gomez, Manuel" uniqKey="Romero Gomez M" first="Manuel" last="Romero-Gomez">Manuel Romero-Gomez</name>
<affiliation>
<nlm:affiliation>Unit for the Clinical Management of Digestive Diseases and CIBERehd, Hospital Universitario de Valme, Sevilla.</nlm:affiliation>
<wicri:noCountry code="subField">Sevilla</wicri:noCountry>
</affiliation>
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<name sortKey="Boursier, Jerome" sort="Boursier, Jerome" uniqKey="Boursier J" first="Jérôme" last="Boursier">Jérôme Boursier</name>
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<nlm:affiliation>Hepatology Department, University Hospital and LUNAM University, Angers, France.</nlm:affiliation>
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<wicri:regionArea>Hepatology Department, University Hospital and LUNAM University, Angers</wicri:regionArea>
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<region type="region">Pays de la Loire</region>
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<name sortKey="Abdelmalek, Manal" sort="Abdelmalek, Manal" uniqKey="Abdelmalek M" first="Manal" last="Abdelmalek">Manal Abdelmalek</name>
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<nlm:affiliation>Duke University, Durham, North Carolina.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Caroline du Nord</region>
</placeName>
<wicri:cityArea>Duke University, Durham</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Caldwell, Steve" sort="Caldwell, Steve" uniqKey="Caldwell S" first="Steve" last="Caldwell">Steve Caldwell</name>
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<nlm:affiliation>Gastroenterology and Hepatology Division, University of Virginia, Charlottesville, Virginia.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Virginie</region>
</placeName>
<wicri:cityArea>Gastroenterology and Hepatology Division, University of Virginia, Charlottesville</wicri:cityArea>
</affiliation>
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<name sortKey="Drenth, Joost" sort="Drenth, Joost" uniqKey="Drenth J" first="Joost" last="Drenth">Joost Drenth</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen</wicri:regionArea>
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<settlement type="city">Nimègue</settlement>
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<name sortKey="Anstee, Quentin M" sort="Anstee, Quentin M" uniqKey="Anstee Q" first="Quentin M" last="Anstee">Quentin M. Anstee</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne</wicri:regionArea>
<wicri:noRegion>Newcastle upon Tyne</wicri:noRegion>
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</author>
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<name sortKey="Hum, Dean" sort="Hum, Dean" uniqKey="Hum D" first="Dean" last="Hum">Dean Hum</name>
<affiliation wicri:level="1">
<nlm:affiliation>Genfit SA, Loos, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Genfit SA, Loos</wicri:regionArea>
<wicri:noRegion>Loos</wicri:noRegion>
<wicri:noRegion>Loos</wicri:noRegion>
</affiliation>
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<author>
<name sortKey="Hanf, Remy" sort="Hanf, Remy" uniqKey="Hanf R" first="Remy" last="Hanf">Remy Hanf</name>
<affiliation wicri:level="1">
<nlm:affiliation>Genfit SA, Loos, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Genfit SA, Loos</wicri:regionArea>
<wicri:noRegion>Loos</wicri:noRegion>
<wicri:noRegion>Loos</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Roudot, Alice" sort="Roudot, Alice" uniqKey="Roudot A" first="Alice" last="Roudot">Alice Roudot</name>
<affiliation wicri:level="1">
<nlm:affiliation>Genfit SA, Loos, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Genfit SA, Loos</wicri:regionArea>
<wicri:noRegion>Loos</wicri:noRegion>
<wicri:noRegion>Loos</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Megnien, Sophie" sort="Megnien, Sophie" uniqKey="Megnien S" first="Sophie" last="Megnien">Sophie Megnien</name>
<affiliation wicri:level="1">
<nlm:affiliation>Genfit SA, Loos, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Genfit SA, Loos</wicri:regionArea>
<wicri:noRegion>Loos</wicri:noRegion>
<wicri:noRegion>Loos</wicri:noRegion>
</affiliation>
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<author>
<name sortKey="Staels, Bart" sort="Staels, Bart" uniqKey="Staels B" first="Bart" last="Staels">Bart Staels</name>
<affiliation wicri:level="3">
<nlm:affiliation>University of Lille, INSERM UMR1011, Institut Pasteur de Lille, European Genomic Institute for Diabetes, Lille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>University of Lille, INSERM UMR1011, Institut Pasteur de Lille, European Genomic Institute for Diabetes, Lille</wicri:regionArea>
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<name sortKey="Sanyal, Arun" sort="Sanyal, Arun" uniqKey="Sanyal A" first="Arun" last="Sanyal">Arun Sanyal</name>
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<nlm:affiliation>Virginia Commonwealth University, Richmond, Virginia.</nlm:affiliation>
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<title level="j">Gastroenterology</title>
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<term>Double-Blind Method</term>
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<term>Agents gastro-intestinaux (effets indésirables)</term>
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<term>Adulte d'âge moyen</term>
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<front>
<div type="abstract" xml:lang="en">Elafibranor is an agonist of the peroxisome proliferator-activated receptor-α and peroxisome proliferator-activated receptor-δ. Elafibranor improves insulin sensitivity, glucose homeostasis, and lipid metabolism and reduces inflammation. We assessed the safety and efficacy of elafibranor in an international, randomized, double-blind placebo-controlled trial of patients with nonalcoholic steatohepatitis (NASH).</div>
</front>
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<DateCreated>
<Year>2016</Year>
<Month>04</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>03</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>08</Month>
<Day>29</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1528-0012</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>150</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2016</Year>
<Month>05</Month>
</PubDate>
</JournalIssue>
<Title>Gastroenterology</Title>
<ISOAbbreviation>Gastroenterology</ISOAbbreviation>
</Journal>
<ArticleTitle>Elafibranor, an Agonist of the Peroxisome Proliferator-Activated Receptor-α and -δ, Induces Resolution of Nonalcoholic Steatohepatitis Without Fibrosis Worsening.</ArticleTitle>
<Pagination>
<MedlinePgn>1147-1159.e5</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0016-5085(16)00140-2</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1053/j.gastro.2016.01.038</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND & AIMS">Elafibranor is an agonist of the peroxisome proliferator-activated receptor-α and peroxisome proliferator-activated receptor-δ. Elafibranor improves insulin sensitivity, glucose homeostasis, and lipid metabolism and reduces inflammation. We assessed the safety and efficacy of elafibranor in an international, randomized, double-blind placebo-controlled trial of patients with nonalcoholic steatohepatitis (NASH).</AbstractText>
<AbstractText Label="METHODS">Patients with NASH without cirrhosis were randomly assigned to groups given elafibranor 80 mg (n = 93), elafibranor 120 mg (n = 91), or placebo (n = 92) each day for 52 weeks at sites in Europe and the United States. Clinical and laboratory evaluations were performed every 2 months during this 1-year period. Liver biopsies were then collected and patients were assessed 3 months later. The primary outcome was resolution of NASH without fibrosis worsening, using protocol-defined and modified definitions. Data from the groups given the different doses of elafibranor were compared with those from the placebo group using step-down logistic regression, adjusting for baseline nonalcoholic fatty liver disease activity score.</AbstractText>
<AbstractText Label="RESULTS">In intention-to-treat analysis, there was no significant difference between the elafibranor and placebo groups in the protocol-defined primary outcome. However, NASH resolved without fibrosis worsening in a higher proportion of patients in the 120-mg elafibranor group vs the placebo group (19% vs 12%; odds ratio = 2.31; 95% confidence interval: 1.02-5.24; P = .045), based on a post-hoc analysis for the modified definition. In post-hoc analyses of patients with nonalcoholic fatty liver disease activity score ≥4 (n = 234), elafibranor 120 mg resolved NASH in larger proportions of patients than placebo based on the protocol definition (20% vs 11%; odds ratio = 3.16; 95% confidence interval: 1.22-8.13; P = .018) and the modified definitions (19% vs 9%; odds ratio = 3.52; 95% confidence interval: 1.32-9.40; P = .013). Patients with NASH resolution after receiving elafibranor 120 mg had reduced liver fibrosis stages compared with those without NASH resolution (mean reduction of 0.65 ± 0.61 in responders for the primary outcome vs an increase of 0.10 ± 0.98 in nonresponders; P < .001). Liver enzymes, lipids, glucose profiles, and markers of systemic inflammation were significantly reduced in the elafibranor 120-mg group vs the placebo group. Elafibranor was well tolerated and did not cause weight gain or cardiac events, but did produce a mild, reversible increase in serum creatinine (effect size vs placebo: increase of 4.31 ± 1.19 μmol/L; P < .001).</AbstractText>
<AbstractText Label="CONCLUSIONS">A post-hoc analysis of data from trial of patients with NASH showed that elafibranor (120 mg/d for 1 year) resolved NASH without fibrosis worsening, based on a modified definition, in the intention-to-treat analysis and in patients with moderate or severe NASH. However, the predefined end point was not met in the intention to treat population. Elafibranor was well tolerated and improved patients' cardiometabolic risk profile. ClinicalTrials.gov number: NCT01694849.</AbstractText>
<CopyrightInformation>Copyright © 2016 AGA Institute. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Ratziu</LastName>
<ForeName>Vlad</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>Université Pierre et Marie Curie, Hôpital Pitié Salpêtrière, Paris, France; Institute of Cardiometabolism and Nutrition, INSERM, UMRS 938, Paris, France. Electronic address: vlad.ratziu@upmc.fr.</Affiliation>
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<ForeName>Manal</ForeName>
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<Affiliation>Duke University, Durham, North Carolina.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Caldwell</LastName>
<ForeName>Steve</ForeName>
<Initials>S</Initials>
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<Affiliation>Gastroenterology and Hepatology Division, University of Virginia, Charlottesville, Virginia.</Affiliation>
</AffiliationInfo>
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<LastName>Drenth</LastName>
<ForeName>Joost</ForeName>
<Initials>J</Initials>
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<Affiliation>Department of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Anstee</LastName>
<ForeName>Quentin M</ForeName>
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<Affiliation>Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.</Affiliation>
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<Affiliation>University of Lille, INSERM UMR1011, Institut Pasteur de Lille, European Genomic Institute for Diabetes, Lille, France.</Affiliation>
</AffiliationInfo>
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<LastName>Sanyal</LastName>
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<Affiliation>Virginia Commonwealth University, Richmond, Virginia.</Affiliation>
</AffiliationInfo>
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<CollectiveName>GOLDEN-505 Investigator Study Group</CollectiveName>
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<NameOfSubstance UI="C585906">2-(2,6-dimethyl-4-(3-(4-(methylthio)phenyl)-3-oxo-1-propenyl)phenoxyl)-2-methylpropanoic acid</NameOfSubstance>
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<RefSource>Ann Hepatol. 2016 Jul-Aug;15(4):604-9</RefSource>
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