Study Evaluating the Efficacy and Safety of Obeticholic Acid in Subjects With Compensated Cirrhosis Due to Nonalcoholic Steatohepatitis

NCT03439254 · REVERSE Phase 3Completed

Lead sponsor
Intercept Pharmaceuticals (Industry)
Enrollment
919 (actual)
Start date
30 Aug 2017
Primary completion
8 Sep 2022 (actual)
Study completion
8 Sep 2022
Last update posted
23 Oct 2023

Design

Study type
Interventional
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel
Masking
Quadruple
Arms
3

Interventions

  • Obeticholic acid (10 mg) Drug
  • Obeticholic acid (10 mg to 25 mg) Drug
  • Placebo Drug

Conditions and primary outcome

  • Compensated Cirrhosis
  • Nonalcoholic Steatohepatitis

Primary outcome

DB Phase: Number of Participants Who Were Responders and Showed Improvement in Fibrosis by at Least 1 Stage Without Worsening of Nonalcoholic Steatohepatitis (NASH) (Up to 18 months); OLE Phase: Number of Participants With Non-serious Adverse Events (AEs) and Serious Adverse Events (SAEs) (Up to 12 months); OLE Phase: Change From Baseline to Month 12 in Liver Stiffness Measurement (LSM) (Baseline and up to Month 12); OLE Phase: Fibrosis-4 (FIB-4) at Baseline (Baseline (Day 1)); OLE Phase: Enhanced Liver Fibrosis (ELF) at Baseline (Baseline (Day 1)); OLE Phase: Number of Participants Reporting All-cause Mortality (Up to Month 12); OLE Phase: Number of Participants With Adjudicated Liver Related Clinical Outcomes: Ascites, Hepatocellular Carcinoma (HCC) and Non-liver Related Death (Up to 12 months); OLE Phase: Number of Participants With Adjudicated Liver Related Clinical Outcomes: Worsening of Child-Pugh Score (Up to 12 months); OLE Phase: Number of Participants With Adjudicated Liver…

Posted results on ClinicalTrials.gov

Source: ClinicalTrials.gov results for NCT03439254 (opens in a new tab)· Licence: public-domain

First posted · Last update posted · Imported from ClinicalTrials.gov download 2026-10-25

Primary outcomes with a statistical analysis

  1. DB Phase: Number of Participants Who Were Responders and Showed Improvement in Fibrosis by at Least 1 Stage Without Worsening of Nonalcoholic Steatohepatitis (NASH)

    Time frame
    Up to 18 months
    Measure
    Count of participants
    Unit
    Participants
    • DB: Placebo vs DB: OCA 10 Milligrams (mg)Other

      Estimate
      1.13Response ratio(Mantel-Haenszel estimate)
      95% CI, two-sided
      0.71 to 1.79
      p-value
      0.6172
      Method
      Cochran-Mantel-Haenszel
    • DB: Placebo vs DB: OCA 10 mg Titrated to OCA 25 mgOther

      Estimate
      1.20Response ratio(Mantel-Haenszel estimate)
      95% CI, two-sided
      0.77 to 1.89
      p-value
      0.4184
      Method
      Cochran-Mantel-Haenszel

Serious adverse events

Time frame: Up to 18 months for DB phase and Up to 1 year for OLE phase

Participants with serious adverse events per group for REVERSE, as posted
GroupAffectedAt risk
DB: Placebo43312
DB: OCA 10 Milligrams (mg)49295
DB: OCA 10 mg Titrated to OCA 25 mg46309
OLE: OCA 10 mg (DB Placebo)26231
OLE: OCA 10 mg (DB OCA 10 mg)50221
OLE: Titrated to OCA 25 mg (DB OCA 10 mg Titrated to OCA 25 mg)48207

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Listing a study does not mean NLM has evaluated it.

Results from company and journal sources

No editor-confirmed results are on record for this study.

Publications

No PubMed citation lists NCT03439254.

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Data integrity

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Source

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Listing a study does not mean NLM has evaluated it.

Nothing on this page is medical or investment advice.