Trial Outcomes & Findings for Study of Oral Idebenone to Treat Non-Alcoholic Steatohepatitis (NCT NCT04669158)

NCT ID: NCT04669158

Last Updated: 2026-04-24

Results Overview

Number of Participants with Treatment-Related Adverse Events (Assessed by CTCAE v4.0), and number of participants with abnormal Physical exams and abnormal laboratory tests results are reported.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

53 participants

Primary outcome timeframe

60 weeks

Results posted on

2026-04-24

Participant Flow

53 participants signed informed consent; 44 were allocated to treatment.

Participant milestones

Participant milestones
Measure
Idebenone
Participants will take Idebenone 200 mg for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Placebo
Participants will take Placebo for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Overall Study
NOT COMPLETED
5
3
Overall Study
STARTED
29
15
Overall Study
COMPLETED
24
12

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Oral Idebenone to Treat Non-Alcoholic Steatohepatitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Idebenone
n=24 Participants
Participants will take Idebenone 200 mg for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Placebo
n=12 Participants
Participants will take Placebo for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
56.5 years
STANDARD_DEVIATION 11.5 • n=2 Participants
60.8 years
STANDARD_DEVIATION 17.6 • n=1 Participants
57.8 years
STANDARD_DEVIATION 1.6 • n=3 Participants
Age, Customized
≤ 60 years
10 Participants
n=2 Participants
5 Participants
n=1 Participants
15 Participants
n=3 Participants
Age, Customized
> 60 years
14 Participants
n=2 Participants
7 Participants
n=1 Participants
21 Participants
n=3 Participants
Sex: Female, Male
Female
13 Participants
n=2 Participants
4 Participants
n=1 Participants
17 Participants
n=3 Participants
Sex: Female, Male
Male
11 Participants
n=2 Participants
8 Participants
n=1 Participants
19 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=2 Participants
1 Participants
n=1 Participants
4 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=2 Participants
11 Participants
n=1 Participants
29 Participants
n=3 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=2 Participants
0 Participants
n=1 Participants
3 Participants
n=3 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Asian
7 Participants
n=2 Participants
4 Participants
n=1 Participants
11 Participants
n=3 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
White
10 Participants
n=2 Participants
8 Participants
n=1 Participants
18 Participants
n=3 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=2 Participants
0 Participants
n=1 Participants
0 Participants
n=3 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=2 Participants
0 Participants
n=1 Participants
7 Participants
n=3 Participants
Region of Enrollment
United States
24 Participants
n=2 Participants
12 Participants
n=1 Participants
36 Participants
n=3 Participants

PRIMARY outcome

Timeframe: 60 weeks

Population: Participants who completed the study

Number of Participants with Treatment-Related Adverse Events (Assessed by CTCAE v4.0), and number of participants with abnormal Physical exams and abnormal laboratory tests results are reported.

Outcome measures

Outcome measures
Measure
Idebenone
n=24 Participants
Participants will take Idebenone 200 mg for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Placebo
n=12 Participants
Participants will take Placebo for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0
9 Participants
4 Participants

SECONDARY outcome

Timeframe: Week 48

Population: Participants with week 48 data

MR elastography is a standard of care technique to assess liver stiffness, that is a highly accurate non-invasive method. MRE creates elastograms (stiffness maps) and data generated in kilopascals (kPa) are correlated to fibrosis stage. Change in stiffness values indicate change in fibrosis. \< 2.5 kPa: normal; 2.5 to 3.0 kPa: normal or inflammation; 3.0 to 3.5 kPa: stage 1-2 fibrosis; 3.5 to 4.0 kPa: stage 2-3 fibrosis; 4.0 to 5.0 kPa: stage 3-4 fibrosis; \> 5.0 kPa: Stage 4 fibrosis or cirrhosis.

Outcome measures

Outcome measures
Measure
Idebenone
n=21 Participants
Participants will take Idebenone 200 mg for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Placebo
n=12 Participants
Participants will take Placebo for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Change in Magnetic Resonance Elastography (MRE) as a Measure of Change in Fibrosis Stage
-1.47 kPa
Standard Deviation 0.078
0.833 kPa
Standard Deviation 0.09

Adverse Events

Idebenone

Serious events: 1 serious events
Other events: 9 other events
Deaths: 1 deaths

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Idebenone
n=29 participants at risk
Participants will take Idebenone 200 mg for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Placebo
n=15 participants at risk
Participants will take Placebo for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Respiratory, thoracic and mediastinal disorders
Choking
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks

Other adverse events

Other adverse events
Measure
Idebenone
n=29 participants at risk
Participants will take Idebenone 200 mg for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Placebo
n=15 participants at risk
Participants will take Placebo for 48 weeks, with study visits in clinic for physical and laboratory assessments at weeks 0, 2, 4, 12, 24, 36, and 48 weeks during treatment period and at 4, and 12 weeks after the last dose.
Gastrointestinal disorders
Diarrhea
13.8%
4/29 • 60 weeks
6.7%
1/15 • 60 weeks
Gastrointestinal disorders
Nausea
10.3%
3/29 • 60 weeks
6.7%
1/15 • 60 weeks
Gastrointestinal disorders
Bloating
10.3%
3/29 • 60 weeks
0.00%
0/15 • 60 weeks
Gastrointestinal disorders
Vomiting
3.4%
1/29 • 60 weeks
6.7%
1/15 • 60 weeks
Eye disorders
Ocular discomfort
6.9%
2/29 • 60 weeks
0.00%
0/15 • 60 weeks
Gastrointestinal disorders
Constipation
6.9%
2/29 • 60 weeks
0.00%
0/15 • 60 weeks
Gastrointestinal disorders
Abdominal pain
3.4%
1/29 • 60 weeks
6.7%
1/15 • 60 weeks
Gastrointestinal disorders
Hematochezia
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
Injury, poisoning and procedural complications
Injured wrist
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
General disorders
Fatigue
0.00%
0/29 • 60 weeks
6.7%
1/15 • 60 weeks
Ear and labyrinth disorders
Sore throat
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
Nervous system disorders
Headache
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
Infections and infestations
COVID-19 Infection
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
Musculoskeletal and connective tissue disorders
Flank pain
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
General disorders
Fever
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
Musculoskeletal and connective tissue disorders
Myalgia
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
Renal and urinary disorders
Urine color changes
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
Blood and lymphatic system disorders
Edema
3.4%
1/29 • 60 weeks
0.00%
0/15 • 60 weeks
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
0.00%
0/29 • 60 weeks
6.7%
1/15 • 60 weeks

Additional Information

Natalie Torok, MD

Stanford University

Phone: (650) 498-7878

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place