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Structure of proof of concept studies that precede a nonalcoholic steatohepatitis development program.


ABSTRACT: Surrogate endpoints for clinical proof of concept (POC) trials in nonalcoholic steatohepatitis (NASH) are based upon expert pathological review of liver biopsies. During early development, these long-term POC studies (?48 weeks) add cost and time to the "Go/No Go" decision process. However, it is possible to conduct short-term noninvasive POC studies utilizing biomarkers and magnetic resonance imaging. Here, we discuss the use of shorter noninvasive POC studies relative to biopsy-driven studies for drug development in NASH.

SUBMITTER: Williams RN 

PROVIDER: S-EPMC5367378 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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Structure of proof of concept studies that precede a nonalcoholic steatohepatitis development program.

Williams R N RN   Filozof C C   Goldstein B J BJ   Cusi K K  

Clinical pharmacology and therapeutics 20161229 4


Surrogate endpoints for clinical proof of concept (POC) trials in nonalcoholic steatohepatitis (NASH) are based upon expert pathological review of liver biopsies. During early development, these long-term POC studies (≥48 weeks) add cost and time to the "Go/No Go" decision process. However, it is possible to conduct short-term noninvasive POC studies utilizing biomarkers and magnetic resonance imaging. Here, we discuss the use of shorter noninvasive POC studies relative to biopsy-driven studies  ...[more]

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