FULL DETAILS (Read-only)  -> Click Here to Create PDF for Current Dataset of Trial
CTRI Number  CTRI/2024/12/078284 [Registered on: 18/12/2024] Trial Registered Prospectively
Last Modified On: 16/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical trial to evaluate the efficacy and safety of Miricorilant in adult patients with Nonalcoholic Steatohepatitis or Metabolic Dysfunction-Associated Steatohepatitis  
Scientific Title of Study   A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Miricorilant in Adult Patients with Nonalcoholic Steatohepatitis Metabolic Dysfunction-Associated Steatohepatitis (MONARCH)  
Trial Acronym  MONARCH 
Secondary IDs if Any  
Secondary ID  Identifier 
CORT118335-862 Amendment 2.0 dated 23 May 2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Dr Sawan Bopanna 
Designation  Medical Monitor  
Affiliation  KlinEra Global Services  
Address  KlinEra Global Services, 801, Neelkanth Corporate Park, Near Vidyavihar Station, Vidhyavihar West, Mumbai, India

Mumbai
MAHARASHTRA
400086
India 
Phone  912249781252  
Fax    
Email  sbopanna@klinera.com  
 
Details of Contact Person
Public Query
 
Name  Mr Pritesh Tailor 
Designation  Sr. Clinical Project Manager 
Affiliation  KlinEra Global Services 
Address  KlinEra Global Services, 801, Neelkanth Corporate Park, Near Vidyavihar Station, Vidhyavihar West, Mumbai, India

Mumbai
MAHARASHTRA
400086
India 
Phone  917045947271  
Fax    
Email  ptailor@klinera.com  
 
Source of Monetary or Material Support  
Corcept Therapeutics Incorporated 149 Commonwealth Drive Menlo Park, California 94025 US 
 
Primary Sponsor  
Name  M/s KlinEra Global Services 
Address  801, Neelkanth Corporate Park, Near Vidyavihar Station, Vidhyavihar West, Mumbai 400 086, Maharashtra, India  
Type of Sponsor  Contract research organization 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India
United States of America  
Sites of Study
Modification(s)  
No of Sites = 37  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vatsal Mehta  Alfa Gastro and Liver Care  Alfa Gastro and Liver Care, 207, 208, Second Floor, Dream Square complex, Near Nirnayanagar underbridge, Opp. Ramdevpeer ji Maharaj Mandir, Akhabarnagar, Ahmedabad-380013
Ahmadabad
GUJARAT 
918424076444
--
vatsalmehta6387@gmail.com 
Dr Shalimar Sushil Kumar  All India Institute of Medical Sciences  Room No.127, First Floor, Old OT Block, AIIMS, Ansari Nagar, Delhi-110029, India
New Delhi
DELHI 
919868397211
-
drshalimar@yahoo.com 
Dr Rohit Gupta   All India Institute of Medical Sciences, Rishikesh  Department of Gastroenterology, 6th Floor, All India Institute of Medical Sciences, Virbhadra Road, Shivaji Nagar, Rishikesh, Uttarakhand-249203, India
Dehradun
UTTARANCHAL 
917479067715

docgupta1976@gmail.com 
Dr Nitin Borse  Apex Wellness Hospital  Behind Prakash Petrol Pump, Govind Nagar, Nashik-422009, Maharashtra, India
Nashik
MAHARASHTRA 
919822011684
--
nitinborse@hotmail.com 
Dr Madhusudhanan Jegadeesan  Apollo Speciality Hospitals  Room No: 42, C-Block, Ground Floor, Apollo Speciality Hospitals, Lake View Road, K.K Nagar, Madurai-625020, Tamil Nadu, India
Madurai
TAMIL NADU 
919717762502
914522581154
gi.hpbsurgeon@gmail.com 
Dr Prashant Katiyar  Atharva Multispeciality Hospital and Research Centre  H4/Com-2 Construction DIV-21, Avas Vikas Parishad, IIM Road, Lucknow-226003, India
Lucknow
UTTAR PRADESH 
917897575716
05227118215
docpkatiyar@gmail.com 
Dr Parshottam Govindbhai Koradia  BAPS Pramukh Swami Hospital   BAPS Pramukh Swami Hospital Second Floor, Shri Pramukh Swami Maharaj Marg, Adajan Char Rasta, Adajan, Surat - 395009, Gujarat, India
Surat
GUJARAT 
919825312027
912612780567
purushottam_koradia@yahoo.co.in 
Dr Shrishail Hanagandi  Belagavi Institute of Medical Science,   Belagavi Institute of Medical Science, Dr B.R. Ambedkar Road, Belagavi, Karnataka 590001
Belgaum
KARNATAKA 
917892713562
--
bimsclinicalresearch@gmail.com 
Dr Rathi Pravin Motilal  BYL Nair Hospital & TNMC   , OPD Building, 7th Floor, Dr. A.L. Nair Road, Mumbai Central, Mumbai- 400008, Maharashtra, India
Mumbai
MAHARASHTRA 
919322406438
--
rathipmpp@gmail.com 
Dr Abhijit Chowdhury  Centre for Clinical Research  Centre for Clinical Research, John C. Martin Centre for Liver Research & Innovations (CCR-JCMLRI), Indian Institute of Liver and Digestive Sciences Campus, Sitala East, Sonarpur, Kolkata - 700150, West Bengal, India
Kolkata
WEST BENGAL 
9194334045435
913346032084
achowdhury2002@yahoo.co.in 
Dr Nitin Shanker Behl  Deep Hospital  Deep Hospital, 481, Model Town, Ludhiana-141002, Punjab, India
Ludhiana
PUNJAB 
918427000080
-
drbehlresearch@gmail.com 
Dr Shivam Khare  Department of Institute of Liver Gastroenterology & Pancreatico Biliary Sciences  Room # Liver Research Room, 1st Floor, Admission Building, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi 110060, India
New Delhi
DELHI 
917838582169

drshivamkhare01@gmail.com  
Dr Sanjay Gupta  Digestive Diseases Centre  Digestive Diseases Centre, 2, Ankit Puram, GMS Road, Dehradun, Uttarakhand-248001, India
Dehradun
UTTARANCHAL 
919997711444

doonddc@gmail.com 
Dr Ravindra Gaadhe  Gastroplus Digestive Disease Centre  3rd floor, Gastroplus Digestive Disease Centre D- Block, Galaxy bazar, Sunrise park road, Vastrapur, Ahmedabad-380054, Gujarat, India
Ahmadabad
GUJARAT 
919276558517
-
ravindragaadhe@gmail.com 
Dr Anjan Jyoti Talukdar  Gauhati Medical College and Hospital  3rd Floor, Department of Medicine, OPD Building, Gauhati Medical College and Hospital, Narakasur Hilltop, Bhangagarh, Guwahati-781032, Assam, India
Kamrup
ASSAM 
919954658926

anjan11078@gmail.com 
Dr Krishnadas Devadas  Government Medical College, Thiruvananthapuram  Government Medical College, Thiruvananthapuram, Department of Medical Gastroenterology, Superspeciality block, Government Medical college PO, Thiruvananthapuram 695011, Kerala, India
Thiruvananthapuram
KERALA 
919847111824
-
kdas40@gmail.com 
Dr Siddharth Srivastava  Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER)  Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, 1 Jawahar Lal Nehru Marg, New Delhi-110002
New Delhi
DELHI 
919718599215

docsiddharth1@gmail.com 
Dr Saumin Prakashbhai Shah  Gujarat Gastro & Vascular Hospital  Opposite Shree Ram Petrol Pump, Anand Mahal Road, Adajan, Surat-395009, Gujarat, India
Surat
GUJARAT 
919408042224
--
dr.sauminpshah@gmail.com  
Dr Shiv Kumar Sarin  Institute of Liver & Biliary Sciences  Room No 22066, OPD Phase II area, ILBS,D-1,Vasant Kunj, New Delhi-110070, India
New Delhi
DELHI 
91-01146300000

shivsarin@gmail.com 
Dr Dawesh Prakash Yadav  Institute of Medical Sciences, Banaras Hindu University  2nd Floor, Department of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, Uttar Pradesh, India
Varanasi
UTTAR PRADESH 
918130856563

devesh.thedoc@gmail.com 
Dr Sk Mahiuddin Ahammed  Institute of Post Graduate Medical Education & Research (IPGME&R), SSKM Hopsital  Department of Hepatology, School of Digestive & Liver Diseases (SDLD), Institute of Post Graduate Medical Education & Research (IPGME&R), SSKM Hospital, 244, A. J.C. Bose Road, Kolkata, PIN-700020, West Bengal, India
Kolkata
WEST BENGAL 
919051157404
-
skmahiuddinahammed@gmail.com 
Dr Ashish Sheti  International Gastro Institute   7 Floor Ishavasyam Multispeciality Hospital LLP Vadodara-390007, Gujarat
Vadodara
GUJARAT 
919825040703
--
drashishsethi@hotmail.com 
Dr Ajay Kumar Patwa  King Georges Medical University  Department of Medicine, King George’s Medical University, Chowk, Lucknow, Uttar Pradesh 226003, India
Lucknow
UTTAR PRADESH 
919455519306

drajaymd12345@gmail.com 
Dr Keyur Ashok Sheth  Lifelline Medicare Hospitals  Lifelline Medicare Hospitals, Ground Floor, DLH Park, S.V. Road, Near MTNL Signal, Sunder Nagar, Goregaon West, Mumbai-400062, Maharashtra, India
Mumbai
MAHARASHTRA 
919930553321

drshethkeyur55@gmail.com 
Dr Shinde Kiran Dhananjay  MAEER’s VishwaRaj Hospital  MAEER’s VishwaRaj Hospital, Dept. of Gastroenterology, 2nd Floor, Near Loni Railway Station, Solapur - Pune Highway, Loni, Kalbhor, Pune-412201, Maharashtra, India
Pune
MAHARASHTRA 
919986003257

drkiranshinde@gmail.com 
Dr Saubhik Ghosh  Medical College and Hospital, Kolkata  Medical College and Hospital, Kolkata, 88 College Street, Kolkata - 700073, West Bengal, India
Kolkata
WEST BENGAL 
918017585988

souvikpgi@gmail.com 
Dr Dharmendra B L  Mysore Medical College & Research Institute  K.R. Hospital- Princess Krishnajammanni Super Speciality HospitalDept. of Surgical Gastroenterology, 1st Cross Rd., Brindavan Extension 1st Stage, Opp. ESI Hospital, Mysuru, Karnataka-570015, India
Mysore
KARNATAKA 
919844400382
--
drdharmu21@gmail.com 
Dr Jayanta Samanta  Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh  Department of Gastroenterology, F-Block, Nehru Hospital, Postgraduate Institute of Medical Education & Research (PGIMER), Madhya Marg, Sector12, Chandigarh- 160012, India
Chandigarh
CHANDIGARH 
919855319529

dj_samanta@yahoo.co.in 
Dr Avval Sadikot  Prime Institute of Digestive Sciences Pvt. Ltd.  Panchvati Society Main Road, Atithi Chowk, Nana Mava Main Road, Nr. Chandresh Vadi, Rajkot - 360001, Gujarat, India
Rajkot
GUJARAT 
919724054996
--
dravvalsadikot@gmail.com 
Dr Sandeep Goyal  Pt. B. D. Sharma PGIMS Hospital  Pt. B.D. Sharma PGIMS Hospital, Department of Medicine, Medical Road, Rohtak-124001, Haryana, India
Rohtak
HARYANA 
919968969651
-
sandeepgoyal2000@yahoo.in 
Dr Yogesh Sharma  RGM College & CSMH  Kalwa, Thane- 400605 Maharashtra
Thane
MAHARASHTRA 
919820192129
--
dryogeshsharmamd@yahoo.com 
Dr Mukesh Kalla  S R Kalla Memorial Gastro & General Hospital  S R Kalla Memorial Gastro & General Hospital, 78-79, Dhuleshwar Garden, Behind HSBC Bank, Sardar Patel Marg, C-Scheme, Jaipur-302001, Rajasthan, India
Jaipur
RAJASTHAN 
919829050622
911414020622
drmkalla@rediffmail.com 
Dr Mukesh Kumar Jain  S. M.S Super Specialty Hospital  Dept. of Gastroenterology, Vivekananda Marg, C-Scheme Jaipur, 302004, India
Jaipur
RAJASTHAN 
919414323607
911412575466
drmukeshjaingastro@gmail.com 
Dr Hemant Kumar Gupta  Samvedna Hospital  B 27/88 G, New Colony, Ravindrapuri, Varanasi – 221005, Uttar Pradesh, India
Varanasi
UTTAR PRADESH 
918573888800
-
hemantkrg26@gmail.com 
Dr Prashant Rahate  Seven Star Hospital  Seven Star Hospital, 324/1, Great Nag Road, Near Jagnade Square, Rajendra Nagar, Nandanvan, Nagpur-440009, Maharashtra, India
Nagpur
MAHARASHTRA 
919822464068

prashantrahate84@yahoo.com 
Dr Pankaj Jain   Sterling Hospital  Sterling Hospital, Opposite to Inox Cinema, Race Course Road, Harinagar, Near Natubhai Circle (W) Vadodara-390007, Gujarat, India
Vadodara
GUJARAT 
918347922004

jain_pass@yahoo.com 
Dr Dharmesh Kapoor   Yashoda Hospitals  Room No.119, OP-2, First Floor, Yashoda Hospitals, S.P. Road, Alexander Road, Secunderabad, Hyderabad-500003, Telangana, India
Hyderabad
TELANGANA 
919849439407
-
dharmesh_kapoor@hotmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 37  
Name of Committee  Approval Status 
Apex Wellness Ethics Committee - AWEC   Submittted/Under Review 
BAPS Pramukh Swami Hospital Institutional Ethics Committe  Approved 
BIMS Institutional Ethics Committee   Submittted/Under Review 
Ethics Committee, A unit of Ishavasyam Multispeciality Hospital   Submittted/Under Review 
Ethics Committee, Rahate Surgical Hospital  Approved 
Ethics Committee, S.M.S Medical College & Attached Hospitals  Approved 
Gastroplus Ethics Committee  Approved 
HREC-IILDS, Human Research Ethics Committee, Indian Institute of Liver & Digestive Sciences  Approved 
Human Ethics Committee, Government Medical College,Thiruvananthapuram  Approved 
IEC-MMC and RI and Associated Hospital  Approved 
Institute Ethics Committee, All India Institute of Medical Sciences, Delhi  Approved 
Institutional Ethics Committee for Yashoda Group Hospital   Approved 
Institutional Clinical Ethics Committee RGMC and Chhatrapati Shivaji Maharaj Hospital  Submittted/Under Review 
Institutional Ethics Committee Deep Hospital  Approved 
Institutional Ethics Committee for Human Research, King George’s Medical University  Submittted/Under Review 
Institutional Ethics Committee for Human Research, Medical College And Hospital, Kolkata  Approved 
Institutional Ethics Committee GMCH Guwahati Medical College and Hospital  Approved 
Institutional Ethics Committee TNMC NAIR HOSPITAL  Approved 
Institutional Ethics Committee, All India Institute of Medical Sciences Rishikesh  Approved 
Institutional Ethics Committee, Banaras Hindu University  Approved 
Institutional Ethics Committee, Digestive Disease Center, Dehradun  Approved 
Institutional Ethics Committee, Institute of Liver & Biliary Sciences  Approved 
Institutional Ethics Committee, MAEER’s Vishwaraj Hospital,  Approved 
Institutional Ethics Committee, Maulana Azad Medical College  Submittted/Under Review 
Institutional Ethics Committee, PGIMS Rohtak  Approved 
Institutional Ethics Committee,Atharva Multispeciality Hospital and Research Centre  Approved 
Institutional Ethics Committee,PGIMER Chandigarh  Submittted/Under Review 
Institutional Ethics Committee-Clinical Studies, Apollo Speciality Hospitals  Approved 
IPGME&R Research Oversight Committee Institute of Postgraduate Medical Education & Research  Approved 
Prime Hospital Institutional Ethics Committee  Approved 
S R Kalla Memorial Ethical Committee for Human Research,   Approved 
Samvedna Hospital Ethics Committee   Approved 
Sangini Hospital Ethics Committee  Submittted/Under Review 
Sir Ganga Ram Hospital Ethics Committee  Approved 
Sterling Ethics Committee  Approved 
Suraksha Ethics Comittee Asian Institute Of Medical Sciences Hospital PlotNo.72,MIDCMilapNagarDombivaliThane Maharashtra 421203 India  Approved 
UNITY HOSPITAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K758||Other specified inflammatory liverdiseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Miricorilant (Cohort A) : Miricorilant 100 mg for oral dosing   Miricorilant is a synthetically produced small molecule and it is a selective modulator of Glucocorticoid and Mineralocorticoid-Receptors. Patients who meet the entry criteria for study CORT118335-862 (Cohort A) will be enrolled to receive 100 mg of miricorilant, twice a week for 48 weeks. 
Intervention  Miricorilant (Cohort B): Miricorilant 100 mg for oral dosing , Miricorilant 200 mg for oral dosing  Patients who meet the entry criteria for study CORT118335-862 (Cohort B) will be enrolled to receive 100 mg of miricorilant, twice a week for 6 weeks. Dose will be escalated to 200 mg of miricorilant, twice a week for 18 weeks 
Comparator Agent  Placebo (Cohort A): Matching placebo for oral dosing for 48 Weeks  Placebo for Miricorilant is designed to match the study drug in appearance. It is oval shaped and is white to off-white in color. Patients who meet the entry criteria for study CORT118335-862 (Cohort A) will be enrolled to receive a matching placebo twice a week for 48 weeks. 
Comparator Agent  Placebo (Cohort B): Matching placebo for oral dosing for 24 Weeks  Patients who meet the entry criteria for study CORT118335-862 (Cohort B) will be enrolled to receive a matching placebo twice a week for 24 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1 Have provided informed consent.
2. Are adults greater than or equal to 18 to lesser than or equal to 75 years old.
3. FibroScan liver stiffness measurement greater than or equal to 8 kPa and CAP greater than or equal to 280 dB/m. The FibroScan inclusion criterion does not apply to participants with an eligible historical liver biopsy performed within 6 months of Screening with reading confirmed by a consensus panel to meet inclusion criterion 5.
4. MRI-PDFF with greater than or equal to 8% steatosis, this assessment must be performed within 6 weeks of the Baseline visit (Day 1).
5. Liver biopsy that meets the following criteria: A historical liver biopsy within 6 months of Screening with reading confirmed during the Screening period by a consensus panel is acceptable. a. Cohort A: Have a histological diagnosis of MASH with NAFLD Activity Score (NAS) greater than or equal to 4 (greater than or equal to 1 point in each subcomponent of steatosis, inflammation, and ballooning) and a NASH CRN fibrosis score of 2 or 3 based on the consensus method of histological assessment. b. Cohort B: Have a liver biopsy result that does not meet the criteria for inclusion in Cohort A and is consistent with one of the following scenarios based on the consensus method of histological assessment: i. NAS greater than or equal to 3 with greater than or equal to1 point in each subcomponent of steatosis, inflammation, and ballooning, and a NASH CRN fibrosis score of F1 OR ii. NAS greater than or equal to 2 with greater than or equal to 1 point in subcomponent of steatosis and greater than or equal to 1 point in subcomponent of ballooning or inflammation, and a NASH CRN fibrosis score of F2 or 3.
6. Have a stable weight since the liver biopsy was performed, defined by no more than a 5% loss of initial body weight.
7. Agree to have a liver biopsy performed after 48 weeks of treatment (Cohort A)
8. AST greater than 17 U/L for women and AST greater than 20 U/L for men. The AST inclusion criterion does not apply to participants with an eligible historical liver biopsy performed within 6 months of Screening with reading confirmed by a consensus panel to meet inclusion criterion 5.
9. Presence of at least 1 of the following metabolic syndromes that increase the risk of MASH: a. Diagnosis of type 2 diabetes OR b. Presence of 3 or more components of metabolic syndrome: i. Fasting blood glucose greater than or equal to 100 mg/dL (5.6 mmol/L) or treatment for elevated blood glucose ii. Systolic blood pressure greater than or equal to 130 mm Hg, diastolic blood pressure greater than or equal to 85 mm Hg, or treatment for hypertension iii. Serum triglycerides greater than or equal to 150 mg/dL (1.7 mmol/L) or drug treatment for elevated triglycerides iv. Serum high-density lipoprotein (HDL) cholesterol lesser than 40 mg/dL (1 mmol/L) in men and lesser than 50 mg/dL (1.3 mmol/L) in women or drug treatment for low HDL v. Overweight or obese (body mass index [BMI] greater than or equal to 25 kg/m2 [BMI greater than or equal to 23 kg/m2 in Asians]), or increased waist circumference greater than or equal to 102 cm (40 in) in men and greater than or equal to 88 cm (35 in) in women (men greater than or equal to 90 cm [35.4 in], women greater than or equal to 80 cm [31.5 in] in Asians) 10. Male and female patients of childbearing potential must agree to use a protocol-specified method of contraception throughout the study, including the Screening period, and for at least 28 days after the last dose of assigned treatment
 
 
ExclusionCriteria 
Details  1. Have participated in another clinical trial within the last 3 months of Screening where the patient received active treatment for MASH. 2. Have participated in a clinical trial for any other indication within the last 3 months or 5 half-lives of the treatment, whichever is longer. 3. Have participated in another study with miricorilant within 3 months prior to Screening. 4. Women who are pregnant, planning to become pregnant, or are lactating. 5. Have a BMI lesser than 18 kg/m2 or greater than 45 kg/m2. 6. Are currently using any medications prohibited due to the potential for drug-drug interactions (DDI) with study treatments. Prohibited medications (see Section 5.4.2) must be discontinued at least 5 half-lives prior to a patient receiving their first study treatment. 7. Have had a successful weight-loss surgery within 2 years prior to Screening or are planning weight-loss surgery during the study. 8. Have a greater than 5% weight change within 3 months prior to Screening. 9. Have significant alcohol consumption, defined as more than 2 drink units per day (equivalent to 20 g of ethanol) in women and 3 drink units per day (equivalent to 30 g of ethanol) in men for greater than or equal to 3 consecutive months within 1 year prior to Screening, inability to reliably quantify alcohol intake, or score a value greater than or equal to 8 on the Alcohol Use Disorders Identification Test (AUDIT) questionnaire. 10. Have phosphatidylethanol (PEth) greater than 50. 11. Use of drugs associated with MASLD (eg, amiodarone, methotrexate, tamoxifen, estrogens at doses greater than those used for hormone replacement or contraception, anabolic steroids, or valproic acid) for more than 4 weeks in the 2 months prior to enrollment. 12. Have been treated with resmetirom within 3 months prior to Screening. 13. Are currently on pioglitazone, or high-dose Vitamin E (greater than 800 IU/day) unless on stable dose for at least 6 months prior to Baseline visit; maximum dose of pioglitazone allowed is 15 mg a day; patients on Vitamin E doses lesser than or equal to 800 IU/day for any duration are eligible to participate in the study. 14. Are on lipid-modifying therapies unless on a stable dose for at least 6 weeks prior to Baseline visit (and at least 4 weeks prior to screening MRI-PDFF), maximum dose of rosuvastatin allowed is 10 mg a day. 15. Are on glucagon-like peptide-1 (GLP-1) agonists or other anti-obesity compounds unless on a stable dose for at least 6 months prior to Baseline visit. 16. Are using a medication such as digoxin with an increased risk for toxicity in the event of electrolyte changes. 17. Have had liver transplantation or plan to have liver transplantation during the study. 18. Have type 1 diabetes. 19. Have poorly controlled type 2 diabetes with an HbA1c greater than or equal to 9.5%, an insulin dose adjustment greater than 20% within 60 days prior to Baseline visit, are on GLP-1 agonists unless on a stable dose for at least 6 months prior to Baseline visit, or are on other diabetes medication unless on a stable dose for at least 3 months prior to and during Screening. 20. Have abnormal screening laboratories, a. AST greater than 5 × ULN b. ALT greater than 5 × ULN c. Estimated glomerular filtration rate (eGFR) lesser than 60 mL/min/1.73 m2 d. Creatine kinase greater than 3 × ULN 21. Have known or suspected cirrhosis based on the opinion of the Investigator. A patient who presents with possible signs of suspected cirrhosis listed below will be excluded from the study, a. Physical exam findings, i. Jaundice b. Laboratory findings, i. Direct bilirubin greater than 0.3 mg/dL. Note, For patients who have Gilbert’s syndrome see exclusion criterion 23.f ii. Platelet count lesser than 140,000/µL c. Imaging, i. Evidence of portal hypertension (dilated portal vein, presence of varices) ii. Evidence of a nodular liver with splenomegaly d. Endoscopy, i. Evidence of esophageal varices 22. Have hepatic decompensation defined as the presence of any of the following, a. Serum albumin lesser than 3.5 g/dL b. International normalized ratio (INR) greater than 1.3 (unless due to therapeutic anticoagulants) c. Total bilirubin greater than 1.3 mg/dL. Note for patients who have Gilbert’s syndrome see exclusion criterion 23.f d. History of esophageal or gastric variceal bleedings, ascites, or hepatic encephalopathy 23. Have any other chronic liver disease, a. Hepatitis B as defined by presence of hepatitis B surface antigen b. Hepatitis C as defined by presence of hepatitis C virus (HCV) antibody and positive HCV RNA. Documented cured HCV infection is acceptable if greater than 3 years from Screening visit c. History or evidence of current active autoimmune hepatitis d. History or evidence of primary biliary cholangitis e. History or evidence of primary sclerosing cholangitis f. History or evidence of Gilbert’s syndrome if direct bilirubin is greater than 0.3 mg/dL and total bilirubin greater than or equal to 2mg/dL or evidence of hemolysis contributing to elevated total bilirubin g. History or evidence of Wilson’s disease h. History or evidence of alpha-1-antitrypsin deficiency i. History or evidence of hemochromatosis j. History or evidence of drug-induced liver disease, as defined on the basis of typical exposure and history k. Known bile duct obstruction l. Suspected or proven liver cancer m. Any other type of liver disease other than MASH 24. Have a history of biliary diversion. 25. Are seropositive for human immunodeficiency virus. 26. Have a history of cancer within the last 3 years prior to Screening except for patients with a history of in situ carcinomas, cutaneous basal cell or squamous cell cancer resolved by excision. 27. Have contraindications to magnetic resonance imaging (MRI). 28. Have a clinically significant ECG abnormality as judged by the Investigator. 29. Have a confirmed baseline QTcF greater than 450 ms for men and QTcF greater than 470 ms for women in the presence of a normal QRS interval (QRS lesser than 120 ms), a QTcF interval greater than 500 ms with a wide QRS interval (greater than or equal to 120 ms), or a history of additional risk factors for torsades de pointes. 30. New York Heart Association class III or IV heart failure or known left ventricular ejection fraction lesser than 30%. 31. Uncontrolled hypertension (either treated or untreated) defined as systolic blood pressure greater than 160 mm Hg or a diastolic blood pressure greater than 100 mm Hg at Screening. 32. Myocardial infarction, unstable angina, percutaneous coronary intervention, coronary artery bypass graft, or stroke within 3 months prior to Screening. 33. Positive urine drug screen for amphetamines, cocaine or opiates (ie, heroin, morphine) at Screening. Patients on stable methadone or buprenorphine maintenance treatment for at least 6 months prior to Screening may be included in the study. Patients with a positive urine drug screen due to prescription opioid-based medication or amphetamine salts for the treatment of attention-deficit hyperactivity disorder or narcolepsy are eligible if the prescription and diagnosis are reviewed and approved by the Investigator. 34. Have any clinical condition or significant concurrent disease judged by the Investigator to complicate the evaluation of the study treatment. 35. Are a family member of one of the Sponsor’s employees, the Investigator, or the site staff. 36. Are directly working on the study or are a contractor directly involved in the conduct of the trial. 37. Have an allergic reaction or hypersensitivity to miricorilant tablets or any of its components. 38. In the opinion of the Investigator, unwilling or unable to participate in all study evaluations and procedures 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Percent relative change from Baseline in liver-fat content assessed by MRI-PDFF (Cohort A and Cohort B)  Week 24
 
 
Secondary Outcome  
Outcome  TimePoints 
Change in liver stiffness and Controlled Attenuation Parameter (CAP) by FibroScan. (Cohort A and Cohort B at Week 24, Cohort A at Week 48)  Week 24 and 48 
Change in absolute body weight (Cohort A and B at Week 24, Cohort A at Week 48)  Week 24 and 48 
Change in lipids - total cholesterol, HDL, LDL, VLDL, TG, serum free fatty acids, apolipoproteins (Cohort A and Cohort B at Week 24, Cohort A at Week 48)  Week 24 and 48 
Change in Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) (Cohort A and Cohort B at Week 6 and 24, Cohort A at Week 48)  Week 6, 24 and 48 
Change in ELF, Pro-C3 and other markers of liver fibrosis (Cohort A and B at Week 24, Cohort A at Week 48)  Week 24 and 48 
Improvement in liver fibrosis stage by at least 1-point (NASH CRN fibrosis score) from Baseline and no worsening of steatohepatitis at Week 48 assessed by biopsy (Cohort A).  Week 48 
Resolution of steatohepatitis (defined as a ballooning grade of 0 and a lobular inflammation grade of ≤ 1) and no worsening of liver fibrosis at Week 48 assessed by biopsy (Cohort A).  Week 48 
 
Target Sample Size   Total Sample Size="225"
Sample Size from India="125" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   07/01/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  25/10/2023 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

CORT118335-862 is a Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study in patients with biopsy confirmed or presumed non-cirrhotic MASH to evaluate the efficacy, safety, tolerability, and PK of miricorilant. The study will be conducted in 2 cohorts (Cohort A and Cohort B). Cohort A will include approximately 150 patients with biopsy-confirmed non-cirrhotic (F2-3) MASH. Cohort B will include approximately 75 patients with presumed non-cirrhotic MASH. The study will be conducted across 30 centers in India. The duration of study drug is 48 weeks for Cohort A subjects whereas it is maximum up to 24 weeks for Cohort B subjects. The drug (Miricorilant or Placebo Tablet) is administered orally twice weekly in the ratio of 2:1 in both Cohort A and B subjects. 

 
Close