A Study to Assess the Efficacy and Safety of VK2809 for 52 Weeks in Subjects With Biopsy Proven NASH

Prior treatment

• Have evidence of current or history of excessive alcohol consumption of more than 20 g per day for women and 30 g per day for men, on average, within 6 months before the qualifying liver biopsy and up to randomization, or are unable to provide a reliable estimate of alcohol consumption during this period;
• Treatment with medications for the purpose of weight loss within 6 months prior to qualifying liver biopsy, unless approved after consultation with the medical monitor. These include drugs approved for weight loss (e.g. orlistat, bupropion/naltrexone, phentermine-topiramate, phentermine, lorcaserin), as well as drugs used off-label, herbal preparations and dietary supplements marketed for control of body weight or appetite;
• Strong or moderate inhibitors or inducers of CYP3A4 are prohibited during the study period
• Drugs that may affect liver fat content or are associated with nonalcoholic fatty liver disease (NAFLD) are prohibited during the 3 month period prior to the baseline liver biopsy and up to the end of treatment

Other illness

• Are unwilling to undergo the required liver biopsy procedures or have any condition that would prevent obtaining a liver biopsy as part of this clinical protocol

Lab values

• TSH outside central laboratory reference range;
• Free T4 outside central laboratory reference range;
• Cardiac troponin I (cTnI) and creatine kinase MB isoenzyme (CK-MB) \> Upper Limit of Normal (ULN) at screening;
• Serum albumin \< 3.5 g/dL;
• International normalized ratio (INR) \> 1.3;
• Total bilirubin \> 1.2 X ULN (except in presence of Gilbert synd

• Provide a personally signed and dated informed consent document indicating that the subject (or a legally acceptable representative) has been informed of all pertinent aspects of the study and is willing and able to participate;
• Have a histologically-confirmed diagnosis of NASH on a liver biopsy performed during screening or within 6 months before screening; for this study, confirmation requires:
  • NASH Clinical Research Network (CRN) fibrosis stage 1 to stage 3 and
  • NASH activity score (NAS) of ≥4 with at least a score of 1 in each of the following NAS components: ballooning degeneration (score = 0-2), lobular inflammation (score = 0-3) and steatosis (score = 0-3); (c) F1 subjects must have at least one of these risk factors: type 2 diabetes, body mass index of ≥ 30 mg/ m2, and/ or alanine aminotransferase \> 1.5 x ULN
• Have a screening MRI-PDFF with ≥ 8% liver fat fraction;
• Male and females be 18 to 75 years of age, inclusive, at screening;