Clinical Trials

Multiple clinical trials evaluate selonsertib (GS-4997) across metabolic, renal, liver, and cardiovascular pathologies, including diabetic kidney disease, nonalcoholic steatohepatitis, alcoholic hepatitis, and pulmonary arterial hypertension. Sponsored by organizations including Gilead Sciences and HepQuant, LLC, these Early Phase 1 through Phase 3 trials—with recruitment statuses listed as completed, terminated, or withdrawn—examine the safety, pharmacokinetics, and therapeutic efficacy of ASK1 inhibition to mitigate tissue inflammation and fibrosis.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04026165 COMPLETED
Diabetic Kidney Disease
Gilead Sciences
2019-07-24 PHASE2
NCT03449446 COMPLETED
Nonalcoholic Steatohepatitis
Gilead Sciences
2018-03-21 PHASE2
NCT03053050 TERMINATED
Nonalcoholic Steatohepatitis
Gilead Sciences
2017-02-13 PHASE3
NCT03053063 TERMINATED
Nonalcoholic Steatohepatitis
Gilead Sciences
2017-01-30 PHASE3
NCT02854631 COMPLETED
Alcoholic Hepatitis (AH)
Gilead Sciences
2016-09-01 PHASE2
NCT03087968 WITHDRAWN
Severe Alcoholic Hepatitis
HepQuant, LLC
2016-07-31 EARLY_PHASE1
NCT02466516 COMPLETED
Non-Alcoholic Steatohepatitis (NASH)
Gilead Sciences
2015-06-08 PHASE2
NCT02177786 COMPLETED
Diabetic Kidney Disease
Gilead Sciences
2014-06 PHASE2
NCT02234141 COMPLETED
Pulmonary Arterial Hypertension
Gilead Sciences
2014-11 PHASE2
NCT02509624 COMPLETED
Diabetic Kidney Disease
Gilead Sciences
2015-08-18 PHASE1
NCT02509624 Completed
Diabetic Kidney Disease
Gilead Sciences
2015-08-18 Phase 1

(data from https://clinicaltrials.gov, updated on 2022-12-21)

Check the Selonsertib (GS-4997) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Selonsertib (GS-4997) selectively binds to apoptosis signal-regulating kinase 1 (ASK1), inhibiting its kinase activity and thereby blocking downstream phosphorylation and activation of the p38 mitogen-activated protein kinase and c-Jun N-terminal kinase pathways under oxidative stress. This intracellular pathway blockade suppresses stress-induced apoptosis, pro-inflammatory cytokine secretion, and fibrotic signaling cascades, providing therapeutic relevance for attenuating disease progression in clinical trial conditions such as nonalcoholic steatohepatitis and diabetic kidney disease.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.