Recruiting at 91 sites Phase 3 Non-alcoholic Fatty Liver Disease

Non-alcoholic Fatty Liver Disease study: Efimosfermin alfa

Official title A Pivotal Clinical Study to Investigate Efimosfermin Alfa in Participants With Biopsy-confirmed F2- or F3-stage MASH

ClinicalTrials.gov ID: NCT07221227

What this study is testing

What is Efimosfermin alfa?

Efimosfermin alfa is an investigational medicine, being studied as a potential treatment for non-alcoholic fatty liver disease.

Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
The study will check whether efimosfermin alfa is safe and can reduce steatohepatitis and improve liver‑related outcomes compared with placebo.
Who it's for
Adults who have a liver biopsy showing F2 or F3 fibrosis caused by MASH (non‑alcoholic fatty liver disease).
What's involved
Participants will be randomly given either efimosfermin alfa or a placebo and will attend scheduled clinic visits for safety checks, blood tests and liver assessments.
  • Phase 3: a large, late-stage study
  • You might receive a placebo (an inactive treatment) instead of the study drug.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 to 75

You may be able to join if

  • Able and willing to understand and sign a written informed consent form that must be obtained prior to the initiation of study procedures
  • Age \>=18 and \<=75 years at enrollment
  • History or presence of 2 or more of the 5 components of metabolic syndrome per American Heart Association definition
  • Liver biopsy confirmation of MASH consistent with stage F2 or F3 fibrosis and a NAS score \>=4 confirmed by a central pathologist

You likely can't join if

  • Contraindication or ineligibility for percutaneous liver biopsy
  • ALT or AST \>=5 x upper limit of normal (ULN)
  • Total bilirubin \>=1.3 milligram per deciliter (mg/dL). Individuals with documented Gilbert's syndrome may be enrolled if they experienced an...
  • Serum albumin \<=3.5 grams per deciliter (g/dL)
  • International normalized ratio (INR) \>=1.3 not due to therapeutic anticoagulation.
  • Alkaline phosphatase (ALP) \>=2\ ULN
See the full eligibility criteria
Who can join
  • Able and willing to understand and sign a written informed consent form that must be obtained prior to the initiation of study procedures
  • Age \>=18 and \<=75 years at enrollment
  • History or presence of 2 or more of the 5 components of metabolic syndrome per American Heart Association definition
  • Liver biopsy confirmation of MASH consistent with stage F2 or F3 fibrosis and a NAS score \>=4 confirmed by a central pathologist
What rules you out
  • Contraindication or ineligibility for percutaneous liver biopsy
  • ALT or AST \>=5 x upper limit of normal (ULN)
  • Total bilirubin \>=1.3 milligram per deciliter (mg/dL). Individuals with documented Gilbert's syndrome may be enrolled if they experienced an isolated increase in total bilirubin of \>=1.3 mg/dL and direct bilirubin is...
  • Serum albumin \<=3.5 grams per deciliter (g/dL)
  • International normalized ratio (INR) \>=1.3 not due to therapeutic anticoagulation. Individuals receiving chronic anticoagulant treatment with higher INR values may be enrolled at the discretion of the Investigator and...
  • Alkaline phosphatase (ALP) \>=2\ ULN
  • Platelet (PLT) count \<140,000 per (/) cubic millimeter (mm\^3); individuals with a PLT count between 110,000/mm\^3 and 140,000/mm\^3 may be enrolled after discussion with the Study Medical Monitor.
  • Serum creatinine \>=1.5 mg/dL or creatinine clearance \<=60 milliliter (mL)/minute (min)/1.73 square meter by Chronic Kidney Disease Epidemiology Collaboration equation
  • Alpha-fetoprotein \>=20 nanogram per milliliter (ng/mL)
  • Glycated hemoglobin \>=9.0%
  • Model for End-Stage Liver Disease score \>=12 unless the score is elevated in the absence of liver dysfunction (e.g., Gilbert's syndrome)
  • Phosphatidyl ethanol (PEth) \>=80 ng/mL at Screening
  • Human immunodeficiency virus;
  • Hepatitis B virus (detectable HBsAg at Screening);
  • Hepatitis C virus (HCV);
  • Chronic liver disease from any other cause including, but not limited to, alcoholic liver disease; evidence of portal hypertension; viral hepatitis or any history or evidence of cirrhosis on screening liver biopsy
  • Current or history of excessive alcohol intake for \>=3 months within the 12-month period prior to Screening

The study team makes the final eligibility decision.

Where it is enrolling

  • Chandler, Arizona, United States
  • Tucson, Arizona, United States
  • Little Rock, Arkansas, United States
  • Arcadia, California, United States
  • Covina, California, United States
  • Folsom, California, United States
  • Los Angeles, California, United States
  • Montclair, California, United States
  • Riverdale, California, United States
  • San Diego, California, United States
  • Santa Maria, California, United States
  • Van Nuys, California, United States
  • Colorado Springs, Colorado, United States
  • Boynton Beach, Florida, United States
  • Cape Coral, Florida, United States
  • Clermont, Florida, United States
  • Fort Myers, Florida, United States
  • Hialeah, Florida, United States
  • Homestead, Florida, United States
  • Inverness, Florida, United States

+ 57 more site(s).

Compensation & support

A stipend or payment for your time may be offered.

No amount is published here because ClinicalTrials.gov has no reliable field for payment or travel support. Ask the study team what's actually covered (payment for your time, travel, parking, or other study costs), and never join a trial for the compensation alone.

Questions & answers

Do participants get paid in this trial?

This study's listing includes signals that participants may be compensated or receive a stipend. Amounts vary and are set by the study team, so confirm the details with them.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years to 75 years. The study team makes the final eligibility decision.

Where is this trial taking place?

This study is enrolling now at Chandler, Arizona, United States; Tucson, Arizona, United States; Little Rock, Arkansas, United States; Arcadia, California, United States; Covina, California, United States; Folsom, California, United States and 71 more locations. Enter your location above to see the nearest enrolling site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.