New shot shows promise for fatty liver disease in early trial
NCT ID NCT04880031
First seen Jun 24, 2026 · Last updated Jul 09, 2026 · Updated 3 times
Summary
This study tested a drug called BOS-580 (efimosfermin) in 231 obese adults with or at risk for NASH, a serious fatty liver disease. Participants received either the drug or a placebo as a shot under the skin. The main goal was to check safety and side effects. The trial is now complete, and results will help decide if further testing is warranted.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Efimosfermin (also called BOS-580), a drug given as a shot under the skin
- What this could lead to
- If successful, this could point toward a new treatment option for NASH, a liver disease with no approved therapies.
- What could go wrong
- This is an early Phase 2a trial focused on safety, not proof of effectiveness. The results may not lead to a working treatment, and side effects are still being studied.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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231 people
The number who actually took part.
- Started
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Sep 2021
- Finished
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Oct 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria (Part A and Part B): * Participant is either male or female and 18 to 75 years of age inclusive, at the time of signing the informed consent * Obese participants with body mass index (BMI) of ≥ 27 kg/m\^2 * Hepatic fat fraction (HFF) measured by magnetic resonance imaging derived proton density fat fraction (MRI-PDFF) ≥8% * Liver fibrosis assessment based on a vibration controlled transient elastography (VCTE) liver stiffness measurement (LSM) score of 7.0 to 9.9 kPa (Part A only) inclusive or 7.0 to 20.0 kPa (Part B only) inclusive and Liver injury assessment measured by aspartate aminotransferase (AST) \>25U/L. A qualifying historical biopsy (confirmed eligibility based on the central pathology read) supersedes the LSM, controlled attenuation parameter (CAP) score criteria and AST criteria. * Histopathologically confirmed F2 or F3 stage NASH on a diagnostic liver biopsy performed during Screening or within 6 months prior to the first day of dosing for historical biopsies (Part B only). * History or presence of at least 2 of 4 components of metabolic syndrome: obesity/overweight, dyslipidemia (high triglycerides and/or low high density lipoprotein \[HDL\]), type 2 diabetes with elevated glycated hemoglobin (HbA1c), and hypertension. Inclusion Criteria (Part C): * Participant must have completed the Part B of the study. * Participant willing to undergo liver biopsy at Week 56 * NASH F stage \<F4 at 24 week assessment in Part B Inclusion Criteria (Part D): * BMI of ≥ 25 kg/m\^2 * Liver fibrosis based on assessments taken during screening visit * Participant should be willing and able to undergo liver biopsy during Screening (if a historical biopsy within 12 months prior to Screening is not available) and per protocol as judged by the Investigator. * Other inclusion criteria may apply Exclusion Criteria (Part A and Part B): * Documented clinical, laboratory or radiologic evidence of cirrhosis (compensated or decompensated) * Triglycerides ≥ 500 mg/dL * Change in body weight (more than 5% self-reported OR 5 kg self-reported change during the previous 3 months from Screening, whichever is smaller) * History of type 1 diabetes, diabetic ketoacidosis, or positive glutamic acid decarboxylase (GAD) auto-antibodies (latent autoimmune diabetes in adults) * Hemoglobin A1c \> 9.5% * Participants with a condition that requires substantial anticoagulant medication may not be eligible for the study enrollment (e.g., deep vein thrombosis). Exclusion Criteria (Part C): • Participants that received their 24 week dose in Part B \> 10 weeks prior to enrollment into Part C Exclusion Criteria (Part D): * Other causes of chronic liver disease * Documented evidence or history of decompensated liver cirrhosis. * History of type 1 diabetes or poorly controlled type 2 diabetes. * History of malignancy. * Use of other investigational drugs. * Other exclusion criteria may apply
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Accelemed Research
Austin, Texas, 78745, United States
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Admed Research
Miami, Florida, 33173, United States
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Advanced Clinical Research
Miami, Florida, 33156, United States
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Alliance Research Institute
Canoga Park, California, 91304, United States
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American Research Corporation at Texas Liver Institute
San Antonio, Texas, 78215, United States
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Apex Mobile Clinical Research
Bellaire, Texas, 77401, United States
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Arizona Liver Health
Chandler, Arizona, 85224, United States
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Arizona Liver Health
Peoria, Arizona, 85381, United States
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Arizona Liver Health
Tucson, Arizona, 85712, United States
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Ark Clinical Research
Fountain Valley, California, 92708, United States
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Catalina Research Institute
Montclair, California, 91763, United States
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Central Research Associates
Birmingham, Alabama, 35205, United States
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Century Research
Miami, Florida, 33173, United States
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Charter Research
Orlando, Florida, 32803, United States
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Coastal Research Institute, LLC
Fayetteville, North Carolina, 28304, United States
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Covenant Metabolic Specialists - Fort Myers
Fort Myers, Florida, 33912, United States
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Covenant Metabolic Specialists - Sarasota
Sarasota, Florida, 34240, United States
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Entrust Clinical Research Center
Kendall, Florida, 33176, United States
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Evolution Clinical Trials
Hialeah Gardens, Florida, 33016, United States
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FOMAT Medical Research
Oxnard, California, 93030, United States
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Fresno Clinical Research Center
Fresno, California, 92720, United States
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G+C Research Group
Miami, Florida, 33126, United States
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Galenus Group
Lehigh Acres, Florida, 33976, United States
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Houston Research Institute
Houston, Texas, 77079, United States
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Inland Empire Clinical Trials
Rialto, California, 92377, United States
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Kansas City Research Institute
Kansas City, Missouri, 64131, United States
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Knowledge Research Center
Orange, California, 92868, United States
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Lillestol Research LLC
Fargo, North Dakota, 58104, United States
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LinQ Research, LLC
Pearland, Texas, 77584, United States
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Liver Institute NorthWest
Seattle, Washington, 98105, United States
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Liver Institute PPLC
Tucson, Arizona, 85712, United States
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Miami Clinical Research
Miami, Florida, 33155, United States
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Olympus Family Medicine
Salt Lake City, Utah, 84117, United States
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Panex Clinical Research
Miami Lakes, Florida, 33014, United States
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Pinnacle Clinical Research - Austin
Austin, Texas, 78757, United States
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Pinnacle Clinical Research - Georgetown
Georgetown, Texas, 78626, United States
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Pinnacle Clinical Research - San Antonio
San Antonio, Texas, 78229, United States
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Progressive Medical Research
Port Orange, Florida, 32127, United States
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QLMC
Tucson, Arizona, 85712, United States
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Quality Research, Inc
San Antonio, Texas, 78209, United States
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South Ogden Family Medicine
South Ogden, Utah, 84405, United States
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South Texas Research Institute-Brownsville
Brownsville, Texas, 78520, United States
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South Texas Research Institute-Edinburg
Edinburg, Texas, 75839, United States
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Southwest General Healthcare Center
Fort Myers, Florida, 33907, United States
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Tandem Clinical Research
Marrero, Louisiana, 70072, United States
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Texas Liver Institute - Austin
Austin, Texas, 78757, United States
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Velocity Clinical Research
East Greenwich, Rhode Island, 02818, United States
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Velocity Clinical Research - Waco
Waco, Texas, 76710, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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