New drug hopes to halt liver damage in MASH patients
NCT ID NCT07221188
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 4 times
Summary
This phase 3 trial tests a drug called efimosfermin alfa in 1250 adults with MASH (a fatty liver disease) and moderate liver scarring. The main goal is to check safety and side effects. Participants will receive either the drug or a placebo, and researchers will monitor liver health over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Efimosfermin Alfa
- What this could lead to
- If successful, this could point toward a treatment that slows or stops liver damage in people with MASH and fibrosis.
- What could go wrong
- This is an early-stage safety trial, so it may not prove the drug works. Side effects or lack of benefit could stop development.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 1,250 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- 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: * Able and willing to understand and sign a written informed consent form (ICF) that must be obtained prior to the initiation of study procedures * Age \>=18 through \<=75 years at enrolment * History or presence of 2 or more of the 5 components of metabolic syndrome per American Heart Association definition * History or presence of known or suspected MASH with evidence of fibrosis Exclusion Criteria: * ALT or AST \>=5 × upper limit of normal (ULN) * Total bilirubin (BILI) \>=1.3 milligram per deciliter (mg/dL). Individuals with documented Gilbert's syndrome may be enrolled if they experienced an isolated increase in total BILI of \>=1.3 mg/dL and direct BILI is \<=20% of total BILI; otherwise, the individual will be excluded. * 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 Study Medical Monitor. * 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) * HbA1c \>=9.0% * Model for End-Stage Liver Disease (MELD) 3.0 score \>=12 unless the score is elevated in the absence of liver dysfunction (eg, Gilbert's syndrome) * Phosphatidylethanol (PEth) \>=80 nanogram per milliliter (ng/mL) at Screening * Known co-infection with any of the following: a. Human immunodeficiency virus; b. Hepatitis B virus; c. Hepatitis C virus (HCV); d. Hepatitis D virus; or e. Hepatitis E virus. * 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; or decompensated liver disease such as clinical ascites, bleeding gastroesophageal varices, hepatorenal syndrome, or hepatic encephalopathy prior to Screening or Day 1. * Current or history of excessive alcohol intake for \>=3 months within the 12-month period prior to Screening
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
66 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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GSK Investigational Site
RECRUITINGArcadia, California, 91006, United States
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GSK Investigational Site
RECRUITINGCovina, California, 91723, United States
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GSK Investigational Site
RECRUITINGLos Angeles, California, 90057, United States
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GSK Investigational Site
RECRUITINGSan Diego, California, 92120, United States
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GSK Investigational Site
RECRUITINGSanta Maria, California, 93458, United States
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GSK Investigational Site
RECRUITINGVan Nuys, California, 91405, United States
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GSK Investigational Site
RECRUITINGBoynton Beach, Florida, 33435-5610, United States
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GSK Investigational Site
RECRUITINGCape Coral, Florida, 33914, United States
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GSK Investigational Site
RECRUITINGClermont, Florida, 34711, United States
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GSK Investigational Site
RECRUITINGDoral, Florida, 33016, United States
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GSK Investigational Site
RECRUITINGFort Myers, Florida, 33912, United States
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GSK Investigational Site
RECRUITINGHialeah, Florida, 33016, United States
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GSK Investigational Site
RECRUITINGHomestead, Florida, 33033, United States
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GSK Investigational Site
RECRUITINGInverness, Florida, 34452, United States
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GSK Investigational Site
RECRUITINGJacksonville, Florida, 32216, United States
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GSK Investigational Site
RECRUITINGKissimmee, Florida, 34744, United States
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GSK Investigational Site
RECRUITINGLakeland, Florida, 33803, United States
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GSK Investigational Site
RECRUITINGMaitland, Florida, 32751, United States
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GSK Investigational Site
RECRUITINGMiami, Florida, 33135-4661, United States
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GSK Investigational Site
RECRUITINGMiami, Florida, 33144, United States
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GSK Investigational Site
RECRUITINGMiami, Florida, 33155, United States
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GSK Investigational Site
RECRUITINGMiami, Florida, 33156-7397, United States
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GSK Investigational Site
RECRUITINGMiami, Florida, 33173-3484, United States
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GSK Investigational Site
RECRUITINGMiami, Florida, 33184, United States
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GSK Investigational Site
RECRUITINGMiami Lakes, Florida, 33014, United States
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GSK Investigational Site
RECRUITINGOcala, Florida, 34471, United States
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GSK Investigational Site
RECRUITINGPalmetto Bay, Florida, 33157, United States
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GSK Investigational Site
RECRUITINGSarasota, Florida, 34201, United States
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GSK Investigational Site
RECRUITINGTopeka, Kansas, 66606, United States
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GSK Investigational Site
RECRUITINGMarrero, Louisiana, 70072, United States
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GSK Investigational Site
RECRUITINGSpringfield, Missouri, 62703, United States
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GSK Investigational Site
RECRUITINGSt Louis, Missouri, 63123, United States
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GSK Investigational Site
RECRUITINGSt Louis, Missouri, 63141, United States
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GSK Investigational Site
RECRUITINGJersey City, New Jersey, 07059, United States
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GSK Investigational Site
RECRUITINGEast Syracuse, New York, 13057, United States
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GSK Investigational Site
RECRUITINGNew York, New York, 10036-4103, United States
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GSK Investigational Site
RECRUITINGMorehead City, North Carolina, 28557, United States
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GSK Investigational Site
RECRUITINGAkron, Ohio, 44320, United States
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GSK Investigational Site
RECRUITINGSpringboro, Ohio, 45066, United States
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GSK Investigational Site
RECRUITINGChattanooga, Tennessee, 37421, United States
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GSK Investigational Site
RECRUITINGAustin, Texas, 78745-5675, United States
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GSK Investigational Site
RECRUITINGAustin, Texas, 78759, United States
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GSK Investigational Site
RECRUITINGBrownsville, Texas, 78526, United States
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GSK Investigational Site
RECRUITINGDallas, Texas, 75243, United States
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GSK Investigational Site
RECRUITINGDeSoto, Texas, 75115, United States
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GSK Investigational Site
RECRUITINGRichmond, Texas, 77406, United States
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GSK Investigational Site
RECRUITINGSan Antonio, Texas, 78209, United States
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GSK Investigational Site
RECRUITINGSan Antonio, Texas, 78215, United States
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GSK Investigational Site
RECRUITINGSan Antonio, Texas, 78229, United States
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GSK Investigational Site
RECRUITINGSeabrook, Texas, 77586, United States
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GSK Investigational Site
RECRUITINGSugar Land, Texas, 77479, United States
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GSK Investigational Site
RECRUITINGSugar Land, Texas, 77479, United States
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GSK Investigational Site
RECRUITINGTomball, Texas, 77375, United States
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GSK Investigational Site
RECRUITINGWaco, Texas, 76710, United States
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GSK Investigational Site
RECRUITINGWaco, Texas, 76712, United States
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GSK Investigational Site
RECRUITINGWest Jordan, Utah, 84088, United States
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GSK Investigational Site
RECRUITINGManassas, Virginia, 20110, United States
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GSK Investigational Site
RECRUITINGSeattle, Washington, 98105, United States
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GSK Investigational Site
RECRUITINGWoolloongabba, Queensland, 4102, Australia
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GSK Investigational Site
RECRUITINGParis, 75651, France
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GSK Investigational Site
RECRUITINGLeipzig, 04103, Germany
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GSK Investigational Site
RECRUITINGPokfulam, Hong Kong
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GSK Investigational Site
RECRUITINGGunma, 370-0829, Japan
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GSK Investigational Site
RECRUITINGKagoshima, 890-8520, Japan
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GSK Investigational Site
RECRUITINGWellington, 6021, New Zealand
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GSK Investigational Site
RECRUITINGRiyadh, 11472, Saudi Arabia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Underactive thyroid may worsen liver scarring in fatty liver disease
- Can one workout a week melt liver fat?
- Ten-Year liver study asks: what makes fatty liver disease progress?
- Can a liver drug also protect the heart? study tests ursodeoxycholic acid in fatty liver disease
- Ketogenic diet vs mediterranean diet: which better reshapes metabolism?
- Can a simple scan reveal hidden liver damage in diabetes patients?