ALN-CIDEB for adults with fibrotic MASH (phase 2)
Official title: A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study of ALN-CIDEB in Adults With Fibrotic Metabolic Dysfunction-Associated Steatohepatitis (MASH)
Run by Regeneron Pharmaceuticals · NCT07631637 · Data updated 2026-11-12
This phase 2 study tests ALN-CIDEB versus placebo to see if it can reduce liver fat, injury, and scarring in adults with fibrotic MASH.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 360 (estimated) |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Locations | 24 sites (Tucson, Arizona and 23 other locations) |
| Status | Recruiting |
| Started | July 6, 2026 |
| Main results expected | January 29, 2029 |
| Study ends | January 29, 2029 |
| Registry record updated | November 9, 2026 |
| Trial ID | NCT07631637 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with biopsy-confirmed or clinically suspected MASH with NAS ≥4 and fibrosis stage F2–F3.
✕Probably not a fit
People without MASH or those with non-eligible fibrosis stages or contraindications may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional trial explores whether ALN-CIDEB can improve liver health in adults with fibrotic metabolic dysfunction-associated steatohepatitis (MASH). Participants are randomized to receive ALN-CIDEB or placebo, with liver fat, injury markers, and fibrosis monitored over time. Researchers will assess safety and how the drug affects liver biology and function to understand variability among patients. The study includes biomarker and imaging assessments along with a per-protocol liver biopsy history to confirm NAS and fibrosis stages. Enrollment requires documented MASH with NAS ≥4 and fibrosis stage F2 or F3, plus FAST score criteria.
Why it matters
Potential benefit: If successful, participants may experience reductions in liver fat and improvements in liver injury and scarring.
How similar studies have gone: Prior studies in similar CF-like regimens have shown potential signals, but results in MASH are still being explored and outcomes remain variable.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. A diagnosis of MASH documented in the participant's medical history, or a clinical suspicion of MASH based on non-invasive biomarkers and clinical risk factors, including having a history of 1 or more elements of metabolic syndrome as described in the protocol 2. Screening percutaneous liver biopsy demonstrating a NAFLD Activity Score (NAS) ≥4 and fibrosis stage F2 or F3 as described in the protocol 3. Has a FibroScan Aspartate aminotransferase (FAST) score \>0.35 either at Screening Visit 1 or within approximately 3 months of Screening Visit 1 as described in the protocol Key Exclusion Criteria: 1. Known chronic liver disease other than Metabolic dysfunction-Associated Steatotic Liver Disease (MASLD), as determined by the investigator as described in the protocol 2. Prior or current suspected or known drug-induced liver injury within approximately 1 year prior to Screening Visit 1 3. History of liver transplantation, current placement on a liver transplant list, or MELD score \>12 4. Known history of alcohol or other substance abuse within the last year or at any time during screening based on investigator's discretion 5. Prior, current, or planned future use of a Glucagon-Like Peptide-1 (GLP-1) receptor agonist-based therapy or any medication approved for the treatment of MASH unless used at a generally stable dose and regimen since at least 3 months prior to Screening Visit 1 or the qualifying historical liver biopsy and use is continued throughout the screening period with no change to the dose or regimen anticipated during the treatment period as described in the protocol NOTE: Other Protocol-defined Inclusion/Exclusion Criteria Apply
Where it's running
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Adobe Clinical Research
Tucson, Arizona, United States Recruiting -
The Institute for Liver Health II LLC dba Arizona Liver Health
Tucson, Arizona, United States Recruiting -
Del Sol Research Management, LLC
Tucson, Arizona, United States Recruiting -
California Liver Research Institute
Pasadena, California, United States Recruiting -
Inland Empire Clinical Trials
Rialto, California, United States Recruiting -
Universal Axon Clinical Research
Doral, Florida, United States Recruiting
Show 18 more locations
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Southwest General Healthcare Center
Fort Myers, Florida, United States Recruiting -
Genoma Research Group, Inc.
Miami, Florida, United States Recruiting -
Med Research of Florida, LLC
Miami, Florida, United States Recruiting -
Indiana University School of Medicine
Indianapolis, Indiana, United States Recruiting -
Kansas Medical Clinic
Topeka, Kansas, United States Recruiting -
Tandem Clinical Research
Marrero, Louisiana, United States Recruiting -
Tandem Clinical Research
Metairie, Louisiana, United States Recruiting -
Geisinger Medical Center
Danville, Pennsylvania, United States Recruiting -
Quality Medical Research - Nashville
Nashville, Tennessee, United States Recruiting -
Texas Clinical Research Institute, LLC
Arlington, Texas, United States Recruiting -
American Research Corporation
Austin, Texas, United States Recruiting -
Methodist Dallas Medical Center
Dallas, Texas, United States Recruiting -
Advanced Medical Trials
Georgetown, Texas, United States Recruiting -
Pioneer Research Solutions, Inc.
Houston, Texas, United States Recruiting -
American Research Corporation at The Texas Liver Institute
San Antonio, Texas, United States Recruiting -
Siena Research Network
Sugar Land, Texas, United States Recruiting -
Fundacion de Investigacion (FDI) Clinical Research
San Juan, Puerto Rico Recruiting -
The Newcastle upon Tyne Hospitals NHS Trust
Newcastle upon Tyne, United Kingdom Recruiting
Study contacts
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
- Phone: 844-734-6643
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Endoscopic sleeve gastroplasty for people with obesity and MASH
This study will test whether endoscopic sleeve gastroplasty plus lifestyle changes helps adults with obesity and MASH lose weight and improve liver health compared with lifestyle changes alone.
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Endohepatology-based reclassification of treatment indication in high-risk MASLD
This study tests whether an endohepatology assessment can change treatment decisions for adults with high-risk MASLD.
-
Resmetirom in children and teens with MASH
This study tests how safe resmetirom is and how it acts in the body of kids aged 6 to 17 who have MASH with liver fibrosis.
-
Pre-hepatectomy rehabilitation with mazdutide for obese MASLD donors
This trial tests whether adding mazdutide to a structured lifestyle plan helps overweight MASLD donors lose liver fat faster to become eligible for donation.
-
Efimosfermin vs. placebo in adults with compensated cirrhosis from MASH
This study tests whether Efimosfermin can help adults with compensated cirrhosis due to MASH compared with placebo.
-
Efimosfermin vs placebo in adults with compensated cirrhosis from MASH
This study tests whether efimosfermin helps adults with compensated cirrhosis caused by MASH compared with placebo.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.