Clinical trial Recruiting at 35 sites Phase 3 Interventional Ages 18 to 75

Efimosfermin vs. placebo in adults with compensated cirrhosis from MASH

Official title: A Phase 3, Two-part, Double-blind, Randomized, Placebo-controlled Study to Investigate the Safety and Efficacy of Efimosfermin Alfa Injection in Adult Participants With Compensated Cirrhosis (Stage F4 Fibrosis) Due to Metabolic Dysfunction-associated Steatohepatitis (NEBULA-2)

Run by GlaxoSmithKline · NCT07704892 · Data updated 2026-11-12

This study tests whether Efimosfermin can help adults with compensated cirrhosis due to MASH compared with placebo.

More Metabolic Dysfunction-Associated Steatohepatitis trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment380 (estimated)
SponsorGlaxoSmithKline
Industry-sponsored
Locations35 sites (Little Rock, Arkansas and 34 other locations)
StatusRecruiting
StartedJuly 22, 2026
Main results expectedOctober 16, 2030
Study endsDecember 8, 2033
Registry record updatedNovember 5, 2026
Trial IDNCT07704892 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–75 with biopsy-confirmed cirrhosis due to MASH and at least two metabolic syndrome components.

Probably not a fit

Patients with decompensated liver disease, hepatocellular carcinoma, other chronic liver diseases, or high-risk conditions 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 is a multicenter, randomized phase 3 trial in adults with compensated cirrhosis from MASH. The study has two parts: Part A compares Efimosfermin to placebo, and Part B is an open-label extension for eligible participants who complete Part A. Participants are assigned to receive either Efimosfermin alfa or placebo, with safety and efficacy assessed over the study period. Eligible participants are adults 18–75 with metabolic syndrome components and biopsy-confirmed cirrhosis, while those with other liver diseases, decompensation, or certain diabetes or pancreatic conditions are excluded.

Why it matters

Potential benefit: If successful, Efimosfermin could improve liver outcomes and quality of life for people with MASH-related compensated cirrhosis.

How similar studies have gone: Prior studies in similar metabolic-liver disease targets have shown signals of safety and potential efficacy in advanced liver disease, but this exact approach is being tested in a dedicated phase 3 trial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants aged between 18 and 75 years at enrolment.
* Participants with history or presence of at least two components of metabolic syndrome.
* Liver biopsy consistent with cirrhosis (fibrosis stage 4).

Exclusion Criteria:

* Participants with other chronic liver diseases.
* Participants with evidence or history of decompensated liver disease or hepatocellular carcinoma.
* Participants with history of Type 1 diabetes mellitus; or major Type 2 diabetes mellitus complications.
* History or evidence of chronic pancreatic disease; pancreatic injury or acute pancreatitis within 6 months before Screening.
* A recent history or planned surgical procedures or medications intended to produce significant weight loss.
* Alanine aminotransferase (ALT) or Aspartate aminotransferase (AST) \>= 5 times upper limit normal (ULN).
* Current or history of excessive alcohol intake

Where it's running

  • GSK Investigational Site
    Little Rock, Arkansas, United States
    Recruiting
  • GSK Investigational Site
    Arcadia, California, United States
    Recruiting
  • GSK Investigational Site
    Arroyo Grande, California, United States
    Recruiting
  • GSK Investigational Site
    Folsom, California, United States
    Recruiting
  • GSK Investigational Site
    Van Nuys, California, United States
    Recruiting
  • GSK Investigational Site
    Cape Coral, Florida, United States
    Recruiting
Show 29 more locations
  • GSK Investigational Site
    Fort Myers, Florida, United States
    Recruiting
  • GSK Investigational Site
    Hialeah, Florida, United States
    Recruiting
  • GSK Investigational Site
    Homestead, Florida, United States
    Recruiting
  • GSK Investigational Site
    Kissimmee, Florida, United States
    Recruiting
  • GSK Investigational Site
    Lakeland, Florida, United States
    Recruiting
  • GSK Investigational Site
    Miami, Florida, United States
    Recruiting
  • GSK Investigational Site
    Miami, Florida, United States
    Recruiting
  • GSK Investigational Site
    Ocala, Florida, United States
    Recruiting
  • GSK Investigational Site
    University Park, Florida, United States
    Recruiting
  • GSK Investigational Site
    St Louis, Missouri, United States
    Recruiting
  • GSK Investigational Site
    East Syracuse, New York, United States
    Recruiting
  • GSK Investigational Site
    New York, New York, United States
    Recruiting
  • GSK Investigational Site
    Morehead City, North Carolina, United States
    Recruiting
  • GSK Investigational Site
    Springboro, Ohio, United States
    Recruiting
  • GSK Investigational Site
    Westlake, Ohio, United States
    Recruiting
  • GSK Investigational Site
    Arlington, Texas, United States
    Recruiting
  • GSK Investigational Site
    Austin, Texas, United States
    Recruiting
  • GSK Investigational Site
    Austin, Texas, United States
    Recruiting
  • GSK Investigational Site
    Bellaire, Texas, United States
    Recruiting
  • GSK Investigational Site
    Dallas, Texas, United States
    Recruiting
  • GSK Investigational Site
    Houston, Texas, United States
    Recruiting
  • GSK Investigational Site
    Humble, Texas, United States
    Recruiting
  • GSK Investigational Site
    San Antonio, Texas, United States
    Recruiting
  • GSK Investigational Site
    San Antonio, Texas, United States
    Recruiting
  • GSK Investigational Site
    Waco, Texas, United States
    Recruiting
  • GSK Investigational Site
    West Jordan, Utah, United States
    Recruiting
  • GSK Investigational Site
    Manassas, Virginia, United States
    Recruiting
  • GSK Investigational Site
    Ōgaki, Gifu, Japan
    Recruiting
  • GSK Investigational Site
    Kawasaki-shi, Japan
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.