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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 380 (estimated) |
| Sponsor | GlaxoSmithKline Industry-sponsored |
| Locations | 35 sites (Little Rock, Arkansas and 34 other locations) |
| Status | Recruiting |
| Started | July 22, 2026 |
| Main results expected | October 16, 2030 |
| Study ends | December 8, 2033 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT07704892 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
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Little Rock, Arkansas, United States Recruiting -
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Arcadia, California, United States Recruiting -
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Arroyo Grande, California, United States Recruiting -
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Folsom, California, United States Recruiting -
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Van Nuys, California, United States Recruiting -
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Cape Coral, Florida, United States Recruiting
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Fort Myers, Florida, United States Recruiting -
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Hialeah, Florida, United States Recruiting -
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Kissimmee, Florida, United States Recruiting -
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Lakeland, Florida, United States Recruiting -
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Miami, Florida, United States Recruiting -
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Springboro, Ohio, United States Recruiting -
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Westlake, Ohio, United States Recruiting -
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Arlington, Texas, United States Recruiting -
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Bellaire, Texas, United States Recruiting -
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Dallas, Texas, United States Recruiting -
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Humble, Texas, United States Recruiting -
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Waco, Texas, United States Recruiting -
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West Jordan, Utah, United States Recruiting -
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Manassas, Virginia, United States Recruiting -
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Ōgaki, Gifu, Japan Recruiting -
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Kawasaki-shi, Japan Recruiting
Study contacts
- Study coordinator: US GSK Clinical Trials Call Center
- Email: GSKClinicalSupportHD@gsk.com
- Phone: 877-379-3718
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Efimosfermin vs placebo in adults with compensated cirrhosis from MASH
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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.