Evaluating efruxifermin for treating NASH/MASH with fibrosis
Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety and Efficacy of Efruxifermin in Subjects With Non-Cirrhotic Nonalcoholic Steatohepatitis (NASH)/Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Fibrosis
Run by Akero Therapeutics, Inc · NCT06215716 · Data updated 2026-11-12
This study is testing a new medication called efruxifermin to see if it can help people with NASH or MASH and liver fibrosis feel better compared to a placebo.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 1650 (estimated) |
| Sponsor | Akero Therapeutics, Inc Industry-sponsored |
| Locations | 361 sites (Birmingham, Alabama and 360 other locations) |
| Status | Recruiting |
| Started | December 1, 2023 |
| Main results expected | February 2033 |
| Study ends | February 2033 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT06215716 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are males and non-pregnant, non-lactating females aged 18 to 80 with biopsy-proven NASH/MASH and fibrosis stages 2 or 3.
✕Probably not a fit
Patients with cirrhosis or those with uncontrolled Type 1 or Type 2 diabetes may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial is a multi-center, randomized, double-blind, placebo-controlled evaluation of efruxifermin (EFX) in subjects diagnosed with non-cirrhotic nonalcoholic steatohepatitis (NASH) or metabolic dysfunction-associated steatohepatitis (MASH) who have fibrosis stages 2 or 3. The study aims to enroll a total of 1650 participants across two cohorts, focusing on the efficacy and safety of EFX compared to a placebo. Participants will undergo a liver biopsy to confirm their condition and assess the severity of fibrosis and liver inflammation.
Why it matters
Potential benefit: If successful, this treatment could significantly improve liver health and metabolic conditions for patients with NASH/MASH and fibrosis.
How similar studies have gone: Other studies have shown promise in treating NASH/MASH with similar pharmacological approaches, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Males and non-pregnant, non-lactating females between 18 - 80 years of age inclusive, based on the date of the screening visit. * Previous history or presence of 2 out of 4 components of metabolic syndrome (obesity, dyslipidemia, elevated blood pressure, elevated fasting glucose) or type 2 diabetes. * Cohort 1: Biopsy-proven NASH/MASH. Must have had a liver biopsy obtained ≤ 180 days prior to screening with fibrosis stage 2 or 3 and a non-alcoholic fatty liver disease (NAFLD) activity score (NAS) of ≥ 4 with at least a score of 1 in each of the following NAS components: * Steatosis (scored 0 to 3), * Ballooning degeneration (scored 0 to 2), and * Lobular inflammation (scored 0 to 3). * Cohort 2: Biopsy-proven fibrosis stage 3. Must have had a liver biopsy obtained ≤ 180 days prior to screening. Subjects with NAS \<4 may be enrolled and are not required to meet 1 point in each of the components of NAS. Exclusion Criteria: * Other causes of liver disease based on medical history and/or liver histology and/or central laboratory results. * Presence of cirrhosis on liver biopsy (fibrosis stage 4). * Type 1 or uncontrolled Type 2 diabetes. Other inclusion and exclusion criteria may apply.
Where it's running
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Akero Clinical Study Site
Birmingham, Alabama, United States Recruiting -
Akero Clinical Study Site
Dothan, Alabama, United States Recruiting -
Akero Clinical Study Site
Chandler, Arizona, United States Recruiting -
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Peoria, Arizona, United States Recruiting -
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Tucson, Arizona, United States Recruiting -
Akero Clinical Study Site
Tucson, Arizona, United States Recruiting
Show 44 more locations
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Tucson, Arizona, United States Recruiting -
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Tucson, Arizona, United States Recruiting -
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Little Rock, Arkansas, United States Recruiting -
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North Little Rock, Arkansas, United States Recruiting -
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Coronado, California, United States Recruiting -
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Escondido, California, United States Recruiting -
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Folsom, California, United States Recruiting -
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Lancaster, California, United States Recruiting -
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Long Beach, California, United States Recruiting -
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Los Angeles, California, United States Recruiting -
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Los Angeles, California, United States Recruiting -
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Newport Beach, California, United States Recruiting -
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Orange, California, United States Recruiting -
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Pasadena, California, United States Recruiting -
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Redwood City, California, United States Recruiting -
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Sacramento, California, United States Recruiting -
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San Diego, California, United States Recruiting -
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San Francisco, California, United States Recruiting -
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San Francisco, California, United States Recruiting -
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Santa Maria, California, United States Recruiting -
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Aurora, Colorado, United States Recruiting -
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Colorado Springs, Colorado, United States Recruiting -
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Englewood, Colorado, United States Recruiting -
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New Haven, Connecticut, United States Recruiting -
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Washington D.C., District of Columbia, United States Recruiting -
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Bradenton, Florida, United States Recruiting -
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Brandon, Florida, United States Recruiting -
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Doral, Florida, United States Recruiting -
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Fort Myers, Florida, United States Recruiting -
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Gainesville, Florida, United States Recruiting -
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Hialeah Gardens, Florida, United States Recruiting -
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Inverness, Florida, United States Recruiting -
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Jacksonville, Florida, United States Recruiting -
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Lakewood Rch, Florida, United States Recruiting -
Akero Clinical Study Site
Largo, Florida, United States Recruiting -
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Lehigh Acres, Florida, United States Recruiting -
Akero Clinical Study Site
Margate, Florida, United States Recruiting -
Akero Clinical Study Site
Miami, Florida, United States Recruiting -
Akero Clinical Study Site
Miami, Florida, United States Recruiting -
Akero Clinical Study Site
Miami Gardens, Florida, United States Recruiting -
Akero Clinical Study Site
Miami Lakes, Florida, United States Recruiting -
Akero Clinical Study Site
Naples, Florida, United States Recruiting -
Akero Clinical Study Site
Ocala, Florida, United States Recruiting -
Akero Clinical Study Site
Orlando, Florida, United States Recruiting
+311 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Akero Study Director
- Email: AkeroSynchrony@akerotx.com
- Phone: 650-487-6488
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Does fructose worsen metabolism and liver inflammation in people with MASH?
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Digoxin for NASH with stage 2–3 fibrosis
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Endoscopic sleeve gastroplasty for people with obesity and 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.