Clinical trial Recruiting at 299 sites Phase 3 Interventional Ages 18 to 80

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

PhasePhase 3
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment1650 (estimated)
SponsorAkero Therapeutics, Inc
Industry-sponsored
Locations361 sites (Birmingham, Alabama and 360 other locations)
StatusRecruiting
StartedDecember 1, 2023
Main results expectedFebruary 2033
Study endsFebruary 2033
Registry record updatedNovember 6, 2026
Trial IDNCT06215716 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

  • 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
  • Akero Clinical Study Site
    Peoria, Arizona, United States
    Recruiting
  • Akero Clinical Study Site
    Tucson, Arizona, United States
    Recruiting
  • Akero Clinical Study Site
    Tucson, Arizona, United States
    Recruiting
Show 44 more locations
  • Akero Clinical Study Site
    Tucson, Arizona, United States
    Recruiting
  • Akero Clinical Study Site
    Tucson, Arizona, United States
    Recruiting
  • Akero Clinical Study Site
    Little Rock, Arkansas, United States
    Recruiting
  • Akero Clinical Study Site
    North Little Rock, Arkansas, United States
    Recruiting
  • Akero Clinical Study Site
    Coronado, California, United States
    Recruiting
  • Akero Clinical Study Site
    Escondido, California, United States
    Recruiting
  • Akero Clinical Study Site
    Folsom, California, United States
    Recruiting
  • Akero Clinical Study Site
    Lancaster, California, United States
    Recruiting
  • Akero Clinical Study Site
    Long Beach, California, United States
    Recruiting
  • Akero Clinical Study Site
    Los Angeles, California, United States
    Recruiting
  • Akero Clinical Study Site
    Los Angeles, California, United States
    Recruiting
  • Akero Clinical Study Site
    Newport Beach, California, United States
    Recruiting
  • Akero Clinical Study Site
    Orange, California, United States
    Recruiting
  • Akero Clinical Study Site
    Pasadena, California, United States
    Recruiting
  • Akero Clinical Study Site
    Redwood City, California, United States
    Recruiting
  • Akero Clinical Study Site
    Sacramento, California, United States
    Recruiting
  • Akero Clinical Study Site
    San Diego, California, United States
    Recruiting
  • Akero Clinical Study Site
    San Francisco, California, United States
    Recruiting
  • Akero Clinical Study Site
    San Francisco, California, United States
    Recruiting
  • Akero Clinical Study Site
    Santa Maria, California, United States
    Recruiting
  • Akero Clinical Study Site
    Aurora, Colorado, United States
    Recruiting
  • Akero Clinical Study Site
    Colorado Springs, Colorado, United States
    Recruiting
  • Akero Clinical Study Site
    Englewood, Colorado, United States
    Recruiting
  • Akero Clinical Study Site
    New Haven, Connecticut, United States
    Recruiting
  • Akero Clinical Study Site
    Washington D.C., District of Columbia, United States
    Recruiting
  • Akero Clinical Study Site
    Bradenton, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    Brandon, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    Doral, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    Fort Myers, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    Gainesville, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    Hialeah Gardens, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    Inverness, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    Jacksonville, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    Lakewood Rch, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    Largo, Florida, United States
    Recruiting
  • Akero Clinical Study Site
    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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Does fructose worsen metabolism and liver inflammation in people with MASH?

    This test looks at whether short-term dietary fructose changes metabolism and increases liver inflammation in people aged 45–65 with MASH, people with simple fatty liver (steatosis), and healthy controls.

    Recruiting at 2 sites Queen Mary University of London · London and 1 other locations · NCT07013916

  • Digoxin for NASH with stage 2–3 fibrosis

    This trial will see if taking once-daily digoxin helps clear NASH and reduce liver scarring in adults with biopsy-confirmed NASH and stage 2–3 fibrosis.

    Recruiting at 2 sites Phase 2 Yale University · New Haven, Connecticut and 1 other locations · NCT06588699

  • 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.

    Recruiting at 2 sites Brigham and Women's Hospital · Boston, Massachusetts and 1 other locations · NCT06138821

  • Screening patients at risk for liver disease in Europe

    This study is trying to find out if screening high-risk patients in Europe for liver disease using simple tests can help doctors identify and better understand conditions like metabolic dysfunction-associated steatotic liver disease.

    Recruiting at 6 sites Julius Clinical · Brussels, Vlaams-brabant and 12 other locations · NCT05651724

  • Effectiveness of bariatric surgery for patients with liver disease

    This study is testing how well different types of weight loss surgery can help obese people with liver disease feel better and improve their liver health.

    Recruiting Beijing Friendship Hospital · Beijing, Beijing Municipality · NCT04366999

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.