Clinical trial Recruiting at 298 sites Phase 3 Interventional Ages 18 to 75

Evaluating Pegozafermin for Liver Disease in Patients with Compensated Cirrhosis

Official title: A Phase 3 Study to Evaluate the Efficacy and Safety of Pegozafermin in Subjects With Compensated Cirrhosis Due to Metabolic Dysfunction-Associated Steatohepatitis (MASH) (ENLIGHTEN-Cirrhosis)

Run by Hoffmann-La Roche · NCT06419374 · Data updated 2026-11-12

This study is testing if a new treatment called pegozafermin can improve liver health in people with compensated cirrhosis caused by metabolic issues.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment1800 (estimated)
SponsorHoffmann-La Roche
Industry-sponsored
Locations330 sites (Birmingham, Alabama and 329 other locations)
StatusRecruiting
StartedMay 24, 2024
Main results expectedJune 30, 2028
Study endsAugust 31, 2031
Registry record updatedOctober 23, 2026
Trial IDNCT06419374 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are males or non-pregnant females aged 18 to 75 with biopsy-confirmed F4 MASH and at least one metabolic risk factor.

Probably not a fit

Patients with liver disorders other than MASH or those with a history of hepatic decompensation or hepatocellular carcinoma 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 study evaluates the efficacy and safety of pegozafermin in participants diagnosed with compensated cirrhosis due to metabolic dysfunction-associated steatohepatitis (MASH). Participants must have biopsy-confirmed fibrosis stage F4 MASH and at least one metabolic risk factor. The study involves administering either pegozafermin or a placebo to assess its impact on liver health. The trial aims to provide insights into potential new treatments for this serious liver condition.

Why it matters

Potential benefit: If successful, this treatment could significantly improve liver health and quality of life for patients with compensated cirrhosis due to MASH.

How similar studies have gone: While this approach is focused on a specific patient population, similar studies targeting liver diseases have shown promising results, indicating potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Males or non-pregnant females aged between 18 and 75 years (inclusive) at time of signing the informed consent form (ICF).
* Participants must have type 2 diabetes mellitus diagnosed at least 3 months before screening or at least 2 metabolic risk factors.
* Evidence of both cirrhosis and MASH etiology, either through a historical biopsy or a biopsy at Screening.
* Clinical diagnosis of cirrhosis based on the NIT algorithm.

Key Exclusion Criteria:

* Liver disorder other than MASH.
* History or evidence of hepatic decompensation.
* History or evidence of hepatocellular carcinoma.
* Have type 1 diabetes mellitus or poorly controlled type 2 diabetes mellitus.
* ALT or aspartate aminotransferase (AST) ≥250 units per liter (U/L).
* Participants taking vitamin E (\>400 international units \[IU\]/day) must be on stable dose for at least 6 months prior to screening.

Other protocol-defined inclusion and exclusion criteria may apply.

Where it's running

  • 89bio Clinical Study Site
    Birmingham, Alabama, United States
    Recruiting
  • 89bio Clinical Study Site
    Homewood, Alabama, United States
    Recruiting
  • 89bio Clinical Study Site
    Chandler, Arizona, United States
    Recruiting
  • 89bio Clinical Study Site
    Peoria, Arizona, United States
    Recruiting
  • 89bio Clinical Study Site
    Phoenix, Arizona, United States
    Recruiting
  • 89bio Clinical Study Site
    Sun City, Arizona, United States
    Recruiting
Show 44 more locations
  • 89bio Clinical Study Site
    Tucson, Arizona, United States
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    Tucson, Arizona, United States
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  • 89bio Clinical Study Site
    Tucson, Arizona, United States
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  • 89bio Clinical Study Site
    Little Rock, Arkansas, United States
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  • 89bio Clinical Study Site
    North Little Rock, Arkansas, United States
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  • 89bio Clinical Study Site
    Camarillo, California, United States
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  • 89bio Clinical Study Site
    Canoga Park, California, United States
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  • 89bio Clinical Study Site
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  • 89bio Clinical Study Site
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  • 89bio Clinical Study Site
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  • 89bio Clinical Study Site
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  • 89bio Clinical Study Site
    Los Angeles, California, United States
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  • 89bio Clinical Study Site
    Los Angeles, California, United States
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  • 89bio Clinical Study Site
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  • 89bio Clinical Study Site
    Poway, California, United States
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  • 89bio Clinical Study Site
    Redwood City, California, United States
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  • 89bio Clinical Study Site
    Rialto, California, United States
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  • 89bio Clinical Study Site
    Sacramento, California, United States
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  • 89bio Clinical Study Site
    Littleton, Colorado, United States
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  • 89bio Clinical Study Site
    Clermont, Florida, United States
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  • 89bio Clinical Study Site
    Fort Myers, Florida, United States
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  • 89bio Clinical Study Site
    Gainesville, Florida, United States
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  • 89bio Clinical Study Site
    Hialeah Gardens, Florida, United States
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  • 89bio Clinical Study Site
    Homestead, Florida, United States
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  • 89bio Clinical Study Site
    Jacksonville, Florida, United States
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  • 89bio Clinical Study Site
    Jacksonville, Florida, United States
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  • 89bio Clinical Study Site
    Lakewood Rch, Florida, United States
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  • 89bio Clinical Study Site
    Lehigh Acres, Florida, United States
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  • 89bio Clinical Study Site
    Miami, Florida, United States
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  • 89bio Clinical Study Site
    Miami, Florida, United States
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  • 89bio Clinical Study Site
    Miami, Florida, United States
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  • 89bio Clinical Study Site
    New Port Richey, Florida, United States
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  • 89bio Clinical Study Site
    Ocala, Florida, United States
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  • 89bio Clinical Study Site
    Ocoee, Florida, United States
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  • 89bio Clinical Study Site
    University Park, Florida, United States
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  • 89bio Clinical Study Site
    Viera, Florida, United States
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  • 89bio Clinical Study Site
    Winter Park, Florida, United States
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  • 89bio Clinical Study Site
    Athens, Georgia, United States
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  • 89bio Clinical Study Site
    Atlanta, Georgia, United States
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  • 89bio Clinical Study Site
    Marietta, Georgia, United States
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  • 89bio Clinical Study Site
    Chicago, Illinois, United States
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  • 89bio Clinical Study Site
    Glenview, Illinois, United States
    Recruiting
  • 89bio Clinical Study Site
    Hammond, Indiana, United States
    Recruiting
  • 89bio Clinical Study Site
    New Albany, Indiana, United States
    Recruiting

+280 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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.
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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.