Clinical trial Recruiting at 9 sites Phase 3 Interventional Ages 18 to 75

Pemvidutide for noncirrhotic MASH: a phase 3 study

Official title: A Phase 3, Multinational, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy, Safety, and Clinical Outcomes of Pemvidutide in Subjects With Noncirrhotic Metabolic Dysfunction-Associated Steatohepatitis (MASH)

Run by Altimmune, Inc. · NCT07795164 · Data updated 2026-11-12

This phase 3 study tests pemvidutide versus placebo in adults with noncirrhotic MASH to see if it improves liver health and safety.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment1800 (estimated)
SponsorAltimmune, Inc.
Industry-sponsored
Locations9 sites (North Little Rock, Arkansas and 8 other locations)
StatusRecruiting
StartedJuly 30, 2026
Main results expectedDecember 2028
Study endsDecember 2032
Registry record updatedSeptember 23, 2026
Trial IDNCT07795164 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with BMI ≥25 kg/m2 (≥23 for Asian), diabetes or metabolic syndrome components, and histologic F2/F3 MASH or noninvasive F2/F3 MASH per cohort criteria.

Probably not a fit

Patients with cirrhosis (F4), uncontrolled diabetes, significant liver disease other than MASH, or abnormal liver tests 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, multinational, randomized, double-blind, placebo-controlled phase 3 trial in adults with noncirrhotic MASH (F2/F3). Participants are assigned to Cohort 1 based on histology or Cohort 2 based on noninvasive tests, and will receive pemvidutide or placebo for a specified period. The study focuses on efficacy, safety, and clinical outcomes, with inclusion requirements including BMI ≥25 and diabetes or metabolic syndrome components. Key exclusions include cirrhosis, portal hypertension, active liver disease other than MASH, and uncontrolled diabetes. Liver biopsy may be required for Cohort 1 per protocol.

Why it matters

Potential benefit: If successful, pemvidutide could improve liver health and metabolic outcomes for people with noncirrhotic MASH.

How similar studies have gone: Previous trials in related metabolic and liver disease areas have shown signal with similar therapies, but this exact approach in noncirrhotic MASH is being evaluated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

All subjects:

* No significant changes in body weight (±5%) and not participating in a structured weight loss program for the 3 months prior to screening (or since the historical biopsy, if applicable)
* Body mass index (BMI) ≥ 25.0 kg/m2; if Asian, BMI ≥ 23.0 kg/m2
* Type 2 diabetes (T2D) or at least 2 components of metabolic syndrome
* Subject agrees to have liver biopsy(ies) as required per protocol

Cohort 1 - Histologic diagnosis of F2/F3 MASH based on liver biopsy during screening or historical biopsy within 6 months before screening

Cohort 2 - Presumed F2/F3 MASH based on noninvasive testing

Exclusion Criteria:

* Cirrhosis (F4); portal hypertension or hepatic decompensation; acute or chronic liver disease other than MASH; liver function tests (ALT, AST; alkaline phosphatase; total bilirubin; INR; and platelet count) outside of acceptable ranges; positive HBsAg; active hepatitis C
* Uncontrolled T2D or clinically significant persistent hyperglycemia

Where it's running

  • Altimmune Clinical Study Site
    North Little Rock, Arkansas, United States
    Recruiting
  • Altimmune Clinical Study Site
    Fountain Valley, California, United States
    Recruiting
  • Altimmune Clinical Study Site
    Fresno, California, United States
    Recruiting
  • Altimmune Clinical Study Site
    Gardena, California, United States
    Recruiting
  • Altimmune Clinical Study Site
    Long Beach, California, United States
    Recruiting
  • Altimmune Clinical Study Site
    Miami, Florida, United States
    Recruiting
Show 3 more locations
  • Altimmune Clinical Study Site
    Ocala, Florida, United States
    Recruiting
  • Altimmune Clinical Study Site
    Springboro, Ohio, United States
    Recruiting
  • Altimmune Clinical Study Site
    Westlake, Ohio, United States
    Recruiting

Study contacts

Similar studies

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

  • VV-14303 for metabolic liver disease in adults with MASH

    This study tests VV-14303, a gene therapy, in adults with metabolic dysfunction-associated steatohepatitis (MASH) to see if it is safe and how well it works.

    Recruiting Phase 1/2 Kriya Therapeutics, Inc. · Chandler, Arizona and 2 other locations · NCT07732400

  • HRS-4729 and HRS9531 injections in adults with MASH

    This study tests whether HRS-4729 and HRS9531 injections (and their placebos) can help adults with metabolic dysfunction-associated steatohepatitis after 52 weeks of treatment.

    Recruiting at 2 sites Phase 2 Fujian Shengdi Pharmaceutical Co., Ltd. · Beijing, Beijing Municipality and 1 other locations · NCT07660848

  • Gut microbiota–derived amino acid metabolites in MASLD/MASH

    This study tests whether gut microbiota–produced amino acid metabolites are linked to MASLD/MASH in adults by collecting stool, blood, and urine samples and analyzing dietary factors.

    Recruiting Hospices Civils de Lyon · Pierre-Bénite · NCT07313007

  • Patients' perspectives and needs in metabolic dysfunction‑associated steatohepatitis

    This study will see what adults with MASH expect, need, and feel about their care before and after taking part in a cardiovascular health program in Barcelona.

    Recruiting at 2 sites Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau · Barcelona and 1 other locations · NCT07188220

  • UBT251 treatment for metabolic dysfunction-associated steatohepatitis (MASH)

    This trial will test whether daily UBT251 (2 mg, 4 mg, or 6 mg) for 48 weeks helps adults with biopsy-confirmed MASH and moderate fibrosis compared with placebo.

    Recruiting Phase 2 The United Bio-Technology (Hengqin) Co., Ltd. · Beijing, Beijing Municipality · NCT07145151

  • Testing Survodutide for Liver Disease in Patients with NASH/MASH

    This study is testing a new medication called survodutide to see if it can help adults with liver disease related to metabolic dysfunction feel better and improve their liver health.

    Recruiting at 497 sites Phase 3 Boehringer Ingelheim · Birmingham, Alabama and 531 other locations · NCT06632444

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.