A Study of Efruxifermin in Non-Cirrhotic Subjects With Histologically Confirmed Nonalcoholic Steatohepatitis (NASH)

NCT ID: NCT04767529

Last Updated: 2025-06-18

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-16

Study Completion Date

2024-05-02

Brief Summary

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This is a multi-center evaluation of efruxifermin (EFX) in a randomized, double-blind, placebo-controlled study in non-cirrhotic subjects with biopsy-proven F2 - F3 NASH.

Detailed Description

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Conditions

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NASH - Nonalcoholic Steatohepatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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placebo

double-blind, once-weekly subcutaneous injection

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

subcutaneous injection

Efruxifermin 28 mg

double-blind, once-weekly subcutaneous injection

Group Type EXPERIMENTAL

Efruxifermin

Intervention Type DRUG

subcutaneous injection

Efruxifermin 50 mg

double-blind, once-weekly subcutaneous injection

Group Type PLACEBO_COMPARATOR

Efruxifermin

Intervention Type DRUG

subcutaneous injection

Interventions

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Efruxifermin

subcutaneous injection

Intervention Type DRUG

Placebo

subcutaneous injection

Intervention Type DRUG

Other Intervention Names

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EFX

Eligibility Criteria

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Inclusion Criteria

* Males and non-pregnant, non-lactating females between 18 - 75 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.
* FibroScan measurement \> 8.5 kPa \[kilopascal\].
* Biopsy-proven NASH. Must have had a liver biopsy obtained ≤ 180 days prior to randomization with fibrosis stage 2 to 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).

Exclusion Criteria

* Weight loss \> 5% in the 3 months prior to screening until randomization or from the time of the diagnostic liver biopsy until randomization, whichever is longer.
* Presence of cirrhosis on liver biopsy (stage 4 fibrosis).
* Type 1 or uncontrolled Type 2 diabetes.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Akero Therapeutics, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Akero Study Director

Role: STUDY_DIRECTOR

Study Director

Locations

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Akero Clinical Study Site

Chandler, Arizona, United States

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Akero Clinical Study Site

Glendale, Arizona, United States

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Akero Clinical Study Site

Tucson, Arizona, United States

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Akero Clinical Study Site

North Little Rock, Arkansas, United States

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Akero Clinical Study Site

Chula Vista, California, United States

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Akero Clinical Study Site

Fresno, California, United States

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Akero Clinical Study Site

La Jolla, California, United States

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Akero Clinical Study Site

Los Angeles, California, United States

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Akero Clinical Study Site

Los Angeles, California, United States

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Los Angeles, California, United States

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Orange, California, United States

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Akero Clinical Study Site

Panorama City, California, United States

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Rialto, California, United States

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Santa Ana, California, United States

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Akero Clinical Study Site

Fort Myers, Florida, United States

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Akero Clinical Study Site

Inverness, Florida, United States

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Akero Clinical Study Site

Lakewood Rch, Florida, United States

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Akero Clinical Study Site

Miami, Florida, United States

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Miami, Florida, United States

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Akero Clinical Study Site

Miami Lakes, Florida, United States

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Ocala, Florida, United States

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Sarasota, Florida, United States

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Akero Clinical Study Site

Marietta, Georgia, United States

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Topeka, Kansas, United States

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Baton Rouge, Louisiana, United States

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Akero Clinical Study Site

Marrero, Louisiana, United States

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Akero Clinical Study Site

Ypsilanti, Michigan, United States

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Flowood, Mississippi, United States

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Jackson, Mississippi, United States

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Las Vegas, Nevada, United States

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Charlotte, North Carolina, United States

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Akero Clinical Study Site

Durham, North Carolina, United States

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Akero Clinical Study Site

Morehead City, North Carolina, United States

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Akero Clinical Study Site

Cincinnati, Ohio, United States

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Akero Clinical Study Site

Greenville, South Carolina, United States

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Akero Clinical Study Site

Hermitage, Tennessee, United States

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Akero Clinical Study Site

Nashville, Tennessee, United States

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Akero Clinical Study Site

Arlington, Texas, United States

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Akero Clinical Study Site

Austin, Texas, United States

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Akero Clinical Study Site

Cedar Park, Texas, United States

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Akero Clinical Study Site

Dallas, Texas, United States

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Akero Clinical Study Site

Dallas, Texas, United States

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Akero Clinical Study Site

Edinburg, Texas, United States

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Akero Clinical Study Site

Fort Worth, Texas, United States

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Akero Clinical Study Site

Garland, Texas, United States

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Akero Clinical Study Site

Houston, Texas, United States

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Akero Clinical Study Site

San Antonio, Texas, United States

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Akero Clinical Study Site

San Antonio, Texas, United States

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Akero Clinical Study Site

San Antonio, Texas, United States

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Akero Clinical Study Site

San Marcos, Texas, United States

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Akero Clinical Study Site

Webster, Texas, United States

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Akero Clinical Study Site

Charlottesville, Virginia, United States

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Akero Clinical Study Site

Richmond, Virginia, United States

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Akero Clinical Study Site

Richmond, Virginia, United States

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Akero Clinical Study Site

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Harrison SA, Frias JP, Neff G, Abrams GA, Lucas KJ, Sanchez W, Gogia S, Sheikh MY, Behling C, Bedossa P, Shao L, Chan D, Fong E, de Temple B, Shringarpure R, Tillman EJ, Rolph T, Cheng A, Yale K; HARMONY Study Group. Safety and efficacy of once-weekly efruxifermin versus placebo in non-alcoholic steatohepatitis (HARMONY): a multicentre, randomised, double-blind, placebo-controlled, phase 2b trial. Lancet Gastroenterol Hepatol. 2023 Dec;8(12):1080-1093. doi: 10.1016/S2468-1253(23)00272-8. Epub 2023 Oct 3.

Reference Type BACKGROUND
PMID: 37802088 (View on PubMed)

Noureddin M, Frias JP, Neff GW, Lucas KJ, Behling C, Bedossa P, Dubourg J, Chan D, Burch M, Fong E, de Temple B, Minerva M, Barrett K, Shringarpure R, Tillman EJ, Rolph T, Cheng A, Yale K. Safety and efficacy of once-weekly efruxifermin versus placebo in metabolic dysfunction-associated steatohepatitis (HARMONY): 96-week results from a multicentre, randomised, double-blind, placebo-controlled, phase 2b trial. Lancet. 2025 Aug 16;406(10504):719-730. doi: 10.1016/S0140-6736(25)01073-6.

Reference Type DERIVED
PMID: 40818852 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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AK-US-001-0102

Identifier Type: -

Identifier Source: org_study_id

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