A Study of BOS-580 in Obese Subjects at Risk for, or With Biopsy-confirmed, Nonalcoholic Steatohepatitis (NASH) With an Extension

NCT ID: NCT04880031

Last Updated: 2025-10-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

231 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-30

Study Completion Date

2025-10-27

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is a randomized, blinded, placebo-controlled study of Efimosfermin in obese participants at risk for, or with biopsy-confirmed, nonalcoholic steatohepatitis (NASH), with a single arm open-label extension. It includes Parts A, B, C and D.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Nonalcoholic Steatohepatitis (NASH)

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Part C - Open Label; Part D - Open Label

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Cohort A1: Efimosfermin Dose 1 or placebo (PBO)

Group Type EXPERIMENTAL

Efimosfermin

Intervention Type DRUG

Efimosfermin will be administered by subcutaneous injection

Placebo

Intervention Type DRUG

Placebo will be administered by subcutaneous injection

Cohort A2: Efimosfermin Dose 2 or PBO

Group Type EXPERIMENTAL

Efimosfermin

Intervention Type DRUG

Efimosfermin will be administered by subcutaneous injection

Placebo

Intervention Type DRUG

Placebo will be administered by subcutaneous injection

Cohort A3: Efimosfermin Dose 3 or PBO

Group Type EXPERIMENTAL

Efimosfermin

Intervention Type DRUG

Efimosfermin will be administered by subcutaneous injection

Placebo

Intervention Type DRUG

Placebo will be administered by subcutaneous injection

Cohort A4: Efimosfermin Dose 4 or PBO

Group Type EXPERIMENTAL

Efimosfermin

Intervention Type DRUG

Efimosfermin will be administered by subcutaneous injection

Placebo

Intervention Type DRUG

Placebo will be administered by subcutaneous injection

Cohort A5: Efimosfermin Dose 5 or PBO

Group Type EXPERIMENTAL

Efimosfermin

Intervention Type DRUG

Efimosfermin will be administered by subcutaneous injection

Placebo

Intervention Type DRUG

Placebo will be administered by subcutaneous injection

Part B: Efimosfermin Dose 1 or PBO

Group Type EXPERIMENTAL

Efimosfermin

Intervention Type DRUG

Efimosfermin will be administered by subcutaneous injection

Placebo

Intervention Type DRUG

Placebo will be administered by subcutaneous injection

Part C: Efimosfermin Dose 1

Group Type EXPERIMENTAL

Efimosfermin

Intervention Type DRUG

Efimosfermin will be administered by subcutaneous injection

Part D: Efimosfermin Dose 6 or PBO

Group Type EXPERIMENTAL

Efimosfermin

Intervention Type DRUG

Efimosfermin will be administered by subcutaneous injection

Placebo

Intervention Type DRUG

Placebo will be administered by subcutaneous injection

Part D: Efimosfermin Dose 1 or PBO

Group Type EXPERIMENTAL

Efimosfermin

Intervention Type DRUG

Efimosfermin will be administered by subcutaneous injection

Placebo

Intervention Type DRUG

Placebo will be administered by subcutaneous injection

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Efimosfermin

Efimosfermin will be administered by subcutaneous injection

Intervention Type DRUG

Placebo

Placebo will be administered by subcutaneous injection

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

BOS-580

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Participant is either male or female and 18 to 75 years of age inclusive, at the time of signing the informed consent
* Obese participants with body mass index (BMI) of ≥ 27 kg/m\^2
* Hepatic fat fraction (HFF) measured by magnetic resonance imaging derived proton density fat fraction (MRI-PDFF) ≥8%
* Liver fibrosis assessment based on a vibration controlled transient elastography (VCTE) liver stiffness measurement (LSM) score of 7.0 to 9.9 kPa (Part A only) inclusive or 7.0 to 20.0 kPa (Part B only) inclusive and Liver injury assessment measured by aspartate aminotransferase (AST) \>25U/L. A qualifying historical biopsy (confirmed eligibility based on the central pathology read) supersedes the LSM, controlled attenuation parameter (CAP) score criteria and AST criteria.
* Histopathologically confirmed F2 or F3 stage NASH on a diagnostic liver biopsy performed during Screening or within 6 months prior to the first day of dosing for historical biopsies (Part B only).
* History or presence of at least 2 of 4 components of metabolic syndrome: obesity/overweight, dyslipidemia (high triglycerides and/or low high density lipoprotein \[HDL\]), type 2 diabetes with elevated glycated hemoglobin (HbA1c), and hypertension.


* Participant must have completed the Part B of the study.
* Participant willing to undergo liver biopsy at Week 56
* NASH F stage \<F4 at 24 week assessment in Part B


* BMI of ≥ 25 kg/m\^2
* Liver fibrosis based on assessments taken during screening visit
* Participant should be willing and able to undergo liver biopsy during Screening (if a historical biopsy within 12 months prior to Screening is not available) and per protocol as judged by the Investigator.

Exclusion Criteria

* Documented clinical, laboratory or radiologic evidence of cirrhosis (compensated or decompensated)
* Triglycerides ≥ 500 mg/dL
* Change in body weight (more than 5% self-reported OR 5 kg self-reported change during the previous 3 months from Screening, whichever is smaller)
* History of type 1 diabetes, diabetic ketoacidosis, or positive glutamic acid decarboxylase (GAD) auto-antibodies (latent autoimmune diabetes in adults)
* Hemoglobin A1c \> 9.5%
* Participants with a condition that requires substantial anticoagulant medication may not be eligible for the study enrollment (e.g., deep vein thrombosis).


• Participants that received their 24 week dose in Part B \> 10 weeks prior to enrollment into Part C


* Other causes of chronic liver disease
* Documented evidence or history of decompensated liver cirrhosis.
* History of type 1 diabetes or poorly controlled type 2 diabetes.
* History of malignancy.
* Use of other investigational drugs.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

GSK Research and Development Limited

UNKNOWN

Sponsor Role collaborator

Boston Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Central Research Associates

Birmingham, Alabama, United States

Site Status

Arizona Liver Health

Chandler, Arizona, United States

Site Status

Arizona Liver Health

Peoria, Arizona, United States

Site Status

Arizona Liver Health

Tucson, Arizona, United States

Site Status

Liver Institute PPLC

Tucson, Arizona, United States

Site Status

QLMC

Tucson, Arizona, United States

Site Status

Alliance Research Institute

Canoga Park, California, United States

Site Status

Ark Clinical Research

Fountain Valley, California, United States

Site Status

Fresno Clinical Research Center

Fresno, California, United States

Site Status

Catalina Research Institute

Montclair, California, United States

Site Status

Knowledge Research Center

Orange, California, United States

Site Status

FOMAT Medical Research

Oxnard, California, United States

Site Status

Inland Empire Clinical Trials

Rialto, California, United States

Site Status

Southwest General Healthcare Center

Fort Myers, Florida, United States

Site Status

Covenant Metabolic Specialists - Fort Myers

Fort Myers, Florida, United States

Site Status

Evolution Clinical Trials

Hialeah Gardens, Florida, United States

Site Status

Entrust Clinical Research Center

Kendall, Florida, United States

Site Status

Galenus Group

Lehigh Acres, Florida, United States

Site Status

G+C Research Group

Miami, Florida, United States

Site Status

Miami Clinical Research

Miami, Florida, United States

Site Status

Advanced Clinical Research

Miami, Florida, United States

Site Status

Admed Research

Miami, Florida, United States

Site Status

Century Research

Miami, Florida, United States

Site Status

Panex Clinical Research

Miami Lakes, Florida, United States

Site Status

Charter Research

Orlando, Florida, United States

Site Status

Progressive Medical Research

Port Orange, Florida, United States

Site Status

Covenant Metabolic Specialists - Sarasota

Sarasota, Florida, United States

Site Status

Tandem Clinical Research

Marrero, Louisiana, United States

Site Status

Kansas City Research Institute

Kansas City, Missouri, United States

Site Status

Coastal Research Institute, LLC

Fayetteville, North Carolina, United States

Site Status

Lillestol Research LLC

Fargo, North Dakota, United States

Site Status

Velocity Clinical Research

East Greenwich, Rhode Island, United States

Site Status

Accelemed Research

Austin, Texas, United States

Site Status

Pinnacle Clinical Research - Austin

Austin, Texas, United States

Site Status

Texas Liver Institute - Austin

Austin, Texas, United States

Site Status

Apex Mobile Clinical Research

Bellaire, Texas, United States

Site Status

South Texas Research Institute-Brownsville

Brownsville, Texas, United States

Site Status

South Texas Research Institute-Edinburg

Edinburg, Texas, United States

Site Status

Pinnacle Clinical Research - Georgetown

Georgetown, Texas, United States

Site Status

Houston Research Institute

Houston, Texas, United States

Site Status

LinQ Research, LLC

Pearland, Texas, United States

Site Status

Quality Research, Inc

San Antonio, Texas, United States

Site Status

American Research Corporation at Texas Liver Institute

San Antonio, Texas, United States

Site Status

Pinnacle Clinical Research - San Antonio

San Antonio, Texas, United States

Site Status

Velocity Clinical Research - Waco

Waco, Texas, United States

Site Status

Olympus Family Medicine

Salt Lake City, Utah, United States

Site Status

South Ogden Family Medicine

South Ogden, Utah, United States

Site Status

Liver Institute NorthWest

Seattle, Washington, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

References

Explore related publications, articles, or registry entries linked to this study.

Loomba R, Kowdley KV, Rodriguez J, Kim NJ, Alvarez AM, Morrow L, Jeglinski B, Clawson A, Chowdhury S, Bain G, Odrljin T. Efimosfermin alfa (BOS-580), a long-acting FGF21 analogue, in participants with phenotypic metabolic dysfunction-associated steatohepatitis: a multicentre, randomised, double-blind, placebo-controlled, phase 2a trial. Lancet Gastroenterol Hepatol. 2025 Aug;10(8):734-745. doi: 10.1016/S2468-1253(25)00067-6. Epub 2025 Jun 6.

Reference Type DERIVED
PMID: 40484014 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

301182 (BOS-580-201)

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Phase 2b Study of GSK4532990 in Adults With NASH
NCT05583344 ACTIVE_NOT_RECRUITING PHASE2