LIVERAGE™: A Study to Test Whether Survodutide Helps People With a Liver Disease Called NASH/MASH Who Have Moderate or Advanced Liver Fibrosis

Recruiting now · Phase 3 · Has a placebo group

Conditions studied: Metabolic Dysfunction Associated Steatohepatitis (MASH), Liver Fibrosis

In brief

This study is open to adults who are at least 18 years old living with obesity and have: * a confirmed liver disease called non-alcoholic steatohepatitis (NASH)/metabolic associated steatohepatitis (MASH) and * moderate or advanced liver fibrosis People with a history of acute or chronic liver diseases other than MASH or chronic alcohol intake cannot take part in this study. The purpose of this study is to find out whether a medicine called survodutide helps people with MASH and moderate or advanced liver fibrosis improve their liver function. This study has 2 parts. The purpose of the first part of this study is to find out the effect of survodutide on MASH and liver fibrosis. The purpose of the second part is to find out how safe and effective survodutide is in improving liver function. Participants are put into 2 groups randomly, which means by chance. 1 group gets survodutide and 1 group gets placebo. Placebo looks like survodutide but does not contain any medicine. Each participant has twice the chance of getting survodutide. Participants and doctors do not know who is in which group. Participants inject survodutide or placebo under their skin once a week. The survodutide doses are slowly increased until the target dose is reached. All participants receive counselling to make changes to their diet and to exercise regularly. Participants are in the study for up to 7 years. During this time, they regularly visit the study site or have remote visits by video call. For about the first year of the study, participants have these visits every 2 weeks, increasing to every 4 weeks and then every 6 weeks. After being in the study for a little over a year participants will then alternate between visiting the study site or having a remote visit every 3 months until the end of the study. The doctors check participants' health and take note of any unwanted effects. The participants' body weight and effects on the stomach and intestines are regularly measured. At some visits the liver is measured using different imaging methods. At 2 or 3 visits doctors take a small sample of liver tissue (biopsy). The participants also fill in questionnaires about their symptoms and quality of life. The results are compared between the groups to see whether the treatment works.

Key facts

Study ID

NCT06632444

Run by

Boehringer Ingelheim

People needed

1800

Starts

2024-09-17

Expected to finish

2031-12-27

Last updated by the study team

2026-07-09

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Male or female participants ≥18 years (or who are of legal age in countries where that is greater than 18 years) of age at time of consent
• Diagnosis of MASH (non-alcoholic fatty liver disease (NAFLD)) activity score [NAS] ≥4
• Stable body weight defined as less than 5% self-reported change in body weight 3 months prior to the screening or during the period between the historical biopsy and randomisation, if a historical biopsy is used
• Be willing to maintain a stable diet and physical activity levels throughout the entire trial Further inclusion criteria apply

You may not qualify if…

• Any of the following liver laboratory test abnormalities at screening:
• Serum AST and/or alanine aminotransferase (ALT) elevation ≥5x upper limit of normal (ULN)
• Platelet count <140 000/mm\^3 (<140 GI/L)
• Alkaline phosphatase >2x upper limit of normal (ULN)
• Abnormal synthetic liver function as defined by screening central laboratory evaluation:
• Albumin below <3.5 g/dL (35.0 g/L)
• OR International normalised ratio (INR) of prothrombin time >1.3
• OR total serum bilirubin concentration ≥1.5x ULN
• Any history or evidence of acute or chronic liver disease other than MASH
• Histologically documented liver cirrhosis (fibrosis stage F4), either at screening or in a historical biopsy
• History of or current diagnosis of hepatocellular carcinoma
• History of or planned liver transplant
• Inability or unwillingness to undergo a liver biopsy at screening (if a suitable historical biopsy is unavailable for central review), or during trial conduct.
• History of portal hypertension or presence of decompensated liver disease
• Model for end-stage liver disease (MELD) score ≥12 due to liver disease. Further exclusion criteria apply

Where it is running

• Acclaim Clinical Research — San Diego, California, United States (enrolling)
• Velocity Clinical Research, Van Nuys — Van Nuys, California, United States (enrolling)
• The Institute for Liver Health II DBA Arizona Clinical Trials — Peoria, Arizona, United States (enrolling)
• Inland Empire Clinical Trials, LLC — Rialto, California, United States (enrolling)
• Scottsdale Medical Specialists, Ltd — Scottsdale, Arizona, United States (enrolling)
• Hope Clinical Research — Canoga Park, California, United States (enrolling)
• Velocity Clinical Research-Chula Vista — Chula Vista, California, United States (enrolling)
• Adobe Clinical Research, LLC — Tucson, Arizona, United States (enrolling)
• ARK Clinical Research — Fountain Valley, California, United States (enrolling)
• Arizona Liver Health - Tucson — Tucson, Arizona, United States (enrolling)
• Del Sol Research Management, LLC — Tucson, Arizona, United States (enrolling)
• Velocity Clinical Research-Huntington Park — Huntington Park, California, United States (enrolling)
• 310 Clinical Research — Inglewood, California, United States (enrolling)
• Velocity Clinical Research, San Diego — La Mesa, California, United States (enrolling)
• Om Research, LLC — Lancaster, California, United States (enrolling)
• ARK Clinical Research — Long Beach, California, United States (enrolling)
• Delta Research Partners, LLC — Los Angeles, California, United States (enrolling)
• Southern California Research Center — Coronado, California, United States (enrolling)
• Catalina Research Institute, LLC — Montclair, California, United States (enrolling)
• Clinnova Research Solutions — Orange, California, United States (enrolling)
• Fomat Medical Research — Oxnard, California, United States (enrolling)
• Fresno Clinical Research Center — Fresno, California, United States (enrolling)
• Cadena Care Institute, LLC — Poway, California, United States (enrolling)
• Velocity Clinical Research-Gardena-69773 — Gardena, California, United States (enrolling)
• Om Research, LLC — Victorville, California, United States (enrolling)

Full record on ClinicalTrials.gov

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