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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06465186
Registration number
NCT06465186
Ethics application status
Date submitted
13/06/2024
Date registered
18/06/2024
Date last updated
4/07/2025
Titles & IDs
Public title
A Clinical Study of Efinopegdutide in People With Compensated Cirrhosis Due to Steatohepatitis (MK-6024-017)
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Scientific title
Phase 2a Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy and Safety of Efinopegdutide (MK-6024) in Adults With Compensated Cirrhosis Secondary to Metabolic Dysfunction-Associated Steatohepatitis
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Secondary ID [1]
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2024-510923-20-00
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Secondary ID [2]
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6024-017
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Non-alcoholic Fatty Liver Disease
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Nonalcoholic Steatohepatitis
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NAFLD
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Metabolic Dysfunction-associated Steatotic Liver Disease
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Metabolic Dysfunction-associated Steatohepatitis
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cancer
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Liver
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Metabolic and Endocrine
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Metabolic disorders
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Diet and Nutrition
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - Efinopegdutide
Other interventions - Placebo
Experimental: Efinopegdutide - Participants will start efinopegdutide once a week at the lowest dose level. Then, the dose level will go up every month for three months until they are getting the highest dose level. Efinopegdutide is given as an injection under the skin (subcutaneous injection) for 28 weeks.
Placebo comparator: Placebo - Participants will receive placebo once a week. A placebo looks like the study medicine but has no study medicine in it. Using a placebo helps researchers better understand the effects of a study medicine.
Placebo is given as an injection under the skin (subcutaneous injection) for 28 weeks.
Other interventions: Efinopegdutide
Efinopegdutide is given as a subcutaneous injection using a single-use prefilled syringe, once per week for 28 weeks
Other interventions: Placebo
Placebo is given as a subcutaneous injection using a single-use prefilled syringe once per week for 28 weeks.
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change from Baseline in Liver Fat Content (LFC) at Week 28
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Assessment method [1]
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Researchers will measure the change in the amount of fat in the liver using magnetic resonance imaging (MRI) after about 7 months of treatment. The change in MRI-Estimated proton density fat fraction (PDFF) will be measured from baseline to 28 weeks.
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Timepoint [1]
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Baseline and 28 weeks
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Primary outcome [2]
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Percentage of Participants Who Experienced an Adverse Event (AE)
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Assessment method [2]
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An AE is a health problem that happens or worsens during the study
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Timepoint [2]
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Up to approximately 36 weeks
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Primary outcome [3]
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Percentage of Participants Discontinuing Study Medication Due to an AE
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Assessment method [3]
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An AE is a health problem that happens or worsens during a study. The percentage of participants who stop study treatment due to an AE will be reported.
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Timepoint [3]
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Up to approximately 28 weeks
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Secondary outcome [1]
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Change from Baseline in Iron-corrected T1 (cT1) at Week 28
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Assessment method [1]
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Researchers will measure the change in liver inflammation and scarring (fibrosis) after about 7 months of treatment. MRI measurement of cT1 mapping will be used to indicate the amount of liver inflammation and fibrosis. The change in cT1 mapping from baseline to 28 weeks will be presented.
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Timepoint [1]
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Baseline and up to 28 Weeks
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Secondary outcome [2]
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Change from Baseline in Enhanced Liver Fibrosis (ELF) score at Week 28
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Assessment method [2]
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Researchers will measure the change in liver scarring using biomarkers. Biomarkers are substances measured in blood that show normal or abnormal activity taking place in the liver. ELF is calculated using 3 markers of hepatic extracellular matrix turnover to generate a unitless numerical score. The change from baseline in ELF up to 28 weeks will be reported.
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Timepoint [2]
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Baseline and up to 28 weeks
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Secondary outcome [3]
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Change from Baseline in Propeptide of Type III Collagen (Pro-C3) at Week 28
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Assessment method [3]
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Researchers will measure the change in liver scarring using biomarkers. Pro-C3 is measured in serum; Increasing levels indicate worsening of fibrosis activity. The change in Pro-C3 from baseline to 28 weeks will be reported.
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Timepoint [3]
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Baseline and up to 28 weeks
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Secondary outcome [4]
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Change from Baseline in Fibrosis-4 index (FIB-4) at Week 28
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Assessment method [4]
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Researchers will measure the change in liver scarring using biomarkers. FIB-4 index is calculated using the participant's age and 3 serum markers (alanine aminotransferase \[ALT\], aspartate aminotransferase \[AST\], and platelet count). The change from baseline in FIB-4 after 28 weeks will be reported.
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Timepoint [4]
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Baseline and up to 28 weeks
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Secondary outcome [5]
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Change from Baseline in Liver Stiffness Measurement (LSM) Assessed by Vibration-controlled Transient Elastography (VCTE) at week 28
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Assessment method [5]
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Researchers will measure the change in liver scarring using ultrasound. LSM is measured using VCTE. The change from baseline in LSM after 28 weeks will be reported.
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Timepoint [5]
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Baseline and up to 28 weeks
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Secondary outcome [6]
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Percent Change from Baseline in Body Weight at Week 28
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Assessment method [6]
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Body weight will be measured using a standardized, digital scale. The percent change from baseline in body weight after 28 weeks will be reported
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Timepoint [6]
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Baseline and up to approximately 28 weeks
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Eligibility
Key inclusion criteria
The main inclusion criteria include but are not limited to the following:
* Has compensated cirrhosis caused by metabolic dysfunction-associated steatohepatitis (MASH)
* Has either type 2 diabetes that is controlled by diet or medication, or does not have type 2 diabetes
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
The main exclusion criteria include but are not limited to the following:
* Has history of a liver disease other than MASH, for example, Hepatitis B or C, drug-induced liver disease, or autoimmune liver disease
* Has history of type 1 diabetes
* Had a bariatric surgical procedure less than 5 years before entry into the study
* History of pancreatitis
* Major illnesses like recent (within 6 months of study entry) episodes of heart problems, such as congestive heart failure, unstable angina, heart attack, stroke, or mini-stroke
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/07/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
21/09/2026
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Actual
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Sample size
Target
80
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA,VIC
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Recruitment hospital [1]
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Flinders Medical Centre-Hepatology and Liver Transplant Medicine ( Site 1202) - Adelaide
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Recruitment hospital [2]
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St Vincent's Hospital-Gastroenterology Department ( Site 1205) - Melbourne
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Recruitment postcode(s) [1]
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5042 - Adelaide
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Recruitment postcode(s) [2]
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3065 - Melbourne
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Recruitment outside Australia
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United States of America
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Arizona
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United States of America
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California
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United States of America
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Colorado
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Florida
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Georgia
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United States of America
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Louisiana
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United States of America
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Maryland
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Michigan
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North Carolina
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Ontario
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Colombia
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Cundinamarca
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Colombia
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Valle Del Cauca
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France
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Aquitaine
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France
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Hauts-de-Seine
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France
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Limousin
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France
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Rhone-Alpes
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Israel
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Haifa
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Israel
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Jerusalem
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Israel
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Petah Tikva
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Japan
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Kanagawa
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Japan
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Kyoto
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Japan
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Osaka
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Japan
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Saga
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Guaynabo
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Puerto Rico
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San Juan
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Spain
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Cantabria
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Spain
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Castilla Y Leon
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Ciudad Real
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La Coruna
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Spain
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Barcelona
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Madrid
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Sevilla
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Thailand
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Krung Thep Maha Nakhon
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United Kingdom
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London, City Of
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United Kingdom
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Scotland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Merck Sharp & Dohme LLC
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Researchers are looking for ways to treat a type of liver disease caused by elevated liver fat, called metabolic dysfunction-associated steatohepatitis (MASH). MASH was formerly called non-alcoholic steatohepatitis (NASH). Researchers want to learn if a study medicine called efinopegdutide can treat MASH.The goals of this study are to learn: * If efinopegdutide can lower the amount of fat, inflammation, and scarring (fibrosis) in the liver * About the safety of efinopegdutide and how well people tolerate it
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Trial website
https://clinicaltrials.gov/study/NCT06465186
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Medical Director
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Address
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Merck Sharp & Dohme LLC
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Fax
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Email
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Contact person for public queries
Name
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Toll Free Number
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Address
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Phone
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1-888-577-8839
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Fax
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Email
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Trialsites@msd.com
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06465186
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