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A Pivotal Clinical Study to Investigate the Safety and Efficacy of Efimosfermin Compared With Placebo in Adult Participants With Compensated Cirrhosis Due to Metabolic Dysfunction-associated Steatohepatitis (MASH)

RecruitingPhase 3

A Phase 3, Double-blind, Randomized, Placebo Controlled, 2-arm Study to Investigate the Safety and Efficacy of Efimosfermin Alfa Injection in Adult Participants With Compensated Cirrhosis Due to Metabolic Dysfunction-associated Steatohepatitis (NEBULA-1)

Who can join

Ages 18 to 75 · All sexes

Full eligibility criteria
Inclusion Criteria:

* Participants aged between 18 and 75 years at enrollment.
* Participants with compensated cirrhosis due to MASH, confirmed by non-invasive assessments.
* Participants with history or presence of at least two components of metabolic syndrome.

Exclusion Criteria:

* Participants with other chronic liver diseases.
* Participants with evidence or history of decompensated liver disease or hepatocellular carcinoma.
* Participants with history of Type 1 diabetes mellitus or major Type 2 diabetes complications.
* Participants with history or evidence of chronic pancreatic disease; pancreatic injury or acute pancreatitis within 6 months before screening.
* Participants with a recent history or planned surgical procedures or medications intended to produce significant weight loss.
* Participants with alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>=5 times upper limit normal (ULN).
* Participants with current or history of excessive alcohol intake.

About the study

This study will investigate the safety and efficacy of efimosfermin alfa in participants with compensated cirrhosis due to MASH.

What is being tested

Sponsor: GlaxoSmithKline · Participants: 1,740 · Started: Jul 22, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07701993

Locations in the U.S.

ArkansasGSK Investigational Site, Little Rock
CaliforniaGSK Investigational Site, Folsom
GSK Investigational Site, Santa Maria
FloridaGSK Investigational Site, Cape Coral
GSK Investigational Site, Fort Myers
GSK Investigational Site, Hialeah
GSK Investigational Site, Homestead
GSK Investigational Site, Kissimmee
GSK Investigational Site, Lakeland
GSK Investigational Site, Miami
GSK Investigational Site, Miami
GSK Investigational Site, Ocala
GSK Investigational Site, University Park
MissouriGSK Investigational Site, St Louis
New YorkGSK Investigational Site, New York
North CarolinaGSK Investigational Site, Morehead City
OhioGSK Investigational Site, Westlake
TexasGSK Investigational Site, Arlington
GSK Investigational Site, Austin
GSK Investigational Site, Austin
GSK Investigational Site, Bellaire
GSK Investigational Site, Dallas
GSK Investigational Site, Humble
GSK Investigational Site, San Antonio
GSK Investigational Site, San Antonio
GSK Investigational Site, Waco
UtahGSK Investigational Site, West Jordan
VirginiaGSK Investigational Site, Manassas

Conditions

From ClinicalTrials.gov, data retrieved Nov 15, 2026. Each study sets its own eligibility; the study team decides who can join.