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Phase III: Pegozafermin in Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Fibrosis (ENLIGHTEN-Fibrosis)

Clinical Trial Overview

A Phase 3 Study to Evaluate the Efficacy and Safety of Pegozafermin in Subjects With Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Fibrosis

Objective

The study will assess the efficacy and safety of 2 dose regimens of pegozafermin compared to placebo for the treatment of liver fibrosis stage F2 or F3 in adult participants with MASH

MASH: metabolic dysfunction-associated steatohepatitis
FGF21: fibroblast growth factor 21

Primary Endpoints

  • Number of Participants With at Least an Improvement of Fibrosis ≥1 Stage Without Worsening of Steatohepatitis at Week 52 [Time Frame: Week 52]
    • Worsening of steatohepatitis is defined as increase in non-alcoholic fatty liver disease (NAFLD) Activity Score (NAS) for ballooning, inflammation, or steatosis
  • Number of Participants With Resolution of Steatohepatitis Without Worsening of Fibrosis at Week 52 [Time Frame: Week 52]
    • Resolution of steatohepatitis is defined as total absence of ballooning (score=0) and absent or mild inflammation (score 0 to 1). Worsening of fibrosis is defined as progression of fibrosis by ≥1 stage.
  • Time to First Occurrence of Disease Progression [Time Frame: Up to 5 years]
    • Final analysis of the time to first occurrence of disease progression will be measured by a composite of protocol-specified clinical events

Secondary Endpoints

  • Percent Change from Baseline in Alanine Aminotransferase at Week 52 [Time Frame: Baseline, Week 52]
  • Absolute Change From Baseline in Enhanced Liver Fibrosis Score at Week 52 [Time Frame: Baseline, Week 52]

NAFLD: non-alcoholic fatty liver disease
NAS: NAFLD Activity Score

Inclusion and Exclusion Criteria

Key Inclusion Criteria Key Exclusion Criteria
  • Males or non-pregnant females aged between 18 and 80 years (inclusive) at time of signing the informed consent form
  • Biopsy-confirmed MASH with fibrosis stage F2 or F3
  • Body mass index at screening ≥25.0 kilograms (kg)/meters squared (m^2) (≥23 kg/m^2 for Asian participants).
  • Chronic liver diseases other than MASH
  • Evidence of cirrhosis on screening liver biopsy
  • Have type 1 diabetes or poorly controlled type 2 diabetes
  • Alanine aminotransferase or aspartate aminotransferase ≥250 units per liter
  • Participants taking vitamin E (>400 international units/day) or pioglitazone must be on stable dose for at least 6 months prior to Screening

MASH: metabolic dysfunction-associated steatohepatitis

Enrollment & Resources

Enrollment

For more information on eligibility criteria, view the study or reach out to our team.

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Web

ClinicalTrials.gov
Identifier: NCT06318169

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Phone

1-888-662-6728
(US and Canada)

Clinical Trial Site Locations

Clinical Trial Site Locations

For more information on recruitment status, or where the study is being conducted

Information is consistent with ClinicalTrials.gov as of December 17, 2025. Products under investigation have not been approved for use outside of the clinical trial setting. This information is presented only for the purposes of providing an overview of clinical trials and should not be construed as a recommendation for use of any product for unapproved purposes.

Looking for more information?

Reach out to a Genentech Medical Science Liaison near you, or connect with the contact center.

Call the Trial Information Support Team: 1-888-662-6728 Hours: Monday-Friday, 5am-5pm PT

  • MASH
    metabolic dysfunction-associated steatohepatitis

  • FGF21
    fibroblast growth factor 21

  • NAFLD
    non-alcoholic fatty liver disease

  • NAS
    NAFLD Activity Score