Trial to Evaluate ALN-CIDEB in Adults With Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)

NCT07854782 — Phase 3, Not yet recruiting, 1500 participants, Regeneron Pharmaceuticals

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A Phase 3, Randomized, Double-blind, Placebo-controlled Trial of ALN-CIDEB in Adults With Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)

RegistryNCT07854782
StatusNot yet recruiting
PhasePhase 3
Study typeInterventional; randomized, parallel, masking: quadruple, treatment
Enrollment1500 (Estimated)
SponsorRegeneron Pharmaceuticals (Industry)
ConditionsMetabolic Dysfunction-Associated Steatotic Liver Disease, MASLD
InterventionsALN-CIDEB, Placebo (Drug)
Datesstart 2026-11-06 (estimated), primary completion 2029-03-03 (estimated), completion 2029-03-03 (estimated), first posted 2026-10-02, last updated 2026-10-02

Related Papers Related Patents Related Grants Related Experts
All trials for Metabolic Dysfunction-Associated Steatotic Liver Disease All trials for MASLD All trials of ALN-CIDEB All trials of Placebo

-Summary

This study will test a Regeneron study drug called ALN-CIDEB to find out whether it may help treat a liver disease called metabolic dysfunction-associated steatohepatitis (MASH). MASH is more advanced stage of a broader liver disease, MASLD. MASLD is a liver condition caused by too much fat building up in the liver. This can lead to liver scarring and inflammation and can reduce the liver's ability to keep the body healthy. Cell death-inducing DFFA-like effector B (CIDEB) is a protein made by liver cells that helps the liver to store fat.

The study is looking at:

* What side effects ALN-CIDEB might cause
* How well ALN-CIDEB works to change liver fat, liver injury, and liver scarring
* How ALN-CIDEB could affect the body and the liver, which can help researchers understand why ALN-CIDEB works better for some people than others

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+Arms and interventions

ArmTypeInterventionsDescription
ALN-CIDEB Dose Level 1ExperimentalDrug: ALN-CIDEB
ALN-CIDEB Dose Level 2ExperimentalDrug: ALN-CIDEB
PlaceboPlacebo comparatorDrug: Placebo
  • ALN-CIDEB (Drug): Administered per the protocol
  • Placebo (Drug): Administered per the protocol

+Outcome measures

Primary outcomes

  • Occurrence of Treatment Emergent Adverse Events (TEAEs) [Through Week 64]
  • Severity of TEAEs [Through Week 64]

Secondary outcomes

  • Change from Baseline in FibroScan Controlled Attenuation Parameter (CAP) [At Week 52]
  • Change from Baseline in FibroScan Liver Stiffness Measurement (LSM) by Vibration Controlled Transient Elastography (VCTE) [At Week 52]
  • Change from Baseline in Aspartate Aminotransferase (AST) [Through Week 64]
  • Change from Baseline in Alanine Aminotransferase (ALT) [Through Week 64]

+Eligibility

Sex: All, ages: 18 Years to 75 Years

Key Inclusion Criteria:

1. Has a clinical diagnosis of MASLD, as defined in the protocol
2. Has a liver stiffness measurement between 6 and 20 kilopascals (kPa), as measured by a FibroScan® scan during screening or within approximately 3 months of screening, as defined in the protocol

Key Exclusion Criteria:

1. Has a known chronic liver disease other than MASLD, as determined by the investigator, as defined in the protocol
2. Has prior or current suspected or known drug-induced liver injury within approximately 1 year prior to screening
3. Has a history of liver transplantation, current placement on a liver transplant list, or Model for End-Stage Liver Disease (MELD) score >12
4. Has a known history of alcohol or other substance abuse within the last year or at any time during screening based on investigator's discretion
5. Has prior, current, or planned future use (during the treatment period) of a GLP-1 receptor agonist-based therapy or any medication approved for the treatment of MASH (eg, resmetirom) unless used at a generally stable dose and regimen since at least 3 months prior to screening visit and throughout the screening period with no change to the dose or regimen anticipated during the treatment period, as defined in the protocol
6. Has evidence of uncontrolled human immunodeficiency virus (HIV) infection, hepatitis B virus (HBV) infection, or hepatitis C virus (HCV) infection during screening, as defined in the protocol

NOTE: Other Protocol-defined Inclusion/Exclusion Criteria Apply

+Investigators

  • Clinical Trial Management, Study director, Regeneron Pharmaceuticals