ClinicalTrials.gg
Active, not recruitingNCT05583344HORIZONUpdated Sep 18, 2026

Phase 2b Study of GSK4532990 in Adults With NASH

A Phase 2 interventional study of GSK4532990 and Placebo in Nonalcoholic Fatty Liver Disease and Non-alcoholic Fatty Liver Disease, sponsored by GlaxoSmithKline. Active, not recruiting at 170 sites in 17 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
284
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to measure improvements in liver fibrosis and inflammation with GSK4532990 compared with placebo in participants with NASH and advanced fibrosis on biopsy (F3 or F4). The study duration will be up to 76 weeks including the screening period. The treatment duration will be up to 52 weeks.

02

Conditions studied

  • Nonalcoholic Fatty Liver Disease
  • Non-alcoholic Fatty Liver Disease

Keywords

  • 17β-Hydroxysteroid Dehydrogenase type 13 Minimization for the treatment of NASH (HORIZON)
  • GSK4532990
  • Non-alcoholic steatohepatitis (NASH)
  • Non-alcoholic fatty liver disease (NAFLD)
03

In context

Non-alcoholic Fatty Liver Disease

1,617 studies on the registry are indexed under Non-alcoholic Fatty Liver Disease; 324 are open to participants now.

This study's enrollment of 284 is above the median of 60 across 1,176 interventional studies indexed under Non-alcoholic Fatty Liver Disease.

Browse Non-alcoholic Fatty Liver Disease studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,650 studies on the registry; 118 are open to participants now.

Of its 264 completed or terminated interventional studies of FDA-regulated products, 241 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • (BMI) ≥25 kilogram per meter square (kg/m\^2) (all ethnic origins) except for Asian participants who qualify for the study with BMI ≥23 kg/m2 at Screening.
  • In the opinion of the investigator, there are features of metabolic syndrome and NAFLD is the most likely cause of liver disease. Metabolic syndrome may include type 2 diabetes mellitus (T2DM), obesity, dyslipidemia and hypertension.
  • A liver at baseline showing NAFLD Activity Score (NAS) >=4 with at least 1 point each in steatosis, inflammation and ballooning and either Fibrosis 3 or Fibrosis 4 using NASH CRN Scoring System.
  • Able and willing to comply with all study assessments, including a liver biopsy at Week 52.

Exclusion criteria

Exclusion Criteria:

  • Current alcohol consumption ≥14 standard drinks (24 units, 196 g ethanol) per week for females or ≥21 standard drinks (37 units, 294g ethanol) per week for males.
  • Weight reduction surgery or procedures (including gastric banding and intragastric balloon insertion) within 2 years of Screening 1 and/or planned during the study.
  • History of cancer within previous 2 years from Screening 1, except basal or squamous cell carcinoma of the skin or in situ cervical carcinoma or any other type of cancer which has been treated medically or surgically with curative outcome.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
284 participants (actual)

Study arms

  • Experimental
    High Dose GSK4532990

    Drug: GSK4532990

  • Experimental
    Low Dose GSK4532990

    Drug: GSK4532990

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • GSK4532990 will be administered.

  • DrugPlacebo

    Placebo will be administered.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving ≥ 1 Stage Improvement in Histological Fibrosis with no Worsening of NASH - F3 Cohort

    Improvement in histological fibrosis is assessed with Clinical research network (CRN) Scoring. No worsening of NASH is defined as no increase in the NAFLD Activity Score (NAS) for steatosis, ballooning, or inflammation.

    Time frame: At Week 52

  2. Percentage of Participants Achieving NASH Resolution with no Worsening of Fibrosis - F3 Cohort

    NASH resolution is defined as a ballooning score of 0 and an inflammation score of 0-1. No worsening of fibrosis is defined as no increase in CRN fibrosis score.

    Time frame: At Week 52

Secondary outcomes

  1. Percentage of Participants Achieving ≥ 1 Stage Improvement in Histological Fibrosis with no Worsening of NASH - Pooled Cohort (F3 participants and F4 participants)

    Improvement in histological fibrosis is assessed with Clinical research network (CRN) Scoring. No worsening of NASH is defined as no increase in the NAFLD Activity Score (NAS) for steatosis, ballooning, or inflammation.

    Time frame: At Week 52

  2. Percentage of Participants Achieving NASH Resolution with no Worsening of Fibrosis - Pooled Cohort (F3 participants and F4 participants)

    NASH resolution is defined as a ballooning score of 0 and an inflammation score of 0-1. No worsening of fibrosis is defined as no increase in CRN fibrosis score.

    Time frame: At Week 52

  3. Change from baseline in Pro-peptide of type III collagen (Pro-C3) - F3 Cohort

    Time frame: Baseline (Day 1) and at Week 24 and 52

  4. Change from baseline in liver fat using Magnetic resonance imaging-proton density fat fraction (MRI-PDFF) - F3 Cohort

    Time frame: Baseline (Day 1) and at Week 24 and 52

  5. Change from baseline in Liver stiffness measurement (LSM) by Vibration-controlled transient elastography (VCTE) - F3 Cohort

    Time frame: Baseline (Day 1) and at Week 24 and 52

  6. Change from baseline in Enhanced Liver Fibrosis (ELF) Score - F3 Cohort

    The ELF score will be calculated using a published algorithm combining the values of a set of extracellular matrix markers, including tissue inhibitor of metalloproteinases-1 (TIMP-1), type III procollagen (PIIINP), and hyaluronic acid (HA). The ELF score is used as a prognostic marker for disease progression: ELF score \< 9.8 : Low risk of progression, ELF score 9.8 to \< 11.3 : Moderate risk of progression and ELF score \> = 11.3 : High risk of progression.

    Time frame: Baseline (Day 1) and at Week 24 and 52

  7. Percentage of Participants Achieving ≥30% relative reduction in liver fat from baseline using MRI-PDFF at Week 24- F3 Cohort

    Time frame: At Week 24

  8. Percentage of Participants Achieving ≥30% relative reduction in liver fat from baseline using MRI-PDFF at Week 52 - F3 Cohort

    Time frame: At Week 52

  9. Change from Baseline in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Gamma-glutamyl transferase (GGT) (Units Per Liter) - F3 Cohort

    Time frame: Baseline (Day 1) and at Week 24 and 52

  10. Change from baseline in Pro-peptide of type III collagen (Pro-C3) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Baseline (Day 1) and at Week 24 and 52

  11. Change from baseline in liver fat using Magnetic resonance imaging-proton density fat fraction (MRI-PDFF) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Baseline (Day 1) and at Week 24 and 52

  12. Change from baseline in Liver stiffness measurement (LSM) by Vibration-controlled transient elastography (VCTE) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Baseline (Day 1) and at Week 24 and 52

  13. Change from baseline in Enhanced Liver Fibrosis (ELF) Score - Pooled Cohort (F3 participants and F4 participants)

    The ELF score will be calculated using a published algorithm combining the values of a set of extracellular matrix markers, including tissue inhibitor of metalloproteinases-1 (TIMP-1), type III procollagen (PIIINP), and hyaluronic acid (HA). The ELF score is used as a prognostic marker for disease progression: ELF score \< 9.8 : Low risk of progression, ELF score 9.8 to \< 11.3 : Moderate risk of progression and ELF score \> = 11.3 : High risk of progression.

    Time frame: Baseline (Day 1) and at Week 24 and 52

  14. Percentage of Participants Achieving ≥30% relative reduction in liver fat from baseline using MRI-PDFF at Week 24 - Pooled Cohort (F3 participants and F4 participants)

    Time frame: At Week 24

  15. Percentage of Participants Achieving ≥30% relative reduction in liver fat from baseline using MRI-PDFF at Week 52 - Pooled Cohort (F3 participants and F4 participants)

    Time frame: At Week 52

  16. Change from Baseline in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Gamma-glutamyl transferase (GGT) (Units Per Liter) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Baseline (Day 1) and at Week 24 and 52

  17. Percentage of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) - F3 Cohort

    Time frame: Up to Week 66

  18. Change from Baseline in Vital Signs - Blood Pressure (millimeters of Mercury) - F3 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  19. Change from Baseline in Vital Signs - Temperature (Celsius) - F3 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  20. Change from Baseline in Vital Signs - Heart Rate (Beats per minute) - F3 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  21. Change from Baseline in Vital Signs - Respiratory Rate (Breaths per minute) - F3 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  22. Change From Baseline in Clinical Chemistry Parameter: total bilirubin, direct Bilirubin and creatinine (Micromoles per Liter) - F3 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  23. Percentage of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) - F4 Cohort

    Time frame: Up to Week 66

  24. Change from Baseline in Vital Signs - Blood Pressure (millimeters of Mercury) - F4 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  25. Change from Baseline in Vital Signs - Temperature (Celsius) - F4 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  26. Change from Baseline in Vital Signs - Heart Rate (Beats per minute) - F4 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  27. Change from Baseline in Vital Signs - Respiratory Rate (Breaths per minute) - F4 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  28. Change From Baseline in Clinical Chemistry Parameter: total bilirubin, direct Bilirubin and creatinine (Micromoles per Liter) - F4 Cohort

    Time frame: Baseline (Day 1) and up to Week 52

  29. Percentage of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Up to Week 66

  30. Change from Baseline in Vital Signs - Blood Pressure (millimeters of Mercury) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Baseline (Day 1) and up to Week 52

  31. Change from Baseline in Vital Signs - Temperature (Celsius) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Baseline (Day 1) and up to Week 52

  32. Change from Baseline in Vital Signs - Heart Rate (Beats per minute) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Baseline (Day 1) and up to Week 52

  33. Change from Baseline in Vital Signs - Respiratory Rate (Breaths per minute) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Baseline (Day 1) and up to Week 52

  34. Change From Baseline in Clinical Chemistry Parameter: total bilirubin, direct Bilirubin and creatinine (Micromoles per Liter) - Pooled Cohort (F3 participants and F4 participants)

    Time frame: Baseline (Day 1) and up to Week 52

  35. Area under the concentration-time curve from time zero (pre-dose) to the last quantifiable concentration (AUC0-t) of GSK4532990 - F3 Cohort

    Time frame: Pre-dose (Day 1), 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours post dose

  36. Maximum observed concentration (Cmax) of GSK4532990- F3 Cohort

    Time frame: Pre-dose (Day 1), 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours post dose

  37. Percentage of Participants with Anti-drug Antibodies (ADA) to GSK4532990- F3 Cohort

    Time frame: Up to Week 52

  38. Area under the concentration-time curve from time zero (pre-dose) to the last quantifiable concentration (AUC0-t) of GSK4532990 - F4 Cohort

    Time frame: Pre-dose (Day 1), 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours post dose

  39. Maximum observed concentration (Cmax) of GSK4532990- F4 Cohort

    Time frame: Pre-dose (Day 1), 0.25, 0.5, 1, 2, 4, 8, 12 and 24 hours post dose

  40. Percentage of Participants with Anti-drug Antibodies (ADA) to GSK4532990- F4 Cohort

    Time frame: Up to Week 52

07

Study locations

170 sites
  • GSK Investigational Site
    Homewood, Alabama 35209-2629, United States
  • GSK Investigational Site
    Chandler, Arizona 85224, United States
  • GSK Investigational Site
    Chandler, Arizona 85712, United States
  • GSK Investigational Site
    Mesa, Arizona 85381, United States
  • GSK Investigational Site
    Jonesboro, Arkansas 72401, United States
  • GSK Investigational Site
    North Little Rock, Arkansas 72117, United States
  • GSK Investigational Site
    Huntington Park, California 90255, United States
  • GSK Investigational Site
    La Jolla, California 92037, United States
  • GSK Investigational Site
    Orange, California 92866, United States
  • GSK Investigational Site
    Poway, California 92064, United States
  • GSK Investigational Site
    Rialto, California 92377, United States
  • GSK Investigational Site
    Sacramento, California 95817, United States
  • GSK Investigational Site
    San Francisco, California 94115, United States
  • GSK Investigational Site
    Santa Ana, California 92704, United States
  • GSK Investigational Site
    Van Nuys, California 91405, United States
  • GSK Investigational Site
    Colorado Springs, Colorado 80907, United States
  • GSK Investigational Site
    Bradenton, Florida 34209, United States
  • GSK Investigational Site
    Coral Gables, Florida 33134, United States
  • GSK Investigational Site
    Fort Myers, Florida 33907, United States
  • GSK Investigational Site
    Hallandale, Florida 33009, United States
  • GSK Investigational Site
    Hialeah, Florida 33016, United States
  • GSK Investigational Site
    Homestead, Florida 33032-8185, United States
  • GSK Investigational Site
    Jupiter, Florida 33458, United States
  • GSK Investigational Site
    Lakewood Rch, Florida 34211, United States
  • GSK Investigational Site
    Miami, Florida 33122, United States
  • GSK Investigational Site
    Miami, Florida 33126, United States
  • GSK Investigational Site
    Miami, Florida 33176, United States
  • GSK Investigational Site
    Miami Lakes, Florida 33016, United States
  • GSK Investigational Site
    West Palm Beach, Florida 33401, United States
  • GSK Investigational Site
    Athens, Georgia 30607, United States
  • GSK Investigational Site
    Atlanta, Georgia 30328, United States
  • GSK Investigational Site
    Marietta, Georgia 30060, United States
  • GSK Investigational Site
    Snellville, Georgia 30078, United States
  • GSK Investigational Site
    Indianapolis, Indiana 46202, United States
  • GSK Investigational Site
    South Bend, Indiana 46635-1557, United States
  • GSK Investigational Site
    Iowa City, Iowa 52242, United States
  • GSK Investigational Site
    Topeka, Kansas 66606, United States
  • GSK Investigational Site
    Bastrop, Louisiana 71220-5035, United States
  • GSK Investigational Site
    Marrero, Louisiana 70072, United States
  • GSK Investigational Site
    Metairie, Louisiana 70006, United States
  • GSK Investigational Site
    Monroe, Louisiana 71201, United States
  • GSK Investigational Site
    Shreveport, Louisiana 71105, United States
  • GSK Investigational Site
    Columbia, Maryland 21045, United States
  • GSK Investigational Site
    Greenbelt, Maryland 20770, United States
  • GSK Investigational Site
    Ann Arbor, Michigan 48109-5000, United States
  • GSK Investigational Site
    Southfield, Michigan 48075, United States
  • GSK Investigational Site
    Ypsilanti, Michigan 48197, United States
  • GSK Investigational Site
    Chesterfield, Missouri 48038, United States
  • GSK Investigational Site
    Las Vegas, Nevada 89106, United States
  • GSK Investigational Site
    Princeton, New Jersey 08648, United States
  • GSK Investigational Site
    Sparta, New Jersey 07871, United States
  • GSK Investigational Site
    New York, New York 10029, United States
  • GSK Investigational Site
    New York, New York 10033, United States
  • GSK Investigational Site
    New York, New York 10075-0999, United States
  • GSK Investigational Site
    Chapel Hill, North Carolina 27599, United States
  • GSK Investigational Site
    Durham, North Carolina 27710, United States
  • GSK Investigational Site
    Morehead City, North Carolina 28557, United States
  • GSK Investigational Site
    Akron, Ohio 44320, United States
  • GSK Investigational Site
    Springboro, Ohio 45066, United States
  • GSK Investigational Site
    Westlake, Ohio 44145-1493, United States
  • GSK Investigational Site
    Lancaster, Pennsylvania 17604-3200, United States
  • GSK Investigational Site
    Pittsburgh, Pennsylvania 15213-3204, United States
  • GSK Investigational Site
    Wyomissing, Pennsylvania 19610, United States
  • GSK Investigational Site
    Chattanooga, Tennessee 37421-1605, United States
  • GSK Investigational Site
    Clarksville, Tennessee 37040, United States
  • GSK Investigational Site
    Austin, Texas 78757-8066, United States
  • GSK Investigational Site
    Brownsville, Texas 78520, United States
  • GSK Investigational Site
    Dallas, Texas 75203, United States
  • GSK Investigational Site
    Edinburg, Texas 78539, United States
  • GSK Investigational Site
    Georgetown, Texas 78626, United States
  • GSK Investigational Site
    Houston, Texas 77030, United States
  • GSK Investigational Site
    Houston, Texas 77079, United States
  • GSK Investigational Site
    Houston, Texas 77090, United States
  • GSK Investigational Site
    San Antonio, Texas 78215, United States
  • GSK Investigational Site
    San Antonio, Texas 78229, United States
  • GSK Investigational Site
    Waco, Texas 76710, United States
  • GSK Investigational Site
    West Jordan, Utah 84088, United States
  • GSK Investigational Site
    Richmond, Virginia 23229, United States
  • GSK Investigational Site
    Richmond, Virginia 23236, United States
  • GSK Investigational Site
    Seattle, Washington 98105-4093, United States
  • GSK Investigational Site
    Buenos Aires, C1061AAS, Argentina
  • GSK Investigational Site
    Capital Federal, C1181ACH, Argentina
  • GSK Investigational Site
    Ciudad AutOnoma de Buenos Aire, 1118, Argentina
  • GSK Investigational Site
    Ciudad Autonoma de Bueno, C1056ABJ, Argentina
  • GSK Investigational Site
    Derqui Pilar, B1629AHJ, Argentina
  • GSK Investigational Site
    Rosario, 3000, Argentina
  • GSK Investigational Site
    San Miguel de Tucumán, T4000IHE, Argentina
  • GSK Investigational Site
    Nedlands, Western Australia 6009, Australia
  • GSK Investigational Site
    Perth, Western Australia 6000, Australia
  • GSK Investigational Site
    Brussels, 1070, Belgium
  • GSK Investigational Site
    Brussels, 1200, Belgium
  • GSK Investigational Site
    Edegem, 2650, Belgium
  • GSK Investigational Site
    Calgary, Alberta T2N 4Z6, Canada
  • GSK Investigational Site
    Toronto, Ontario M5G 2C4, Canada
  • GSK Investigational Site
    Angers, 49933, France
  • GSK Investigational Site
    Limoges, 87042, France
  • GSK Investigational Site
    Paris, 75651, France
  • GSK Investigational Site
    Pierre-Bénite, 69310, France
  • GSK Investigational Site
    Strasbourg, 67091, France
  • GSK Investigational Site
    Athens, 11527, Greece

Showing the first 100 of 170 sites across 17 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — IPD for this study will be made available via the Clinical Study Data Request site.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: IPD will be made available within 6 months of publishing the results of the primary endpoints, a key secondary endpoints and safety data of the study.

Access criteria: Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2023 to primary completion in Jan 2026, 36 months.

Of 132 industry-sponsored phase 2 interventional studies under Non-alcoholic Fatty Liver Disease, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 30. This study's 36 months is above that.

Counting every sponsor, half of 185 studies reached it within 26 months; a quarter within 16 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 13, 2022
First posted
Oct 17, 2022
StartActual
Jan 2, 2023
Primary completionActual
Jan 31, 2026
CompletionEst.
Sep 18, 2026
Last update
Sep 18, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05583344
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Oct 17, 2022
Start date
Jan 2, 2023
Primary completion
Jan 31, 2026
Completion
Sep 18, 2026 (estimated)
Last update
Sep 18, 2026

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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Discussion

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Studies of the drug tested here: GSK4532990

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