ClinicalTrials.gg
CompletedNCT05852431ENTRUSTUpdated Jul 7, 2026

To Evaluate the Efficacy and Safety of Pegozafermin in Subjects With Severe Hypertriglyceridemia

A Phase 3 interventional study of Pegozafermin and Placebo in Severe Hypertriglyceridemia, sponsored by 89bio, Inc.. Completed at 177 sites in 20 countries. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-07-07.

Sponsored by 89bio, Inc. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jul 2025, 1 year 4 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Jun 2026.
Phase
Phase 3
Study type
Interventional
Enrollment
369
Allocation
Randomized
Ages
22 Years and older
Sex
All
01

Study summary

To determine the effect of Pegozafermin on fasting serum triglyceride levels in subjects with Severe Hypertriglyceridemia (TG ≥500 to ≤2000 mg/dL) after 26 weeks of treatment.

02

Conditions studied

  • Severe Hypertriglyceridemia

Keywords

  • SHTG
  • Hypertriglyceridemia
  • Metabolic diseases
  • Hyperlipidemias
  • Dyslipidemias
  • Lipid Metabolism Disorders
03

In context

Hypertriglyceridemia

324 studies on the registry are indexed under Hypertriglyceridemia; 38 are open to participants now.

This study's enrollment of 369 is above the median of 66 across 288 interventional studies indexed under Hypertriglyceridemia.

Browse Hypertriglyceridemia studies →

Lead sponsor

89bio, Inc. is the lead sponsor of 5 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
22 Years and older
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

  • Age ≥22 years
  • Willing to enter a medication/lifestyle stabilization period during the screening period, which means maintaining those stable medication, eating, and exercise habits for the duration of the study
  • Subjects should be on stable background Lipid Modifying Therapy (LMT) to manage ASCVD for a minimum of 4 weeks prior to first qualifying TG

Exclusion criteria

Exclusion Criteria:

  • Positive for virus (HBV), virus (HCV), or (HIV)
  • Uncontrolled or newly diagnosed (≤3 months since diagnosis) Type 2 diabetes mellitus as determined by the Principal Investigator. Subjects must have level ≤9.5% at Screening. Medications for glucose management must be stable for at least 4 weeks prior to Screening
  • Type 1 diabetes mellitus
  • A history of symptomatic gallstone disease, gallstone pancreatitis (unless treated with cholecystectomy), or any other ongoing symptomatic biliary disease
  • Acute pancreatitis within 6 months prior to Screening
  • Subjects with chronic pancreatitis
  • Known or suspected familial chylomicronemia syndrome (FCS) (Type 1 hyperlipoproteinemia)

Other inclusion and exclusion criteria may apply.

Terms in these criteria, in plain language(4)

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
369 participants (actual)

Study arms

  • Experimental
    Pegozafermin - 30mg once a week

    Drug: Pegozafermin

  • Experimental
    Pegozafermin - 20mg once a week

    Drug: Pegozafermin

  • Placebo comparator
    Placebo once a week

    Drug: Placebo

Interventions

  • Subcutaneous injection

  • DrugPlacebo

    Subcutaneous injection

06

What researchers measure

Primary outcomes

  1. Percent change from baseline in fasting TG

    Time frame: 26 weeks

Secondary outcomes

  1. Percent change from baseline in non-high-density lipoprotein cholesterol (non-HDL-C)

    Time frame: 26 weeks

  2. Percent change from baseline in high-density lipoprotein cholesterol (HDL-C)

    Time frame: 26 weeks

  3. Percent change from baseline in very low-density lipoprotein cholesterol (VLDL-C)

    Time frame: 26 weeks

  4. Percent change from baseline in total cholesterol (TC)

    Time frame: 26 weeks

  5. Change from baseline in liver fat by magnetic resonance imaging - whole liver proton density fat fraction (MRI-PDFF)

    Time frame: 26 weeks

  6. Percent change from baseline in apolipoprotein B (apo-B)

    Time frame: 26 weeks

  7. Change in HbA1c at Week 26 for those with baseline ≥7.0%

    Time frame: 26 weeks

  8. Percent change from baseline in fasting TG

    Time frame: 52 weeks

07

Study locations

177 sites
  • 89bio Clinical Study Site
    Chandler, Arizona 85712, United States
  • 89bio Clinical Study Site
    Peoria, Arizona 85381, United States
  • 89Bio Clinical Study Site
    Tucson, Arizona 85712, United States
  • 89bio Clinical Study Site
    Conway, Arkansas 72032, United States
  • 89bio Clinical Study Site
    Jonesboro, Arkansas 72401, United States
  • 89bio Clinical Study Site
    Little Rock, Arkansas 72205, United States
  • 89bio Clinical Trial Site
    Huntington Park, California 90255, United States
  • 89Bio Clinical Study Site
    Long Beach, California 90815, United States
  • 89bio Clinical Study Site
    Los Angeles, California 90057, United States
  • 89bio Clinical Trial Site
    Northridge, California 91325, United States
  • 89bio Clinical Trial Site
    Panorama City, California 91402, United States
  • 89bio Clinical Study Site
    Santa Ana, California 92705, United States
  • 89bio Clinical Trial Site
    Santa Ana, California 92705, United States
  • 89bio Clinical Study Site
    Thousand Oaks, California 91360, United States
  • 89Bio Clinical Study Site
    Tustin, California 92780, United States
  • 89bio Clinical Study Site
    Wheat Ridge, Colorado 80033, United States
  • 89bio Clinical Trial Site
    Wheat Ridge, Colorado 80033, United States
  • 89bio Clinical Study Site
    Bridgeport, Connecticut 06610, United States
  • 89Bio Clinical Study Site
    Clearwater, Florida 33756, United States
  • 89bio Clinical Study Site
    Clearwater, Florida 33761, United States
  • 89bio Clinical Study Site
    Hialeah Gardens, Florida 33016, United States
  • 89Bio Clinical Study Site
    Homestead, Florida 33030, United States
  • 89Bio Clinical Study Site
    Miami Lakes, Florida 33014, United States
  • 89bio Clinical Study Site
    Miramar, Florida 33027, United States
  • 89Bio Clinical Study Site
    Orlando, Florida 32825, United States
  • 89bio Clinical Study Site
    Panama City, Florida 32401, United States
  • 89bio Clinical Trial Site
    Port Orange, Florida 32127, United States
  • 89Bio Clinical Study Site
    Tampa, Florida 33606, United States
  • 89bio Clinical Study Site
    Atlanta, Georgia 30309, United States
  • 89Bio Clinical Study Site
    Columbus, Georgia 31904, United States
  • 89Bio Clinical Study Site
    Lawrenceville, Georgia 30044, United States
  • 89Bio Clinical Study Site
    Chicago, Illinois 60607, United States
  • 89bio Clinical Study Site
    West Des Moines, Iowa 50265, United States
  • 89Bio Clinical Study Site
    Wichita, Kansas 67205, United States
  • 89Bio Clinical Study Site
    Marrero, Louisiana 70072, United States
  • 89bio Clinical Trial Site
    Shreveport, Louisiana 71105, United States
  • 89Bio Clinical Study Site
    Oxon Hill, Maryland 20745, United States
  • 89bio Clinical Study Site
    Flint, Michigan 48504, United States
  • 89bio Clinical Trial Site
    Kansas City, Missouri 64131, United States
  • 89bio Clinical Study Site
    St Louis, Missouri 63110, United States
  • 89bio Clinical Study Site
    Las Vegas, Nevada 89106, United States
  • 89bio Clinical Study Site
    Las Vegas, Nevada 89118, United States
  • 89bio Clinical Study Sites
    Sparta, New Jersey 07871, United States
  • 89bio Clinical Study Site
    East Syracuse, New York 13057, United States
  • 89bio Clinical Trial Site
    New Windsor, New York 12553, United States
  • 89bio Clinical Trial Site
    New York, New York 10029, United States
  • 89Bio Clinical Study Site
    North Massapequa, New York 11758, United States
  • 89bio Clinical Trial Site
    Richmond Hill, New York 77379, United States
  • 89bio Clinical Trial Site
    Syracuse, New York 13057, United States
  • 89Bio Clinical Study Site
    Morganton, North Carolina 28655, United States
  • 89bio Clinical Study Site
    Cincinnati, Ohio 45227, United States
  • 89bio Clinical Trial Site
    Columbus, Ohio 43213, United States
  • 89bio Clinical Study Site
    Middleburg Heights, Ohio 44130, United States
  • 89bio Clinical Study Site
    Stow, Ohio 44224, United States
  • 89bio Clinical Study Site
    Oklahoma City, Oklahoma 73102, United States
  • 89Bio Clinical Study Site
    Eugene, Oregon 97404, United States
  • 89bio Clinical Study Site
    Charleston, South Carolina 29414, United States
  • 89Bio Clinical Study Site
    Chattanooga, Tennessee 37421, United States
  • 89bio Clinical Trial Site
    Clarksville, Tennessee 37040, United States
  • 89bio Clinical Study Site
    Tullahoma, Tennessee 37388, United States
  • 89bio Clinical Study Site
    Amarillo, Texas 79106, United States
  • 89 Clinical Study Site
    Austin, Texas 78757, United States
  • 89bio Clinical Study Site
    Dallas, Texas 75226, United States
  • 89bio Clinical Study Site
    Graham, Texas 76450, United States
  • 89bio Clinical Study Site
    Houston, Texas 77030, United States
  • 89Bio Clinical Study Site
    Lampasas, Texas 76550, United States
  • 89bio Clinical Study Site
    Mansfield, Texas 76063, United States
  • 89bio Clinical Trial Site
    San Antonio, Texas 78207, United States
  • 89bio Clinical Study Site
    San Antonio, Texas 78209, United States
  • 89bio Clinical Study Site
    Wichita Falls, Texas 76301, United States
  • 89bio Clinical Trial Site
    Salt Lake City, Utah 84107, United States
  • 89Bio Clinical Study Site
    Burke, Virginia 22015, United States
  • 89bio Clinical Trial Site
    Richmond, Virginia 23249, United States
  • 89bio Clinical Study Site
    Rosario, Santa Fe Province 2000, Argentina
  • 89bio Clinical Study Site
    Buenos Aires, C1023AAB, Argentina
  • 89bio Clinical Study Site
    Buenos Aires, C1425CABA, Argentina
  • 89bio Clinical Study Site
    Buenos Aires, C1426ABP, Argentina
  • 89bio Clinical Study Site
    Córdoba, 5000, Argentina
  • 89bio Clinical Study Site
    Córdoba, 5749, Argentina
  • 89bio Clinical Study Site
    Córdoba, X5000 BSQ, Argentina
  • 89bio Clinical Study Site
    Córdoba, X5000AAX, Argentina
  • 89bio Clinical Study Site
    Córdoba, X5004CDT, Argentina
  • 89bio Clinical Study Site
    Mendoza, M5509, Argentina
  • 89bio Clinical Study Site
    Rosario, S2000CVD, Argentina
  • 89bio Clinical Study Site
    San Miguel de Tucumán, T400IHE, Argentina
  • 89bio Clinical Study Site
    Viedma, R8500ACE, Argentina
  • 89bio Clinical Study Site
    Graz, A-8036, Austria
  • 89bio Clinical Trial Site
    Vienna, 1030, Austria
  • 89bio Clinical Trial Site
    Vienna, 1130, Austria
  • 89bio Clinical Study Site
    Edegem, 2650, Belgium
  • 89bio Clinical Study Site
    Ghent, 9000, Belgium
  • 89bio Clinical Study Site
    Haine-Saint-Paul, 7100, Belgium
  • 89bio Clinical Study Site
    Yvoir, 5530, Belgium
  • 89bio Clinical Trial Site
    Botevgrad, 2140, Bulgaria
  • 89bio Clinical Study Site
    Dimitrovgrad, 6400, Bulgaria
  • 89bio Clinical Trial Site
    Plovdiv, 4004, Bulgaria
  • 89bio Clinical Study Site
    Sliven, 8800, Bulgaria
  • 89bio Clinical Trial Site
    Sliven, 8800, Bulgaria
  • 89bio Clinical Trial Site
    Sofia, 1202, Bulgaria
  • 89bio Clinical Study Site
    Sofia, 1336, Bulgaria

Showing the first 100 of 177 sites across 20 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: No

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 Jun 2023 to primary completion in Jul 2025, 24 months.

Of 28 industry-sponsored phase 3 interventional studies under Hypertriglyceridemia, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 31. This study's 24 months is close to that.

Counting every sponsor, half of 29 studies reached it within 24 months; a quarter within 18 and three quarters within 31.

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

Registered
May 2, 2023
First posted
May 10, 2023
StartActual
Jun 15, 2023
Primary completionActual
Jul 7, 2025
CompletionActual
Apr 9, 2026
Results delay requested
Jun 29, 2026
Last update
Jul 7, 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 Jul 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05852431
Lead sponsor
89bio, Inc.
Responsible party
Sponsor
First posted
May 10, 2023
Start date
Jun 15, 2023
Primary completion
Jul 7, 2025
Completion
Apr 9, 2026
Last update
Jul 7, 2026

Study contacts

Teresa Parli, MD
study director · 89bio, Inc.

Oversight

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

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Studies of the drug tested here: Pegozafermin

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