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CompletedNCT05989711IMPACTUpdated May 18, 2026

IMPACT TRIAL: Efficacy and Safety of Pemvidutide in Subjects With Nonalcoholic Steatohepatitis (NASH)

A Phase 2 interventional study of Pemvidutide and Placebo in Non-Alcoholic Steatohepatitis (NASH), sponsored by Altimmune, Inc.. Completed at 40 sites in 3 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-05-18.

Sponsored by Altimmune, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
212
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Purpose of this study is to assess the effects of pemvidutide on NASH resolution and NASH fibrosis.

Read the detailed description

A Phase 2, multi-center, double-blind, placebo-controlled study to evaluate the efficacy and safety of pemvidutide in NASH.

02

Conditions studied

  • Non-Alcoholic Steatohepatitis (NASH)
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 212 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

Altimmune, Inc. is the lead sponsor of 20 studies on the registry; 1 is open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 4 (29%) 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

  1. Written
  2. Male or female 18-75 years
  3. Histologic diagnosis of NASH and/or histologic confirmation of NASH based on central pathology evaluation of a liver during screening

    1. A histologic NAFLD Activity Score (NAS) ≥ 4 with a score of at least 1 on each subcomponent score based on central pathology evaluation (steatosis [0-3], lobular inflammation [0-3], and hepatocyte ballooning [0-2])
    2. NASH fibrosis stages 2 through 3 according to the NASH CRN fibrosis staging system based on central pathology evaluation
  4. Subject agrees to have a liver biopsy performed during the screening period (if no biopsy within the preceding 6 months is available) and at 24 weeks of treatment
  5. ≥ 27.0 kg/m2
  6. Subjects with Type 2 diabetes mellitus (T2D) should be on a stable treatment regimen for their T2D for at least 90 days prior to screening
  7. Subject meets at least 3 of the 5 criteria of Metabolic Syndrome (American Heart Association 2005)
  8. Liver fat content by MRI-PDFF ≥ 8%

Exclusion criteria

Exclusion Criteria:

  1. Weight gain or loss > 5% in the 3 months prior to randomization or > 10% in the 6 months prior to screening
  2. History or clinical evidence of Type 1 diabetes mellitus
  3. (HbA1c) > 9.5% or persistent hyperglycemia
  4. Liver conditions:

    1. History of cirrhosis or complications of cirrhosis, including but not limited to variceal bleeding, encephalopathy, or ascites
    2. Documented causes of chronic liver disease other than NASH
    3. or AST laboratory values > 5 ×
Terms in these criteria, in plain language(7)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

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

Study arms

  • Experimental
    Pemvidutide 1.2 mg

    Drug: Pemvidutide

  • Experimental
    Pemvidutide 1.8 mg

    Drug: Pemvidutide

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Administered once weekly by subcutaneous injection

  • DrugPlacebo

    Administered once weekly by subcutaneous injection

06

What researchers measure

Primary outcomes

  1. Proportion of subjects achieving NASH resolution (NAFLD activity score [NAS], ballooning = 0; lobular inflammation = 0, 1) with at least a 2-point reduction in NAS without worsening of fibrosis

    Time frame: 24 weeks

  2. Proportion of subjects achieving at least 1 stage improvement in liver fibrosis without worsening of NASH (defined as no change in the NAS, ie, the sum score for ballooning, inflammation, and steatosis)

    Time frame: 24 weeks

  3. Incidence of Treatment Emergent Adverse Events

    Time frame: 52 weeks

Secondary outcomes

  1. Proportion of subjects achieving the composite of both NASH resolution and at least 1 stage improvement of liver fibrosis at 24 weeks

    Time frame: 24 weeks

  2. Relative change (%) in liver fat content by MRI-PDFF

    Time frame: 24 weeks and 48 weeks

  3. Absolute change in MRI-based corrected T1 (cT1) imaging

    Time frame: 24 weeks and 48 weeks

  4. Absolute change in alanine aminotransferase (ALT)

    Time frame: 24 weeks and 48 weeks

  5. Absolute change in Enhanced Liver Fibrosis (ELF) score

    Time frame: 24 weeks and 48 weeks

  6. Absolute change in Fibroscan-AST (FAST) score

    Time frame: 24 weeks and 48 weeks

  7. Relative (%) change in body weight

    Time frame: 24 weeks and 48 weeks

  8. Absolute changes in fasting lipids (total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides)

    Time frame: 24 weeks and 48 weeks

  9. Change in HbA1c (%)

    Time frame: 24 weeks and 48 weeks

  10. Change in glucose (mg/dL)

    Time frame: 24 weeks and 48 weeks

  11. Change in systolic and diastolic blood pressure (mmHg)

    Time frame: 24 weeks and 48 weeks

  12. Change in heart rate (beats per minute)

    Time frame: 24 weeks and 48 weeks

  13. The number of subjects with treatment emergent adverse events

    Time frame: 48 weeks

07

Study locations

40 sites
  • Altimmune Clinical Study Site
    Chandler, Arizona 85224, United States
  • Altimmune Clinical Study Site
    Peoria, Arizona 85345, United States
  • Altimmune Clinical Study Site
    Tucson, Arizona 85701, United States
  • Altimmune Clinial Study Site
    Tucson, Arizona 85704, United States
  • Altimmune Clinical Study Site
    North Hollywood, California 33019, United States
  • Altimmune Clinical Study Site
    Panorama City, California 91402, United States
  • Altimmune Clinical Study Site
    Englewood, Colorado 80110, United States
  • Altimmune Clinical Study Site
    Bradenton, Florida 34201, United States
  • Altimmune Clinical Study Site
    Fort Myers, Florida 33912, United States
  • Altimmune Clinical Study Site
    Hialeah Gardens, Florida 33018, United States
  • Altimmune Clinical Study Site
    Miami Lakes, Florida 33014, United States
  • Altimmune Clinical Study Site
    Port Orange, Florida 32123, United States
  • Altimmune Clinical Study Site
    Sarasota, Florida 34240, United States
  • Altimmune Clinical Study Site
    West Palm Beach, Florida 33401, United States
  • Altimmune Clinical Study Site
    Dalton, Georgia 30720, United States
  • Altimmune Clinical Study Site
    Marietta, Georgia 30006, United States
  • Altimmune Clinical Study Site
    Bastrop, Louisiana 78602, United States
  • Altimmune Clinical Study Site
    Shreveport, Louisiana 71101, United States
  • Altimmune Clinical Study Site
    Clarksville, Tennessee 37040, United States
  • Altimmune Clinical Study Site
    Germantown, Tennessee 38138, United States
  • Altimmune Clinical Study Site
    Austin, Texas 73301, United States
  • Altimmune Clinical Study Site
    Bellaire, Texas 77401, United States
  • Altimmune Clinical Study Site
    Edinburg, Texas 78539, United States
  • Altimmune Clinical Study Site
    Edinburg, Texas 78540, United States
  • Altimmune Clinical Study Site
    Georgetown, Texas 78626, United States
  • Altimmune Clinical Study Site
    Houston, Texas 77036, United States
  • Altimmune Clinical Study Site
    San Antonio, Texas 78201, United States
  • Altimmune Clinical Study Site
    San Antonio, Texas 78204, United States
  • Altimmune Clinical Study Site
    West Jordan, Utah 84081, United States
  • Royal Prince Alfred Hospital
    Camperdown, New South Wales 2050, Australia
  • Liverpool Hospital
    Liverpool, New South Wales 2170, Australia
  • Princess Alexandra Hospital/ Translational Research Institute
    Woolloongabba, Queensland 4102, Australia
  • Flinders Medical Centre
    Bedford Park, South Australia 5042, Australia
  • St. Vincent's Hospital Melbourne
    Fitzroy, Victoria 3065, Australia
  • Austin Health
    Heidelberg, Victoria 3084, Australia
  • Box Hill Hospital
    Box Hill, Victory 3128, Australia
  • Monash Hospital
    Clayton, Victory 3168, Australia
  • Fiona Stanley Hospital
    Murdoch, Western Australia 6150, Australia
  • Sir Charles Gairdner Hospital
    Nedlands, Western Australia 6009, Australia
  • Altimmune Clinical Study Site
    San Juan, 00901, Puerto Rico
08

References and documents

Publications

  • Noureddin M, Harrison SA, Loomba R, Alkhouri N, Chalasani N, Sheikh MY, Tomah S, Gutierrez JA, Urbina S, Suschak JJ, Brown R, Odili O, Yang J, Keeton S, Neff G, Mena E, Roberts MS, Browne SK, Harris MS. Safety and efficacy of weekly pemvidutide versus placebo for metabolic dysfunction-associated steatohepatitis (IMPACT): 24-week results from a multicentre, randomised, double-blind, phase 2b study. Lancet. 2025 Dec 6;406(10520):2644-2655. doi: 10.1016/S0140-6736(25)02114-2. Epub 2025 Nov 11. PubMed 41237796 ↗
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 Jul 2023 to primary completion in Nov 2025, 27 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 27 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
Jul 24, 2023
First posted
Aug 14, 2023
StartActual
Jul 27, 2023
Primary completionActual
Nov 25, 2025
CompletionActual
Nov 25, 2025
Last update
May 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 May 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
NCT05989711
Lead sponsor
Altimmune, Inc.
Responsible party
Sponsor
First posted
Aug 14, 2023
Start date
Jul 27, 2023
Primary completion
Nov 25, 2025
Completion
Nov 25, 2025
Last update
May 18, 2026

Oversight

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

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This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Pemvidutide

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