CClinicalTrials.gg
CompletedNCT06409130Updated Mar 12, 2026

Effects of NNC0194-0499, Cagrilintide, and Semaglutide Alone or in Combinations on Liver Damage and Alcohol Use in People With Alcohol-related Liver Disease

A Phase 2 interventional study of NNC0194-0499 and Semaglutide in Alcohol-related Liver Disease, sponsored by Novo Nordisk A/S. Completed at 102 sites in 14 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-12.

Sponsored by Novo Nordisk A/S · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
270
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study will look at the effects of NNC0194-0499, cagrilintide and semaglutide, on liver damage and alcohol use in participants with alcoholic liver disease. Participants will get NNC0194-0499, semaglutide, cagrilintide or ''dummy" medicine in different treatment combinations. Which treatment participants get is decided by chance. The study will last for about 39 weeks.

02

Conditions studied

  • Alcohol-related Liver Disease
03

In context

Lead sponsor

Novo Nordisk A/S is the lead sponsor of 1,370 studies on the registry; 102 are open to participants now.

Of its 198 completed or terminated interventional studies of FDA-regulated products, 94 (47%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Informed consent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study.
  • Age 18 years or above, and at the legal drinking age according to local requirements at the time of signing the informed consent.
  • Patient-reported history of alcohol overuse for greater than or equal to 5 years with an alcohol history of a mean of greater than or equal to 50 grams (male)/40 grams (female) pr day for the last year leading up to the time of signing informed consent.
  • Enhanced Liver Fibrosis (ELF) greater than or equal to 9.0 units.

Exclusion criteria

Exclusion Criteria:

  • Known or suspected hypersensitivity to study intervention(s) or related products (incl. excipients).
  • Previous participation (i.e., signed informed consent) in this study. If exclusion criteria 7 is met (Vibration Controlled Transient Elastography liver stiffness measurement (LSM) is greater than or equal to 25 Kilopascal (kPa)), a single rescreening is possible at the investigator's discretion.
  • Documented causes of chronic liver disease other than Alcohol-related liver disease (ALD).
  • Positive hepatitis B surface antigen (HBsAg), positive human immunodeficiency virus-1 (HIV-1) or HIV-2 antibody (Ab), positive hepatitis C virus (HCV) ribonucleic acid (RNA) at screening (V1) or any known presence of HCV RNA or HBsAg within 2 years of screening visit 1 (V1).
  • Presence or history of ascites more than grade 1, variceal bleeding, hepatic encephalopathy, spontaneous bacterial peritonitis, or liver transplantation at screening (V1).
  • Alcohol hepatitis at randomisation (as defined by National Institute on Alcohol Abuse and Alcoholism (NIAAA)).
  • Vibration Controlled Transient Elastography liver stiffness measurement (LSM) greater than or equal to 25 kPa at visit 2 (V2). If participants meet this criterion, rescreening is allowed once.
  • Presence or history of gastro-oesophageal varices greater than or equal to grade 2* at V2. For participants with LSM greater than or equal to 20 kPa as well as blood platelets count less than 150,000 per microliter (μL) of blood an oesophagogastroduodenoscopy performed no more than 52 weeks prior to V2 must be available at V2. *Grade 2: varices projecting by one-third of the luminal diameter that cannot be compressed with air insufflation4.
  • Body mass index (BMI) less than or equal to 25 Kilogram Per Square Meter (kg/m\^2).
  • Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using highly effective contraceptive method with low user-dependency.
05

Study design

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

Study arms

  • Experimental
    NNC0194-0499 + semaglutide

    Group A: Participants will receive subcutaneous (s.c.) injections of NNC0194-0499 in combination with semaglutide.

    Drug: NNC0194-0499 · Drug: Semaglutide

  • Experimental
    NNC0194-0499 + semaglutide placebo

    Group A: Participants will receive subcutaneous (s.c.) injections of NNC0194-0499 in combination with semaglutide placebo.

    Drug: NNC0194-0499 · Drug: Semaglutide placebo (Group A)

  • Experimental
    NNC0194-0499 placebo + semaglutide

    Group A: Participants will receive subcutaneous (s.c.) injections of NNC0194-0499 placebo in combination with semaglutide.

    Drug: Semaglutide · Drug: NNC0194-0499 placebo

  • Placebo comparator
    NNC0194-0499 placebo + semaglutide placebo

    Group A: Participants will receive subcutaneous (s.c.) injections of NNC0194-0499 placebo in combination with semaglutide placebo.

    Drug: NNC0194-0499 placebo · Drug: Semaglutide placebo (Group A)

  • Experimental
    CagriSema

    Group B: Participants will receive subcutaneous (s.c.) injection of cagrilintide in combination with semaglutide.

    Drug: Cagrilintide + semaglutide

  • Experimental
    Cagrilintide + semaglutide placebo

    Group B: Participants will receive subcutaneous (s.c.) injection of cagrilintide in combination with semaglutide placebo.

    Drug: Cagrilintide · Drug: Semaglutide placebo (Group B)

  • Placebo comparator
    Cagrilintide placebo + semaglutide placebo

    Group B: Participants will receive subcutaneous (s.c.) injection of cagrilintide placebo in combination with semaglutide placebo.

    Drug: Cagrilintide placebo · Drug: Semaglutide placebo (Group B)

Interventions

  • DrugNNC0194-0499

    Administered subcutaneously.

  • DrugSemaglutide

    Administered subcutaneously.

  • DrugNNC0194-0499 placebo

    Administered subcutaneously.

  • DrugSemaglutide placebo (Group A)

    Administered subcutaneously.

  • DrugCagrilintide + semaglutide

    Administered subcutaneously.

  • DrugCagrilintide

    Administered subcutaneously.

  • DrugCagrilintide placebo

    Administered subcutaneously.

  • DrugSemaglutide placebo (Group B)

    Administered subcutaneously.

06

What researchers measure

Primary outcomes

  1. Change in Enhanced Liver Fibrosis (ELF)

    Measured as logarithm score

    Time frame: From week 0 to week 28

Secondary outcomes

  1. Change in Pro-peptide of Collagen 3 (Pro-C3)

    Measured as ratio to baseline

    Time frame: From week 0 to week 28

  2. Change in liver stiffness assessed by Vibration Controlled Transient Elastography (VCTE)

    Measured as ratio to baseline

    Time frame: From week 0 to week 28

  3. Change in liver steatosis assessed by Controlled Attenuated Parameter (CAP)

    Measured as decibel milliwatts (dB/m)

    Time frame: From week 0 to week 28

  4. Change in Alanine Aminotransferase (ALT)

    Measured as ratio to baseline

    Time frame: From week 0 to week 28

  5. Change in Aspartate Aminotransferase (AST)

    Measured as ratio to baseline

    Time frame: From week 0 to week 28

  6. Number of treatment emergent adverse events

    Measured as count of events

    Time frame: From week 0 to week 35

  7. Change in Phosphatidylethanol (PEth)

    Measured as ratio to baseline

    Time frame: From week -4 to week 28

  8. Change in alcohol amount measured by timeline followback (TLFB)

    Measured as grams per day

    Time frame: From week -4 to week 28

  9. Change in total cholesterol

    Measured as ratio to baseline

    Time frame: From week 0 to week 28

07

Study locations

102 sites
  • The Institute for Liver Health
    Chandler, Arizona 85224, United States
  • Arizona Liver Center
    Tucson, Arizona 85712, United States
  • Del Sol Research Management, LLC
    Tucson, Arizona 85715, United States
  • OM Research LLC
    Lancaster, California 93534, United States
  • California Liver Research Institute
    Pasadena, California 91105, United States
  • Covenant Metabolic Specialists LLC
    Fort Myers, Florida 33912, United States
  • Miguel Rebollar PA
    Hialeah, Florida 33012, United States
  • UF Hlth Jacksonville
    Jacksonville, Florida 32224, United States
  • Univ of Miami/Schiff Ctr
    Miami, Florida 33136, United States
  • Covenant Metabolic Specialists LLC
    University Park, Florida 34201, United States
  • Rush University Med. Cntr
    Chicago, Illinois 60612, United States
  • Kansas Medical Clinic, PA
    Topeka, Kansas 66606, United States
  • Louisiana Research Center, LLC
    Shreveport, Louisiana 71105, United States
  • Boston Medical Center_Cary
    Boston, Massachusetts 02118, United States
  • Mayo Clinic Rochester
    Rochester, Minnesota 55902, United States
  • Jubilee Clinical Research, Inc.
    Las Vegas, Nevada 89106, United States
  • DSI Research,LLC
    Springboro, Ohio 45066, United States
  • University of Pennsylvania Hospital
    Philadelphia, Pennsylvania 19104, United States
  • UPMC_Center for Liver Care
    Pittsburgh, Pennsylvania 15213, United States
  • Digestive Health Research, TN
    Hermitage, Tennessee 37076, United States
  • Texas Clinical Research Institute
    Arlington, Texas 76012, United States
  • The Liver Institute
    Dallas, Texas 75203, United States
  • South Texas Research Institute
    Edinburg, Texas 78539, United States
  • Baylor St. Luke's Medical Center
    Houston, Texas 77030, United States
  • Houston Research Institute
    Houston, Texas 77079, United States
  • Amer. Rrsch Corp-TX Liver Inst
    San Antonio, Texas 78215, United States
  • Pinnacle Clinical Research
    San Antonio, Texas 78229, United States
  • Liver Specialists of Texas
    Sugar Land, Texas 77479, United States
  • Velocity Clinical Res, Waco
    Waco, Texas 76710, United States
  • Momentum Clinical Research Darlinghurst
    Darlinghurst, New South Wales 2010, Australia
  • Nepean Hospital
    Kingswood, New South Wales 2747, Australia
  • St George Hospital
    Kogarah, New South Wales 2217, Australia
  • Westmead Hospital - Storr Liver Centre
    Westmead, New South Wales 2145, Australia
  • Eastern Clinical Research Unit Box Hill
    Box Hill, Victoria 3128, Australia
  • St Vincent's Hospital Melbourne - Gastroenterology Department
    Fitzroy, Victoria 3065, Australia
  • Austin Hospital
    Heidelberg, Victoria 3084, Australia
  • Fiona Stanley Hospital - Hepatology
    Murdoch, Western Australia 6150, Australia
  • MHAT St. Ivan Rilski Gorna Oriahovitsa EOOD
    Gorna Oryahovitsa, 5100, Bulgaria
  • Acibadem City Clinic UMHAT Tokuda EAD, Gastroenterology
    Sofia, 1407, Bulgaria
  • UMHAT Aleksandrovska EAD, Clinic of Endocrinology and Metabolic Diseases
    Sofia, 1431, Bulgaria
  • UMHAT Sveti Ivan Rilski EAD, Gastroenterology
    Sofia, 1431, Bulgaria
  • DCC XX - Sofia EOOD, Gastroenterology
    Sofia, 1618, Bulgaria
  • Medical Center Synexus Sofia EOOD
    Sofia, 1784, Bulgaria
  • University of Calgary Liver Unit-(HMRC)
    Calgary, Alberta T2N 4Z6, Canada
  • GI Research Inst Foundation
    Vancouver, British Columbia V6Z 2K5, Canada
  • London Health Sciences Centre- University Hospital
    London, Ontario N6A5A5, Canada
  • TDDA Specialty Research
    Vaughan, Ontario L4L 4Y7, Canada
  • Ctr de Med Metab de Lanaudiere
    Terrebonne, Quebec J6X 4P7, Canada
  • Krajská nemocice Liberec, a.s
    Liberec, 460 01, Czechia
  • Vseobecna Fakultni nemocnice v Praze
    Prague, 128 08, Czechia
  • Aalborg Universitetshospital
    Aalborg, 9000, Denmark
  • Herlev Hospital - Gastroenterology and Hepatology, Clinic 3
    Herlev, 2730, Denmark
  • Hvidovre Hospital - Gastroenheden
    Hvidovre, 2650, Denmark
  • Odense University Hospital - FLASH - Centre for Liver Research
    Odense C, 5000, Denmark
  • Centre Hospitalier Universitaire D'Angers
    Angers, 49100, France
  • Centre Hospitalier Universitaire de Lille-Hopital Claude Huriez
    Lille, 59000, France
  • Centre de Recherche Clinique Portes Du Sud
    Vénissieux, 69200, France
  • Universität des Saarlandes - Innere Med. II
    Homburg, 66421, Germany
  • Prof. Dr. Schiefke Ingolf, EUGASTRO GmbH
    Leipzig, 04103, Germany
  • Universitätsklinikum Leipzig - Klinik und Poliklinik für Onkologie, Gastroenterologie, Hepatologie und Pneumologie
    Leipzig, 04103, Germany
  • Uniklinik Schleswig-Holstein - Medizinischen Klinik I am Campus Lübeck
    Lübeck, 23562, Germany
  • Universitätsmedizin der JGU Mainz - Hepatologie
    Mainz, 55131, Germany
  • Universitätsklinikum Münster - Medizinische Klinik B
    Münster, 48149, Germany
  • Universitätsklinikum Würzburg - Zentrum für Innere Medizin (ZIM)
    Würzburg, 97080, Germany
  • University Hospital of Athens ATTIKON
    Athens, Attica 12462, Greece
  • "Laiko" General Hospital of Athens
    Goudi/Athens, 11527, Greece
  • 'Ippokrateio' General Hospital of Thessaloniki
    Thessaloniki, 54642, Greece
  • AOU Careggi Firenze
    Florence, Tuscany 50134, Italy
  • IRCCS Ospedale Policlinico San Martino
    Genova, 16132, Italy
  • Fondazione Evangelica Betania - UO Epatologia
    Naples, 80147, Italy
  • Azienda Ospedaliera di Padova
    Padova, 35128, Italy
  • Fondazione Policlinico Universitario Agostino Gemelli IRCS
    Roma, 00168, Italy
  • Juntendo University Hospital, Gastroenterology
    Bunkyo-ku, Tokyo, 113-8431, Japan
  • Juntendo University Hospital_Gastroenterology
    Bunkyo-ku, Tokyo, 113-8431, Japan
  • Akaicho Clinic
    Chiba-shi, Chiba, 260-0804, Japan
  • Ogaki Municipal Hospital_Gastroenterology and Hepatology
    Gifu, 503-8502, Japan
  • Naka Kinen Clinic_Internal medicine
    Ibaraki, 311-0113, Japan
  • Ishikawa Prefectural Central Hospital_Gastroenterology
    Kanazawa-shi, Ishikawa, 920-8530, Japan
  • Kumamoto Shinto General Hospital_Liver・Gastroenterology
    Kumamoto-shi, Kumamoto, 862-8655, Japan
  • Toranomon Hospital, Hepatology
    Minato-ku, Tokyo, 105-8470, Japan
  • Heartlife Hospital_Liver internal medicine
    Nakagamigun, Okinawa, 901-2492, Japan
  • Oita Cardiovascular Hospital_Gastroenterology
    Oita-shi, Oita, 870-0837, Japan
  • JCHO Hokkaido Hospital_Digestive Disease Center
    Sapporo-shi, Hokkaido, 062-8618, Japan
  • Saiseikai Suita Hospital, Gastroenterology
    Suita-shi, Osaka, 564-0013, Japan
  • Nihon University Itabashi Hospital_Division of Gastro.&Hepa.
    Tokyo, 173-8610, Japan
  • Albert Schweitzer Zkh, Dordwijk
    Dordrecht, 3318 AT, Netherlands
  • Erasmus MC
    Rotterdam, 3015 GD, Netherlands
  • ETZ Elisabeth
    Tilburg, 5022 GC, Netherlands
  • Universitair Medisch Centrum Utrecht
    Utrecht, 3584 CX, Netherlands
  • Centrum Medyczne Intercor Sp. z o.o.
    Bydgoszcz, Kuyavian-Pomeranian Voivodeship 85-605, Poland
  • Gastromed Sp. z o.o.
    Torun, Kuyavian-Pomeranian Voivodeship 87-100, Poland
  • Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki w Krakowie
    Krakow, Lesser Poland Voivodeship 30-688, Poland
  • ID Clinic Arkadiusz Pisula
    Myslowice, Lesser Poland Voivodeship 41-400, Poland
  • PANSTWOWY INSTYTUT MEDYCZNY MSWiA
    Warsaw, Masovian Voivodeship 02-507, Poland
  • Uniwersytecki Szpital Kliniczny w Bialymstoku
    Bialystok, Podlaskie Voivodeship 15-540, Poland
  • Sonomed Sp. Z O.O.
    Szczecin, West Pomeranian Voivodeship 71-685, Poland
  • "LANDA" Katarzyna Agata Landa
    Krakow, 31-156, Poland
  • Hospital Universitario Marqués de Valdecilla
    Santander, Cantabria 39008, Spain
  • Hospital Clinic i Provincial
    Barcelona, Catalonia 08036, Spain
  • Hospital Clínico Universitario de Valladolid
    Valladolid, España 47003, Spain

Showing the first 100 of 102 sites across 14 countries.

08

References and documents

Individual participant data

Plan to share: Yes — According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06409130
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
May 10, 2024
Start date
May 20, 2024
Primary completion
Nov 21, 2025
Completion
Jan 12, 2026
Last update
Mar 12, 2026

Study contacts

Clinical Transparency (dept. 2834)
study director · Novo Nordisk A/S

Oversight

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

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