ClinicalTrials.gg
RecruitingNCT07791043ALLSTARUpdated Nov 5, 2026

A Study to Investigate the Safety and Efficacy of Efimosfermin Alfa Compared With Placebo in Adult Participants With Alcohol-related Liver Disease (ALD)

A Phase 2 interventional study of Efimosfermin alfa and Placebo in Liver Diseases, Alcoholic, sponsored by GlaxoSmithKline. Recruiting at 13 sites in 4 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Nov 5, 2026First sites in Argentina, Canada and South Korea10 sites addedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
274
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a dose-ranging study to evaluate safety of efimosfermin alfa and to establish proof-of-concept that efimosfermin alfa therapy provides benefit in participants with ALD.

02

Conditions studied

  • Liver Diseases, Alcoholic

Keywords

  • Efimosfermin alfa
  • Alcohol-related liver disease
  • Liver stiffness measurement
  • Advanced chronic liver disease
03

In context

Liver Diseases, Alcoholic

73 studies on the registry are indexed under Liver Diseases, Alcoholic; 24 are open to participants now.

This study's planned enrollment of 274 is above the median of 85 across 43 interventional studies indexed under Liver Diseases, Alcoholic.

Browse Liver Diseases, Alcoholic 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

  • Participant must be 18 to 75 years of age inclusive, at the time of Screening.
  • Capable of giving signed prior to the performance of any study-specific procedures.
  • Able and willing to comply with all study assessments and adhere to the protocol schedule of activities.
  • History of heavy alcohol consumption for greater than 6 months at any time prior to Screening.
  • A female participant is eligible to participate if they are not pregnant or breastfeeding, and one of the following conditions applies:

    • Is a Participant of non- (PONCBP) OR
    • Is a Participant of childbearing potential (POCBP) and using a method that is highly effective, with a failure rate of less than (\<)1 percentage (%), 30 days prior to and during the study intervention period and for at least 16 weeks after the last dose of study intervention.

Exclusion criteria

Exclusion Criteria:

  • Other primary causes of liver disease (e.g., viral hepatitis, primary biliary cholangitis, primary sclerosing cholangitis, hepatitis, drug-induced hepatotoxicity, Wilson disease, hemochromatosis, alpha-1-antitryspin deficiency, etc.). Alcohol must be the primary cause of liver disease.
  • Co-infection with virus (HBV), virus (HCV), or (HIV) as indicated from the central lab
  • History of diabetes mellitus (DM), either:

    • Type 1 DM
    • Type 2 DM with unstable glycemic control or with major complications.
  • History of of any organ system (other than localized basal cell carcinoma of the skin or in situ cervical cancer), treated or untreated, within the 3 years prior to Screening 1, regardless of any evidence of local recurrence or .
  • Current, or history of known hepatocellular carcinoma (HCC).
  • Any major surgery within 3 months prior to Screening 1 or planned during the study
  • Any surgical or medical condition that might jeopardize the individual's safety or compliance with study procedures in the opinion of the investigator.
  • All organ transplant recipients, except for history of corneal transplants, or current listing or active consideration for liver transplant during the Screening period.
  • Poorly controlled hypertension.
  • Evidence of Wernicke-Korsakoff syndrome or alcohol-related dementia.
  • Prior use of a Fibroblast growth factor 21 (FGF21) analogue, including efimosfermin, within the 6 months prior to Screening 1.
  • Individuals with a history of resmetirom use within 3 months prior to Day 1 are to be excluded.
  • Concomitant use of drugs for Metabolic dysfunction-associated steatohepatitis (MASH) or ALD.
  • Current or planned participation in any clinical trial of investigational therapies or medical devices.
  • Exceeding pre-defined laboratory parameters for Triglycerides, (ALT), Alkaline Phosphatase (ALP), (INR), Albumin, Urine albumin-creatinine ratio (uACR) or Glycosylated ().
  • History of drug abuse within the 12 months prior to Day 1 or evidence of such abuse as indicated by laboratory assays conducted at Screening.
  • History of (such as anaphylaxis or hepatotoxicity) to study intervention and/or its , drugs of similar biological class, FGF21 protein analogs, Fc-fusion proteins, or other protein-based therapeutics.
  • Overt hepatic encephalopathy (West Haven grade >=2).
Terms in these criteria, in plain language(16)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
274 participants (estimated)

Study arms

  • Experimental
    Efimosfermin alfa Dose Level 1

    Participants will receive efimosfermin alfa dose level 1.

    Drug: Efimosfermin alfa

  • Experimental
    Efimosfermin alfa Dose Level 2

    Participants will receive efimosfermin alfa dose level 2.

    Drug: Efimosfermin alfa

  • Experimental
    Efimosfermin alfa Dose Level 3

    Participants will receive efimosfermin alfa dose level 3.

    Drug: Efimosfermin alfa

  • Placebo comparator
    Placebo

    Participants will receive placebo.

    Drug: Placebo

Interventions

  • Efimosfermin alfa will be administered.

  • DrugPlacebo

    Placebo will be administered.

06

What researchers measure

Primary outcomes

  1. Change from Baseline in vibration-controlled transient elastography-liver stiffness measurement (VCTE-LSM)

    VCTE-LSM is a non-invasive test that uses vibration-controlled transient elastography to measure the stiffness of the liver in kilopascals (kPa)

    Time frame: Baseline (Day 1) and up to Week 60

  2. Change from Baseline in model for end-stage liver disease (MELD) score

    MELD is a scoring system for assessing the severity of chronic liver disease. MELD scores range between 6 and 40, with 40 being the most severe.

    Time frame: Baseline (Day 1) and up to Week 60

Secondary outcomes

  1. Change from Baseline in serum aspartate aminotransferase (AST) (International units per liter)

    This is a measurement of the AST enzyme in the blood.

    Time frame: Baseline (Day 1) and up to Week 60

  2. Change from Baseline in a blood test that helps predict the risk of disease progression in liver disease

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

  3. Trough Concentration at steady state (Ctrough,ss) following administration of efimosfermin alfa

    Time frame: Up to Week 56

  4. Area Under the concentration-time Curve from Time 0 (pre-dose) to the last quantifiable concentration (AUC[0-t]) of efimosfermin alfa in the subset of participants with optional intensive pharmacokinetics (PK) sampling

    Time frame: Up to Week 4

  5. Maximum observed drug concentration (Cmax) of efimosfermin alfa in the subset of participants with optional intensive PK sampling

    Time frame: Up to Week 4

  6. Number of Participants with Anti-drug antibodies (ADA) against efimosfermin alfa

    Time frame: Up to Week 56

  7. Number of participants with treatment-emergent adverse events (TEAEs) and TEAEs by severity

    Time frame: Up to Week 60

  8. Number of participants with TEAEs leading to discontinuation and TEAEs leading to discontinuation by severity

    Time frame: Up to Week 60

  9. Number of participants with Grade 3 and Grade 4 laboratory abnormalities

    Time frame: Up to Week 60

  10. Number of participants with clinically significant changes in Vital signs

    Time frame: Up to Week 60

  11. Number of participants with clinically significant changes in 12-lead electrocardiogram (ECG) findings

    Time frame: Up to Week 60

07

Study locations

13 of 13 sites recruiting
  • GSK Investigational Site
    Chandler, Arizona 85224, United States
    Recruiting
  • GSK Investigational Site
    Miami Lakes, Florida 33016, United States
    Recruiting
  • GSK Investigational Site
    Topeka, Kansas 66606, United States
    Recruiting
  • GSK Investigational Site
    Fort Worth, Texas 76104, United States
    Recruiting
  • GSK Investigational Site
    San Antonio, Texas 78215, United States
    Recruiting
  • GSK Investigational Site
    Buenos Aires, 1061, Argentina
    Recruiting
  • GSK Investigational Site
    CABA, C1056ABI, Argentina
    Recruiting
  • GSK Investigational Site
    Rosario, S2002, Argentina
    Recruiting
  • GSK Investigational Site
    San Miguel de Tucumán, T4000IHE, Argentina
    Recruiting
  • GSK Investigational Site
    Toronto, Ontario M1S 4T7, Canada
    Recruiting
  • GSK Investigational Site
    Pusan, 49241, South Korea
    Recruiting
  • GSK Investigational Site
    Seoul, 05505, South Korea
    Recruiting
  • GSK Investigational Site
    Seoul, 135-710, South Korea
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/gsk-patient-level-data-sharing-july2025.pdf

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

Time frame: Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or asset(s) with development terminated across all indications.

Access criteria: Anonymized IPD is shared with researchers whose proposals are approved by an 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 may be granted, when justified, for up to 6 months.

Data sharing details ↗ · www.gsk-studyregister.com

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
10 sites added — first sites in Argentina, Canada and South Korea
Show 10 added (4 Argentina, 3 South Korea, 2 United States, 1 Canada)
  • GSK Investigational Site · CABA, Argentina
  • GSK Investigational Site · Chandler, United States
  • GSK Investigational Site · Miami Lakes, United States
  • GSK Investigational Site · Buenos Aires, Argentina
  • GSK Investigational Site · Rosario, Argentina
  • GSK Investigational Site · San Miguel de Tucumán, Argentina
  • GSK Investigational Site · Toronto, Canada
  • GSK Investigational Site · Pusan, South Korea
  • GSK Investigational Site · Seoul, South Korea
  • GSK Investigational Site · Seoul, South Korea
across 2 updates, Sep 30, 2026 – Nov 5, 2026
Show all 2 updates
  1. Nov 5, 2026
    9 sites added — first sites in Canada and South Korea
    Show 9 added (3 Argentina, 3 South Korea, 2 United States, 1 Canada)
    • GSK Investigational Site · Chandler, United States
    • GSK Investigational Site · Miami Lakes, United States
    • GSK Investigational Site · Buenos Aires, Argentina
    • GSK Investigational Site · Rosario, Argentina
    • GSK Investigational Site · San Miguel de Tucumán, Argentina
    • GSK Investigational Site · Toronto, Canada
    • GSK Investigational Site · Pusan, South Korea
    • GSK Investigational Site · Seoul, South Korea
    • GSK Investigational Site · Seoul, South Korea
    + 2 other changes: identifiers and verification date
  2. Sep 30, 2026
    1 site added — first site in Argentina
    Show site
    • GSK Investigational Site · CABA, Argentina

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07791043
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Aug 27, 2026
Start date
Aug 31, 2026
Primary completion
Aug 11, 2028 (estimated)
Completion
Jan 14, 2030 (estimated)
Last update
Nov 5, 2026

Study contacts

US GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
877-379-3718
EU GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
+44 (0) 20 89904466
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 ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Efimosfermin alfa

Start the discussion