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EFX

Phase 2

NASH - Nonalcoholic Steatohepatitis | Small molecule | Metabolic |Akero Therapeutics, Inc.|Last Updated: Jul 21, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment323

FDA Designations

No designations recorded

Clinical trial landscape

EFX · 2 trials · 1 indication

Phase 2 2
NCT05039450A Study of Efruxifermin in Subjects With Compensated Cirrhosis Due to Nonalcoholic Steatohepatitis (NASH) (Symmetry)NASH - Nonalcoholic Steatohepatitis
COMPLETED213 Analytics
NCT03976401A Study of Efruxifermin in Subjects With Histologically Confirmed Nonalcoholic Steatohepatitis (NASH)NASH - Nonalcoholic Steatohepatitis
COMPLETED110 Analytics
PHASE2COMPLETED
A Study of Efruxifermin in Subjects With Compensated Cirrhosis Due to Nonalcoholic Steatohepatitis (NASH) (Symmetry)
NASH - Nonalcoholic SteatohepatitisUnlock trial analytics
PHASE2COMPLETED
A Study of Efruxifermin in Subjects With Histologically Confirmed Nonalcoholic Steatohepatitis (NASH)
NASH - Nonalcoholic SteatohepatitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Main: Change From Baseline in Fibrosis With no Worsening Steatohepatitis Assessed by NASH CRN System
Week 36

Proportion of subjects who achieve ≥ 1 stage improvement in fibrosis (based on NASH CRN fibrosis score) and no worsening of steatohepatitis at Week 36. No worsening of steatohepatitis was defined as no increase in score for any of the 3 components of NAS. The evaluation of the NAS endpoint was calculated using the following 3 categorical features: steatosis \[0-3\], lobular inflammation \[0-3\], and hepatocellular ballooning \[0-2\]. NAS was derived as the unweighted sum of steatosis, lobular inflammation, and hepatocellular ballooning scores.

Main: Absolute Change From Baseline in Hepatic Fat Fraction Assessed by MRI-PDFF at Week 12.
12 weeks

Main study. ANCOVA multiple imputation with treatment group and F1 fibrosis score (F1 vs F2-3) as factors and baseline hepatic fat fraction measured by MRI-PDFF as a covariate.

Secondary Endpoints

Main: Resolution of NASH Assessed by the NASH CRN System
Week 36, Week 96
Main: Fibrosis Improvement and Resolution of NASH Assessed by the NASH CRN System
Week 36, Week 96
Main: Change From Baseline in Fibrosis With no Worsening of Steatohepatitis Assessed by the NASH CRN System
Week 96
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EFX 28 mg (Main Study)EXPERIMENTAL -
EFX 50 mg (Main Study)EXPERIMENTAL -
Placebo (Main Study)PLACEBO_COMPARATOR -
EFX 50 mg (Cohort D)EXPERIMENTAL -
Placebo (Cohort D)PLACEBO_COMPARATOR -
EFX Dose 1EXPERIMENTALMain Study
EFX Dose 2EXPERIMENTALMain Study
EFX Dose 3EXPERIMENTALMain Study
PlaceboPLACEBO_COMPARATORMain Study
EFX Dose (Cohort C)EXPERIMENTAL -
Placebo (Cohort C)PLACEBO_COMPARATOR -

Interventions

NameTypeDescription
EFXDRUGInvestigational drug, Efruxifermin
PlaceboDRUGPlacebo
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites49

Inclusion Criteria: * Males and non-pregnant, non-lactating females between 18-75 years of age inclusive, based on the date of signing informed consent. * Main Study Only: Previous history or presence of Type 2 diabetes or 2 out of 4 components of metabolic syndrome (obesity, dyslipidemia, elevated...

Countries:United StatesMexicoPuerto Rico
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Recent Changes (Last 90 Days)

MEDIUMAug 21, 2026NCT05039450TRIAL_REMOVED: changed
MEDIUMAug 21, 2026NCT05039450TRIAL_REMOVED: changed
MEDIUMAug 21, 2026NCT05039450TRIAL_REMOVED: changed
HIGHJul 21, 2026NCT05039450Status: ACTIVE_NOT_RECRUITING → COMPLETED

Frequently asked questions about EFX

What is EFX used for?

EFX is an investigational small molecule being developed for the treatment of nonalcoholic steatohepatitis (NASH), a form of fatty liver disease. It is currently in Phase 2 clinical development and has not been approved by the FDA.

Who makes EFX?

EFX is being developed by Akero Therapeutics, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol AKRO. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with NASH.

What phase is EFX in?

EFX is in Phase 2 clinical development. Two Phase 2 trials have been completed, one involving 110 participants and another involving 213 participants, both in patients with NASH. The drug remains investigational and is not yet approved.

What clinical trials is EFX in?

EFX has completed two Phase 2 clinical trials. The first, NCT03976401, enrolled 110 participants with histologically confirmed NASH in the United States and Puerto Rico. The second, NCT05039450, enrolled 213 participants with compensated cirrhosis due to NASH in the United States, Mexico, and Puerto Rico.

Is EFX the same as efruxifermin?

Yes, EFX is also known as efruxifermin. Both names refer to the same investigational drug being developed by Akero Therapeutics for the treatment of nonalcoholic steatohepatitis (NASH).