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Efruxifermin

Phase 3

NASH - Nonalcoholic Steatohepatitis | Small molecule | Infectious Disease |Akero Therapeutics, Inc.|Last Updated: Jun 8, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment2,278
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06528314A Study Evaluating Efruxifermin in Subjects With Compensated Cirrhosis Due to NASH/MASHPHASE3 RECRUITING 2,150Sep 4, 2024Mar 1, 2030Jun 8, 2026322 United States, Argentina +17
NCT04767529A Study of Efruxifermin in Non-Cirrhotic Subjects With Histologically Confirmed Nonalcoholic Steatohepatitis (NASH)PHASE2 COMPLETED 128Feb 16, 2021May 2, 2024Jun 18, 202555 United States, Puerto Rico
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Study Endpoints
Primary Endpoints
Time from randomization to the first significant clinical event including disease progression, liver decompensation events, etc.
5 years

Measured by composite of protocol-specified clinical events

Cohort 1 only: Proportion of subjects with ≥ 1 stage improvement in fibrosis and no worsening of steatohepatitis
96 Weeks

Based on NASH CRN fibrosis score (scored by a fibrosis score of 0-4, where 0 = no fibrosis, 1 = centrilobular pericellular fibrosis, 2 = centrilobular and periportal fibrosis, 3 = bridging fibrosis, 4 = cirrhosis)

Effect of Efruxifermin (EFX) vs Placebo on Fibrosis Regression in Participants With Metabolic Dysfunction-associated Steatohepatitis (MASH)-Associated Stage 2 or 3 Fibrosis (F2 or F3)
24 Weeks

Proportions of subjects in EFX vs placebo groups with improvement in liver fibrosis, defined as ≥ 1 stage NASH Clinical Research Network \[CRN\] fibrosis score (score ranges from 0 to 4, increasing with fibrosis severity), and no worsening of steatohepatitis (no increase in NASH Activity Score \[NAS\], which ranges from 0 to 8 and is the sum of scores of steatosis, lobular inflammation, and hepatocyte ballooning), at Week 24

Secondary Endpoints
Change from baseline of non-invasive markers of liver fibrosis
96 Weeks, 5 Years
Change from baseline of markers of liver injury
96 Weeks, 5 Years
Change from baseline of lipoproteins
96 Weeks, 5 Years
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
EFX 50 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Efruxifermin 28 mgEXPERIMENTALdouble-blind, once-weekly subcutaneous injection
Efruxifermin 50 mgPLACEBO_COMPARATORdouble-blind, once-weekly subcutaneous injection
Interventions
NameTypeDescription
EfruxiferminDRUGAdministered by subcutaneous injection
PlaceboDRUGAdministered by subcutaneous injection
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites322

Inclusion Criteria: * Cohort 1: Biopsy proven compensated cirrhosis (fibrosis stage 4) due to NASH/MASH and NAS score of \>=3 (at least 1 in each category) or evidence of steatosis and 2 current features of metabolic comorbidities * Cohort 2: Biopsy proven or non-invasively diagnosed compensated ci...

Countries:United StatesArgentinaAustraliaBrazilCanadaChileFranceGermanyIndiaIsraelItalyMexicoPolandPuerto RicoSouth KoreaSpainSwitzerlandTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWJun 8, 2026NCT06528314lastUpdatePostDate: changed
LOWJun 8, 2026NCT06528314lastUpdatePostDate: changed
LOWJun 8, 2026NCT06528314lastUpdatePostDate: changed
LOWMay 26, 2026NCT06528314primaryCompletionDate: changed
LOWMay 24, 2026NCT06528314studyFirstPostDate: changed