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ALG-055009

Phase 2

NASH | Small molecule | Metabolic |Aligos Therapeutics, Inc.|Trials Updated: Feb 17, 2025

ALG-055009 development status

Highest phase Phase 2
Registered trials 4 across 1 sponsor since Oct 2021

ALG-055009 target and mechanism

Molecular targetTHR-β
Target classReceptor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment200

FDA Designations

No designations recorded

ALG-055009 clinical trials

ALG-055009 · 2 trials · 5 indications

Phase 2 1Phase 1 1
NCT06342947ALG-055009 in Non-cirrhotic Adults With MASH (HERALD)NASH
COMPLETED102 Analytics
PHASE2COMPLETED
ALG-055009 in Non-cirrhotic Adults With MASH (HERALD)
NASHUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent relative change from baseline in liver fat content
12 weeks

Percent relative change from baseline in liver fat content by MRI-PDFF at Week 12

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Up to 14 days for Part 1

The number and severity of treatment emergent adverse events as assessed by DAIDS v2.1

Secondary Endpoints

Absolute change from baseline in liver fat content
12 weeks
Proportion of subjects with ≥30% relative reduction in liver fat content
12 weeks
Proportion of subjects with ≥50% relative reduction in liver fat content
12 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ALG-055009 softgel capsule 0.3mgEXPERIMENTALALG-055009 softgel capsule 0.3mg Daily for 12 weeks
ALG-055009 softgel capsule 0.5mgEXPERIMENTALALG-055009 softgel capsule 0.5mg Daily for 12 weeks
ALG-055009 softgel capsule 0.7mgEXPERIMENTALALG-055009 softgel capsule 0.7mg Daily for 12 weeks
ALG-055009 softgel capsule 0.9mgEXPERIMENTALALG-055009 softgel capsule 0.9mg Daily for 12 weeks
PlaceboPLACEBO_COMPARATORPlacebo softgel capsule Daily for 12 weeks
ALG-055009EXPERIMENTALOral dose(s) of ALG-055009 in Healthy Volunteer or subjects with mild hyperlipidemia once daily up to 14 days

Interventions

NameTypeDescription
ALG-055009DRUGSoftgel Capsule
PlaceboDRUGSoftgel Capsule
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites40

Key Inclusion Criteria: * Male or female, 18 to 75 years of age * Body mass index (BMI) ≥ 25 kg/m2 * Diagnosis of presumed NASH/MASH with F1-F3 liver fibrosis based on one of the following: * Liver biopsy within 6 months prior to screening showing a NAFLD activity score (NAS) of ≥4 with at least...

Countries:United StatesFrance
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Frequently asked questions about ALG-055009

What is ALG-055009?

ALG-055009 is an investigational small molecule developed by Aligos Therapeutics, Inc. for metabolic liver disease. It is being studied as a treatment for NASH, also called nonalcoholic steatohepatitis or MASH, a fatty liver condition. It is a Phase 2 clinical candidate and has not been approved for any use.

What is ALG-055009 used for in NASH?

ALG-055009 is being developed to treat NASH, also known as nonalcoholic steatohepatitis or MASH, in non-cirrhotic adults. The Phase 2 HERALD trial enrolled adults with MASH. Because the drug is still investigational, it is not available as a prescribed treatment outside of clinical research.

What does ALG-055009 target?

ALG-055009 targets THR-beta, a thyroid hormone receptor. THR-beta is a nuclear receptor that regulates genes involved in lipid metabolism and liver fat handling, which is the rationale for testing the compound in NASH and hyperlipidemia. ALG-055009 is an orally administered small molecule directed at this receptor.

Who is developing ALG-055009?

Aligos Therapeutics, Inc. is developing ALG-055009. The company trades on the Nasdaq under the ticker ALGS. Aligos is a clinical-stage biopharmaceutical company, and ALG-055009 is one of its metabolic disease programs.

What phase is ALG-055009 in?

ALG-055009 is in Phase 2 clinical development. A Phase 2 study in non-cirrhotic adults with MASH has been completed, and an earlier Phase 1 study in healthy volunteers and subjects with hyperlipidemia has also been completed. The drug remains investigational and has not been approved by the FDA.

What clinical trials is ALG-055009 in?

ALG-055009 has been studied in two completed trials. The Phase 2 HERALD trial, NCT06342947, randomized 102 non-cirrhotic adults with MASH in the United States. The Phase 1 trial, NCT05090111, enrolled 98 healthy volunteers and subjects with hyperlipidemia in France. Both studies are listed as completed.