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Pemvidutide

Phase 2

Non-Alcoholic Steatohepatitis (NASH) | Small molecule | Metabolic |Altimmune, Inc.|Last Updated: May 18, 2026

Success Probability
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Market & Valuation
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment212
FDA Designations
BREAKTHROUGH_THERAPYFAST_TRACK
Clinical trial landscape

Pemvidutide · 4 trials · 4 indications

Phase 2 3Phase 1 1
NCT07009860RESTORE TRIAL: A Phase 2 Study Evaluating the Efficacy and Safety of Pemvidutide in the Treatment of Alcohol-Associated Liver Disease (ALD)Alcohol Liver Disease
RECRUITING100 Analytics
NCT06987513RECLAIM STUDY: A Phase 2 Evaluating the Efficacy and Safety of Pemvidutide in the Treatment of Alcohol Use Disorder (AUD) in Subjects With Obesity or OverweightAlcohol Use Disorder (AUD)
ACTIVE NOT_RECRUITING100 Analytics
NCT05989711IMPACT TRIAL: Efficacy and Safety of Pemvidutide in Subjects With Nonalcoholic Steatohepatitis (NASH)Non-Alcoholic Steatohepatitis (NASH)
COMPLETED212 Analytics
PHASE2RECRUITING
RESTORE TRIAL: A Phase 2 Study Evaluating the Efficacy and Safety of Pemvidutide in the Treatment of Alcohol-Associated Liver Disease (ALD)
Alcohol Liver DiseaseUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
RECLAIM STUDY: A Phase 2 Evaluating the Efficacy and Safety of Pemvidutide in the Treatment of Alcohol Use Disorder (AUD) in Subjects With Obesity or Overweight
Alcohol Use Disorder (AUD)Unlock trial analytics
PHASE2COMPLETED
IMPACT TRIAL: Efficacy and Safety of Pemvidutide in Subjects With Nonalcoholic Steatohepatitis (NASH)
Non-Alcoholic Steatohepatitis (NASH)Unlock trial analytics
Study Endpoints
Primary Endpoints
Relative (%) change in liver stiffness by VCTE compared to baseline at Week 24
Week 24
Change from baseline in the average number of heavy drinking days per week, with a heavy drinking day defined as 5 or more drinks in the day for men and 4 or more drinks in the day for women, using the TLFB method
Week 24
Proportion of subjects achieving NASH resolution (NAFLD activity score [NAS], ballooning = 0; lobular inflammation = 0, 1) with at least a 2-point reduction in NAS without worsening of fibrosis
24 weeks
Proportion of subjects achieving at least 1 stage improvement in liver fibrosis without worsening of NASH (defined as no change in the NAS, ie, the sum score for ballooning, inflammation, and steatosis)
24 weeks
Incidence of Treatment Emergent Adverse Events
52 weeks
Area Under the Plasma Concentration Versus Time Curve (AUC) of metformin and atorvastatin/warfarin and digoxin in presence of steady state ALT-801
Baseline and Day 36
Area Under the Plasma Concentration Versus Time Curve (AUC) of ethinylestradiol and levonorgestrel in presence of steady state ALT-801
Baseline and Day 43
Secondary Endpoints
Relative (%) change in liver stiffness by VCTE compared to baseline at Week 48
Week 24 and 48
Absolute change in the Enhanced Liver Fibrosis (ELF) score at Weeks 24 and 48 compared to baseline
Week 24 and 48
Proportion of subjects achieving a 2-level reduction in WHO risk drinking level using the TLFB method for the 4-week period comprising Weeks 21 through 24.
Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Pemvidutide 2.4 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Pemvidutide 2.4mg (Active)EXPERIMENTALSubcutaneous injection
Pemvidutide 1.2 mgEXPERIMENTAL -
Pemvidutide 1.8 mgEXPERIMENTAL -
Part 1 Metformin and Atorvastatin with and without PemvidutideEXPERIMENTALIn Period 1, subjects received metformin 500 mg BID on Days 1 and 2, single doses of metformin 500 mg and atorvastatin 40 mg on Day 3, and a single dose of pemvidutide 0.6 mg on Day 8. In Period 2, subjects received single doses of pemvidutide1.2 mg on Day 15 and 1.8 mg on Days 22 and 29, metformin 500 mg BID on Days 34 and 35, and pemvidutide 1.8 mg on Day 36 immediately followed by oral metformin 500 mg and atorvastatin 40 mg.
Part 2 Warfarin and Digoxin with and without PemvidutideEXPERIMENTALIn Period 1, subjects received single doses of warfarin 10 mg and digoxin 500 mcg (0.5 mg) on Day 1, and a single dose of pemvidutide 0.6 mg on Day 8. In Period 2, subjects received single doses of pemvidutide 1.2 mg on Day 15 and 1.8 mg on Days 22 and 29, and pemvidutide1.8 mg immediately followed by warfarin 10 mg and digoxin 500 mcg (0.5 mg) on Day 36.
Part 3 Ethinylestradiol and Levonorgestrel with and without PemvidutideEXPERIMENTALIn Period 1, subjects received a combined oral contraceptive (COC) consisting of 0.03 mg ethinylestradiol and 0.15 mg levonorgestrel once daily on Days 1 through 9 and a single dose of pemvidutide 0.6 mg on Day 15. In Period 2, subjects received single doses of pemvidutide 1.2 mg on Day 22 and 1.8 mg on Days 29 and 36. Subjects also received COC once daily on Days 35 through 42 and a single dose of pemvidutide 1.8 mg followed immediately by a single dose of COC on Day 43.
Interventions
NameTypeDescription
PemvidutideDRUGPemvidutide 2.4 mg
PlaceboOTHERSubcutaneous injection
MetforminDRUGTaken by mouth (PO)
AtorvastatinDRUGTaken by mouth (PO)
WarfarinDRUGTaken by mouth (PO)
DigoxinDRUGTaken by mouth (PO)
Ethinylestradiol and LevonorgestrelDRUGTaken by mouth (PO)
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Eligibility Criteria
Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites43

Inclusion Criteria: 1. Male or female ages 18 to 75 years, inclusive 2. Overweight or obesity, defined as BMI ≥ 25 kg/m2 3. History of alcohol misuse for the prior 3 years, with an alcohol intake ≥ 50 grams per day for males and ≥ 40 grams per day for females on average in the past year 4. Liver st...

Countries:United StatesPuerto RicoAustralia
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Recent Changes (Last 90 Days)
MEDIUMJun 18, 2026NCT05989711TRIAL_REMOVED: changed
MEDIUMJun 18, 2026NCT05989711TRIAL_REMOVED: changed
MEDIUMJun 18, 2026NCT05989711TRIAL_REMOVED: changed
MEDIUMJun 18, 2026NCT05989711TRIAL_REMOVED: changed
LOWMay 26, 2026NCT07009860primaryCompletionDate: changed
LOWMay 26, 2026NCT06987513primaryCompletionDate: changed
LOWMay 24, 2026NCT07009860studyFirstPostDate: changed
LOWMay 24, 2026NCT06987513studyFirstPostDate: changed