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Lanifibranor

Phase 2

NASH - Nonalcoholic Steatohepatitis | Small molecule | Metabolic |Inventiva S.A. - American Depository Shares|Trials Updated: Sep 9, 2026

Lanifibranor development status

Highest phase Phase 2
Registered trials 3 across 2 sponsors since Mar 2019

Lanifibranor target and mechanism

Molecular targetPPARG, PPARA, PPARD
Target classAgonist
ModalitySmall molecule

Also known as IVA 337

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment203

FDA Designations

BREAKTHROUGH_THERAPYFAST_TRACK

Lanifibranor clinical trials

Lanifibranor · 3 trials · 5 indications

Phase 2 2Phase 1 1
NCT03459079Lanifibranor in Patients With Type 2 Diabetes & Nonalcoholic Fatty Liver DiseaseNonalcoholic Fatty Liver Disease (NAFLD)
COMPLETED128 Analytics
NCT05232071Placebo-controlled, Proof-of-concept Study to Evaluate the Safety and Efficacy of Lanifibranor Alone and in Combination With SGLT2 Inhibitor EmpaGliflozin in patiEnts With NASH and Type 2 Diabetes MellitusNASH - Nonalcoholic Steatohepatitis
COMPLETED39 Analytics
PHASE2COMPLETED
Lanifibranor in Patients With Type 2 Diabetes & Nonalcoholic Fatty Liver Disease
Nonalcoholic Fatty Liver Disease (NAFLD)Unlock trial analytics
PHASE2COMPLETED
Placebo-controlled, Proof-of-concept Study to Evaluate the Safety and Efficacy of Lanifibranor Alone and in Combination With SGLT2 Inhibitor EmpaGliflozin in patiEnts With NASH and Type 2 Diabetes Mellitus
NASH - Nonalcoholic SteatohepatitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Intrahepatic Triglycerides (IHTG) Quantified by Proton Magnetic Resonance and Spectroscopy (¹H-MRS)
24 weeks of treatment

Changes from baseline (Adjusted LS means) in absolute percent for change in intrahepatic triglycerides (IHTG) quantified by proton magnetic resonance and spectroscopy (¹H-MRS)are reported in each arms.

Absolute Change in HbA1c
From Baseline to Week 24

Effect of lanifibranor alone compared to placebo and the effect of lanifibranor in combination with empagliflozin compared to placebo on absolute change in HbA1c from baseline (Week 0) to Week 24

Number of Adverse events
From Baseline up to 15 days
Number of abnormal Vital signs (blood pressure, pulse) and physical exams
From Baseline up to 15 days
Number of abnormal Clinical laboratory tests (chemistry, hematology, urinalysis)
From Baseline up to 15 days
Number of abnormal 12-lead digital electrocardiograms parameters (Heart rate, QT/QTc interval, PR interval, QRS interval, RR interval) change from baseline
From Baseline up to 15 days

Secondary Endpoints

Percentage of Patients With a Decrease From Baseline in IHTG (Quantified by ¹H-MRS) to Week 24 of ≥ 30%.
24 weeks of treatment.
Percentage of Patients With NAFLD Resolution, Defined as Having ≤ 5.5% IHTG (Quantified by 1H- MRS).
24 weeks of treatment.
Improvement in Hepatic Insulin Sensitivity (Hepatic Insulin Resistance Index Reported as Relative Percent Change)
24 weeks of treatment.
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
lanifibranor armACTIVE_COMPARATORTwo arm, randomized (1:1), double-blind, placebo-controlled, 24-week treatment study receiving lanifibranor 800 mg/day.
PlaceboPLACEBO_COMPARATORTwo arm, randomized (1:1), double-blind, placebo-controlled, 24-week treatment study receiving placebo.
Lanifibranor (800 mg/day)EXPERIMENTALLanifibranor (800 mg/day): two film-coated tablets of 400 mg each, once-a-day (QD) with food. For oral use. QD for 24 weeks.
Matching placeboPLACEBO_COMPARATORTwo lanifibranor placebo-matching tablets once-a-day (QD) with food. For oral use. QD for 24 weeks.
Lanifibranor (800 mg/day) plus Empagliflozin (10mg/day)EXPERIMENTALLanifibranor (800 mg/day): two film-coated tablets of 400 mg each plus one empagliflozin film-coated tablet of 10 mg (10mg/day), once-a-day (QD) with food. For oral use. QD for 24 weeks
ExperimentalEXPERIMENTALIMP Under investigation
Placebo to MatchPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
LanifibranorDRUGThe film-coated tablet contains 400 mg of the active ingredient lanifibranor (IVA337) for an immediate release formulation. Participants receive 800mg/ day
PlaceboOTHERFilm-coated tablets with a core containing 900 mg of a physical mixture of lactose monohydrate, microcrystalline cellulose, pre-gelatinized starch and magnesium stearate serve as placebo.
EmpagliflozinDRUG10 mg
MoxifloxacinDRUGSingle oral dose at D-8
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Eligibility Criteria

Age Range21 Years to 75 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Be able to communicate meaningfully with the investigator and legally competent to provide written informed consent * Have an age between 21 to 75 years inclusive * Subjects should be on stable standard of care and background therapy for ongoing chronic conditions, including s...

Countries:United StatesBelgiumFranceNetherlandsUnited KingdomGermany
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Frequently asked questions about Lanifibranor

What is Lanifibranor?

Lanifibranor is an investigational oral small molecule developed by Inventiva S.A. for metabolic liver diseases, including nonalcoholic steatohepatitis (NASH) and nonalcoholic fatty liver disease (NAFLD). It is a pan-PPAR agonist that has received FDA Breakthrough Therapy and Fast Track designations. It has been studied in completed Phase 1 and Phase 2 clinical trials.

What is Lanifibranor used for in NASH and NAFLD?

Lanifibranor is being developed to treat nonalcoholic steatohepatitis (NASH) and nonalcoholic fatty liver disease (NAFLD), including patients with type 2 diabetes. Clinical studies have evaluated it in these liver conditions, and it holds FDA Breakthrough Therapy and Fast Track designations for its development in NASH.

What does Lanifibranor target?

Lanifibranor targets PPARG, PPARA, and PPARD, making it a pan-PPAR agonist. By activating all three peroxisome proliferator-activated receptor subtypes, it is designed to address metabolic and inflammatory pathways relevant to NASH and NAFLD. This triple agonist mechanism distinguishes it from single or dual PPAR agents.

Who is developing Lanifibranor?

Lanifibranor is being developed by Inventiva S.A., whose American Depositary Shares trade under the ticker IVA. The company has advanced the compound through completed Phase 1 and Phase 2 trials in healthy subjects and in patients with NASH, NAFLD, and type 2 diabetes.

What phase is Lanifibranor in?

Lanifibranor has completed Phase 1 and Phase 2 clinical development. It is an investigational drug and is not approved for commercial use. Its clinical program includes a Phase 1 multiple ascending dose study in healthy subjects and Phase 2 studies in NASH, NAFLD, and type 2 diabetes.

What clinical trials is Lanifibranor in?

Completed trials include NCT05232071, a Phase 2 proof-of-concept study of Lanifibranor alone and with empagliflozin in NASH patients with type 2 diabetes; NCT03866369, a Phase 1 multiple ascending dose study in healthy male subjects; and NCT03459079, a Phase 2 study in patients with NAFLD and type 2 diabetes.