Recent Updates
Recently added Catalysts

MGL-3196

Phase 3

NASH - Nonalcoholic Steatohepatitis | Small molecule | Infectious Disease |Madrigal Pharmaceuticals, Inc.|Last Updated: Jun 1, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,759
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03900429A Phase 3 Study to Evaluate the Efficacy and Safety of MGL-3196 (Resmetirom) in Patients With NASH and FibrosisPHASE3 ACTIVE NOT_RECRUITING 1,759Mar 28, 2019Jan 1, 2028Jun 1, 2026247 United States, Australia +14
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Week 52 Dual Primary Objectives: To determine the effect of 80 or 100 mg MGL-3196 vs matching placebo on liver biopsy (NASH CRN score) at Week 52 compared with Baseline
52 weeks

1. Proportion with resolution of NASH (ballooning 0, inflammation 0,1) associated with at least 2-point reduction in NAFLD Activity Score (NAS) without worsening of fibrosis stage OR 2. Proportion with at least a 1-point improvement in fibrosis stage with no worsening of NAS

Month 54 Primary Objective: Time to experiencing an adjudicated Composite Clinical Outcome event (Final Primary Endpoint, at 54 months)
up to 54 months

The Composite Clinical Outcome is composed of all-cause mortality, liver transplant, and significant hepatic events (including hepatic decompensation events \[ascites, encephalopathy, or gastroesophageal variceal hemorrhage\], histological progression to cirrhosis, and a confirmed increase of MELD score from \<12 to ≥15).

Secondary Endpoints
Week 52 Key Secondary Objective: To determine the effect of once-daily, oral administration of MGL-3196 80 or 100 mg versus matching placebo on the percent change from Baseline at 24 weeks in directly measured low-density lipoprotein cholesterol (LDL-C)
24 weeks
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Matching PlaceboPLACEBO_COMPARATORPlacebo Daily
80 mg MGL-3196ACTIVE_COMPARATOR80 mg daily
100 mg MGL-3196ACTIVE_COMPARATOR100 mg daily
Interventions
NameTypeDescription
MGL-3196DRUGTablet
PlaceboDRUGMatching Tablets
Liver BiopsyPROCEDUREA procedure in which a needle is inserted into the liver to collect a tissue sample
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites247

Inclusion Criteria: 1. Must be willing to participate in the study and provide written informed consent. 2. Male and female adults ≥ 18 years of age. 3. Suspected or confirmed diagnosis of NASH fibrosis suggested by the historical data. Meet one of the following criteria that is consistent with NAS...

Countries:United StatesAustraliaAustriaBelgiumCanadaFranceGermanyHungaryIsraelItalyMexicoPolandPuerto RicoSpainSwitzerlandUnited Kingdom
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT03900429lastUpdatePostDate: changed
LOWJun 2, 2026NCT03900429lastUpdatePostDate: changed
LOWJun 2, 2026NCT03900429lastUpdatePostDate: changed
LOWMay 26, 2026NCT03900429primaryCompletionDate: changed
LOWMay 24, 2026NCT03900429studyFirstPostDate: changed