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NCT07165028ClinicalTrials.gov

A Master Protocol of Multiple Agents in Adults With Metabolic Dysfunction-Associated Steatotic Liver Disease (SYNERGY-Outcomes)

A Master Protocol for a Randomized, Controlled, Clinical Trial of Multiple Pharmacologic Agents in Adult Participants With Metabolic Dysfunction-Associated Steatotic Liver Disease Who Are at Increased Risk of Developing Major Adverse Liver Outcomes

قيد التجنيديقبل مشاركين الآن، وفقاً لسجل السجل.
التواصل مع هذه الدراسة

باختصار

The main purpose of the SYNERGY-OUTCOMES study is to find out whether retatrutide and tirzepatide can prevent major adverse liver outcomes (MALO) in people with high-risk metabolic dysfunction-associated steatotic liver disease (MASLD). The study will enroll adults who have MASLD…

المرحلة 3مطلوب 4,500 مشارك563 موقعاً34 دولة

الفئات

مسجَّلة في سجل واحد

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2025-09-10; recorded start 2025-10-15
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 347 other studies in this databaseCounted from the lead sponsor named in the record (Eli Lilly and Company)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourSTRONG

A strong methodological design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding7/20

    Single-blind

  • Control arm13/15

    Placebo / sham control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 563 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleLARGE

A large study, international in scope: 4,500 participants (target), run at 563 sites, across 34 countries.

How this score is built
  • Enrolment35/40

    4,500 participants (target)

  • Site count25/25

    563 sites

  • Country count15/15

    34 countries

  • Planned duration10/10

    Planned over about 83 months

  • Sponsor scale9/10

    Eli Lilly and Company has led 326 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

ملخص

The main purpose of the SYNERGY-OUTCOMES study is to find out whether retatrutide and tirzepatide can prevent major adverse liver outcomes (MALO) in people with high-risk metabolic dysfunction-associated steatotic liver disease (MASLD). The study will enroll adults who have MASLD based on non-invasive tests (NITs), which indicate they are more likely to develop MALO. Participants will be randomly assigned within a Master Protocol to receive either retatrutide (N1T-MC-RT01), tirzepatide (N1T-MC-TZ01) or placebo. The trial plans to enroll about 4,500 adults and will run for approximately 224 weeks. Participants may have up to approximately 25 to 30 clinic visits throughout the study to monitor their health, complete study procedures, and assess liver function and disease progression. Once the study is complete, eligible participants may participate in an optional 2-year extension study, in which all participants will receive either retatrutide or tirzepatide, even if they received placebo in the main study.

الحالات

  • Metabolic Dysfunction-Associated Steatotic Liver Disease

الأهلية

الأهلية
الجنسالجميع
الأعمار18 Yearsلا حد أقصى
المتطوعون الأصحّاءلا

الأهلية كما كُتبت في السجل

Inclusion Criteria: * Have liver fat content ≥8% * Have ELF score of ≥9 and ≤10.8 at screening * Have VCTE LSM ≥10 kilopascal (kPa) and \<20 kPa at screening Exclusion Criteria: * Have any other type of liver disease other than MASLD * Have a body mass index (BMI) \<25 kilogram per square meter (kg/m2) * Prior decompensated liver disease (history of esophageal/gastric varices, ascites, hepatic encephalopathy) * Have lost more than 11 pounds within the 3 months prior to screening * Have a hemoglobin A1c (HbA1c) greater than 10% * Have type 1 diabetes

الأهلية في عبارات بسيطة

لم تُقسَّم معايير هذا السجل إلى عبارات منفصلة بعد. نص السجل أعلاه كامل وهو النسخة المُعتمَدة.

تصميم الدراسة

تصميم الدراسة
نوع الدراسةتدخّلية
المرحلةالمرحلة 3
التخصيصمعشّاة
نموذج التدخّلPARALLEL
الغرض الأساسيTREATMENT
التعميةSINGLE (1)
التجنيدمطلوب 4,500 مشارك

الجهة الراعية والمتعاونون

  • Eli Lilly and Company الجهة الراعية

الأذرع والتدخلات

  • Tirzepatide (TZ01)EXPERIMENTAL

    Participants will receive tirzepatide subcutaneously (SC)

  • Placebo (TZ01)PLACEBO_COMPARATOR

    Participants will receive placebo SC

  • Retatrutide (RT01)EXPERIMENTAL

    Participants will receive retatrutide SC

  • Placebo (RT01)PLACEBO_COMPARATOR

    Participants will receive placebo SC

التدخلات

  • دواء Placebo

    Administered SC

  • دواء Retatrutide

    Administered SC

  • دواء Tirzepatide

    Administered SC

مقاييس النتائج

  1. مقياس النتيجة الأولي

    Time to First Occurrence of Any Component of the Composite Endpoint for Major Adverse Liver Outcomes (MALO)

    Composite endpoint comprised of progression to cirrhosis, development of large esophageal varices, gastric varices or development of varices needing treatment, development of ascites, development of hepatic encephalopathy, evidence of active or recent variceal hemorrhage, increase in model for end-stage liver disease (MELD) from ≤12 to ≥15, liver transplantation, all-cause mortality

    الإطار الزمني Baseline up to Study Completion (about 224 weeks)

  2. مقياس النتيجة الثانوي

    Change from Baseline in Enhanced Liver Fibrosis (ELF) Score

    الإطار الزمني Baseline, Week 104

  3. مقياس النتيجة الثانوي

    Change from Baseline in Vibration-Controlled Transient Elastography Liver Stiffness Measurement (VCTE LSM)

    الإطار الزمني Baseline, Week 104

  4. مقياس النتيجة الثانوي

    Percent Change from Baseline in Liver Fat Content (LFC)

    الإطار الزمني Baseline, Week 104

  5. مقياس النتيجة الثانوي

    Time to Occurrence of Progression to Cirrhosis

    الإطار الزمني Baseline up to Study Completion (about 224 weeks)

  6. مقياس النتيجة الثانوي

    Change from Baseline in Aspartate Aminotransferase (AST)

    الإطار الزمني Baseline, Study Completion (about 224 weeks)

  7. مقياس النتيجة الثانوي

    Change from Baseline in Alanine Aminotransferase (ALT)

    الإطار الزمني Baseline, Study Completion (about 224 weeks)

  8. مقياس النتيجة الثانوي

    Change from Baseline in Body Weight

    الإطار الزمني Baseline, Study Completion (about 224 weeks)

  9. مقياس النتيجة الثانوي

    Change from Baseline in Non-Alcoholic Steatohepatitis-CHECK Score (NASH-CHECK)

    الإطار الزمني Baseline, Week 104

  10. مقياس النتيجة الثانوي

    Time to First Occurrence of Any Component Event of the Composite Endpoint of Major Adverse Cardiovascular Events (MACE-3)

    MACE-3 composite endpoint includes nonfatal myocardial infarction, nonfatal stroke, cardiovascular death

    الإطار الزمني Baseline up to Study Completion (about 224 weeks)

التواريخ

التواريخ
تاريخ البدء15 أكتوبر 2025 (فعلي)
الإتمام الأولي1 أغسطس 2030 (تقديري)
الإتمام1 أغسطس 2032 (تقديري)
أول نشر10 سبتمبر 2025 (فعلي)
آخر تحديث8 سبتمبر 2026
النتائج منشورةغير مذكور في سجل السجل
آخر تأكيد للحالةسبتمبر 2026

فعلي يعني أن الحدث وقع. تقديري يعني أن الجهة الراعية تتوقعه. للكلمتين معنيان مختلفان.

المواقع

481 موقعاً قيد التجنيد

Argentina

Argentina
المنشأةالمدينةالولاية أو المنطقةالحالة
Hospital Italiano de Buenos AiresABBقيد التجنيد
CIPRECBuenos Airesقيد التجنيد
Centro Medico Dra. Laura Maffei- Investigacion Clinica AplicadaBuenos Airesقيد التجنيد
Mautalen Salud e InvestigaciónBuenos Airesقيد التجنيد
Centro Médico ViamonteBuenos Airesقيد التجنيد
Centro de Investigaciones Metabólicas (CINME)Buenos Airesقيد التجنيد
Glenny Corp. S.A.Buenos Airesقيد التجنيد
Cicemo SrlBuenos Airesقيد التجنيد
DOM Centro de ReumatologíaBuenos Airesقيد التجنيد
Fundación RespirarBuenos Airesقيد التجنيد
Instituto de Investigaciones Clínicas CórdobaCórdobaقيد التجنيد
Centro de Investigaciones Clínicas BaigorriaGranadero Baigorriaقيد التجنيد
Instituto de Investigaciones Clínicas Mar del PlataMar del Plataقيد التجنيد
DIM Clínica PrivadaRamos Mejíaقيد التجنيد
INECO Neurociencias OroñoRosarioقيد التجنيد
Instituto de Investigaciones Clinicas RosarioRosarioقيد التجنيد
Centro de Diagnóstico y Rehabilitación (CEDIR)Santa Feقيد التجنيد

Australia

Australia
المنشأةالمدينةالولاية أو المنطقةالحالة
Flinders Medical CentreAdelaideقيد التجنيد
Nightingale ResearchAdelaideقيد التجنيد
Box Hill HospitalBox Hillقيد التجنيد
Royal Brisbane and Women's HospitalBrisbaneقيد التجنيد
Core Research GroupBrisbaneقيد التجنيد
Mater Misericordiae LimitedBrisbaneقيد التجنيد
Gallipoli Medical Research LtdBrisbaneقيد التجنيد
Genesis Research ServicesBroadmeadowقيد التجنيد
Barwon HealthGeelongلم يبدأ التجنيد بعد
Austin HealthHeidelbergقيد التجنيد
Ipswich HospitalIpswichقيد التجنيد
Fiona Stanley HospitalMurdochقيد التجنيد
TrialsWest - Osborne ParkOsborne Parkقيد التجنيد
The Royal Melbourne HospitalParkvilleقيد التجنيد
Gold Coast University HospitalSouthportقيد التجنيد
Westmead HospitalWestmeadقيد التجنيد

Austria

Austria
المنشأةالمدينةالولاية أو المنطقةالحالة
Medizinische Universität GrazGrazقيد التجنيد
Uniklinikum SalzburgSalzburgقيد التجنيد
Klinik LandstraßeViennaقيد التجنيد
Medizinische Universität WienViennaقيد التجنيد
Landesklinikum Wiener NeustadtWiener Neustadtلم يبدأ التجنيد بعد

Belgium

Belgium
المنشأةالمدينةالولاية أو المنطقةالحالة
UZ BrusselBrusselsلم يبدأ التجنيد بعد
Centre Hospitalier Universitaire BrugmannBrusselsقيد التجنيد
Université Libre de Bruxelles - Hôpital ErasmeBrusselsلم يبدأ التجنيد بعد
Cliniques universitaires Saint-LucBrusselsلم يبدأ التجنيد بعد
Antwerp University HospitalEdegemلم يبدأ التجنيد بعد
AZ Maria MiddelaresGhentقيد التجنيد
UZ GentGhentلم يبدأ التجنيد بعد
AZ Groeninge Campus KennedylaanKortrijkلم يبدأ التجنيد بعد
AZ Oostende vzwOstendقيد التجنيد
AZ Delta vzwRoeselareقيد التجنيد
VITAZSint-Niklaasلم يبدأ التجنيد بعد

Brazil

Brazil
المنشأةالمدينةالولاية أو المنطقةالحالة
NewData Clinical Research - AracajuAracajuقيد التجنيد

يُدرَج 513 موقعاً إضافياً في سجل السجل.

مستندات الدراسة

لا تُرتبط أي مستندات في سجل السجل هذا.

التغيّرات عبر الزمن

  1. 8 سبتمبر 2026

    أُزيل موقع

    2 sites removed (563 total)

    565563

  2. 21 أغسطس 2026

    أُضيف موقع

    1 site added (565 total)

    564565

  3. 6 أغسطس 2026

    أُضيف موقع

    1 site added (564 total)

    563564