> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/a-study-evaluating-the-efficacy-and-safety-of-pegozafermin-3fb7252c-a8d9-4f3c-9a91-c646394418c3
> Record changed: 2026-10-13

# A Study Evaluating the Efficacy and Safety of Pegozafermin in Participants With MASH and Fibrosis (ENLIGHTEN-Fibrosis)

NCT06318169

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

Participants

1,350

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

Lead sponsor

89bio, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

Start date

2024-03-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

Number of sites

365

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Title and summary

**Summary**

The study will assess the efficacy and safety of 2 dose regimens of pegozafermin compared to placebo for the treatment of liver fibrosis stage F2 or F3 in adult participants with MASH.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Short title**

A Study Evaluating the Efficacy and Safety of Pegozafermin in Participants With MASH and Fibrosis (ENLIGHTEN-Fibrosis)

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Official title**

A Phase 3 Study to Evaluate the Efficacy and Safety of Pegozafermin in Subjects With Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Fibrosis

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Dates

**Completion date**

2029-02-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**First posted**

2024-03-19

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Registry last updated**

2026-08-05

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Primary completion date**

2029-02-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Start date**

2024-03-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Size and sites

**Participants**

1,350

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Planned participants**

1,350

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Protocol amendments**

4

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Number of sites**

365

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Lead sponsor**

89bio, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Identifiers

**Registry ID**

NCT06318169

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**ClinicalTrials.gov ID**

NCT06318169

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Outcomes

### Primary outcomes

1. Number of Participants With at Least an Improvement of Fibrosis ≥1 Stage Without Worsening of Steatohepatitis at Week 52  
Timeframe: Week 52  
Worsening of steatohepatitis is defined as increase in non-alcoholic fatty liver disease (NAFLD) Activity Score (NAS) for ballooning, inflammation, or steatosis
2. Number of Participants With Resolution of Steatohepatitis Without Worsening of Fibrosis at Week 52  
Timeframe: Week 52  
Resolution of steatohepatitis is defined as total absence of ballooning (score=0) and absent or mild inflammation (score 0 to 1). Worsening of fibrosis is defined as progression of fibrosis by ≥1 stage.
3. Time to First Occurrence of Disease Progression  
Timeframe: Up to 5 years  
Final analysis of the time to first occurrence of disease progression will be measured by a composite of protocol-specified clinical events

### Secondary outcomes

1. Percent Change from Baseline in Alanine Aminotransferase at Week 52  
Timeframe: Baseline, Week 52
2. Absolute Change From Baseline in Enhanced Liver Fibrosis (ELF) Score at Week 52  
Timeframe: Baseline, Week 52

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Maximum age**

80 Years

**Healthy volunteers**

No

Key Inclusion Criteria:

- Males or non-pregnant females aged between 18 and 80 years (inclusive) at time of signing the informed consent form (ICF)
- Biopsy-confirmed MASH with fibrosis stage F2 or F3
- Body mass index (BMI) at screening ≥25.0 kilograms (kg)/meters squared (m^2) (≥23 kg/m^2 for Asian participants).

Key Exclusion Criteria:

- Chronic liver diseases other than MASH
- Evidence of cirrhosis on screening liver biopsy
- Have type 1 diabetes or poorly controlled type 2 diabetes
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥250 units per liter (U/L)
- Participants taking vitamin E (>400 international units \[IU\]/day) or pioglitazone must be on stable dose for at least 6 months prior to Screening

Other inclusion and exclusion criteria may apply.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Sites

- 89bio Clinical Study SiteBirmingham, United StatesRecruiting
- 89bio Clinical Study SiteChandler, United StatesRecruiting
- 89bio Clinical Study SiteFlagstaff, United StatesActive, not recruiting
- 89bio Clinical Study SiteGlendale, United StatesRecruiting
- 89bio Clinical Study SiteSun City, United StatesRecruiting
- 89bio Clinical Study SiteTucson, United StatesRecruiting
- 89bio Clinical Study SiteTucson, United StatesRecruiting
- 89bio Clinical Study SiteConway, United StatesActive, not recruiting
- 89bio Clinical Study SiteLittle Rock, United StatesRecruiting
- 89bio Clinical Study SiteNorth Little Rock, United StatesRecruiting
- 89bio Clinical Study SiteCanoga Park, United StatesRecruiting
- 89bio Clinical Study SiteCoronado, United StatesRecruiting
- 89bio Clinical Study SiteEscondido, United StatesRecruiting
- 89bio Clinical Study SiteFountain Valley, United StatesRecruiting
- 89bio Clinical Study SiteFresno, United StatesRecruiting
- 89bio Clinical Study SiteGardena, United StatesRecruiting
- 89bio Clinical Study SiteHuntington Park, United StatesWithdrawn
- 89bio Clinical Study SiteInglewood, United StatesRecruiting
- 89bio Clinical Study SiteLa Jolla, United StatesRecruiting
- 89bio Clinical Study SiteLancaster, United StatesRecruiting
- 89bio Clinical Study SiteLong Beach, United StatesRecruiting
- 89bio Clinical Study SiteLos Angeles, United StatesRecruiting
- 89bio Clinical Study SiteMontclair, United StatesRecruiting
- 89bio Clinical Study SiteOrange, United StatesRecruiting
- 89bio Clinical Study SitePanorama City, United StatesWithdrawn

And 340 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06318169)

## Related records

### Drugs (1)

- [Pegozafermin](https://trialight.com/data/asset/pegozafermin-0c0a8418-4357-41d5-9265-d58377f558b8.md)

### Lead sponsors (1)

- [89bio, Inc.](https://trialight.com/data/company/89bio-inc-fbc04c82-4f04-42f9-bf88-b8f681c64fb6.md)

### Conditions (3)

- [Digestive system disorder](https://trialight.com/data/condition/digestive-system-disorder-ae55641c-32fa-5aa9-ab90-29f763a95dc0.md)
- [Liver disorder](https://trialight.com/data/condition/liver-disorder-8388d30a-2581-5015-9ddf-adc5f6a331d7.md)
- [Metabolic dysfunction-associated steatotic liver disease](https://trialight.com/data/condition/metabolic-dysfunction-associated-steatotic-liver-disease-beb92cb4-74bc-5e17-96f1-97aeed54ab35.md) Primary condition

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