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> Record changed: 2026-11-04

# Phase 3 Study of the Efficacy, Safety, and Clinical Outcomes of Pemvidutide in MASH

NCT07795164

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

Participants

1,800

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

Lead sponsor

Altimmune, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

Start date

2026-07-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

Number of sites

9

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## Title and summary

**Summary**

Phase 3, multicenter, multinational, 2-cohort, randomized, double-blind, placebo controlled, parallel-group pivotal study to evaluate the efficacy, safety, and clinical outcomes of pemvidutide treatment in subjects with noncirrhotic (F2 or F3) metabolic dysfunction-associated steatohepatitis (MASH). Participants will be assigned either to Cohort 1 based on screening histologic (liver biopsy) criteria or to Cohort 2 based on non-invasive test criteria.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Acronym**

PERFORMA

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Short title**

Phase 3 Study of the Efficacy, Safety, and Clinical Outcomes of Pemvidutide in MASH

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Official title**

A Phase 3, Multinational, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy, Safety, and Clinical Outcomes of Pemvidutide in Subjects With Noncirrhotic Metabolic Dysfunction-Associated Steatohepatitis (MASH)

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## Dates

**Completion date**

2032-12-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**First posted**

2026-08-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Registry last updated**

2026-09-23

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Primary completion date**

2028-12-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Start date**

2026-07-30

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## Size and sites

**Participants**

1,800

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Planned participants**

1,800

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Protocol amendments**

0

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Number of sites**

9

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Lead sponsor**

Altimmune, Inc.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## Identifiers

**Registry ID**

NCT07795164

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**ClinicalTrials.gov ID**

NCT07795164

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## 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/NCT07795164)

## Outcomes

### Primary outcomes

1. Clinical Outcome Event  
Timeframe: Baseline through end of study (approximately Month 60)  
Time to first occurrence of any of the following events through the end of the study: Histologic progression to cirrhosis (F4) on liver biopsy; Liver related events; Liver transplantation; or Death due to any cause
2. Histological Response: MASH resolution  
Timeframe: Baseline through Week 52  
Proportion of subjects achieving MASH resolution (according to NASH Clinical Research Network \\\[CRN\\\] classification) without worsening of fibrosis
3. Histological Response: Fibrosis improvement  
Timeframe: Baseline through Week 52  
Proportion of subjects achieving ≥ 1 stage improvement in liver fibrosis according to the NASH CRN fibrosis staging system without worsening of MASH

### Secondary outcomes

1. Histologic Response: Proportion of subjects achieving both MASH resolution (according to NASH CRN classification) without worsening of fibrosis and ≥ 1 stage improvement in liver fibrosis without worsening of MASH  
Timeframe: Baseline through Week 52
2. HistoIndex qFibrosis: Proportion of subjects with at least a 1 stage improvement in qFibrosis  
Timeframe: Baseline through Week 52
3. Anthropometric parameters: Relative (%) change from baseline in body weight (kg)  
Timeframe: Baseline through End of Study (approximately Month 60)
4. Anthropometric parameters: Relative (%) change from baseline in body mass index (BMI; kg/m2)  
Timeframe: Baseline through End of Study (approximately Month 60)
5. Anthropometric parameters: Relative (%) change from baseline in waist circumference (cm)  
Timeframe: Baseline through End of Study (approximately Month 60)
6. Noninvasive Tests of MASH Inflammatory and Fibrotic Activity: Absolute change from baseline in alanine aminotransferase (ALT; U/L)  
Timeframe: Baseline through End of Study (approximately Month 60)
7. Noninvasive Tests of MASH Inflammatory and Fibrotic Activity: Absolute change from baseline in enhanced liver fibrosis (ELF) score  
Timeframe: Baseline through End of Study (approximately Month 60)
8. Noninvasive Tests of MASH Inflammatory and Fibrotic Activity: Relative (%) change from baseline in vibration controlled transient elastography (VCTE; kPa) by Fibroscan  
Timeframe: Baseline through End of Study (approximately Month 60)
9. HRQoL: Change from baseline in core symptoms of MASH on the NASH-CHECK questionnaire.  
Timeframe: Baseline through End of Study (approximately Month 60)
10. HRQoL: Change from baseline in Short-form 36 (SF-36) summary scores.  
Timeframe: Baseline through End of Study (approximately Month 60)
11. HRQoL: Change from baseline in Chronic Liver Disease Questionnaire for Nonalcoholic Steatohepatitis (CLDQ-NASH) domain scores.  
Timeframe: Baseline through End of Study (approximately Month 60)

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Maximum age**

75 Years

**Healthy volunteers**

No

### Inclusion criteria

All subjects:

- No significant changes in body weight (±5%) and not participating in a structured weight loss program for the 3 months prior to screening (or since the historical biopsy, if applicable)
- Body mass index (BMI) ≥ 25.0 kg/m2; if Asian, BMI ≥ 23.0 kg/m2
- Type 2 diabetes (T2D) or at least 2 components of metabolic syndrome
- Subject agrees to have liver biopsy(ies) as required per protocol

Cohort 1 - Histologic diagnosis of F2/F3 MASH based on liver biopsy during screening or historical biopsy within 6 months before screening

Cohort 2 - Presumed F2/F3 MASH based on noninvasive testing

### Exclusion criteria

- Cirrhosis (F4); portal hypertension or hepatic decompensation; acute or chronic liver disease other than MASH; liver function tests (ALT, AST; alkaline phosphatase; total bilirubin; INR; and platelet count) outside of acceptable ranges; positive HBsAg; active hepatitis C
- Uncontrolled T2D or clinically significant persistent hyperglycemia

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## Sites

- Altimmune Clinical Study SiteNorth Little Rock, United StatesRecruiting
- Altimmune Clinical Study SiteFountain Valley, United StatesRecruiting
- Altimmune Clinical Study SiteFresno, United StatesRecruiting
- Altimmune Clinical Study SiteGardena, United StatesRecruiting
- Altimmune Clinical Study SiteLong Beach, United StatesRecruiting
- Altimmune Clinical Study SiteMiami, United StatesRecruiting
- Altimmune Clinical Study SiteOcala, United StatesRecruiting
- Altimmune Clinical Study SiteSpringboro, United StatesRecruiting
- Altimmune Clinical Study SiteWestlake, United StatesRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07795164)

## Related records

### Drugs (1)

- [Pemvidutide](https://trialight.com/data/asset/pemvidutide-84c00953-821c-44fd-ba06-b55270f15881.md)

### Lead sponsors (1)

- [Altimmune, Inc.](https://trialight.com/data/company/altimmune-inc-0fdc674f-7f1f-4d65-bb16-17839afb3154.md)

### Conditions (1)

- [Cirrhosis of liver](https://trialight.com/data/condition/cirrhosis-of-liver-d90e4a84-9e82-54fc-a553-1e42086e8382.md) Primary condition

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